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  1. M Avendano1,2,
  2. I Soerjomataram2,3
  1. 1
    Center for Population and Development Studies, Harvard School of Public Health, Cambridge, Massachusetts, USA
  2. 2
    Department of Public Health, Erasmus MC, Rotterdam, The Netherlands
  3. 3
    Harvard Initiative for Global Health, Harvard University, Cambridge, Massachusetts, USA
  1. Mauricio Avendano, Harvard Center for Population and Development Studies, Cambridge, MA 02138, USA; mavendan{at}

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We thank Redpath and Capewell for referring to the Information Services Division (ISD) data and applaud their careful analysis of trends in coronary heart disease (CHD) in Scotland. These data confirm that the incidence of first acute myocardial infarction (AMI) has been declining during recent years. A general decreasing trend remains despite the introduction of more sensitive diagnostic tests (for example, troponin and other biomarkers) for MI over recent years. Interestingly, re-calculation of data presented on their website suggests …

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  • Competing interests: None.

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