Journal of the American College of Cardiology 1991: Vol 17 Table of Contents

15 Pages·1991·5.9 MB·English

JACC
Journal of the American College of Cardiology
Editor-in-Chief
SIMON DACK, MD, New York, NY
Associate Edit Senior Assistant Edit
ANTHONY N. DEMARIA, MD, Lexington, KY IRA J. GELB, MD, New Rochelle, NY
SUZANNE B. KNOEBEL, MD, Indianapolis, IN MARTIN E. GOLDMAN, MD, New York, NY
DAN G. MCNAMARA, MD, Houston, TX MELVIN KAHN, MD, New York, NY
JOHN A. WALDHAUSEN, MD, Hershey, PA LESLIE A. KUHN, MD, New York, NY
Editorial Consul
GEORGE S. ABELA, MD, Boston, MA NOBLE O. FOWLER, MD, Cincinnati, OH BARRY M. MASSIE, MD, San Francisco, CA
ROBERT J. ADOLPH, MD, Cincinnati, OH ARTHUR C. FOX, MD, New York, NY ERIC L. MICHELSON, MD, Philadelphia, PA
JOHN AMBROSE, MD, New York, NY GARY S. FRANCIS, MD, Minneapolis, MN JOEL MORGANROTH, MD, Gladwyne, PA
FRED L. ANDERSON, MD, Salt Lake City, UT ROBERT M. FREEDOM, MD, Ontario, Canada HILTRUD S. MUELLER, MD, Bronx, NY
WILLIAM F. ARMSTRONG III, MD, Ann Arbor, MI GOTTLIEB C. FRIESINGER II, MD, Nashville, TN NAVIN C. NANDA, MD, Birmingham, AL
DONALD S. BAIM, MD, Boston, MA VICTOR F. FROELICHER, MD, Long Beach, CA RICK A. NISHIMURA, MD, Rochester, MN
ROBERT A. BAUERNFEIND, MD, Richmond, VA EDWARD D. FROHLICH, MD, New Orleans, LA MILTON PACKER, MD, New York, NY
LEWIS C. BECKER, MD, Baltimore, MD VALENTIN FUSTER, MD, New York, NY BERTRAM PITT, MD, Ann Arbor, MI
DANIEL S. BERMAN, MD, Los Angeles, CA JULIUS M. GARDIN, MD, Orange, CA GARY D. PLOTNICK, MD, Baltimore, MD
EUGENE H. BLACKSTONE, MD, Birmingham, AL EDWARD M. GELTMAN, MD, St. Louis, MO ERIC N. PRYSTOWSKY, MD, Indianapolis, IN
ROBERTO BOLLI, MD, Houston, TX BERNARD J. GERSH, MB, ChB, PhD, Rochester, MN CHARLES E. RACKLEY, MD, Washington, DC
KENNETH M. BOROW, MD, Chicago, IL WELTON M. GERSONY, MD, New York, NY SHAHBUDIN H. RAHIMTOOLA, MD, Los Angeles, CA
NATHANIEL REICHEK, MD, Philadelphia, PA
CHARLES A. BOUCHER, MD, Boston, MA RICHARD A. GOLDSTEIN, MD, Houston, TX
SAMUEL B. RITTER, MD, New York, NY
MARTIAL G. BOURASSA, MD, Quebec, Canada RICHARD J. GOLINKO, MD, New York, NY
ALLAN M. ROSS, MD, Washington, DC
EUGENE BRAUNWALD, MD, Boston, MA THOMAS P. GRAHAM, Jr., MD, Nashville, TN
RICHARD O. RUSSELL, Jr., MD, Birmingham, AL
BRUCE H. BRUNDAGE, MD, Torrance, CA ROLF M. GUNNAR, MD, Maywood, IL
THOMAS J. RYAN, MD, Boston, MA
ANDREW J. BUDA, MD, Ann Arbor, MI WARREN G. GUNTHEROTH, MD, Seattle, WA
ROBERT C. SCHLANT, MD, Atlanta, GA
ROBERT M. CALIFF, MD, Durham, NC DAVID R. HATHAWAY, MD, Indianapolis, IN
MARK H. SCHOENFELD, MD, New Haven, CT
RICHARD O. CANNON III, MD, Bethesda, MD CHARLES B. HIGGINS, MD, San Francisco, CA
ARTHUR SELZER, MD, San Francisco, CA
BLASE CARABELLO, MD, Charleston, SC L. DAVID HILLIS, MD, Dallas, TX
DAVID J. SKORTON, MD, lowa City, IA
BERNARD R. CHAITMAN, MD, St. Louis, MO DAVID R. HOLMES, Jr., MD, Rochester, MN
DAVID H. SPODICK, MD, DSc, Worcester, MA
KANU CHATTERJEE, MD, San Francisco, CA LEONARD N. HOROWITZ, MD, Philadelphia, PA
LEONARD STEINFELD, MD, New York, NY
JAMES H. CHESEBRO, MD, Rochester, MN JAMES C. HUHTA, MD, Philadelphia, PA
BORYS SURAWICZ, MD, Indianapolis, IN
ROBERT J. CODY, MD, Columbus, OH JEFFREY M. ISNER, MD, Boston, MA
ERIC J. TOPOL, MD, Ann Arbor, MI
PATRICIA C. COME, MD, Boston, MA MARK E. JOSEPHSON, MD, Philadelphia, PA
MARIO S. VERANI, MD, Houston, TX
HAROLD DASH, MD, Everett, WA JOEL S. KARLINER, MD, San Francisco, CA DAVID D. WATERS, MD, Quebec, Canada
JOHN P. DiMARCO, MD, PhD, Charlottesville, VA SANJIV KAUL, MD, Charlottesville, VA KARL T. WEBER, MD, Columbia, MO
JAMES C. DILLON, MD, Indianapolis, IN KENNETH M. KESSLER, MD, Miami, FL MYRON L. WEISFELDT, MD, Baltimore, MD
LEONARD S. DREIFUS, MD, Philadelphia, PA THOMAS KILLIP, MD, New York, NY ARTHUR E. WEYMAN, MD, Boston, MA
TOBY R. ENGEL, MD, Omaha, NE LLOYD W. KLEIN, MD, Chicago, IL DAVID O. WILLIAMS, MD, Providence, RI
MARY ALLEN ENGLE, MD, New York, NY ROBERT A. KLONER, MD, PhD, Los Angeles, CA
ANDREW E. EPSTEIN, MD, Birmingham, AL MORRIS N. KOTLER, MD, Philadelphia, PA
STEPHEN M. FACTOR, MD, Bronx, NY MARTIN J. LIPTON, MD, Chicago, IL E ti E lit
JACK FERLINZ, MD, Southfield, MI FLOYD D. LOOP, MD, Cleveland, OH
ROSS D. FLETCHER, MD, Washington, DC BARRY J. MARON, MD, Bethesda, MD RUTH OHMAN, New York, NY
© 1991 by THE AMERICAN COLLEGE OF CARDIOLOGY
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CONTENTS OF VOLUME 17
JANUARY 1991 VOLUME 17 NUMBER 1
COOPERATIVE STUDIES F. Hiratzka, Linda Thorpe, Mark L. Armstrong, Melvin L.
