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Journal of the American College of Cardiology 1997: Vol 29 Table of Contents PDF

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CONTENTS OF VOLUME 29 JANUARY 1997 VOLUME 29 NUMBER 1 CLINICAL STUDIES Comparative Diagnostic Accuracy of Tl-201 and Tc-99m Sestamibi SPECT Imaging (Perfusion and INTERVENTIONAL CARDIOLOGY ECG-Gated SPECT) in Detecting Coronary Artery Disease in Estrogen Replacement Therapy After Coronary Angioplasty in Women Raymond Taillefer, E. Gordon DePuey, James E. Women James H. O’Keefe, Jr., Susie C. Kim, Ralph R. Hall, Udelson, George A. Beller, Yves Latour, Francois Reeves Vicki C. Cochran, Stephanie L. Lawhorn, Ben D. McCallister A Detailed Angiographic Analysis of Patients With Ambulatory Subacute Stent Thrombosis in the Era of Intravascular Electrocardiographic Ischemia: Results From the Asymptomatic Ultrasound-Guided Coronary Stenting Without Anticoagulation: Cardiac Ischemia Pilot (ACIP) Study Angiographic Core Frequency, Predictors and Clinical Outcome J[ssam Moussa, Laboratory Barry L. Sharaf, David O. Williams, Nicholas J. Carlo Di Mario, Bernhard Reimers, Tatsuro Akiyama, Jonathan Miele, Robert P. McMahon, Peter H. Stone, Preben Bjerregaard, Tobis, Antonio Colombo Richard Davies, A. David Goldberg, Michael Parks, Carl J. Pepine, Ticlopidine and Aspirin Pretreatment Reduces Coagulation and George Sopko, C. Richard Conti, for the ACIP Investigators Platelet Activation During Coronary Dilation Procedures Importance of Nitric Oxide in the Coronary Artery at Rest and Luisa Gregorini, Jean Marco, Jean Fajadet, Monique Bernies, During Pacing in Humans = Yasuhiro Nishikawa, Satoshi Ogawa Bernard Cassagneau, Philippe Brunel, Irene M. Bossi, Pier Mannuccio Mannucci ELECTROPHYSIOLOGY Age-Gender Influence on the Rate-Corrected QT Interval and High Pressure Assisted Coronary Stent Implantation the QT-Heart Rate Relation in Families With Genotypically Accomplished Without Intravascular Ultrasound Guidance and Characterized Long QT Syndrome Michael H. Lehmann, Subsequent Anticoagulation Shigeru Nakamura, Patrick Hall, Katherine W. Timothy, Debra Frankovich, Barbara S. Fromm, Antonio Gaglione, Fabio Tiecco, Marinella Di Maggio, Luigi Mark Keating, Emanuela H. Locati, R. Thomas Taggart, Jeffrey A. Maiello, Giovanni Martini, Antonio Colombo Towbin, Arthur J. Moss, Peter J. Schwartz, G. Michael Vincent MYOCARDIAL INFARCTION Electrophysiologic Mechanisms of Antiarrhythmic Efficacy of a Coronary Stent Placement in Patients With Acute Myocardial Sotalol and Class Ia Drug Combination: Elimination of Reverse Infarction: Comparison of Clinical and Angiographic Outcome Use Dependence _S. Douglas Lee, David Newman, Miney Ham, After Randomization to Antiplatelet or Anticoagulant Therapy Paul Dorian Albert Schémig, Franz-Josef Neumann, Hanna Walter, Helmut Schiihlen, Martin Hadamitzky, Eva-Maria Zitzmann-Roth, Josef Atrial Fibrillation Activates Platelets and Coagulation in a Dirschinger, Jorg Hausleiter, Rudolf Blasini, Claus Schmitt, Time-Dependent Manner: A Study in Patients With Paroxysmal Eckhard Alt, Adnan Kastrati Atrial Fibrillation Hiroshi Sohara, Shigeru Amitani, Mitsuro Kurose, Kenkichi Miyahara Gender and Acute Myocardial Infarction: Is There a Different Response to Thrombolysis? Scott L. Woodfield, Conor F. Long-Term Follow-Up After Radiofrequency Modification of the Lundergan, Jonathan S. Reiner, Mark A. Thompson, Steven C. Atrioventricular Node in Patients With Atrial Fibrillation Rohrbeck, Yuri Deychak, James O. Smith, Jeffrey R. Burton, Fred Morady, Carol Hasse, S. Adam Strickberger, K. Ching Man, William F. McCarthy, Robert M. Califf, Harvey D. White, Emile Daoud, Frank Bogun, Rajiva Goyal, Mark Harvey, Bradley W. Douglas Weaver, Eric J. Topol, Allan M. Ross P. Knight, Raul Weiss, Marwan Bahu Troponin T Identifies Patients With Unstable Coronary Artery Cost-Effectiveness of Transesophageal Echocardiographic- Disease Who Benefit From Long-Term Antithrombotic Guided Cardioversion: A Decision Analytic Model for Patients Protection Bertil Lindahl, Per Venge, Lars Wallentin, for the Admitted to the Hospital With Atrial Fibrillation Todd B. Fragmin in Unstable Coronary Artery Disease (FRISC) Study Seto, Deborah A. Taira, Joel Tsevat, Warren J. Manning Group Left Atrial Chamber and Appendage Function After Internal Angiotensin-Converting Enzyme Inhibitor Therapy Affects Left Atrial Defibrillation: A Prospective and Serial Transesophageal Ventricular Mass in Patients With Ejection Fraction >40% After Echocardiographic Study Heyder Omran, Werner Jung, Rami Acute Myocardial Infarction David B. Johnson, Robert E. Rabahieh, Rainer Schimpf, Christian Wolpert, Andreas Hagendorff, Foster, Francesco Barilla, Gerald G. Blackwell, Maryann Roney, Wolfgang Fehske, Berndt Liideritz Alfred W. H. Stanley, Jr., Kathy Kirk, Roger A. Orr, Rob J. van der Geest, Johan H. C. Reiber, Louis J. Dell’Italia PRACTICE PATTTERNS CORONARY ARTERY DISEASE Variations in Cholesterol Management Practices of U.S. Physicians Randall S. Stafford, David Blumenthal, Evaluation of Patterns of Perfusion and Metabolism in Richard C. Pasternak Dobutamine-Responsive Myocardium Stephen Sawada, Gregory Elsner, Douglas S. Segar, Mark O’Shaughnessy, Samer Khouri, HEART FAILURE Judy Foltz, Patrick D. V. Bourdillon, John R. Bates, Naomi Fineberg, Thomas Ryan, Gary D. Hutchins, Harvey Feigenbaum Effects of Dihydrocodeine on Chemosensitivity and Exercise Tolerance in Patients With Chronic Heart Failure Tuan Peng Assessment of Myocardial Viability in Chronic Coronary Artery Chua, Derek Harrington, Piotr Ponikowski, Katharine Webb-Peploe, Disease Using Technetium-99m Sestamibi SPECT: Correlation Philip A. Poole-Wilson, Andrew J. S. Coats With Histologic and Positron Emission Tomographic Studies and Functional Follow-Up Alex F. Maes, Marcel Borgers, Determinants of Pulmonary Hypertension in Left Ventricular Willem Flameng, Johan L. Nuyts, Frans van de Werf, Jannie J. Dysfunction Maurice Enriquez-Sarano, Andrea Rossi, James B. Ausma, Paul Sergeant, Luc A. Mortelmans Seward, Kent R. Bailey, A. Jamil Tajik 160 Spectrum of Alcohol-Induced Myocardial Damage Detected by PEDIATRIC CARDIOLOGY Indium-111-—Labeled-Monoclonal Antimyosin Antibodies 194 Arrhythmia and Mortality After the Mustard Procedure: Manel Ballester, Vicens Marti, Ignasi Carrié, Damia Obrador, A 30-Year Single-Center Experience Mark Gelatt, Robert M. Conxa Moya, Guillem Pons-Llad6, Lluis Berna, Ruben Lamich, Hamilton, Brian W. McCrindle, Michael Connelly, Andrew Davis, Maria Rosa Aymat, Manel Barbanoj, Josep Guardia, Francesc Louise