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Coronary heart disease trends in England and Wales from 1984 to 2004: concealed levelling of mortality rates among young adults
  1. Michael Chester
  1. Professor Michael R Chester, National Refractory Angina Centre (NRAC), RLBUHT, Liverpool L14 3P, UK; chester{at}angina.org

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To the Editor: O’Flaherty and colleagues1 have identified a worrying change in the hitherto improving CHD mortality data in England and Wales, which has occurred despite record spending on coronary revascularisation. They correctly propose that the health intervention measures, as recommended by Wanless2 and supported by the National Heart Forum3 and NICE,4 should be urgently …

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