Marcus, Richard E. Kerber
Avoiding Interpretive Pitfalls When Assessing Arrhythmia
Suppression After Myocardial Infarction: Insights From the 87 Detection of Coronary Blood Flow Associated With Left Main
Long-Term Observations of the Placebo-Treated Patients in the Coronary Artery Stenosis by Transesophageal Doppler Color
Cardiac Arrhythmia Pilot Study (CAPS) Craig M. Pratt, Al Flow Echocardiography Masakazu Yamagishi, Takanori
Hallstrom, Pierre Theroux, Donald Romhilt, James Coromilas, Yasu, Kuniyoshi Ohara, Masakazu Kuro, Kunio Miyatake
James Myles, for the CAPS Investigators
94 Percutaneous Coronary Excimer Laser-Assisted Balloon
Editorial Comment The Variability of Spontaneous Ventricular Angioplasty: Initial Clinical and Quantitative Angiographic
Arrhythmias in the Year After Myocardial Infarction Results in 50 Patients Timothy A. Sanborn, Sabino R. Torre,
J. Thomas Bigger, Jr., Joseph L. Fleiss Samin K. Sharma, Ronnie A. Hershman, Marc Cohen,
Warren Sherman, John A. Ambrose
ll Reasons for the Lack of Benefit of Immediate Angioplasty
During Recombinant Tissue Plasminogen Activator Therapy for 100 Percutaneous Angioscopy During Coronary Angioplasty Using a
Acute Myocardial Infarction: A Regional Wall Steerable Microangioscope Stephen R. Ramee, Christopher J.
Motion Analysis Alfred E. R. Arnold, Patrick W. Serruys, White, Tyrone J. Collins, Juan E. Mesa, Joseph P. Murgo
Wolfgang Rutsch, Maarten L. Simoons, David P. De Bono,
106 Evaluation of Preload Reserve During Isometric Exercise Testing
Jan G. P. Tijssen, Jacobus Lubsen, Marc Verstraete for the
in Patients With Old Myocardial Infarction: Doppler
European Cooperative Study Group
Echocardiographic Study Kayo Hayashi, Kenji Dote, Yasushi
22 Clinical and Angiographic Determinants of Primary Coronary Sunaga, Tetsuro Sugiura, Toshiji lwasaka, Mitsuo Inada
Angioplasty Success Michael P. Savage, Sheldon Goldberg,
112 Noninvasive Assessment of Intrinsic Ventricular Load Dynamics
John W. Hirshfeld, Theodore A. Bass, Robert G. MacDonald,
in Dilated Cardiomyopathy Karl /saaz, Ares Pasipoularides
James R. Margolis, Andrew S. Taussig, George Vetrovec,
Hall B. Whitworth, Andrew Zalewski, James A. Hill, Michael 122 Editorial Comment Toward a More Complete Understanding of
Cowley, Ralph Jugo, Carl J. Pepine for the M-Heart Left Ventricular Afterload Richard B. Devereux
Investigators
125 Methodology of Head-Up Tilt Testing in Patients With
Unexplained Syncope Adam P. Fitzpatrick, George
CLINICAL STUDIES
Theodorakis, Panos Vardas, Richard Sutton
29 Outcome Probabilities and Life History After Surgical Mitral 131 Editorial Comment Tilt Table for the Investigation of Syncope:
Commissurotomy: Implications for Balloon Commissurotomy
There Is Nothing Simple About Fainting Paul Kligfield
Mark S. J. Hickey, Eugene H. Blackstone, John W. Kirklin,
Larry S. Dean
ELECTROPHYSIOLOGIC STUDIES
43 Spontaneous Alterations in Coronary Blood Flow Velocity Before
133 Immediate Reproducibility of Electrically Induced Sustained
and After Coronary Angioplasty in Patients With Severe Angina
Monomorphic Ventricular Tachycardia Before and During
Eric J. Eichhorn, Paul A. Grayburn, John E. Willard,
Antiarrhythmic Therapy Marlon S. Rosenbaum, David J.
H. Vernon Anderson, John B. Bedotto, Melissa Carry, Joel K.
Wilber, Dianne Finkelstein, Jeremy N. Ruskin, Hasan Garan
Kahn, James T. Willerson
139 Editorial Comment Cardiac Excitability, the Electrophysiologic
53 Elevated Plasma Beta-Endorphin Levels in Patients With
Matrix and Electrically Induced Ventricular Arrhythmias:
Congestive Heart Failure Seinosuke Kawashima, Naoshige
Order and Reproducibility in Seeming Electrophysiologic Chaos
Fukutake, Katsuhiko Nishian, Susumu Asakuma,
Morton F. Arnsdorf
Tadaaki Iwasaki
143 Differences in QRS Configuration During Unipolar Pacing From
59 Implications of Echocardiographically Assisted Diagnosis of
Adjacent Sites: Implications for the Spatial Resolution of Pace-
Pericardial Tamponade in Contemporary Medical Patients:
Mapping Alan H. Kadish, Keith Childs, Stephen Schmaltz,
Detection Before Hemodynamic Embarrassment Marc J.
Fred Morady
Levine, Beverly H. Lorell, Daniel J. Diver, Patricia C. Come
152 Lack of Prognostic Value of Syncope in Patients With Wolff-
Superiority of Transesophageal Echocardiography in Detecting
Parkinson-White Syndrome Angelo Auricchio, Helmut Klein,
Cardiac Source of Embolism in Patients With Cerebral Ischemia
Hans-Joachim Trappe, Paul Wenzlaff
of Uncertain Etiology Anthony C. Pearson, Arthur J.
Labovitz, Satyararayan Tatineni, Camilo R. Gomez 159 Editorial Comment Syncope and Sudden Death in the Wolff-
Parkinson-White Syndrome Thomas N. James
73 Recognition and Embolic Potential of Intraaortic Atherosclerotic
Debris Dean G. Karalis, Krishnaswamy Chandrasekaran, 161 Longitudinal Dissociation of Atrioventricular Accessory
Mark F. Victor, John J. Ross, Jr., Gary S. Mintz Pathways Jacob Atié, Pedro Brugada, Josep Brugada, Joep
L. R. M. Smeets, Fernando E. §. Cruz, Ayrton Peres,
METHODS Mauricio Duque, Hein J. J. Wellens
79 Coronary Arterial Remodeling Studied by High-Frequency
PEDIATRIC CARDIOLOGY
Epicardial Echocardiography: An Early Compensatory
Mechanism in Patients With Obstructive Coronary 167 Tricuspid Valve Disease With Significant Tricuspid Insufficiency
Atherosclerosis David D. McPherson, Sara J. Sirna, Loren in the Fetus: Diagnosis and Outcome Lisa K. Hornberger,
David J. Sahn, Charles §. Kleinman, Joshua A. Copel, Experimental Pericardial Effusion: Relation of Abnormal
Kathryn L. Reed Respiratory Variation in Mitral Flow Velocity to Hemodynamics
and Diastolic Right Heart Collapse Mark S. Gonzalez,
174 _ Electrophysiologic Findings After Fontan Repair of Functional
Michael A. Basnight, Christopher P. Appleton with the
Single Ventricle © Cheryl C. Kiirer, Carol S. Tanner, Victoria
technical assistance of Melissa Carucci, Christopher Henry,
L. Vetter
Marcey Olajos
182 Late Noninvasive Evaluation of Cardiac Performance in Mildly 249
Editorial Comment The Effects of Pericardial Effusion on
Symptomatic Older Patients With Ebstein’s Anomaly of
Respiratory Variations in Hemodynamics and Ventricular
Tricuspid Valve: Role of Radionuclide Imaging Anita Saxena,
Function Ralph Shabetai
Lance V. Fong, Maria Tristam, Duncan M. Ackery, Barry R.