Harris, Robert M. Gow, William G. Williams, George A. Carreras, Claudi Udina, Josep M. Augé, Jaume Marrugat, Trusler, Robert M. Freedom Gaieta Permanyer, Josep M. Caralps-Riera 202 Coronary Artery Obstruction After the Arterial Switch AMYLOID DISEASE Operation for Transposition of the Great Arteries in Newborns 168 Iodine-123 Metaiodobenzylguanidine Scintigraphic Assessment Philipp Bonhoeffer, Damien Bonnet, Jean-Francois Piéchaud, of Myocardial Sympathetic Innervation in Patients With Oliver Stiimper, Yacine Aggoun, Elizabeth Villain, Jean Kachaner, Familial Amyloid Polyneuropathy Masao Tanaka, Daniel Sidi Minoru Hongo, Osamu Kinoshita, Yasuki Takabayashi, EXPERIMENTAL STUDIES Tadashige Fujii, Yoshikazu Yazaki, Mitsuaki Isobe, Morie Sekiguchi 207 Myocardial Contrast Echocardiography in Acute Myocardial VALVULAR HEART DISEASE Infarction Using Aortic Root Injections of Microbubbles in 175 Echocardiographic Assessment of Commissural Calcium: A Conjunction With Harmonic Imaging: Potential Application in Simple Predictor of Outcome After Percutaneous Mitral Balloon the Cardiac Catheterization Laboratory Christian Firschke, Valvotomy Charles R. Cannan, Rick A. Nishimura, Jonathan R. Lindner, Norman C. Goodman, Danny M. Skyba, Guy S. Reeder, Duane R. Ilstrup, Dirk R. Larson, Kevin Wei, Sanjiv Kaul David R. Holmes, A. Jamil Tajik EDITOR’S PAGE 181 Age Dependency of Left Ventricular Diastolic Function in Pressure Overload Hypertrophy Bruno Villari, 217 Do We Practice Geriatric Cardiology? William W. Parmley Giuseppe Vassalli, Jakob Schneider, Massimo Chiariello, SPECIAL SECTIONS Otto M. Hess ACC NEws CARDIAC PHYSIOLOGY 219 President’s Page: Evaluation and Management—The 51% 187 Age-Dependent Changes in Cardiac Muscarinic Receptor Solution Richard P. Lewis Function in Healthy Volunteers UJrike Poller, Gesine Nedelka, Joachim Radke, Klaus Pénicke, Otto-Erich Brodde 221 LETTERS TO THE EDITOR FEBRUARY 1997 VOLUME 29 NUMBER 2 CLINICAL STUDIES Maria Aurora Morales, Mauro Raciti, on Behalf of the Echo Dobutamine International Cooperative (EDIC) Study MYOCARDIAL INFARCTION 261 Prognostic Value of Dobutamine Echocardiography Early After 229 Additive Beneficial Effects of Beta-Blockers to Uncomplicated Acute Myocardial Infarction: A Comparison Angiotensin-Converting Enzyme Inhibitors in the Survival and With Exercise Electrocardiography Cosimo A. Greco, Ventricular Enlargement (SAVE) Study Pascal Vantrimpont, Alessandro Salustri, Fulvia Seccareccia, Massimo Ciavatti, Fabio Jean L. Rouleau, Chuan-Chuan Wun, Antonio Ciampi, Marc Biferali, Carlo Valtorta, Giuseppe Guzzardi, Mario Falcone, Klein, Bruce Sussex, J. Malcolm O. Arnold, Lemuel Moyé, Marc Antonio Palamara Pfeffer, for the SAVE Investigators CORONARY ARTERY DISEASE 237 Editorial Comment Beta-Adrenergic Blocking Agents or 268 Determinants and Correlates of Target Lesion Calcium in Angiotensin-Converting Enzyme Inhibitors, or Both, for Coronary Artery Disease: A Clinical, Angiographic and Postinfarction Patients With Left Ventricular Dysfunction Intravascular Ultrasound Study Gary S. Mintz, Augusto D. Robert A. O’Rourke Pichard, Jeffrey J. Popma, Kenneth M. Kent, Lowell F. Satler, 240 Coronary Revascularization Surgery After Myocardial Theresa A. Bucher, Martin B. Leon Infarction: Impact of Bypass Surgery on Survival After 275 Clinical, Angiographic and Hemodynamic Predictors of Thrombolysis Barbara E. Tardiff, Robert M. Calif, Douglas Recruitable Collateral Flow Assessed During Balloon Morns, Eric Bates, Lynn H. Woodlief, Kerry L. Lee, Cindy Green, Angioplasty Coronary Occlusion Jan J. Piek, Rob A. M. van Wolfgang Rutsch, Amadeo Betriu, Philip E. Aylward, Eric J. Topol, Liebergen, Karel T. Koch, Ron J. G. Peters, George K. David for the GUSTO Investigators CORONARY ARTERY FLOW 250 Association Between Activity at Onset of Symptoms and 283 Accuracy of Doppler Catheter Measurements: Effect of Outcome of Acute Myocardial Infarction Ralph A. H. Stewart, Inhomogeneous Beam Power Distribution on Mean and Peak M. Clare Robertson, Gerard T. Wilkins, Clive J. S. Low, Velocity Scott J. Denardo, Lawrence Talbot, Victor K. Hargrave, Norma J. Restieaux Alan R. Selfridge, Thomas A. Ports, Paul G. Yock 254 Prognostic Value of Dobutamine—Atropine Stress ANGINA Echocardiography Early After Acute Myocardial Infarction 293 Investigation of the Mechanism of Chest Pain in Patients With Rosa Sicari, Eugenio Picano, Patrizia Landi, Alessandro Pingitore, Angiographically Normal Coronary Arteries Using Riccardo Bigi, Claudio Coletta, Joanna Heyman, Franco Casazza, Transesophageal Dobutamine Stress Echocardiography Julio A. Mario Previtali, Wilson Mathias, Jr., Claudio Dodi, Giovanni Panza, Joy M. Laurienzo, Rodolfo V. Curiel, Ellis F. Unger, Arshed Minardi, Jorge Lowenstein, Xenya Garyfallidis, Lauro Cortigiani, A. Quyyumi, Vasken Dilsizian, Richard O. Cannon III William Heberden Revisited: Postprandial Angina—Interval Shih-Ann Chen, Chern-En Chiang, Shih-Huang Lee, Zu-Chi Wen, Between Food and Exercise and Meal Composition Are Chuen-Wang Chiou, Kwo-Chang Ueng, Yi-Jen Chen, Wen-Chung Important Determinants of Time to Onset of Ischemia and Yu, Mau-Song Chang Maximal Exercise Tolerance Mark T. Kearney, Andrew Electrophysiologic Properties of the Atrioventricular Node in Charlesworth, Alan J. Cowley, Ian A. Macdonald Pediatric Patients Mitchell I. Cohen, Tammy S. Wieand, ATHEROSCLEROSIS Larry A. Rhodes, Victoria L. Vetter Nitric Oxide Activity in the Atherosclerotic Human Coronary Subthreshold Stimulation in the Region of the Slow Pathway Circulation Arshed A. Quyyumi, Nader Dakak, David Mulcahy, During Atrioventricular Node Reentrant Tachycardia: Neil P. Andrews, Syed Husain, Julio A. Panza, Richard O. Cannon IIT Correlation With Effect of Radiofrequency Catheter Ablation Atherosclerosis in the Human Brachial Artery Keld E. Stephan Willems, Christian Weiss, Thomas Hofmann, Carsten Sorensen, Ingrid B. Kristensen, David S. Celermajer Rickers, Thomas Meinertz INTERVENTIONAL CARDIOLOGY HEART FAILURE Outpatient Coronary Stent Implantation Ferdinand Kiemeneij, Increased Survival After Long-Term Treatment With Mibefradil, Gert Jan Laarman, Ton Slagboom, Ron van der Wieken a Selective T-Channel Calcium Antagonist, in Heart Failure Paul Mulder, Vincent Richard, Patricia Compagnon, Jean-Paul Restenosis of Endovascular Stents From Stent Compression Henry, Francoise Lallemand, Jean-Paul Clozel, Robert Koen, Kenneth Rosenfield, Robert Schainfeld, Ann Pieczek, Laura Haley, Bertrand Macé, Christian Thuillez Jeffrey M. Isner Prognostic Value of Noninvasively Obtained Left Ventricular Coronary Angioplasty for