The death toll from heart ailments remains the nation's largest disease problem. The human suffering has been compared in scope to several fully loaded jumbo jets crashing each day. And the economic cost for medical care and lost productivity will total about $167 billion this year, according to the American Heart Association. Moreover, contrary to popular opinion, heart disease is not an easy way to go. Just ask anyone who has suffered the searing pain of angina, survived a heart attack, or undergone heart surgery. Nor is heart disease the exclusive province of older people. Children have never been exempt. An estimated 32,000 babies are born each year with congenital heart defects, and early signs of heart disease can be found in teenagers and young adults who consume high-fat, high-cholesterol diets. People in these age groups are putting themselves at risk by gaining more weight, exercising less, and smoking more, too. And heart disease among people in their forties and fifties may soon become a great deal more common. Indeed, as baby boomers enter middle age after living a life of affluence, we may face a twenty-first century epidemic.

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