Keeton 251 Effect of Lovastatin on Intimal Hyperplasia After Balloon
Angioplasty: A Study in an Atherosclerotic Hypercholesterolemic
SEMINAR ON BALLOON AORTIC VALVULOPLASTY—I Rabbit Joel Gellman, Michael D. Ezekowitz, lan J.
William W. O'Neill. Guest Editor Sarembock, Michael A. Azrin, Lucien E. Nochomowitz,
Emanuel Lerner, Christian C. Haudenschild
187 Introduction William W. O'Neill
260 A Quantitative Index of Regional Blood Flow in Canine
189 In-Hospital Mortality After Balloon Aortic Valvuloplasty: Myocardium Derived Noninvasively With N-13 Ammonia and
Frequency and Associated Factors David R. Holmes, Jr., Rick Dynamic Positron Emission Tomography Christoph A.
A. Nishimura, Guy S. Reeder Nienaber, Osman Ratib, Sanjiv S. Gambhir, Janine
193 Predictors of Long-Term Survival After Percutaneous Aortic oo % yo ig Huang, Michael E. Phelps,
Valvuloplasty: Report of the Mansfield Scientific Balloon Aortic
Valvuloplasty Registry William W. O'Neill for the Mansfield 270 Editorial Comment Quantitative Determination of Regional
Scientific Aortic Valvuloplasty Registry Investigators Myocardial Blood Flow: Can It Be Accurately Measured
Noninvasively? Denny D. Watson, George A. Beller
REPORTS ON THERAPY
199 Ventricular Load Optimization by Unloading Therapy in DIAGNOSTIC TECHNIQUES
Patients With Heart Failure Tomoki Kameyama, Hidetsugu 272 The Flail Mitral Valve: Echocardiographic Findings by
Asanoi, Shinji Ishizaka, Shigetake Sasayama
Precordial and Transesophageal Imaging and Doppler Color
208 Cardiovascular and Hormonal Effects of Calcitonin Gene- Flow Mapping Ronald B. Himelman, Fred Kusumoto, Keith
Related Peptide in Congestive Heart Failure Inder S. Anand, Oken, Edmond Lee, Michael K. Cahalan, Pravin M. Shah,
Jane Gurden, Gurpreet S. Wander, Peter O’Gara, Sian E. Nelson B. Schiller
Harding, Roberto Ferrari, A. Cornacchiari, A. Panzali,
Purshotam L. Wahi, Philip A. Poole-Wilson CASE REPORTS
, 280 Cardiac Tamponade Early After Thrombolysis for Acute
BASIC CONCEPTS IN CARDIOLOGY
Myocardial Infarction: A Rare but Not Reported Hemorrhagic
Complication Jean Renkin, Bernard De Bruyne, Edouard
Arnold M. Katz, Guest Editor Benit, Jean-Marc Joris, Marc Carlier, Jacques Col
218 Maturational Changes in Excitation-Contraction Coupling in
Mammalian Myocardium Thomas S. Klitzner HISTORICAL MILESTONES
286 Historical Vignette Celebrating the 30th Anniversary of
EXPERIMENTAL STUDIES Diagnostic Ambulatory Electrocardiographic Monitoring and
227 _ Influence of Incremental Changes in Heart Rate on Mitral Flow Data Reduction Systems — Eliot Corday
Velocity: Assessment in Lightly Sedated, Conscious Dogs
Christopher P. Appleton with the technical assistance of SPECIAL SECTIONS
Melissa J. Carucci, Christopher P. Henry, Marcey Olajos
293 ACC News President’s Page: Committee Participation—A
237 Editorial Comment The Increasing Complexity of Assessing Blueprint for Success or Failure William L. Winters, Jr.
Diastolic Function From Ventricular Filling Dynamics William
A. Zoghbi, Roberto Bolli 296 Letter to the Membership Charles Fisch
FEBRUARY 1991 VOLUME 17 NUMBER 2
COOPERATIVE STUDIES Myocardial Infarction With Minimal Coronary Atherosclerosis
in the Era of Thrombolytic Reperfusion Dean J. Kereiakes,
297 Flecainide Acetate Treatment of Paroxysmal Supraventricular Eric J. Topol, Barry S. George, Richard S. Stack, Charles W.
Tachycardia and Paroxysmal Atrial Fibrillation: Dose-Response Abbottsmith, Stephen Ellis, Richard J. Candela, Lynn
Studies Edward L. C. Pritchett, Steven D. DaTorre, Marc L. Harrelson, Linda H. Martin, Robert M. Califf and the
Platt, Sally E. McCarville, Andrina J. Hougham for the Thrombolysis and Angioplasty in Myocardial Infarction
Flecainide Supraventricular Tachycardia Study Group (TAMI) Study Group
CLINICAL STUDIES Prolonged and Fractionated Right Atrial Electrograms During
Sinus Rhythm in Patients With Paroxysmal Atrial Fibrillation
Natural History of Moderate Aortic Stenosis Kelley D.
and Sick Sinus Node Syndrome Muneo Tanigawa, Masahiko
Kennedy, Rick A. Nishimura, David R. Holmes, Jr.,
Fukatani, Atsushi Konoe, Shojiro Isomoto, Mitsuo Kadena,
Kent R. Bailey
Kunitake Hashiba
Clinical and Electrophysiologic Determinants, Treatment and
Spontaneous Changes in Ventricular Tachycardia Cycle Length
Survival of Patients With Sustained Malignant Ventricular
Kent J. Volosin, Lou-Anne M. Beauregard, Rosemary
Tachyarrhythmias Occurring Late After Myocardial Infarction
Fabiszewski, Howard Mattingly, Harvey L. Waxman
J. Anthony Gomes, Stephen L. Winters, Arisan Ergin, Joseph
Machac, Manuel Estioko, Dimitrious Alexopoulous, Elena Pe
CARDIAC PACING
Editorial Comment Sustained Ventricular Tachyarrhythmias
After Infarction: When Should the Worrying Begin? Automatic Implantable Cardioverter-Defibrillator Implantation
Mark H. Schoenfeld Without Thoracotomy Using an Endocardial and Submuscular
Patch System Ronald McCowan, James Maloney, Bruce
Late Potentials on Signal-Averaged Electrocardiograms and
Wilkoff, Tony Simmons, Dirar Khoury, Hugh McAlister,
Patency of the Infarct-Related Artery in Survivors of Acute
Victor Morant, Lon Castle
Myocardial Infarction Pierce J. Vatterott, Stephen C.
