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Editorials |17 February 2015

Celebrating the ACP Centennial: From the Annals Archive

Deborah Cotton, MD, MPH, Deputy Editor

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During the 2015 centennial year of the American College of Physicians, publisher of Annals of Internal Medicine, Annals editors will link an article in each issue with an earlier paper from our archives addressing the same disease or clinical question. We hope our readers find this interesting, and we welcome comments, especially from physicians who were practicing at the time of publication of the original paper who might offer insight into the impact of the earlier paper on their knowledge or practice.
In this issue, DeFilippis and colleagues (1) conclude that several cardiovascular risk-scoring systems, including versions of the Framingham risk score, overestimate the risk for cardiovascular disease in a contemporary multiethnic cohort.
In a seminal report in the July 1961 issue of the Annals, Kannel and colleagues (2) analyzed data from the first 6 years of what was called The Framingham Study. From 1948 to 1950, more than 5000 residents of Framingham, Massachusetts, considered a typical American town, were recruited and given biennial physical examinations and extensive testing that included chest radiographs, electrocardiograms, and measures of lipoprotein and cholesterol levels. Death certificates and, when available, autopsy results were also reviewed. Virtually all of the participants were white.
Kannel and colleagues (2) reported that the manifestations of coronary heart disease differed between men and women, a high immediate mortality was associated with myocardial infarction, and hypercholesterolemia and hypertension preceded coronary heart disease and increased the risk for its occurrence. These results and subsequent...
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Cotton D. Celebrating the ACP Centennial: From the Annals Archive. Ann Intern Med. 2015;162:310. doi: 10.7326/M14-2819

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Published: Ann Intern Med. 2015;162(4):310.

DOI: 10.7326/M14-2819

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