The Wall Street Journal (4 /6 , Winslow, subscription required) reports that an analysis of Medicare data indicates that heart attack rates may be declining among older Americans. A number of factors may be behind the decline. Sidney Smith, a cardiologist at University of North Carolina, said, "It looks like our effort with preventive medicine, with guidelines and a systematic approach to caring for patients, is paying off." Meanwhile, the Journal adds that the American College of Cardiology and the American Heart Association have created programs designed to better the in-hospital care that heart-attack patients receive.
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