Hammill, Kent R. Bailey, Christine M. Wiltgen,
Bernard J. Gersh REPORTS ON HYPERTENSION
Effect of H, Receptor Stimulation on Coronary Artery Diameter Echocardiographic Evaluation of Cardiac Structure and
in Patients With Variant Angina: Comparison With Effect of Function in Elderly Subjects With Isolated Systolic Hypertension
Acetylcholine Ken Okumura, Hirofumi Yasue, Koshi Anthony C. Pearson, Chalapathirao Gudipati, David
Matsuyama, Kozaburo Matsuyama, Yasuhiro Morikami, Nagelhout, James Sear, Jerome D. Cohen, Arthur J. Labovitz
Hisao Ogawa, Kenji Obata with the technical assistance of Denise Mrosek, Jan St. Vrain
Editorial Comment _Histaminergic Modulation of Coronary Editorial Comment _ Significance of Increased Left Ventricular
Vascular Resistance: Are We Missing a Therapeutic Adjunct for Mass in Isolated Systolic Hypertension of the Elderly
the Treatment of Myocardial Ischemia? Morton J. Kern Robert A. Phillips
Percutaneous Mitral Valvuloplasty in Surgical High Risk
Patients Thierry Lefévre, Raoul Bonan, Antonio Serra, MORPHOLOGIC STUDIES
Jacques Crépeau, Thor Dyrda, Robert Petitclerc, Yves Leclerc,
Restenosis After Percutaneous Transluminal Coronary
Olivier Vanderperren, David Waters
Angioplasty: Pathologic Observations in 20 Patients Masakiyo
Nobuyoshi, Takeshi Kimura, Hiroto Ohishi, Hisanori
METHODS
Horiuchi, Hideyuki Nosaka, Naoya Hamasaki, Hiroatsu
The Variable Extent of Jeopardized Myocardium in Patients Yokoi, Koutaku Kim
With Single Vessel Coronary Artery Disease: Quantification by
Editorial Comment What Does Pathology Teach Us About
Thallium-201 Single Photon Emission Computed Tomography
Recurrent Stenosis After Coronary Angioplasty? Jay Hollman
John J. Mahmarian, Craig M. Pratt, Terri M. Boyce,
Mario §. Verani Differential Histopathology of Primary Atherosclerotic and
Restenotic Lesions in Coronary Arteries and Saphenous Vein
Editorial Comment Relation Between Functional and Anatomic
Bypass Grafts: Analysis of Tissue Obtained From 73 Patients by
Descriptors of Coronary Artery Disease
Directional Atherectomy Kirk N. Garratt, William D.
Abdulmassih S. Iskandrian
Edwards, Urs P. Kaufmann, Ronald E. Vlietstra,
Primary Angioplasty in Myocardial Infarction: Assessment of David R. Holmes, Jr.
Improved Myocardial Perfusion With Technetium-99m Isonitrile
Transplant Coronary Artery Disease: Histopathologic Correlations
Thomas Behrenbeck, Patricia A. Pellikka, Kenneth C. Huber,
With Angiographic Morphology Danna E. Johnson, Edwin L.
John F. Bresnahan, Bernard J. Gersh, Raymond J. Gibbons
Alderman, John S. Schroeder, Shao-Zhou Gao, Sharon Hunt,
Differentiating Cardiomyopathy of Coronary Artery Disease William M. DeCampli, Edward Stinson, Margaret Billingham
From Nonischemic Dilated Cardiomyopathy Utilizing Positron
Emission Tomography Freny Vaghaiwalla Mody, Richard C.
PEDIATRIC CARDIOLOGY
Brunken, Lynne Warner Stevenson, Christoph A. Nienaber,
Michael E. Phelps, Heinrich R. Schelbert Immunosuppressive Therapy in the Management of Acute
Myocarditis in Children: A Clinical Trial Kit Y. Chan,
A Randomized Comparison of the Nephrotoxicity of lopamidol
Masazumi Iwahara, Lee N. Benson, Gregory J. Wilson,
and Diatrizoate in High Risk Patients Undergoing Cardiac
Robert M. Freedom
Angiography Charles P. Taliercio, Ronald E. Vlietstra,
Duane M. Ilstrup, John C. Burnett, Kris K. Menke, Shauna L. Lung Function and Pulmonary Regurgitation Limit Exercise
Stensrud, David R. Holmes, Jr. Capacity in Postoperative Tetralogy of Fallot Stuart A. Rowe,
Kenneth G. Zahka, Teri A. Manolio, Peter J. Horneffer,
ELECTROPHYSIOLOGIC STUDIES Langford Kidd
Drug Therapy for Ventricular Tachyarrhythmias: How Many
Electropharmacologic Trials Are Appropriate? Katherine M. REPORTS ON THERAPY
Kavanagh, D. George Wyse, Henry J. Duff, Anne M. Gillis,
A Randomized Placebo-Controlled Trial of Combined Early
Robert S. Sheldon, L. Brent Mitchell
Intravenous Captopril and Recombinant Tissue-Type
Comparison of Pre- and Postoperative Conduction Patterns in Plasminogen Activator Therapy in Acute Myocardial Infarction
Patients Surgically Cured of Atrioventricular Node Reentrant Elizabeth G. Nabel, Eric J. Topol, Anita Galeana, Stephen G.
Tachycardia Michael A. Ruder, R. Hardwin Mead, Nellis A. Ellis, Eric R. Bates, Steven W. Werns, Joseph A. Walton,
Smith, Vincent A. Gaudiani, Roger A. Winkle David W. Muller, Markus Schwaiger, Bertram Pitt
474 Methionine Restores the Venodilative Response to Nitroglycerin EXPERIMENTAL STUDIES
After the Development of Tolerance Warren S. Levy, Richard
J. Katz, Alan G. Wasserman 509 Atrial Activation Sequence During Atrial Flutter in the Canine
Pericarditis Model and Its Effects on the Polarity of the Flutter
480 Effect of Atenolol and Diltiazem on Heart Period Variability in Wave in the Electrocardiogram Ken Okumura, Vance J.
Normal Persons James R. Cook, J. Thomas Bigger, Jr., Plumb, Pierre L. Pagé, Albert L. Waldo
Robert E. Kleiger, Joseph L. Fleiss, Richard C. Steinman,
Linda M. Rolnitzky 519 Comparison of Indium-111 Antimyosin Antibody and
Technetium-99m Pyrophosphate Localization in Reperfused and
SEMINAR ON BALLOON AORTIC VALVULOPLASTY—II Nonreperfused Myocardial Infarction Kan Takeda, Norman
William W. O’Neill, Guest Editor D. LaFrance, Harlan F. Weisman, Henry N. Wagner, Jr.,
Lewis C. Becker
485 The Mansfield Scientific Aortic Valvuloplasty Registry: Overview —— ‘
of Acute Hemodynamic Results and Procedural Complications 527 Editorial Comment Technetium-99m Pyrophosphate and
seen . Indium-111 Antimyosin Antibody Scintigraphy Appear to Be
Raymond G. McKay for the Mansfield Scientific Aortic ;
Valvuloplasty Registry Investigators Comparable Methods for Infarct Detection James T.