Elderly Patients With “High Risk” Contractile Reserve in Patients With Severe Heart Failure Unstable Angina: Short-Term Outcomes and Long-Term Alon Marmor, Adam Schneeweiss Survival Douglass A. Morrison, Roger D. Bies, Jerome Sacks DILATED CARDIOMYOPATHY Percutaneous Treatment of Protected and Unprotected Left Cell-Mediated Cytotoxicity in Hearts With Dilated Main Coronary Stenoses With New Devices: Immediate Cardiomyopathy: Correlation With Interstitial Fibrosis and Foci Angiographic Results and Intermediate-Term Follow-Up John of Activated T Lymphocytes Cornel Badorff, Michel Noutsias, J. Lopez, Kalon K. L. Ho, Robert C. Stoler, Ronald P. Caputo, Uwe Kiihl, Heinz-Peter Schultheiss Joseph P.Carrozza, Richard E. Kuntz, Donald S. Baim, David J. Cohen HYPERTROPHIC CARDIOMYOPATHY Dual-Chamber Pacing for Hypertrophic Cardiomyopathy: A Comparison of Early and Recent Results With Rotational Randomized, Double-Blind, Crossover Trial Rick A. Nishimura, Atherectomy Mark Reisman, Verna Harms, Patrick Whitlow, Ted Jane M. Trusty, David L. Hayes, Duane M. Ilstrup, Dirk R. Larson, Feldman, Richard Fortuna, Maurice Buchbinder Sharonne N. Hayes, Thomas G. Allison, A. Jamil Tajik Bypass SURGERY PEDIATRIC CARDIOLOGY Long-Term Survival of African Americans in the Coronary Transvascular Balloon Dilation for Neonatal Critical Aortic Artery Surgery Study (CASS) Herman A. Taylor, Jr., Mary C. Stenosis: Early and Midterm Results FEvyberto S. T. Egito, Mickel, Bernard R. Chaitman, George Sopko, Gary R. Cutter, Phillip Moore, John O’Sullivan, Steven Colan, Stanton B. Perry, William J. Rogers James E. Lock, John F. Keane HYPERTENSION An Index of Early Left Ventricular Filling That Combined With Deletion Polymorphism of Angiotensin-Converting Enzyme Gene Pulsed Doppler Peak E Velocity May Estimate Capillary Wedge and Left Ventricular Hypertrophy in Southern Italian Patients Pressure Mario J. Garcia, Miguel A. Ares, Craig Asher, Francesco Perticone, Roberto Ceravolo, Carmela Cosco, Maria Leonardo Rodriguez, Pieter Vandervoort, James D. Thomas Trapasso, Adriana Zingone, Paola Malatesta, Nicola Perrotti, Donatella Tramontano, Pier L. Mattioli EDITOR’S PAGE ELECTROPHYSIOLOGY We've Got to Stop Meeting Like This! William W. Parmley High Incidence of Appropriate Implantable Cardioverter-Defibrillator Therapy in Patients With Syncope of SPECIAL SECTIONS Unknown Etiology and Inducible Ventricular Arrhythmias Mark S. Link, Xenophon F. Costeas, John L. Griffith, Carol D. ACC News Colburn, N. A. Mark Estes III, Paul J. Wang President’s Page: Cardiovascular Research—Is Something Missing? Richard P. Lewis Mechanism of Initiation of Atrial Flutter in Humans: Site of Unidirectional Block and Direction of Rotation Jeffrey E. Olgin, The American College of Cardiology National Database: Jonathan M. Kalman, Leslie A. Saxon, Randall J. Lee, Progress and Challenges William S. Weintraub, Charles R. Michael D. Lesh McKay, Ronald N. Riner, Stephen G. Ellis, Peter L. Frommer, David B. Carmichael, Karl E. Hammermeister, Margaret N. Effros, Intravenous Dofetilide, a Class III Antiarrhythmic Agent, for the James E. Bost, David P. Bodycombe, for the American College of Termination of Sustained Atrial Fibrillation or Flutter Rodney Cardiology Database Committee H. Falk, Arthur Pollak, Steven N. Singh, Tilman Friedrich, for the Dofetilide Investigators American College of Cardiology Report on ECGEXAM Jay W. Mason, E. William Hancock, Donald E. Saunders, Jr., Claudio D. Editorial Comment Acute Conversion of Atrial Fibrillation and Schuger, Jerry C. Griffin, Harold L. Kennedy, Alfred E. Buxton, Flutter: Direct Current Cardioversion Versus Intravenously Nisha Mittal Administered Pure Class III Agents Bramah N. Singh LETTERS TO THE EDITOR A New Electrocardiographic Algorithm Using Retrograde P Waves for Differentiating Atrioventricular Node Reentrant CORRECTION Tachycardia From Atrioventricular Reciprocating Tachycardia Mediated by Concealed Accessory Pathway Ching-Tai Tai, Books RECEIVED FEBRUARY 1997 VOLUME 29 NUMBER 2 (SUPPLEMENT A) ABSTRACTS Abstracts of Original Contributions to Be Presented at the 7A Original Contributions: Computer Applications arr Pra ah toro ny reir nae teeta 11A Original Contributions: 46th Annual Scientific Session iy Program 531A Acknowledgments 1A Original Contributions: Young Investigators Awards ee ere Competition 577A Subject Index MARCH 1, 1997 VOLUME 29 NUMBER 3 PERSPECTIVE 531 Simultaneous Dipyridamole/Maximal Subjective Exercise With Senne ™Tc-MIBI SPECT: Improved Diagnostic Yield in Coronary 475 Do Cardiologists Do It Better? Jra S. Nash, David B. Nash, Artery Disease Jaume Candell-Riera, César Santana-Boado, Valentin Fuster Joan Castell-Conesa, Santiago Aguadé-Bruix, Montserrat Olona, 479 Dietary L-Arginine Supplementation Normalizes Platelet Jor di Palet, Josefa Cortadellas, Amparo Garcia-Burillo, Aggregation in Hypercholesterolemic Humans Andreas Wolf, Jordi Soler-Soler Christof Zalpour, Gregor Theilmeier, Bing-yin Wang, Adrian Ma, 537. Can Nitrogen-13 Ammonia Kinetic Modeling Define Myocardial Barbara Anderson, Philip S. Tsao, John P. Cooke Viability Independent of Fluorine-18 Fluorodeoxyglucose? Rob 486 The Angiotensin II Type 1 Receptor Gene Polymorphism Is S. B. Beanlands, Robert deKemp, Anita Scheffel, Claude Nahmias, Associated With Coronary Artery Vasoconstriction Carole E. Stephen Garnett, Geoff Coates, Helen L. Johansen, Amant, Martial Hamon, Christophe Bauters, Florence Richard, Ernest Fallen Nicole Helbecque, Eugene P. McFadden, Xavier Escudero, 544 Fate of Collateral Vessels After Successful Coronary Angioplasty Jean-Marc Lablanche, Philippe Amouyel, Michel E. Bertrand in Patients With Effort Angina Masatoshi Fujita, Izuru Nakae, 491 Cigarette Smoking Is Associated With Increased Human Tetsuro Fudo, Terumitsu Tanaka, Tomoyuki Iwase, Shun-Ichi Monocyte Adhesion to Endothelial Cells: Reversibility With Oral Tamaki, Ryuji Nohara, Shigetake Sasayama L-Arginine but Not Vitamin C Mark R. Adams, Wendy Jessup, David S. Celermajer SUDDEN DEATH MYOCARDIAL INFARCTION 549 Sudden Death due to Troponin T Mutations Johanna C. 498 The Prehospital Electrocardiogram in Acute Myocardial Moolman, Valerie A. Corfield, Berthold Posen, Kholiswa Infarction: Is Its Full Potential Being Realized? John G. Ngumbela, Christine Seidman, Paul A. Brink, Hugh Watkins noseda oo yee eeh iapriitae p oi of 556 Elen of the Implantable Cardioverter_Defibrillator fsth e Myocardial Infarction 2 Investigators erly Panagiotis T. Panotopoulos, Kathi Axtell, Alfred J. Anderson, Jasbir Sra, Zalmen Blanck, Sanjay Deshpande, Michael 506 Importance of the Conal