Normal range for serum transaminases.

workers spread the belief that lassitude and irritability presage a heart attack the suffering will be of a different order. The flood of patients already needing reassurance about their hearts will become an unmanageable torrent. The sight of a patient arriving by taxi and carrying his suitcase to the intensive care ward (presumably having "lost more than 80% of his usual capacity for physical effort") might cause sardonic amusement to those of us who have always believed that the usefulness of these wards has been exaggerated. One views with less equanimity the pathetic friend or colleague who has developed a neurosis believing that his irritability and lassitude may be the harbinger of death. If doctors and especially cardiologists believe that these symptoms are due to anxiety and not coronary artery disease it is their duty to state this quite clearly, since silence may be assumed to be tacit approval for the concept that lassitude, deteriorating business efficiency, rising tensions, and an 80% loss of the usual capacity for physical effort but without angina are valuable predictive evidence of coronary artery disease. I am, etc., P. B. S. FowLER