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CONTENTS INDEX JULY 1, 1997 THROUGH DECEMBER 15, 1997 ARRHYTHMIAS AND CONDUCTION JULY 1, 1997, VOL. 86, NO. 1 DISTURBANCES Effects of Amiodarone on the Circadian Pattern of Sudden CORONARY ARTERY DISEASE Cardiac Death (Department of Veterans Affairs The Inverse Nehb J Lead Increases the Sensitivity of Congestive Heart Failure-Survival Trial of Antiarrhythmic Holter Electrocardiographic Monitoring for Detecting Therapy) Myocardial Ischemia Steffen Behrens, Gabriele Ney, Susan Gross Fisher, Ross D. Manfred D. Seeberger, Jacques Moerlen, Karl Skarvan, Fletcher, Michael R. Franz, and Steven N. Singh Danie! Friedli, Svetlana Vankova, Peter Buser, and Matthias Pfisterer SYSTEMIC HYPERTENSION Effect of Regular Aerobic Exercise on Elevated Blood Myocardial Viability Assessed by Dobutamine Echocardiography in Acute Myocardial Infarction After Pressure in Postmenopausal Women Douglas R. Seals, Heather G. Silverman, MaryJ o Reiling, Successful Primary Coronary Angioplasty and Kevin P. Davy Florence Leclercq, Patrick Messner-Pellenc, Christophe Moragues, Francois Rivalland, Denis Carabasse, Jean-Marc Davy, and Robert Grolleau-Raoux CONGESTIVE HEART FAILURE Predictors of Response to Exercise Training in Severe Validation of a Clinical Prediction Rule for Left Ventricular Chronic Congestive Heart Failure Ejection Fraction After Myocardial Infarction in Patients Katharina Meyer, Lothar Gérnandt, Matthias Schwaibold, =65 Years Old Samuel Westbrook, Ramic Hajric, Klaus Peters, Ralph Harlan M. Krumholz, ChristopherJ .H owes, Jaime E. Beneke, Klaus Schnellbacher, and Helmut Roskamm Murillo, L. Viola Vaccarino, MarthaJ . Radford, and Edward F. Ellerbeck Safety and Clinical Utility of Long-Term Intravenous Milrinone in Advanced Heart Failure Relation of Pacing-Induced Coronary Resistance Vessel Mandeep R. Mehra, Hector O. Ventura, Charanjit Kapoor, Dilation to Total Serum Cholesterol and Heart Rate—Blood Dwight D. Stapleton, David Zimmerman, and Frank W. Pressure Product Smart ToddJ . Anderson, David M. Goodhart, Mouhiedin Traboulsi, and Merril L. Knudtson CARDIOMYOPATHY Rescue Angioplasty in the Thrombolysis in Myocardial Comparison of Left Ventricular Responses to the Six- Infarction (TIMI) 4 Trial Minute Walk Test, Stair Climbing, and Maximal Upright C. Michael Gibson, Christopher P. Cannon, Robert M. Bicycle Exercise in Patients With Congestive Heart Failure Greene, Rafael F. Sequeira, Raymond D. Margorien, Due to Idiopathic Dilated Cardiomyopathy Ferdinand Leya, DanielJ .D iver, Donald S. Baim, and Nicolas Delahaye, Alain Cohen-Solal, Marc Faraggi, Daniel Eugene Braunwald, for the TIM! 4 Study Group Czitrom, Jean Marc Foult, Doumit Daou, Can Peker, René Gourgon, and Dominique Le Guludec Coronary Vasodilatory Capacity and Flow Reserve in Normal Myocardium Supplied by Bypass Grafts Late BRIEF REPORTS After Surgery Expected Hemoglobin Decrease Following Percutaneous Roxana Campisi, Johannes Czernin, Harold L. Karpman, Transluminal Coronary Angioplasty and Heinrich R. Schelbert Werner Jauch, Peter B. Kurnik, SharonJ . Hanlon, Jamie E. Siegel, and William H. Matthai, Jr. Effects of Short-Term Treatment of Nicorandil on Exercise- Induced Myocardial Ischemia and Abnormal Cardiac Routine Platelet Transfusion in Patients Undergoing Autonomic Activity in Microvascular Emergency Coronary Bypass Surgery After Receiving Angina Abciximab Jaw-Wen Chen, Wen-lieng Lee, Nai-Wei Hsu, Shing-Jong Craig P. Juergens, Alan C. Yeung, and Stephen N. Oesterle Lin, Chih-Tai Ting, Shih-Pu Wang, and Mau-Song Chang De Novo Monomorphic and Polymorphic Ventricular PREVENTIVE CARDIOLOGY Tachycardia