Branch of the Right Coronary Artery in Biehl, Edward T. Keelan, Mohammad R. Jazayeri, Masood Akhtar, Patients With Acute Anterior Wall Myocardial Infarction: Anwer Dhala Electrocardiographic and Angiographic Correlation Tuvia Ben-Gal, Samuel Sclarovsky, Itzhak Herz, Boris Strasberg, Bruria Zlotikamien, Jaqueline Sulkes, Yochai Birnbaum, Galen S. ELECTROPHYSIOLOGY ; co ‘ Wagner, Alex Sagie 561 Propafenone During Acute Myocardial Ischemia in Patients: A Double-Blind, Randomized, Placebo-Controlled Study 512 Medical Management of Selected Patients With Left Ventricular Thomas S. Faber, Manfred Zehender, Olaf Krahnefeld, Karin oe Wall Rupture During Acute Myocardial Infarction Jaume Daisenberger, Thomas Meinertz, Hanjorg Just igueras, Josefa Cortadellas, Arturo Evangelista, Jordi Soler-Soler 568 Impaired Baroreflex Sensitivity Is Correlated With MYOCARDIAL ISCHEMIA Hemodynamic Deterioration of Sustained Ventricular 519 Correlation of Angiographic Morphology and Clinical Tachycardia Maurizio Landolina, Massimo Mantica, Paolo Presentation in Unstable Angina George Dangas, Roxana Pessano, Ruggero Manfredini, Augusto Foresti, Peter J. Schwartz, Mehran, Sylvan Wallenstein, Nikolaos A. Courcoutsakis, Venu Gaetano M. De Ferrari Kakarala, Jacqueline Hollywood, John A. Ambrose ; 2 , , ee 576 Changes in Intracardiac Atrial Cardioversion Threshold at Rest Effects of Prolonging Peak Dobutamine Dose During and During Exercise Massimo Santini, Claudio Pandozi, Stress Echocardiography Neil J. Weissman, Geoffrey A. Rose, Salvatore Toscano, Antonio Castro, Giuliano Altamura, Anna Jesi, Gary P. Foster, Michael H. Picard Mauro Villani Left Atrial Appendage “Stunning” After Electrical Cardioversion HYPERTENSION of Atrial Flutter: An Attenuated Response Compared With Atrial Left Atrial Size in Hypertensive Men: Influence of Obesity, Race Fibrillation as the Mechanism for Lower Susceptibility to and Age John S. Gottdiener, Domenic J. Reda, David W. Thromboembolic Events Richard A. Grimm, William J. Stewart, Williams, Barry J. Materson, for the Department of Veterans Affairs Kristopher L. Arheart, James D. Thomas, Allan L. Klein Cooperative Study Group on Antihypertensive Agents HEART FAILURE CARDIAC SURGERY Acute Unloading of the Work of Breathing Extends Exercise Comparison of Early and Late Mortality in Men and Women Duration in Patients With Heart Failure Donna Mancini, Lisa After Isolated Coronary Artery Bypass Graft Surgery in Donchez, Sanford Levine Stockholm, Sweden, 1980 to 1989 Niklas Hammar, Eva Sandberg, Flemming F. Larsen, Torbjérn Ivert Exercise Training in Patients With Severe Congestive Heart Failure: Enhancing Peak Aerobic Capacity While Minimizing An Institutional Experience With Second- and Third-Stage the Increase in Ventricular Wall Stress Laura Demopoulos, Palliative Procedures for Hypoplastic Left Heart Syndrome: The Rachel Bijou, Icilma Fergus, Margaret Jones, Joel Strom, Impact of the Bidirectional Cavopulmonary Shunt Joseph M. Thierry H. LeJemtel Forbess, Nancy Cook, Alain Serraf, Redmond P. Burke, John E. Mayer, Jr., Richard A. Jonas Persistence of Restrictive Left Ventricular Filling Pattern in Dilated Cardiomyopathy: An Ominous Prognostic Sign Bruno Pinamonti, Massimo Zecchin, Andrea Di Lenarda, Dario Gregori, EXPERIMENTAL STUDIES Gianfranco Sinagra, Fulvio Camerini Oxygen-Saving Effect of a New Cardiotonic Agent, MCI-154, in Reactivity-Based Coronary Vasospasm Independent of Atherosclerosis in Rhesus Monkeys Kent Hermsmeyer, Koichi Diseased Human Hearts Masuki Mori, Motoshi Takeuchi, Hideyuki Takaoka, Katsuya Hata, Yoshihiko Hayashi, Hideyuki Miyagawa, Stephen T. Kelley, Josef Rosch, Arthur S. Hall, Michael Yamakawa, Mitsuhiro Yokoyama K. Axthelm, Barry Greenberg Relation of Donor Age and Preexisting Coronary Artery Disease Impaired Endothelium-Dependent Relaxation After Cardiac on Angiography and Intracoronary Ultrasound to Later Global Ischemia and Reperfusion: Role of Warm Blood Cardioplegia Chau-Hsiung Chang, Pyng Jing Lin, Yen Chu, Development of Accelerated Allograft Coronary Artery Disease Ying-Shiung Lee Shao-Zhou Gao, Sharon A. Hunt, Edwin L. Alderman, David Liang, Alan C. Yeung, John S. Schroeder Can a Class III Antiarrhythmic Drug Improve Electrical VALVULAR HEART DISEASE Defibrillation Efficacy During Ventricular Fibrillation? Yuji Clinical Factors Associated With Calcific Aortic Valve Disease Murakawa, Takeshi Yamashita, Yukihiro Kanese, Masao Omata B. Fendley Stewart, David Siscovick, Bonnie K. Lind, Julius M. Infarct Size Limitation by a New Na*-H* Exchange Inhibitor, Gardin, John S. Gottdiener, Vivienne E. Smith, Dalane W. Hoe 642: Difference From Preconditioning in the Role of Protein Kitzman, Catherine M. Otto Kinase C Tetsuji Miura, Takashi Ogawa, Katsuo Suzuki, Mahiko Clinical Features of Hypertrophic Cardiomyopathy Caused by Goto, Kazuaki Shimamoto Mutation of a “Hot Spot” in the Alpha-Tropomyosin Gene Domenico A. Coviello, Barry J. Maron, Paolo Spirito, Hugh Watkins, Hans-Peter Vosberg, Ludwig Thierfelder, Frederick J. EDITOR’S PAGE Schoen, J. G. Seidman, Christine E. Seidman Authorship: Taking the High Road William W. Parmley LEFT VENTRICULAR HYPERTROPHY Prediction of Mortality Risk by Different Methods of Indexation for Left Ventricular Mass Youlian Liao, Richard S. Cooper, SPECIAL SECTIONS Ramon Durazo-Arvizu, George A. Mensah, Jalal K. Ghali ACC News Editorial Comment How Best to Identify Prognostically Presider't’s Page: Too Many Cardiologists? Richard P. Lewis Important Left Ventricular Hypertrophy: A Cut to the Chase Mary J. Roman LETTERS TO THE EDITOR MARCH 15, 1997 VOLUME 29 NUMBER 4 REVIEW ARTICLE Mamoru Satoh, Motoyuki Nakamura, Gen Tamura, Shinji Makita, Ikuo Segawa, Atsushi Tashiro, Ryoichi Satodate, Tachycardia-Induced Cardiomyopathy: A Review of Animal Katsuhiko Hiramon Models and Clinical Studies Jerold S. Shinbane, Mark A. Wood, D. Nick Jensen, Kenneth A. Ellenbogen, Adam P. Fitzpatrick, Melvin M. Scheinman INTERVENTIONAL CARDIOLOGY CLINICAL STUDIES Clinical and Angiographic Implications of Coronary Stenting in Thrombus-Containing Lesions Fernando Alfonso, Pedro HEART FAILURE Rodriguez, Paul Phillips, Javier Goicolea, Rosana Hernandez, Inducible Nitric Oxide Synthase and Tumor Necrosis Factor- Alpha in Myocardium in Human Dilated Cardiomyopathy Maria-José Pérez-Vizcayno, Antonio Fernandez-Ortiz, Javier Imaging Thomas R. Porter, Shouping Li, David Kricsfeld, Segovia, Camino Banuelos, Paloma Aragoncillo, Carlos Macaya Robert W. Armbruster 734 Effects of Dual-Chamber Pacing for Pediatric Patients With EXPERIMENTAL STUDIES Hypertrophic Obstructive Cardiomyopathy Fouzia