Willerson, L. Maximilian Buja
REVIEWS 530 Hypertrophy, Fibrosis and Diastolic Dysfunction in Early
Canine Experimental Hypertension Pamela S. Douglas,
492 Association Between Primary Pulmonary Hypertension and Barbara Tallant
Portal Hypertension: Analysis of Its Pathophysiology and
Clinical, Laboratory and Hemodynamic Manifestations
Benjamin D. Robalino, Douglas S. Moodie
DIAGNOSTIC STUDIES
EDITORIAL REVIEWS 537 Transesophageal Echocardiography Is Superior to Transthoracic
‘ : ~* - ,' Echocardiography in the Diagnosis of Sinus Venosus Atrial
499 Mechanisms of Angina Pectoris in Syndrome X_ Aitilio Maseri, Bye “
Filippo Crea, Juan Carlos Kaski, Tom Crake Septal Defect /tzhak Kronzon, Paul A. Tunick, Robin S.
Freedberg, Naresh Trehan, Barry P. Rosenzweig,
Editorial Comment Syndrome X Revisited Harvey G. Kemp, Jr. Matthew E. Schwinger
FEBRUARY 1991 VOLUME 17 NUMBER 2 (SUPPLEMENT A) ABSTRACTS
Abstracts of Original Contributions to Be Presented at the 16A Original Contributions: 40th Annual Scientific Session
American College of Cardiology 40th Annual Scientific Session
March 3-7, 1991 Atlanta, Georgia 392A Acknowledgments
Original Contributions: Young Investigators’ Awards 394A Author Index
Competition
Original Contributions: Computer Application Program 411A Subject Index
MARCH 1, 1991 VOLUME 17 NUMBER 3
ACC/AHA TASK FORCE REPORT Erbel, Timothy M. Brown, Nathan Laufer, Jurgen Meyer,
543 Guidelines and Indications for Coronary Artery Bypass Graft William W. O'Neill
Surgery John W. Kirklin, Chairman 604 Heart Rate Variability in Patients With Ventricular
Arrhythmias: Effect of Antiarrhythmic Drugs Giulio Zuanetti,
COOPERATIVE STUDIES Roberto Latini, James M. M. Neilson, Peter J. Schwartz,
David J. Ewing and the Antiarrhythmic Drug Evaluation
590 Digoxin-[mmune Fab Therapy in the Management of Digitalis Group (ADEG)
Intoxication: Safety and Efficacy Results of an Observational
Surveillance Study Anne R. Hickey, Thomas L. Wenger, CLINICAL STUDIES
pra’ Fates pry 4p ese ygh e| t g 613 Factors Determining Improvement in Left Ventricular Function
Thomas W. Smith After Reperfusion Therapy for Acute Myocardial Infarction:
Primacy of Baseline Ejection Fraction Ulrike Marzoll, Neal S.
599 Multicenter Registry of Angioplasty Therapy of Cardiogenic Kleiman, J. Kay Dunn, Mario S. Verani, Steven T. Minor,
Shock: Initial and Long-Term Survival Linda Lee, Raimund Robert Roberts, Albert E. Raizner
Incidence and Clinical Significance of Transient Creatine Kinase EPIDEMIOLOGIC STUDIES
Elevations and the Diagnosis of Non-Q Wave Myocardial
Relation of Alcohol Intake to Left Ventricular Mass: The
Infarction Associated With Coronary Angioplasty Lloyd W.
Framingham Study Teri A. Manolio, Daniel Levy, Robert J.
Klein, Barry L. Kramer, Elizabeth Howard, Michael Lesch
Garrison, William P. Castelli, William B. Kannel
Reactivity of Eccentric and Concentric Coronary Stenoses in
Patients With Chronic Stable Angina Juan Carlos Kaski,
PEDIATRIC CARDIOLOGY
Dimitris Tousoulis, Agha W. Haider, Stavros Gavrielides,
Filippo Crea, Attilio Maseri Surgery for Ebstein’s Anomaly: The Clinical and
Echocardiographic Evaluation of a New Technique Jan M.
Long-Term Follow-Up of Medical Versus Surgical Therapy for
Quaegebeur, Narayanswami Sreeram, Alan G. Fraser,
Hypertrophic Cardiomyopathy: A Retrospective Study
Ad J. J. C. Bogers, Oliver F. W. Stiimper, John Hess, Egbert
Christian Seiler, Otto M. Hess, Marietta Schoenbeck, Juraj
Bos, George R. Sutherland
Turina, Rolf Jenni, Marko Turina, Hans-Peter Krayenbuehl
The Role of Chronotropic Impairment During Exercise After the
Editorial Comment Surgical Versus Medical Therapy of
Mustard Operation Stephen M. Paridon, Richard A. Humes,
Hypertrophic Cardiomyopathy: Is the Perspective Changing?
William W. Pinsky
Robert A. Chahine
Obstruction of Mechanical Heart Valve Prostheses: Clinical
REPORTS ON THERAPY
Aspects and Surgical Management Ehud Deviri, Pinhas
Sareli, Thomas Wisenbaugh, Stephanus L. Cronje Effect of Captopril, an Angiotensin-Converting Enzyme
Inhibitor, in Patients With Angina Pectoris and Heart Failure
Myocardial Magnesium: Relation to Laboratory and Clinical
John G. F. Cleland, Esther Henderson, James McLenachan,
Variables in Patients Undergoing Cardiac Surgery Richard A.
lain N. Findlay, Henry J. Dargie
Reinhart, James J. Marx, Jr., Steven K. Broste,
Ronald G. Haas Editorial Comment Management of Patients With Heart Failure
and Angina: Do Coexistent Diseases Alter the Response to
METHODS Cardiovascular Drugs? Milton Packer, Marrick L. Kukin
Prediction of the Frequency and Duration of Ambulatory Effect of Maintenance Digoxin Therapy on Aerobic Performance
Myocardial Ischemia in Patients With Stable Coronary Artery and Exercise Left Ventricular Function in Mild to Moderate
Disease by Determination of the Ischemic Threshold From Heart Failure Due to Coronary Artery Disease: A Randomized,
Exercise Testing: Importance of the Exercise Protocol Julio A. Placebo-Controlled, Crossover Trial Jerome L. Fleg,
Panza, Arshed A. Quyyumi, Jean G. Diodati, Timothy S. Benjamin Rothfeld, Sheldon H. Gottlieb with the technical
Callahan, Stephen E. Epstein assistance of Jeanette Wright
Editorial Comment Differences in Electrocardiographic
Treatment of Recurrent Ischemia After Thrombolysis and
Demonstration of Myocardial Ischemia Robert A. Bruce
Successful Reperfusion for Acute Myocardial Infarction: Effect
Stress Echocardiography and the Human Factor: The on In-Hospital Mortality and Left Ventricular Function
Importance of Being Expert Eugenio Picano, Fabio Lattanzi, Stephen G. Ellis, Darrell Debowey, Eric R. Bates,
Andrés Orlandini, Cecilia Marini, Antonio L’ Abbate Eric J. Topol
Silent Ischemia After Coronary Angioplasty: Evaluation of
REVIEWS
Restenosis and Extent of Ischemia in Asymptomatic Patients by
Tomographic Thallium-201 Exercise Imaging and Comparison
A Paradigm for Restenosis Based on Cell Biology: Clues for the
With Symptomatic Patients Harvey S. Hecht, Richard E.