Following Coronary Artery Bypass A Multicenter, Double-Blind, One-Year Study Comparing Grafting Safety and Efficacy of Atorvastatin Versus Simvastatin in Rabih R. Azar, Ellison Berns, Bonnie Seecharran, Joan Patients With Hypercholesterolemia Veronneau, Neal Lippman, and Jeffrey Kluger Anthony Dart, George Jerums, Geoffrey Nicholson, Michael d'Emden, lan Hamilton-Craig, George Tallis, James Best, Effect of Fluvastatin on Low-Density Lipoprotein Peak Malcolm West, David Sullivan, Peter Bracs, and Donald Particle Diameter Black H. Robert Superko, Ronald M. Krauss, and Connie Di Ricco 1676 THE AMERICAN JOURNAL OF CARDIOLOGY® VOL. 80 DECEMBER 15, 1997 CONTENTS INDEX JULY 1, 1997 THROUGH DECEMBER 15, 1997 ARRHYTHMIAS AND CONDUCTION JULY 1, 1997, VOL. 86, NO. 1 DISTURBANCES Effects of Amiodarone on the Circadian Pattern of Sudden CORONARY ARTERY DISEASE Cardiac Death (Department of Veterans Affairs The Inverse Nehb J Lead Increases the Sensitivity of Congestive Heart Failure-Survival Trial of Antiarrhythmic Holter Electrocardiographic Monitoring for Detecting Therapy) Myocardial Ischemia Steffen Behrens, Gabriele Ney, Susan Gross Fisher, Ross D. Manfred D. Seeberger, Jacques Moerlen, Karl Skarvan, Fletcher, Michael R. Franz, and Steven N. Singh Danie! Friedli, Svetlana Vankova, Peter Buser, and Matthias Pfisterer SYSTEMIC HYPERTENSION Effect of Regular Aerobic Exercise on Elevated Blood Myocardial Viability Assessed by Dobutamine Echocardiography in Acute Myocardial Infarction After Pressure in Postmenopausal Women Douglas R. Seals, Heather G. Silverman, MaryJ o Reiling, Successful Primary Coronary Angioplasty and Kevin P. Davy Florence Leclercq, Patrick Messner-Pellenc, Christophe Moragues, Francois Rivalland, Denis Carabasse, Jean-Marc Davy, and Robert Grolleau-Raoux CONGESTIVE HEART FAILURE Predictors of Response to Exercise Training in Severe Validation of a Clinical Prediction Rule for Left Ventricular Chronic Congestive Heart Failure Ejection Fraction After Myocardial Infarction in Patients Katharina Meyer, Lothar Gérnandt, Matthias Schwaibold, =65 Years Old Samuel Westbrook, Ramic Hajric, Klaus Peters, Ralph Harlan M. Krumholz, ChristopherJ .H owes, Jaime E. Beneke, Klaus Schnellbacher, and Helmut Roskamm Murillo, L. Viola Vaccarino, MarthaJ . Radford, and Edward F. Ellerbeck Safety and Clinical Utility of Long-Term Intravenous Milrinone in Advanced Heart Failure Relation of Pacing-Induced Coronary Resistance Vessel Mandeep R. Mehra, Hector O. Ventura, Charanjit Kapoor, Dilation to Total Serum Cholesterol and Heart Rate—Blood Dwight D. Stapleton, David Zimmerman, and Frank W. Pressure Product Smart ToddJ . Anderson, David M. Goodhart, Mouhiedin Traboulsi, and Merril L. Knudtson CARDIOMYOPATHY Rescue Angioplasty in the Thrombolysis in Myocardial Comparison of Left Ventricular Responses to the Six- Infarction (TIMI) 4 Trial Minute Walk Test, Stair Climbing, and Maximal Upright C. Michael Gibson, Christopher P. Cannon, Robert M. Bicycle Exercise in Patients With Congestive Heart Failure Greene, Rafael F. Sequeira, Raymond D. Margorien, Due to Idiopathic Dilated Cardiomyopathy Ferdinand Leya, DanielJ .D iver, Donald S. Baim, and Nicolas Delahaye, Alain Cohen-Solal, Marc Faraggi, Daniel Eugene Braunwald, for the TIM! 4 Study Group Czitrom, Jean Marc Foult, Doumit Daou, Can Peker, René Gourgon, and Dominique Le Guludec Coronary Vasodilatory Capacity and Flow Reserve in Normal Myocardium Supplied by Bypass Grafts Late BRIEF REPORTS After Surgery Expected Hemoglobin Decrease Following Percutaneous Roxana Campisi, Johannes Czernin, Harold L. Karpman, Transluminal Coronary Angioplasty and Heinrich