Rishi, J. Edward Hulse, Debbie O. Auld, Guyler McRae, Jon Kaltman, Kirk 800 Testosterone Worsens Endothelial Dysfunction Associated With Kanter, Willis Williams, Robert M. Campbell Hypercholesterolemia and Environmental Tobacco Smoke Exposure in Male Rabbit Aorta Stuart J. Hutchison, 741 Editorial Comment Unobstructed Thinking (and Terminology) Krishnankutty Sudhir, Tony M. Chou, Richard E. Sievers, Is Called for in the Understanding and Management of Bo-Qing Zhu, Yi-Ping Sun, Prakash C. Deedwania, Stanton A. Hypertrophic Cardiomyopathy John Michael Criley Glantz, William W. Parmley, Kanu Chatterjee 744 Long-Term Effect of Right Ventricular Pacing on Myocardial : : : : 808 Sustained Local Delivery of Dexamethasone by a Novel sacra «seca gael hl 0 aga rca Intravascular Eluting Stent to Prevent Restenosis in the Porcine ATRIAL FIBRILLATION Coronary Injury Model A. Michael Lincoff, Joseph G. Furst, 750 Multicenter Low Energy Transvenous Atrial Defibrillation Stephen G. Ellis, Ronald J. Tuch, Eric J. Topol XAD) Tri Phage f Atrial Fibrillati :in s i ast iie raro on ys lap-onapeg at iain 817 Effects of Myocardial Ischemia on Ventricular Fibrillation A Jel CA A ie Tes D Murgatroy ob Ta “t Eiiieie Lakes 3 Inducibility and Defibrillation Efficacy Steffen Behrens, Cuilan Kappenberger, Pedro Brugada, Kenneth L. Ripley Li, Michael R. Franz MYocARDIAL ISCHEMIA 825 Effect of a Passive Endocardial Electrode on Defibrillation 756 Clinical Implications of Silent Versus Symptomatic Exercise- poses Sain Poemerege cng eo- c ing : aig pe Induced Myocardial Ischemia in Patients With Stable Coronary ‘aie? B oe h a ag E I* cesar reses Disease Craig R. Narins, Wojciech Zareba, ArthurJ . Moss, Pe Es ee ee ee Robert E. Goldstein, W. Jackson Hall 831 Optical Mapping of Drug-Induced Polymorphic Arrhythmias ‘ , , oe d Torsade de Pointes in the Isolated Rabbit Heart Yukio 764 Relation Between Ambulatory Electrocardiographic Monitoring = ! ’ and Myocardial Perfusion Imaging to Detect Coronary Artery ik ‘ — M. Davidenko, William T. Baxter, Richard A. Gray, Disease and Myocardial Ischemia: An ACIP Ancillary Study osé Jalife John J. Mahmarian, Richard M. Steingart, Sandra Forman, 843 Editorial Comment Twisting of the Points Ralph Lazzara Barry L. Sharaf, Mary Ellen Coglianese, D. Douglas Miller, Carl J. Pepine, A. David Goldberg, Marilyn F. Bloom, Sheila Byers, Laurel 846 Effects of Preload, Afterload and Inotropy on Dynamics of Dvorak, Craig M. Pratt, for the Asymptomatic Cardiac Ischemia Ischemic Segmental Wall Motion Stefano Perlini, Theo E. Pilot (ACIP) Investigators Meyer, Pierre Foéx MYOCARDIAL INFARCTION 856 Effects of Afterload-Reducing Drugs on Pathogenesis of 770 Thrombolysis and Q Wave Versus Non-Q Wave First Acute Antioxidant Changes and Congestive Heart Failure in Rats Myocardial Infarction: A GUSTO-I Substudy Alejandro Neelam Khaper, Pawan K. Singal Barbagelata, Robert M. Calif, Elena B. Sgarbossa, Shaun G. Goodman, Amanda L. Stebbins, Christopher B. Granger, Luis D. SPECIAL SECTIONS Suarez, Miguel Borruel, Kathy Gates, Stephen Starr, Galen S. Wagner, for the GUSTO-I Investigators ACC/AHA PRACTICE GUIDELINES : f é : 862 ACC/AHA Guidelines for the Clinical Application of 778 Left Ventricular Hypertrophy in Hypertensive Patients Is Echocardiography: Executive Summary. A Report of the Associated With Abnormal Rate Adaptation of QT Interval American College of Cardiology/American Heart Association Jagmeet P. Singh, Jim Johnston, Peter Sleight, Rosemary Bird, Task Force on Practice Guidelines Committee on Clinical Kathryn Ryder, George Hart Applications of Echocardiography, Melvin D. Cheitlin, Chair 785 Cardiorespiratory Response to Exercise After Modified Fontan ACC N Operation: Determinants of Performance Kritvikrom : mts , ‘ Durongpisitkul, David J. Driscoll, Douglas W. Mahoney, Peter C. 880 President’s Page: Challenging the Future With the Success of Wollan, Carl D. Mottram, Francisco J. Puga, Gordon K. Danielson Our Past Richard P. Lewis METHODS 882 Newly Elected Members of the College 791 Detection of Myocardial Perfusion in Multiple — 886 LETTERS TO THE EDITOR Echocardiographic Windows With One Intravenous Injection of Microbubbles Using Transient Response Second Harmonic 8909 Books RECEIVED APRIL 1997 VOLUME 29 NUMBER 5 CLINICAL STUDIES Kravitz, William J. French, Irene Yang, Jeffrey C. Milliken, Lee Hilborne, Robin Wachsner, Robert H. Brook PRACTICE PATTERNS 898 Editorial Comment The Decision for Revascularization in the 891 Underuse of Coronary Revascularization Procedures: 1990s: Between a Rock and an Expert Panel Application of a Clinical Method Marianne Laouri, Richard L. Richard M. Steingart MYOCARDIAL INFARCTION STRESS TESTING Analysis of the Relative Costs and Effectiveness of Primary Long-Term Prognostic Significance of Dobutamine Angioplasty Versus Tissue-Type Plasminogen Activator: The Echocardiography in Patients With Suspected Coronary Artery Primary Angioplasty in Myocardial Infarction (PAMI) Trial Disease: Results of a 5-Year Follow-Up Study Eric H. Steinberg, Gregg W. Stone, Cindy L. Grines, Donald Rothbaum, Kevin F. Lori Madmon, Chetan P. Patel, Steven P. Sedlis, Itzhak Kronzon, Browne, James O’Keefe, Paul A. Overlie, Bryan C. Donohue, Noah Jerald L. Cohen Chelliah, Ronald Vlietstra, Tom Catlin, William W. O’Neill, for the PAMI Trial Investigators Combination of Dobutamine and Myocardial Contrast Echocardiography to Differentiate Postischemic From Infarcted Myocardium Mario F. Meza, Marc A. Kates, Randomized Comparison of Primary Coronary Angioplasty With R. Wayne Barbee, Susan Revall, Bret Perry, Joseph P. Murgo, Thrombolytic Therapy in Low Risk Patients With Acute Jorge Cheirif Myocardial Infarction Felix Zijlstra, Willem P. Beukema, Amoud W. J. van’t Hof, Aylee Liem, Stoffer Reiffers, Jan C. A. Identification of Hibernating Myocardium: Comparative Hoorntje, Harry Suryapranata, Menko-Jan de Boer Accuracy of Myocardial Contrast Echocardiography, Rest- Redistribution Thallium-201 Tomography and Dobutamine Editorial Comment Rule No. 7: Nights and Weekends Echocardiography Sherif F. Nagueh, Periyanan Vaduganathan, David R. Holmes, Jr. Nadir Ali, Alvin Blaustein, Mario S. Verani, William L. Winters, Jr., William A. Zoghbi Acute Myocardial Infarction: Clinical Characteristics, Paradoxical Sinus Deceleration During Dobutamine Stress Management and Outcome in a Metropolitan Veterans Affairs Echocardiography: Description and Angiographic Correlation Medical Center Teaching Hospital Judith K. Mickelson, Christine H. Attenhofer, Patricia A. Pellikka, Robert B. McCully, Cynthia M. Blum, Jane M. Geraci Véronique