SciELO - Scientific Electronic Library Online

vol.156 número4Susceptibilidad cutánea a la infección por SARS-CoV-2 según la expresión de los factores de entrada viral en la pielDisminución del filtrado glomerular con la edad, un fenómeno normal índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados




Links relacionados

  • Não possue artigos similaresSimilares em SciELO


Gaceta médica de México

versão On-line ISSN 2696-1288versão impressa ISSN 0016-3813

Gac. Méd. Méx vol.156 no.4 Ciudad de México Jul./Ago. 2020  Epub 27-Maio-2021 

Carta al editor

Yalta Conference and cerebrovascular disease

La Conferencia de Yalta y la enfermedad cerebrovascular

Amado Jiménez-Ruiz1  * 

Adriana Ruiz-Razura2 

1Western University, Department of Neurology, Ontario, Canada

2Benemérita Sociedad de Geografía y Estadística del Estado de Jalisco, University Center of Art, Architecture and Design, Jalisco, Mexico

A clever person solves a problem.

A wise person avoids it.


We read carefully the article titled “Head and Neck Cancer. Its impact on the history of mankind”, by José Francisco Gallegos Hernández, published in Gaceta Médica de México number 2 of 2020.1 This historical review leaves the message that cancer can be curable at an early stage, and that prevention constitutes the best treatment. We believe this to be true for most diseases and by way of a sample, a photograph (Fig. 1).

Figure 1 The Yalta Conference (source: public domain). 

In 1945, the Yalta Conference marked the end of World War II. A famous photograph during the meeting shows the victorious leaders of that huge conflagration. The United States, the United Kingdom and the Soviet Union were discussing the reorganization of Europe after the armed conflict. On the left, Winston Churchill, followed by Franklin D. Roosevelt and, at the end, Joseph Stalin; the three most powerful men on the planet at that moment. However, there were other similarities: all three died of cerebrovascular complications, including ischemia and cerebral hemorrhage,2-4 all three were smokers (in the photograph it can be seen that one holds a cigar and another one a cigarette), hypertensive and obese; all three represent the archetype of the patient with a disease that might have been prevented with risk factor adequate control. Surely, should these characters have survived their vascular conditions, history would have been different. We agree with Gallegos Hernández that prevention continues to be a fundamental pillar of medical science and we should always consider it a priority.


1. Gallegos-Hernández JF. Cáncer de cabeza y cuello. Su impacto en la historia de la humanidad. Gac Med Mex. 2020;156:104-109. [ Links ]

2. Jones JM, Jones JL. Presidential stroke:United States presidents and cerebrovascular disease. CNS Spectr. 2006;11:674-678. [ Links ]

3. Ali R, Connolly ID, Li A, Choudhri OA, Pendharkar AV, Steinberg GK. The strokes that killed Churchill, Roosevelt, and Stalin. Neurosurg Focus. 2016;41:E7. [ Links ]

4. Barth RF, Brodsky SV, Ruzic M. What did Joseph Stalin really die of?A reappraisal of his illness, death, and autopsy findings. Cardiovasc Pathol Off J Soc Cardiovasc Pathol. 2019;40:55-58. [ Links ]

Received: April 18, 2020; Accepted: April 27, 2020

* Correspondence: Amado Jiménez-Ruiz E-mail:

Creative Commons License Instituto Nacional de Cardiología Ignacio Chávez. Published by Permanyer. This is an open ccess article under the CC BY-NC-ND license