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Abstract

If one is to follow the evidence produced by authorities such as Oliver (1) on the one hand and Winkelstein and Marmot (2) on the other it certainly cannot be argued that the measures taken so far to prevent atherosclerosis and its most common complication (coronary heart disease, CHD) have been truly effective. The scarce results of the Multiple Risk Factor Intervention Trial have not made it possible to say whether the decrease in mortality due to CHD is attributable to reductions in the three classic risk factors (smoking, hypertension and hypercholesterolemia) or whether this decrease is due to the general trend towards a reduction in CHD which is manifest in the USA and many European countries and which in turn is due to a combination of social and environmental factors not yet clearly defined (2).

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Zanetti, M., Montaguti, U. (1987). Social aspects of atherosclerosis. In: Lenzi, S., Descovich, G.C. (eds) Atherosclerosis and Cardiovascular Diseases. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3205-0_2

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