L. Roger, James B. Seward Earthquake-Induced Potentiation of Acute Risk Factors in ELECTROPHYSIOLOGY Hypertensive Elderly Patients: Possible Triggering of Effect of High Intensity Drive Train Stimulation on Dispersion Cardiovascular Events After a Major Earthquake Kazuomi of Atrial Refractoriness: Role of Autonomic Nervous System Kario, Takefumi Matsuo, Hiroko Kobayashi, Katsuichirou Wen-Chung Yu, Shih-Ann Chen, Chern-En Chiang, Ching-Tai Tai, Yamamoto, Kazuyuki Shimada Shih-Huang Lee, Chuen-Wang Chiou, Kwo-Chang Ueng, Zu-Chin Wen, Yi-Jen Chen, Jin-Long Huang, An-Ning Feng, Mau-Song Chang INTERVENTIONAL CARDIOLOGY Bailout and Corrective Use of Gianturco-Roubin Flex Stents Acute Effects of Dual-Site Right Atrial Pacing in Patients With After Percutaneous Transluminal Coronary Angioplasty: Spontaneous and Inducible Atrial Flutter and Fibrillation Atul Operator Reports and Angiographic Core Laboratory Prakash, Sanjeev Saksena, Michael Hill, Ryszard B. Krol, Anand N. Verification From the National Heart, Lung, and Blood Munsif, Irakli Giorgberidze, Philip Mathew, Rahul Mehra Institute/New Approaches to Coronary Intervention Registry Larry S. Dean, Charles J. George, Gary S. Roubin, Elizabeth D. Electrocardiographic Manifestations of Dual Atrioventricular Kennard, David R. Holmes, Jr., Spencer B. King III, Ronald E. Node Conduction During Sinus Rhythm Charles Fisch, John M. Viietstra, Jeffery W. Moses, Dean Kereiakes, Joseph P. Carrozza, Jr., Mandrola, David P. Rardon Stephen G. Ellis, James R. Margolis, Katherine M. Detre Repetitive Monomorphic Tachycardia From the Left Ventricular Outflow Tract: Electrocardiographic Patterns Consistent With a MYOCARDIAL ISCHEMIA Left Ventricular Site of Origin David J. Callans, Volker Menz, Effect of Transdermal Nitroglycerin or N-Acetylcysteine, or Both, David Schwartzman, Charles D. Gottlieb, Francis E. Marchlinski in the Long-Term Treatment of Unstable Angina Pectoris Diego Ardissino, Piera Angelica Merlini, Stefano Savonitto, Gloria Antiarrhythmic Effects of Increasing the Daily Intake of Demicheli, Paola Zanini, Federico Bertocchi, Colomba Falcone, Magnesium and Potassium in Patients With Frequent Stefano Ghio, Giampiero Marinoni, Carlo Montemartini, Antonio Ventricular Arrhythmias Manfred Zehender, Thomas Meinertz, Mussini Thomas Faber, Anton Caspary, Andreas Jeron, Katja Bremm, Hanjorg Just, for the MAGICA Investigators Ischemic Burden in Silent and Painful Myocardial Ischemia: A Quantitative Exercise Sestamibi Tomographic Study Claudio Antiarrhythmic Effect of Repeated Coronary Occlusion During Marcassa, Michele Galli, Claudio Baroffio, Riccardo Campini, Balloon Angioplasty K. E. Juhani Airaksinen, Heikki V. Huikuri Pantaleo Giannuzzi Syncope in Children and Adolescents David J. Driscoll, Steven J. Jacobsen, Co-burn J. Porter, Peter C. Wollan CORONARY ARTERY DISEASE Histologic Correlates of Angiographic Chronic Total Coronary Evaluation of a Staged Treatment Protocol for Rapid Automatic Artery Occlusions: Influence of Occlusion Duration on Junctional Tachycardia After Operation for Congenital Heart Neovascular Channel Patterns and Intimal Plaque Composition Disease Edward P. Walsh, J. Philip Saul, Gary F. Sholler, S. Sanjay Srivatsa, William D. Edwards, Christine M. Boos, John K. Triedman, Richard A. Jonas, John E. Mayer, Diane E. Grill, Giuseppe M. Sangiorgi, Kirk N. Garratt, Robert S. _ David L. Wessel Schwartz, David R. Holmes, Jr. VALVULAR DISEASE Preserved Endothelial Function in Patients With Severe Detection of Chlamydia pneumoniae in Human Nonrheumatic Hypertriglyceridemia and Low Functional Lipoprotein Lipase Stenotic Aortic Valves Jukka Juvonen, Aino Laurila, Tatu Activity Philip J. Chowienczyk, Gerald F. Watts, Anthony S. Juvonen, Hannu Alakdarppd, Helja-Marja Surcel, Kari Lounatmaa, Wierzbicki, John R. Cockcroft, Sally E. Brett, James M. Ritter Johanna Kuusisto, Pekka Saikku HEART FAILURE EXPERIMENTAL STUDIES 1060 Left Ventricular Remodeling With Carvedilol in Patients With nee , Congestive Heart Failure Due to Ischemic Heart Disease 1102 Effect of Basic Fibroblast Growth Factor on Myocardial Robert N. Doughty, Gillian A. Whalley, Greg Gamble, Stephen Angiogenesis in Dogs With Mature Collateral Vessels Matie MacMahon, Norman Sharpe, on Behalf of the Australia-New Shou, Venugopal Thirumurti, M. A. Sharmini Rajanayagam, Daisy Zealand Heart Failure Research Collaborative Group F. Lazarous, Everett Hodge, Jonathan A. Stiber, Mary Pettiford, Elizabeth Elliott, Sanjay M. Shah, Ellis F. Unger 1067 Effects of Endurance Training on Mitochondrial Ultrastructure ae : : : : and Fiber Type Distribution in Skeletal Muscle of Patients With 1107 Editorial Comment Therapeutic Angiogenesis: Just the Basic Stable Chronic Heart Failure Rainer Hambrecht, Eduard Fiehn, Fact(or)s, Please Dale D. Hirsch, George A. Pantely Jiangtao Yu, Josef Niebauer, Claudia Weigl, Lutz Hibrich, Volker 1109 Growth Hormone Attenuates Early Left Ventricular Remodeling Adams, Urs Riede, Gerhard Schuler and Improves Cardiac Function in Rats With Large 1074 Ejection Fraction and Risk of Thromboembolic Events in Myocardial Infarction Antonio Cittadini, Jessica D. Grossman, Patients With Systolic Dysfunction and Sinus Rhythm: Evidence Raffaele Napoli, Sarah E. Katz, Hinrik Strémer, Robert J. Smith, for Gender Differences in the Studies of Left Ventricular Ross Clark, James P. Morgan, Pamela S. Douglas Dysfunction Trials Daniel L. Dries, Yves D. Rosenberg, Myron A. Waclawiw, Michael J. Domanski EDITOR’S PAGE 1117 Public Enemy Number 2: Academic Medicine Under the Federal New TECHNIQUES _ Spotlight William W. Parmley 1081 Interactions Between Microbubbles and Ultrasound: In Vitro and In Vivo Observations Kevin Wei, Danny M. Skyba, Christian Firschke, Ananda R. Jayaweera, Jonathan R. Lindner, SPECIAL SECTIONS Sanj.i v Kaul ACC News 1118 1997-1998 Board of Governors PEDIATRIC CARDIOLOGY ; 1089 Clinical Course and Hemodynamic Observations After ea ee ee Supraannular Mitral Valve Replacement in Infants and 1122 LETTERS TO THE EDITOR Children Jan Adatia, Phillip M. Moore, Richard A. Jonas, Steven D. Colan, James E. Lock, John F. Keane 1124 Booxks RECEIVED 1095 Echocardiographic Determinants of Clinical Course in Infants With Critical and Severe Pulmonary Valve Stenosis John P. Kovalchin, Thomas J. Forbes, Michael R. Nihill, Tal Geva MAY 1997 VOLUME 29 NUMBER 6 BETHESDA CONFERENCE REPORT 1206 Does Digoxin Provide Additional Hemodynamic and Autonomic ; Ce : Benefit at Higher Doses in Patients With Mild to Moderate 1125 28th Bethesda Conference: Practice Guidelines and the Quality Heart Failure and Normal Sinus Rhythm? Monte