Development of New Preventive Therapies James S.
Shaw, Henry L. Chin, Colman Ryan, Simon H. Stertzer,
Forrester, Michael Fishbein, Richard Helfant, James Fagin
Richard K. Myler
Percutaneous Support Devices for High Risk or Complicated
ELECTROPHYSIOLOGIC STUDIES Coronary Angioplasty A. Michael Lincoff, Jeffrey J. Popma,
Stephen G. Ellis, Robert A. Vogel, Eric J. Topol
Concealed Entrainment As a Guide for Catheter Ablation of
Ventricular Tachycardia in Patients With Prior Myocardial
EXPERIMENTAL STUDIES
Infarction Fred Morady, Alan Kadish, Shimon Rosenheck,
Hugh Calkins, William H. Kou, Michael De Buitleir, Joao Sousa Regional Myocardial Blood Flow and Left Ventricular Diastolic
Effects of Standing on the Induction of Paroxysmal Properties in Pacing-Induced Ischemia Shin-ichi Momomura,
Supraventricular Tachycardia Takaaki Hashimoto, Masahiko James J. Ferguson, Michael J. Miller, J. Anthony Parker,
Fukatani, Mitsuhiro Mori, Kunitake Hashiba William Grossman
Pressure-Length Loop Area: Its Components Analyzed During
CARDIAC PACING
Graded Myocardial Ischemia Amira Safwat, Bruce J. Leone,
A Randomized Double-Blind Crossover Comparison of Four Robin M. Norris, Pierre Foéx
Rate-Responsive Pacing Modes Neil Sulke, John Chambers,
Modification of Atrioventricular Node Transmission Properties
Athanase Dritsas, Edgar Sowton
by Intraoperative Neodymium-YAG Laser Photocoagulation in
The Automatic Implantable Cardioverter-Defibrillator: Effect of Dogs Laszlo Littmann, Robert H. Svenson, Istvan
Patch Polarity on Defibrillation Threshold Padraig G. O'Neill, Tomcsanyi, Christoph Hehrlein, John J. Gallagher, Saroja
Kwabena A. Boahene, Gerald M. Lawrie, Lynette F. Harvill, Bharati, Maurice Lev, Robert Splinter, George P. Tatsis,
Antonio Pacifico Jan R. Tuntelder
Concurrent Nitroglycerin Administration Decreases
MORPHOLOGIC STUDIES
Thrombolytic Potential of Tissue-Type Plasminogen Activator
Dissection of the Aorta Associated With Congenital Jawahar L. Mehta, Francesca A. Nicolini, Wilmer W.
Malformation of the Aortic Valve Charles §. Roberts, Nichols, Tom G. P. Saldeen with the technical assistance of
William C. Roberts Audra C. Wilson, Linda V. Thompson
812 Duchenne’s Cardiomyopathy in a Canine Model: 828 Follow-Up of Patients With Low Output, Low Gradient
Electrocardiographic and Echocardiographic Studies Hemodynamics After Percutaneous Balloon Aortic
N. Sydney Moise, Beth A. Valentine, Cynthia A. Brown, Valvuloplasty: The Mansfield Scientific Aortic Valvuloplasty
Hollis N. Erb, Kathy A. Beck, Barry J. Cooper, Robert F. Registry Rick A. Nishimura, David R. Holmes, Jr., Michelle
Gilmour A. Michela
821 Natural Evolution of Cardiac Function, Cardiac Pathology and
Antimyosin Scan in a Murine Myocarditis Model Chiharu
Kishimoto, Guo-Long Hung, Masatoshi Ishibashi,
Ban An Khaw, Gerald M. Kolodny, Walter H. Abelmann, SPECIAL SECTIONS
Tsunehiro Yasuda
834 ACC News President’s Page: A Key Map
William L. Winters, Jr.
SEMINAR ON BALLOON AORTIC VALVULOPLASTY—III
William W. O’Neill, Guest Editor 838 New Members of the College
MARCH 15, 1991 VOLUME 17 NUMBER 4
COOPERATIVE STUDIES 898 Editorial Comment Aortic Regurgitation: The Need for an
Integrated Physiologic Approach Kenneth M. Borow and
843 Perioperative Myocardial Ischemia in Patients Undergoing
Richard H. Marcus
Noncardiac Surgery—I: Incidence and Severity During the
4 Day Perioperative Period Dennis T. Mangano, Milton 901 Impact of Orifice Geometry on the Shape of Jets: An In Vitro
Hollenberg, Ginger Fegert, M. Lou Meyer, Martin J. London, Doppler Color Flow Study James D. Thomas, John P.
Julio F. Tubau, William C. Krupski and the Study of O'Shea, Leonardo Rodriguez, Aleksandar D. Popovic,
Perioperative Ischemia (SPI) Research Group Tracy Svizerro and Arthur E. Weyman
851 Perioperative Myocardial Ischemia in Patients Undergoing
Noncardiac Surgery—II: Incidence and Severity During the Ist
SEMINAR ON BALLOON AORTIC VALVULOPLASTY—IV
Week After Surgery Dennis T. Mangano, Martin G. Wong,
William W. O’ Neill, Guest Editor
Martin J. London, Julio F. Tubau, Joseph A. Rapp and the
Study of Perioperative Ischemia (SPI) Research Group Patient Age and Results of Balloon Aortic Valvuloplasty: The
Mansfield Scientific Registry Experience Guy S. Reeder, Rick
A. Nishimura, David R. Holmes, Jr. and the Mansfield
CLINICAL STUDIES
Scientific Aortic Valvuloplasty Registry Investigators
Influence of Right Bundle Branch Block on Short- and Long-
Term Survival After Acute Anterior Myocardial Infarction ELECTROPHYSIOLOGIC STUDIES
Francois Ricou, Pascal Nicod, Elizabeth Gilpin, Hartmut
Henning and John Ross, Jr. 914 Drug Response at Electropharmacologic Study in Patients With
Ventricular Tachyarrhythmias: The Importance of Ventricular
Editorial Comment Right Bundle Branch Block After Anterior
Refractoriness Anne M. Gillis, D. George Wyse, Henry J.