R. Schelbert Werner Jauch, Peter B. Kurnik, SharonJ . Hanlon, Jamie E. Siegel, and William H. Matthai, Jr. Effects of Short-Term Treatment of Nicorandil on Exercise- Induced Myocardial Ischemia and Abnormal Cardiac Routine Platelet Transfusion in Patients Undergoing Autonomic Activity in Microvascular Emergency Coronary Bypass Surgery After Receiving Angina Abciximab Jaw-Wen Chen, Wen-lieng Lee, Nai-Wei Hsu, Shing-Jong Craig P. Juergens, Alan C. Yeung, and Stephen N. Oesterle Lin, Chih-Tai Ting, Shih-Pu Wang, and Mau-Song Chang De Novo Monomorphic and Polymorphic Ventricular PREVENTIVE CARDIOLOGY Tachycardia Following Coronary Artery Bypass A Multicenter, Double-Blind, One-Year Study Comparing Grafting Safety and Efficacy of Atorvastatin Versus Simvastatin in Rabih R. Azar, Ellison Berns, Bonnie Seecharran, Joan Patients With Hypercholesterolemia Veronneau, Neal Lippman, and Jeffrey Kluger Anthony Dart, George Jerums, Geoffrey Nicholson, Michael d'Emden, lan Hamilton-Craig, George Tallis, James Best, Effect of Fluvastatin on Low-Density Lipoprotein Peak Malcolm West, David Sullivan, Peter Bracs, and Donald Particle Diameter Black H. Robert Superko, Ronald M. Krauss, and Connie Di Ricco 1676 THE AMERICAN JOURNAL OF CARDIOLOGY® VOL. 80 DECEMBER 15, 1997 Relation Between Left Ventricular Remodeling and JULY 15, 1997, VOL. 80, NO. 2 Nocturnal Blood Pressure in the Elderly With Systemic Hypertension Tadashi Aono, Iwao Kuwajima, Yasuko Suzuki, and Toshio Ozawa CORONARY ARTERY DISEASE Moderate Dose, Three-Drug Therapy With Niacin, Lovastatin, and Colestipol to Reduce Low-Density Comparison of Peak Exercise Oxygen Uptake in Men Lipoprotein Cholesterol < 100 mg/dl in Patients With Versus Women in Chronic Heart Failure Secondary to Hyperlipidemia and Coronary Artery Disease Ischemic or Idiopathic Dilated Cardiomyopathy B. Greg Brown, Joanna Bardsley, Drew Poulin, Lynn A. Hiroyuki Daida, Thomas G. Allison, Bruce D. Johnson, Ray Hillger, Alice Dowdy, Vincent M.G. Maher, Xue-Qiao W. Squires, and Gerald T. Gau Zhao, JohnJ . Albers, and Robert H. Knopp Detectable Serum Troponin | in Patients With Heart Failure of Nonmyocardial Ischemic Origin Intravascular Ultrasound Assessment of the Prevalence Luigi la Vecchia, Gabriella Mezzena, Renato Ometto, and Causes of Angiographic ‘’Haziness” Following High- Giuseppe Finocchi, Francesco Bedogni, Giuliano Soffiati, Pressure Coronary Stenting and Mario Vincenzi Khaled M. Ziada, E. Murat Tuzcu, Anthony C. De Franco, Moo Hyun Kim, Russell E. Raymond, Irving Franco, Patrick L. Whitlow, Stephen G. Ellis, and Steven E. Nissen Effect of Reduced Muscle Bulk on the Ventilatory Response to Exercise in Chronic Congestive Heart Failure Secondary to Idiopathic Dilated and Ischemic Frequency of Family History of Acute Myocardial Cardiomyopathy Infarction in Patients With Acute Myocardial Derek Harrington, Andrew L. Clark, Tuan Peng Chua, Stefan Infarction D. Anker, Philip A. Poole-Wilson, and Andrew J.S. Coats Mario Ciruzzi, Herman Schargrodsky, Jorge Rozlosnik, Palmira Pramparo, Hernan Delmonte, Viviana Rudich, Daniel Piskorz, Eva Negri, Saul Soifer, and Carlo La Vecchia, for Endomyocardial Biopsy-Proven Light Chain Amyloidosis the Argentine FRICAS (Factores de Riesgo Coronario en (AL) Without Echocardiographic Features of infiltrative América del Sur) Investigators Cardiomyopathy Morie A. Gertz, Martha Grogan, Robert A. Kyle, and A. Jamil Tajik Nitroglycerin Tolerance at the Platelet Level in Patients With Angina Pectoris Yuliy Y. Chirkov, Larissa P. Chirkova, and John D. Horowitz Clinical Significance of Fossa Ovalis Membrane Aneurysm in Adults With Cardioembolic Cerebral Ischemia Arzu