L. Slatton, of Care James L. Ritchie, Confer ence Co-Chair, James S. Waleed N. Irani, Shelley A. Hall, Lucille G. Marcoux, Richard L. aap Conference Co-Chair, W. Bruce Fye, Conference Page, Paul A. Grayburn, Eric J. Eichhorn o-Chair 1214 Plasma Fas Ligand, an Inducer of Apoptosis, and Plasma Soluble Fas, an Inhibitor of Apoptosis, in Patients With Chronic REVIEW ARTICLES Congestive Heart Failure Kazuhiko Nishigaki, Shinya 1180 Exploring Postinfarction Reentrant Ventricular Tachycardia Minatoguchi, Mitsuru Seishima, Kiyoji Asano, Toshiyuki Noda, With Entrainment Mapping William G. Stevenson, Peter L. Norio Yasuda, Hirotake Sano, Hirokazu Kumada, Masao Friedman, Philip T. Sager, Leslie A. Saxon, Dusan Kocovic, Tomoo Takemura, Akio Noma, Tsutomu Tanaka, Sachiro Watanabe, Harada, Isaac Wiener, Hafiza Khan Hisayoshi Fujiwara 1190 Intravenous Amiodarone Peter R. Kowey, Roger A. Marinchak, MYOCARDIAL ISCHEMIA Seth J. Rials, Roland A. Filart 1221 Diagnosis of Coronary Artery Disease by Exercise Thallium-201 Tomography in Patients With a Right Ventricular Pacemaker CLINICAL STUDIES Nasser M. Lakkis, Zuo-Xiang He, Mario S. Verani 1226 Quantitative Rest Technetium-99m Tetrofosmin Imaging in HEART FAILURE ‘ : ERS Predicting Functional Recovery After Revascularization: 1199 Heart Rate Is a Marker of Amiodarone Mortality Reduction in Comparison With Rest-Redistribution Thallium-201 = Ichiro Severe Heart Failure Daniel R. Nul, Hernan C. Doval, Hugo O. Matsunari, Susumu Fujino, Junichi Taki, Junji Senma, Takahiko Grancelli, Sergio D. Varini, Saul Soifer, Sergio V. Perrone, Noemi Aoyama, Takanobu Wakasugi, Jun-ichi Hirai, Takashi Saga, Prieto, Omar Scapin, on Behalf of the GESICA-GEMA Shinichiro Yamamoto, Norihisa Tonami Investigators Evolution of Dobutamine Echocardiography Protocols and PERICARDIAL DISEASE Indications: Safety and Side Effects in 3,011 Studies Over 5 Pericardial Thickness Measured With Transesophageal Years Maria-Anna Secknus, Thomas H. Marwick Echocardiography: Feasibility and Potential Clinical Usefulness Lieng H. Ling, Jae K. Oh, Chuwa Tei, Roger L. Click, Jerome F. Prognostic Value of Cardiac Troponin T After Noncardiac Breen, James B. Seward, A. Jamil Tajik Surgery: 6-Month Follow-Up Data = Francisco Lopez-Jimenez, Lee Goldman, David B. Sacks, Eric J. Thomas, Paula A. Johnson, HEART TRANSPLANTATION E. Francis Cook, Thomas H. Lee Hypertension Prophylaxis With Omega-3 Fatty Acids in Heart Transplant Recipients Arne K. Andreassen, Anders Hartmann, Alteration of Left Ventricular Diastolic Function During Jon Offstad, Odd Geiran, Knut Kvernebo, Svein Simonsen Coronary Angioplasty-Induced Ischemia: A Color M-Mode Doppler Study Anne-Marie Duval-Moulin, Patrick Dupouy, Myocardial Contractile Effects of L-Arginine in the Philippe Brun, Fang Zhuang, Gabriel Pelle, Yvan Perez, Emmanuel Human Allograft WalterJ .P aulus, Stefanie Kastner, Marc Teiger, Alain Castaigne, Pascal Gueret, Jean-Luc Dubois-Randé Vanderheyden, Ajay M. Shah, Helmut Drexler ENDOTHELIAL FUNCTION Heterogeneity of Cardiac Allograft Vasculopathy: Clinical Basal and Flow-Mediated Nitric Oxide Production by Insights From Coronary Angioscopy Mandeep R. Mehra, Atheromatous Coronary Arteries Dimitris Tousoulis, Costas Hector O. Ventura, Suresh P. Jain, Keshav Ramireddy, Arshad Ali, Tentolouris, Tom Crake, Pavlos Toutouzas, Graham Davies Dwight D. Stapleton, Frank W. Smart, Stephen R. Ramee, Tyrone J. Collins, ChristopherJ . White MYOCARDIAL INFARCTION Randomized Trial of a Hospital-Based Exercise Training CONGENITAL HEART DISEASE Program After Acute Myocardial Infarction: Cardiac Autonomic Atrial Septal Defect in Adults: Cardiopulmonary Exercise Effects James W. Leitch, Ross P. Newling, Magdy Basta, Kerry Capacity Before and 4 Months and 10 Years After Defect Inder, Keith Dear, PeterJ . Fletcher Closure Uwe Helber, Reinhard Baumann, Hartwig Seboldt, Ulrich Reinhard, Hans Martin Hoffmeister INTERVENTIONAL CARDIOLOGY A Randomized Comparison of Percutaneous Transluminal Partial Anomalous Pulmonary Venous Connection: Diagnosis by Coronary Angioplasty by the Radial, Brachial and Femoral Transesophageal Echocardiography Naser M. Ammash, James Approaches: The Access Study Ferdinand Kiemeneij, B. Seward, Carole A. Warnes, Heidi M. Connolly, Patrick W. Gert Jan Laarman, Diego Odekerken, Ton Slagboom, O'Leary, Gordon K. Danielson Ron van der Wieken PEDIATRIC CARDIOLOGY Coronary Angioplasty Results in Leukocyte and Platelet The Fontan Procedure for Pulmonary Atresia With Intact Activation With Adhesion Molecule Expression: Evidence of Ventricular Septum: Operative and Late Results Douglas D. Inflammatory Responses in Coronary Angioplasty Carlos V. Mair, Paul R. Julsrud, Francisco J. Puga, Gordon K. Danielson Serrano, Jr., José Antonio F. Ramires, Margareth Venturinelli, Outcomes After Bidirectional Cavopulmonary Shunt in Infants Siguemituso Arie, Elbio D’Amico, Jay L. Zweier, Fulvio Pileggi, Less Than 6 Months Old _V. Mohan Reddy, Doff B. Protasio L. da Luz McElhinney, Phillip Moore, Gary S. Haas, Frank L. Hanley SYNCOPE Timing of First Recurrence of Syncope Predicts Syncopal EXPERIMENTAL STUDIES Frequency After a Positive Tilt Table Test Result Paul Malik, Mary Lou Koshman, Robert Sheldon Passivation of Metallic Stents After Arterial Gene Transfer of phVEGF,,; Inhibits Thrombus Formation and Intimal Bypass SURGERY Thickening Eric Van Belle, Fermin O. Tio, Donghui Chen, Luc Adenosine Thallium-201 Tomography in Evaluation of Graft Maillard, Dongfen Chen, Marianne Kearney, Jeffrey M. Isner Patency Late After Coronary Artery Bypass Graft Surgery Coronary Vasoconstrictive Effects of Neuropeptide Y and Their Alex F. Khoury, Jose M. Rivera, John J. Mahmarian, Modulation by the ATP-Sensitive Potassium Channel in Mario S. Verani Anesthetized Dogs Etsuro Tanaka, Hidezo Mori, Mitsuaki VALVULAR DISEASE Chujo, Akihiko Yamakawa, Minhaz U. Mohammed, Yoshiro Simultaneous Determination of Aortic Valve Area by the Gorlin Shinozaki, Kosuke Tobita, Takafumi Sekka, Kunihisa Ito, Formula and by Transesophageal Echocardiography Under Hiroe Nakazawa Different Transvalvular Flow Conditions: Evidence That Cardiodepressive Mediators Are Released After Ischemia From Anatomic Aortic Valve Area Does Not Change With Variations an Isolated Heart: Role of Coronary Endothelial Cells = Verena in Flow in Aortic Stenosis Jean-Claude Tardif, Andressa Giestas Stangl, Stephan B. Felix, Rudolf Meyer, Thomas Berndt, Reinhard Rodrigues, Jean-Francois Hardy, Yves Leclerc, Robert Petitclerc, Kastner, Klaus D. Wernecke, Gert Baumann Rosaire Mongrain, Lise-Andrée Mercier LEFT VENTRICULAR HYPERTROPHY