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The question ‘Why does Russia have such high cardiovascular (CV) mortality rates?’1 can be answered by a pathologist who practised during the Soviet time.2 Since then, the quality of postmortem examinations has decreased especially during the 1990s: autopsies were sometimes made perfunctorily. The deterioration in anatomic pathology and the healthcare in general during the 1990s coincided with the increase in the registered CV mortality. A tendency to overdiagnose CV diseases is generally known to exist also for people dying at home and not undergoing autopsy. If …
Contributors Single author.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; internally peer-reviewed.
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