llercil, Jay S. Meisner, Pugazhendi Vijayaraman, Identification of Severe or Extensive Coronary Artery Marco Gentilucci, Polina Metveyeva, Aung Hla, Joel A. Disease in Women by Adenosine Technetium-99m Strom, Chee-Jen Chang, and Jamshid Shirani Sestamibi SPECT Aman M. Amanullah, Daniel S. Berman, Rory Usefulness of Combined Color Doppler/Contrast in Hachamovitch, Hosen Kiat, Xingping Kang, and John D. Providing Complete Delineation of Left Ventricular Friedman Cavity Gopal Agrawal, Edward G. Cape, Joel S. Raichlen, Conny Prognostic Associations of Minnesota Code Serial Tirtaman, Eric T. lee, PoHoey Fan, and Navin C. Nanda Electrocardiographic Change Classification With Coronary Heart Disease Mortality in the Multiple Risk Factor Computer Treason: Intraobserver Variability of an Intervention Trial Electrocardiographic Computer System Richard S. Crow, RonaldJ . Prineas, PeterJ .H annan, Greg David H. Spodick and Richard L. Bishop Grandits, and Henry Blackburn Prospective Evaluation of a Stiff Shaft Glide Wire Plasma Levels of Tissue Plasminogen Activator and Compared With the Standard Straight Wire in Crossing Plasminogen Activator Inhibitor-1 Are Correlated With the Severely Stenotic Aortic Valves Presence of Transplant Coronary Artery Disease in Samin K. Sharma, George Dangas, Douglas Israel, John Cardiac Transplant Recipients Collins, William R. Felten, Peter G. Fattal, Thomas P. Mark K. Warshofsky, Hal S. Wasserman, Weizheng Cocke, John A. Ambrose, and Louis Cannon Wang, Peter Teng, Robert Sciacca, Mark Apfelbaum, Allan Schwartz, Robert E. Michler, Donna M. Mancini, PaulJ . Cannon, and LeRoy E. Rabbani FROM THE EDITOR on page 106 Hemorrhagic Complications of Intravenous NOTIFICATION Heparin Use HEART Group Notification Regarding Redundant Craig P. Juergens, Christopher Semsarian, Anthony C. Publication eR ne or ee 108 Keech, Elaine M. Beller, and PhillipJ .H arris CONTENTS INDEX 1677 ARRHYTHMIAS AND CONDUCTION Christian W. Hamm, Wolfgang Steffen, Wolfram Terres, DISTURBANCES lvan de Scheerder, Jacobus Reimers, David Cumberland, RobertJ .S iegel, and Thomas Meinertz Safety of Slow Pathway Ablation in Patients With Atrioventricular Node Reentrant Tachycardia and a Long Fast Pathway Effective Refractory Period Papillary Muscle Fractional Shortening Is a Determinant of Magdy N. Basta, Andrew D. Krahn, GeorgeJ . Klein, Heart Shape in Patients With Prior Myocardial Murray Rosenbaum, Catherine Le Feuvre, and Raymond Yee Marc D. Tischler and Jeffrey Rothfeld QRS Prolongation Is Associated With Inducible Ventricular Tachycardia After Repair of Tetralogy of Fallot Effect of Propranolol Versus No Propranolol on Total Seshadri Balaji, Yung R. Lau, Christopher L. Case, and Paul Mortality Plus Nonfatal Myocardial Infarction in Older C. Gillette Patients With Prior Myocardial Infarction, Congestive Heart Failure, and Left Ventricular Ejection Fraction =40 SYSTEMIC HYPERTENSION Treated With Diuretics Plus Angiotensin-Converting Enzyme Inhibitors Usefulness of Microalbuminuria in Predicting Wilbert S. Aronow, Chul Ahn, and Itzhak Kronzon Cardiovascular Mortality in Treated Hypertensive Men With and Without Diabetes Mellitus Stefan Agewall, John Wikstrand, Susanne Ljungman, and Community Practice of Primary Angioplasty for Bjdrn Fagerberg, on behalf of the Risk Factor Intervention Myocardial Infarction Study Group Anil H. Jhangiani, Michael B. Jorgensen, Adam Kotlewski, Prakash W. Mansukhani, Vicken |. Aharonian, and CONGENITAL HEART DISEASE Peter R. Mahrer Survival and Risk Factor Analysis for the Norwood Procedure for Hypoplastic Left Heart Syndrome Response of Symptomatic Myocardial Ischemia in Jeffrey