Myocardial Infarction Joel S. Karliner
Duff and L. Brent Mitchell
Thrombosis-Related Markers in Unstable Angina Pectoris
Dimitrios Alexopoulos, John A. Ambrose, David Stump, Susan
Borrico, Richard Gorlin, Pramod Deshmukh and
MORPHOLOGIC STUDIES
Edward A. Fisher
921 Morphologic Comparison of Patients With Mitral Valve Prolapse
872 Effect of Abrupt Mitral Regurgitation After Balloon
Who Died Suddenly With Patients Who Died From Severe
Valvuloplasty on Myocardial Load and Performance
Valvular Dysfunction or Other Conditions Allen L. Dollar and
Thomas Wisenbaugh, Martin Berk, Rafique Essop, Shirley
William C. Roberts
Middlemost and Pinhas Sareli
METHODS
PEDIATRIC CARDIOLOGY
879 Coronary Vasodilation Is Impaired in Both Hypertrophied and
932 Tricuspid Atresia or Severe Stenosis With Partial Common
Nonhypertrophied Myocardium of Patients With Hypertrophic
Atrioventricular Canal: Anatomic Data, Clinical Profile and
Cardiomyopathy: A Study With Nitrogen-13 Ammonia and
Surgical Considerations Stella Van Praagh, Venturella Vangi,
Positron Emission Tomography Paolo Camici, Giampaolo
Jun Hee Sul, Dominique Metras, Ira Parness, Aldo R.
Chiriatti, Roberto Lorenzoni, Riccardo C. Bellina, Roberto
Castaneda and Richard Van Praagh
Gistri, Gessica Italiani, Oberdan Parodi, Piero A. Salvadori,
Nicola Nista, Lauro Papi and Antonio L’ Abbate Tricuspid Valve Dysplasia or Displacement in Intrauterine Life
Gurleen K. Sharland, Sunder K. Chita and Lindsey D. Allan
Mechanisms for Left Ventricular Systolic Dysfunction in Aortic
Regurgitation: Importance for Predicting the Functional 950 Aortico-Left Ventricular Tunnel: Long-Term Outcome After
Response to Aortic Valve Replacement Mark R. Starling, Surgical Repair Narayanswami Sreeram, Roger Franks,
Marvin M. Kirsh, Daniel G. Montgomery and Milton D. Gross Robert Arnold and Kevin Walsh
REPORTS ON THERAPY DIAGNOSTIC STUDIES
Long-Lasting Depression of the Factor XII-Dependent
Value of Ventricular Electrogram Recordings in the Diagnosis of
Fibrinolytic System in Patients With Myocardial Infarction
Arrhythmias Precipitating Electrical Device Shock Therapy
Undergoing Thrombolytic Therapy With Recombinant Tissue-
Bruce G. Hook and Francis E. Marchlinski
Type Plasminogen Activator: A Randomized Placebo-Controlled
Study Steffen Munkvad, Jérgen Jespersen, Jérgen Gram and
Cornelis Kluft
CASE REPORTS
Anti-Ischemic Effects of Atenolol Versus Nifedipine in Patients
With Coronary Artery Disease and Ambulatory Silent Ischemia
Smooth Muscle Cell Proliferation and Restenosis After Stand
Prakash C. Deedwania, Enrique V. Carbajal, John R. Nelson
Alone Coronary Excimer Laser Angioplasty Karl R. Karsch,
and Howard Hait
Karl K. Haase, Manfred Wehrmann, Stefan Hassenstein and
Sinus Node-Atrioventricular Node Isolation: Long-Term Results Hartmut Hanke
With the ‘Corridor’? Operation for Atrial Fibrillation
James W. Leitch, George Klein, Raymond Yee and Editorial Comment Early Limitations of Coronary Excimer
Gerard Guiraudon Laser Angioplasty Timothy A. Sanborn
Editorial Comment Surgical Therapy for Atrial Fibrillation: A
First Step on What May Be a Long Road John P. DiMarco
SPECIAL SECTIONS
EXPERIMENTAL STUDIES Books Received
Acute Biologic Response to Excimer Versus Thermal Laser ACC News President’s Page: RBRVS in Review
Angioplasty in Experimental Atherosclerosis Jonathan D. William L. Winters, Jr.
Marmur, Timothy A. Sanborn, Hirshel Kahn, Juan Jose
Badimon, Lina Badimon and Valentin Fuster Correction
APRIL 1991 VOLUME 17 NUMBER 5
ACC POLICY STATEMENT Editorial Comment Valvular Heart Disease: The Technologic
Dilemma William S. Frankl
Standards for Analysis of Ventricular Late Potentials Using
High-Resolution or Signal-Averaged Electrocardiography: A Comparison of the Effects of Streptokinase and Tissue
Statement by a Task Force Committee of the European Society Plasminogen Activator on Regional Wall Motion After First
of Cardiology, the American Heart Association, and the Myocardial Infarction: Analysis by the Centerline Method With
American College of Cardiology Giinter Breithardt, Correction for Area at Risk David B. Cross, Noel G.
Chairman, Michael E. Cain, Nabil El-Sherif, Nancy C. Ashton, Robin M. Norris, Harvey D. White
Flowers, Vinzenz Hombach, Michiel Janse, Michael B.
Noninvasive Detection of Reperfusion in Acute Myocardial
Simson, Gerhard Steinbeck
Infarction Based on Plasma Activity of Creatine Kinase MB
Subforms Peter R. Puleo, M. Benjamin Perryman
COOPERATIVE STUDIES
Prognostic Value of Thallium-201 Myocardial Perfusion Imaging
Selective Versus Routine Predischarge Coronary Arteriography in Patients With Unstable Angina Who Respond to Medical
After Therapy With Recombinant Tissue-Type Plasminogen Treatment Kenneth A. Brown
Activator, Heparin and Aspirin for Acute Myocardial Infarction
Comparison of Epicardial Coronary Artery Tone and Reactivity
William J. Rogers, Joseph D. Babb, Donald S. Baim,
in Prinzmetal’s Variant Angina and Chronic Stable Angina
James H. Chesebro, Joel M. Gore, Robert Roberts, David O.
Pectoris Juan Carlos Kaski, Dimitris Tousoulis, Stavros
Williams, Margaret Frederick, Eugene R. Passamani, Eugene
Gavrielides, Eugene McFadden, Alfredo R. Galassi,
Braunwald for the TIMI II Investigators
Filippo Crea, Attilio Maseri
Selective Prolongation of QRS Late Potentials by Sodium
Editorial Comment Interaction Between Coronary Artery Tone
Channel Blocking Antiarrhythmic Drugs: Relation to Slowing of
and Spasm Hiroto Mashiba, Akira Hoshio, Hiroshi Kotake
Ventricular Tachycardia Roger A. Freedman, Jonathan §S.
Steinberg for the Electrophysiologic Study Versus Exercise Intolerance in Patients With Heart Failure and
Electrocardiographic Monitoring Trial (ESVEM) Investigators Preserved Left Ventricular Systolic Function: Failure of the
Frank-Starling Mechanism Dalane W. Kitzman, Michael B.