SPECIAL ARTICLE Relation of Hemodynamic Volume Load to Arterial and George Ralph Mines, Ventricular Fibrillation and the Discovery Cardiac Size Erica C. Jones, Richard B. Devereux, Michael J. of the Vulnerable Period Regis A. DeSilva O’Grady, Joseph E. Schwartz, Jennifer E. Liu, Thomas G. Pickering, Mary J. Roman EDITOR’S PAGE PULMONARY HYPERTENSION Reflections of a Cardiology Chief William W. Parmley Characteristics of Pulmonary Artery Pressure Waveform for Differential Diagnosis of Chronic Pulmonary Thromboembolism and Primary Pulmonary Hypertension Yasunori Nakayama, SPECIAL SECTIONS Norifumi Nakanishi, Masaru Sugimachi, Hiroshi Takaki, Shingo ACC News Kyotani, Toru Satoh, Yoshiaki Okano, Takeyoshi Kunieda, Kenji Sunagawa President’s Page: First, Do No Harm Richard L. Popp JUNE 1997 VOLUME 29 NUMBER 7 REVIEW ARTICLES MYOcARDIAL ISCHEMIA 1483 Relation Between Clinical, Angiographic and Ischemic Findings 1407 Systolic Blood Pressure Revisited Harold Smulyan, at Baseline and Ischemia-Related Adverse Outcomes at 1 Year Michel E. Safar in the Asymptomatic Cardiac Ischemia Pilot Study Carl J. Pepine, Barry Sharaf, Thomas C. Andrews, Sandra Forman, 1414 Angiotensin-Converting Enzyme Inhibitors, Angiotensin II Nancy Geller, Genell Knatterud, John Mahmarian, Pamela Receptor Antagonists and Calcium Channel Blocking Agents: A Ouyang, William J. Rogers, George Sopko, Richard Steingart, Peter Review of Potential Benefits and Possible Adverse Reactions H. Stone, C. Richard Conti, for the ACIP Study Group Marvin Moser 1490 Hospital Mortality in Women and Men With Acute Cardiac 1422 Cardiovascular Toxicity of Nicotine: Implications for Nicotine Replacement Therapy Neal L. Benowitz, Steven G. Gourlay Ischemia: A Prospective Multicenter Study Boris E. Coronado, John L. Griffith, Joni R. Beshansky, Harry P. Selker 1497 A Reappraisal of Exercise Electrocardiographic Indexes of the CLINICAL STUDIES Severity of Ischemic Heart Disease: Angiographic and Scintigraphic Correlates Peter Bogaty, Jean Guimond, VASCULAR FUNCTION N-Michelle Robitaille, Léon Rousseau, Serge Simard, Jacques R. 1432 Arterial Reactivity Is Enhanced in Genetic Males Taking High Rouleau, Gilles R. Dagenais Dose Estrogens Jane A. McCrohon, William A. W. Walters, Jacqui T. C. Robinson, Robyn J. McCredie, Leo Turner, Mark R. INTERVENTIONAL CARDIOLOGY Adams, David J. Handelsman, David S. Celermajer 1505 Percutaneous Transluminal Coronary Angioplasty Versus Medical Therapy for Stable Angina Pectoris: Outcomes for 1437 Long-Term Estrogen Therapy Improves Vascular Function in Patients With Double-Vessel Versus Single-Vessel Coronary Male to Female Transsexuals Gishel New, Katrina L. Timmins, Artery Disease in a Veterans Affairs Cooperative Randomized Stephen J. Duffy, Binh T. Tran, Richard C. O’Brien, Richard W. Trial Edward D. Folland, Pamela M. Hartigan, Alfred F. Parisi, Harper, Ian T. Meredith for the Veterans Affairs ACME Investigators 1445 Editorial Comment Estrogen for Men: Reversal of 1512 Editorial Comment PTCA Comes to the Bifurcations in the Cardiovascular Misfortune? Alan C. Yeung Road: What the VA Has to Offer Douglass A. Morrison, MYOCARDIAL INFARCTION Jerome Sacks, Charles C. Barbiere, Gulshan Sethi 1447 A Prospective, Randomized, Double-Blind Multicenter Trial of a 1515 Antiplatelet Effect of Ticlopidine After Coronary Stenting Single Bolus Injection of the Novel Modified t-PA E6010 in the Franz-Josef Neumann, Meinrad Gawaz, Timm Dickfeld, Anne Treatment of Acute Myocardial Infarction: Comparison With Wehinger, Hanna Walter, Rudolf Blasini, Albert Schémig Native t-PA Chuichi Kawai, Yoshiki Yui, Saichi Hosoda, Masakiyo Nobuyoshi, Shin Suzuki, Hikaru Sato, Fumimaro 1520 Role of Coronary Artery Lumen Enlargement in Improving Takatsu, Takeshi Motomiya, Katsuo Kanmatsuse, Kazuhisa Coronary Blood Flow After Balloon Angioplasty and Stenting: A Kodama, Yoshimasa Yabe, Takazo Minamino, Shin-ichi Kimata, Combined Intravascular Ultrasound Doppler Flow and Imaging Mitsuyoshi Nakashima, on Behalf of the E6010 Study Group Study Morton J. Kern, Patrick Dupouy, John H. Drury, Frank V. Aguirre, Eduardo Aptecar, Richard G. Bach, Eugene A. 1454 Thrombolysis Plus Aortic Counterpulsation: Improved Survival Caracciolo, Thomas J. Donohue, Jean-Luc Dubois Rande, in Patients Who Present to Community Hospitals With Herbert J. Geschwind, Carol J. Mechem, Ghanshyam Kane, Cardiogenic Shock Paul J. Kovack, Mark A. Rasak, Eric R. Emannuel Teiger, Thomas L. Wolford Bates, E. Magnus Ohman, Robert J. Stomel 1528 Comparison of Collateral Vascular Responses in the Donor and 1459 A Prospective, Randomized Evaluation of Prophylactic Recipient Coronary Arteries During Transient Coronary Intraaortic Balloon Counterpulsation in High Risk Patients Occlusion Assessed by Intracoronary Blood Flow Velocity With Acute Myocardial Infarction Treated With Primary Analysis in Patients Jan J. Piek, Rob A. M. van Liebergen, Angioplasty Gregg W. Stone, Dominic Marsalese, Bruce R. Karel T. Koch, Ron J. G. Peters, George K. David Brodie, John J. Griffin, Bryan Donohue, Costantino Costantini, Carlos Balestrini, Thomas Wharton, Paolo Esente, Michael Spain, 1536 Growth Factors Released Into the Coronary Circulation After Jeffrey Moses, Masakiyo Nobuyoshi, Mike Ayres, Denise Jones, Vascular Injury Promote Proliferation of Human Vascular Denise Mason, Lorelei Grines, William W. O’Neill, Cindy L. Smooth Muscle Cells in Culture Noel M. Caplice, Constantine Grines, on Behalf of the Second Primary Angioplasty in Myocardial N. Aroney, J. H. Nicholas Bett, James Cameron, Julie H. Campbell, Infarction (PAMI-II) Trial Investigators Nancy Hoffmann, Paul T. McEniery, Malcolm J. West 1468 Association of Angiotensin I-Converting Enzyme Gene CORONARY ARTERY DISEASE Polymorphism With Myocardial Ischemia and Patency of 1542 Electron Beam Computed Tomographic Coronary Calcium Score Infarct-Related Artery in Patients With Acute Myocardial Cutpoints and Severity of Associated Angiographic Lumen Infarction Habib A. Dakik, John J. Mahmarian, Mario S. Verani, Stenosis John A. Rumberger, Patrick F. Sheedy, Jerome F. John A. Farmer, Guiling Zhao, Ali J. Marian Breen, Robert S. Schwartz UNSTABLE ANGINA 1549 Coronary Calcification and Coronary Atherosclerosis: Site by 1474 Dose-Ranging Trial of Enoxaparin for Unstable Angina: Results Site Comparative Morphologic Study of Electron Beam of TIMI 11A The Thrombolysis in Myocardial Infarction (TIMI) Computed Tomography and Coronary Angiography Kouji 11A Trial Investigators Kajinami, Hiroyasu Seki, Noboru Takekoshi, Hiroshi Mabuchi

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