The correct answer is D
Caused by cholesterol deposits, which block arteries, ischemic heart disease, also called coronary artery disease or coronary heart disease, is still the single biggest cause of death in the United States, killing nearly 500,000 Americans each year. But the situation is changing. According to a study in the Sept. 25, 1998, New England Journal of Medicine, deaths from coronary heart disease dropped 28 percent among men and 31 percent among women between 1987 and 1994 alone. This drop is primarily due to improved care.
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