Higginbotham, Frederick R. Cobb, Khalid H. Sheikh,
CLINICAL STUDIES
Martin J. Sullivan
Comparison of Cardiac Catheterization and Doppler
Editorial Comment Exercise Intolerance in Heart Failure
Echocardiography in the Decision to Operate in Aortic and
Michael B. Fowler
Mitral Valve Disease James Slater, Aaron J. Gindea,
Robin S. Freedberg, Larry A. Chinitz, Paul A. Tunick, Coronary Bypass Graft Fate: Long-Term Angiographic Study
Barry P. Rosenzweig, Howard E. Winer, Andrew Goldfarb, Gerald M. FitzGibbon, Alan J. Leach, Henryk P. Kafka,
John L. Perez, Ephraim Glassman, Itzhak Kronzon Wilbert J. Keon
1081 Editorial Comment Fate of Venous Grafts: The Past, the 1161 Pathologic Spectrum of Malformations of the Tricuspid Valve in
Present and the Future Martial G. Bourassa Prenatal and Neonatal Life Dieter Lang, Renate Oberhoffer,
Andrew Cook, Gurleen Sharland, Lindsey Allan, Nuala Fagg,
Robert H. Anderson
METHODS
1168 The Child With Recurrent Syncope: Autonomic Function
Testing and Beta-Adrenergic Hypersensitivity James C.
1085 Quantitative Assessment of Ultrasonic Myocardial Reflectivity in
Perry, Arthur Garson, Jr.
Hypertrophic Cardiomyopathy Fabio Lattanzi, Paolo
Spirito, Eugenio Picano, Alessandro Mazzarisi, Luigi Landini, 1172 Balloon Valvuloplasty for Critical Aortic Stenosis in the
Alessandro Distante, Carlo Vecchio, Antonio L’Abbate Newborn: Influence of New Catheter Technology Robert H.
Beekman, Albert P. Rocchini, Amy Andes
1091 Editorial Comment Ultrasound Characterization of Myocardial
Hypertrophy Julio E. Pérez
REPORTS ON THERAPY
1094 Adjacent Solid Boundaries Alter the Size of Regurgitant Jets on
Doppler Color Flow Maps Edward G. Cape, Ajit P. 1177 Treatment of Complicated Prosthetic Aortic Valve Endocarditis
Yoganathan, Arthur E. Weyman, Robert A. Levine With Annular Abscess Formation by Homograft Aortic Root
Replacement James J. Glazier, Jo Verwilghen, Robert M.
1103 Doppler Color Flow ‘‘Proximal Isovelocity Surface Area”’
Donaldson, Donald N. Ross
Method for Estimating Volume Flow Rate: Effects of Orifice
Shape and Machine Factors Toshinori Utsunomiya, Toshio 1183 Immediate and Short-Term Cardiovascular Effects of Fosinopril,
Ogawa, Rajen Doshi, Dharmendra Patel, Maureen Quan, a New Angiotensin-Converting Enzyme Inhibitor, in Patients
Walter L. Henry, Julius M. Gardin With Essential Hypertension Shmuel Oren, Franz H.
Messerli, Ehud Grossman, Guillermo E. Garavaglia,
1112 Effect of Lesion Characteristics on Outcome of Directional
Edward D. Frohlich
Coronary Atherectomy Tomoaki Hinohara, Michael H.
Rowe, Gregory C. Robertson, Matthew R. Selmon,
SEMINAR ON BALLOON AORTIC VALVULOPLASTY—V
Lissa Braden, James H. Leggett, James W. Vetter,
William W. O'Neill, Guest Editor
John B. Simpson
1188 Follow-Up Recatheterization After Balloon Aortic Valvuloplasty
1121 Comparison of Early Versus Late Experience With Percutaneous
Thomas M. Bashore, Charles J. Davidson and the Mansfield
Mitral Balloon Valvuloplasty ££. Murat Tuzcu, Peter C.
Scientific Aortic Valvuloplasty Registry Investigators
Block, Igor F. Palacios
1125 Transcardiac Release of Leukotriene C, by Neutrophils in EXPERIMENTAL STUDIES
Patients With Coronary Artery Disease Stefano De Servi,
Giovanni Ricevuti, Antonino Mazzone, Davide Pasotti, 1197 Angiographic Demonstration of Hyperconstriction Induced by
Ezio Bramucci, Luigi Angoli, Giuseppe Specchia Serotonin and Aggregating Platelets in Porcine Coronary
Arteries With Regenerated Endothelium Hiroaki Shimokawa,
Paul M. Vanhoutte
ELECTROPHYSIOLOGIC STUDIES
1203 Regional Diastolic Mechanics of Ischemic and Nonischemic
1129 Recovery of Retrograde Fast Pathway Excitability in the
Myocardium in the Pig Heart Toshiyuki Takahashi, Marc J.
Atrioventricular Node Reentrant Circuit After Concealed
Levine, William Grossman
Anterograde Impulse Penetration Claudio D. Schuger,
Russell T. Steinman, Michael H. Lehmann 1213 Bleeding Time Prolongation and Bleeding During Infusion of
Recombinant Tissue-Type Plasminogen Activator in Dogs:
Potentiation by Aspirin and Reversal With Aprotinin Harry D.
MORPHOLOGIC STUDIES
Garabedian, Herman K. Gold, Robert C. Leinbach, Tracy A.
1138 The Severity of Coronary Atherosclerosis at Sites of Plaque Svizzero, Dianne M. Finkelstein, J. Luis Guerrero,
Rupture With Occlusive Thrombosis Jian-Hua Qiao, Désiré Collen
Michael C. Fishbein
1223 Onset of Induced Atrial Flutter in the Canine Pericarditis Model
Akihiko Shimizu, Akira Nozaki, Yoram Rudy, Albert L. Waldo
PEDIATRIC CARDIOLOGY
1235 Editorial Comment Atrial Flutter: Progress, but No Final
1143 Hypoplastic Left Heart Syndrome: Hemodynamic and Answer Hein J. J. Wellens
Angiographic Assessment After Initial Reconstructive Surgery
and Relevance to Modified Fontan Procedure Anthony C. SPECIAL NOTE
Chang, Paul E. Farrell, Jr., Kenneth A. Murdison, Jeanne M.
Baffa, Gerald Barber, William I. Norwood, John D. Murphy 1237 Mistaken Guidelines for Thrombolytic Therapy of Acute
Myocardial Infarction in the Elderly Sol Sherry,
1150 Editorial Comment Modified Fontan Procedure for Hypoplastic
Victor J. Marder Response: Rolf M. Gunnar
Left Heart Syndrome After Palliation With the Norwood
Operation Francisco J. Puga
SPECIAL SECTIONS
1152 Transesophageal Echocardiography in Evaluation and
1239 ACC News President’s Page: Access to Cardiovascular Care:
Management After a Fontan Procedure Oliver Stiimper,
Defining the Role of the ACC Robert L. Frye
George R. Sutherland, Rene Geuskens, Jos R.T.C. Roelandt,
Egbert Bos, John Hess 1242 1991-1992 Board of Governors