[spiritof1848] Letter to Editor

[Dennis Raphael]

FYI

Dear Editor
Globe and Mail -- Canada's National Newspaper
Toronto

Before Canadians rush off to stock their pantries with almonds in an
attempt to ward off heart attacks (Eating almonds can lower cholesterol,
study shows, Aug. 20) they would do well to heed the words of heart
disease experts Fraser Mustard and Michael Marmot who state:
"Since the main cause of myocardial ischemia (heart attacks) is a
thromboembolic event it is difficult to see how changes in cholesterol
levels in adult males will dramatically change outcomes since there is
no evidence that cholesterol has a major clinical effect on the
thromboembolic process.  This may be one of the reasons why risk
modifications by trying to lower cholesterol levels has not had a
dramatic effect on the incidence of heart attacks" (Coronary Heart
Disease from a Population Perspective, In Why are Some People Healthy
and Others Not? The Determinants of Health of Populations, R.G. Evans,
M.L. Barer, & T.R. Marmor (eds). New York: Aldine de Gruyter, 1994.)


Dennis Raphael, PhD
Associate Professor and Undergraduate Program Director
School of Health Policy and Management
Atkinson Faculty of Liberal and Professional Studies
York University
4700 Keele Street
Toronto, Ontario M3J 1P3
tel: 416-736-2100, ext. 22134
fax: 416-736-5227
email: draphael at yorku.ca



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