H. Kern, ConstanceJ . Hayes, Robert E. Michler, Ischemic Cardiomyopathy to Intensive Vasodilator Welton M. Gersony, and Jan M. Quaegebeur Therapy T. Barry Levine, Arlene B. Levine, Antonella Vincenzi, Steven Absent Right Superior Vena Cava in Visceroatrial Situs J. Keteyian, Janet Billings, and Michael Lesch Solitus Ulrike Bartram, Stella Van Praagh, Jami C. Levine, Michael Circadian Release of Serotonin Across the Coronary Bed Hines, Andrew S. Bensky, and Richard Van Praagh in Patients With Endothelial Dysfunction Yo Murakami, Yuji Ishinaga, Kazuya Sano, Yoshihisa MISCELLANEOUS Kinoshita, Jun Kitamura, Seiji Okada, and Toshio Shimada Relation of Duration of Symptoms With Response to Thrombolytic Therapy in Pulmonary Embolism Activated Factor Vil Levels in Patients With Lori B. Daniels, J. Anthony Parker, Sanjay R. Patel, Francine Angiographically Confirmed Coronary Artery Grodstein, and Samuel Z. Goldhaber Disease June E. Eichner, William E. Moore, Eliot Schechter, Dwight CARDIOVASCULAR PHARMACOLOGY W. Reynolds, James H. Morrissey, and Philip C. Comp Effect of Aspirin Dosage and Enteric Coating on Platelet Reactivity Dali Feng, Carol McKenna, Jaime Murillo, Murray A. Risk Factors for the Development of Slow Flow During Mittleman, Otavio C. Gebara, Izabella Lipinska, James E. Rotational Coronary Atherectomy ......................... 219 Muller, and Geoffrey H. Tofler Samin K. Sharma, George Dangas, Roxana Mehran, Srinivas Duwuri, Annapoorna Kini, Thomas P. Cocke, Venu EDITORIAL Kakarala, Adam M. Cohen, Jonathan D. Marmur, and John A. Ambrose The AVID Trial: Evidence Based or Randomized Control Trials—ts the AVID Study Too Late? ....................... 194 Mark E. Josephson and Seah Nisam Femoral Complications and Bed Rest Duration After Coronary Arteriography ........0.............. eee 222 Richard Lim, Hilary Anderson, Mark |. Walters, Gerald C. “aye, Michael S. Norell, and John L. Caplin Prognostic Significance of Angina Pectoris =30 Days Before Acute Myocardial Infarction in Patients =75 Years of Age Manager tt of Cardiac Allograft Vasculopathy by Laurent Jacquemin, Nicolas Danchin, Christine Suty-Selton, Transmy: ardial Laser Revascularization Alain Grentzinger, Yves Juilliere, Mickael Angioi, and Furrukh S. iv\alik, Mandeep R. Mehra, Hector O. Ventura, Francois Cherrier Frank W. Smart, Dwight D. Stapleton, and John L. Ochsner Intravascular Therapeutic Ultrasound Thrombolysis in Failure of Single and Multisite High-Frequency Atrial Acute Myocardial Infarction Pacing to Terminate Atrial Fibrillation 1678 THE AMERICAN JOURNAL OF CARDIOLOGY® VOL. 80 DECEMBER 15, 1997 Walter Paladino, Marwan Bahu, Bradley P. Knight, AUGUST 1, 1997, VOL. 80, NO. 3 Raul Weiss, Joseph Sousa, Adam Zivin, Rajiva Goyal, Emile Daoud, K. Ching Man, S. Adam Strickberger, and Fred Morady CORONARY ARTERY DISEASE Comparison of Maximum Versus Submaximum Exercise Negative Lead | P Waves During Anteroseptal Accessory Testing in Providing Prognostic Information After Acute Pathway Orthodromic Reciprocating Tachycardia .....227 Myocardial Infarction and/or Coronary Artery Bypass Dipen C. Shah, Pierre Jais, Michel Haissaguerre, Grafting Atsushi Takahashi, and Jacques Clémenty Luc Vanhees, Dirk Schepers, and Robert Fagard Predictors of Fracture in the Accufix™ Atrial Usefulness of the Addition of Heart Rate Variability to Holter Monitoring in Predicting In-Hospital Cardiac Events Bassam C. Saliba, RobertJ .A rdesia, Roy M. John, in Patients With Unstable Angina Pectoris Ferdinand J. Venditti, and Mark H. Schoenfeld Gaetano Antonio Lanza, Patrizia Pedrotti, Antonio Giuseppe Rebuzzi, Vincenzo Pasceri, Gaetano Quaranta, and Attilio Maseri Anatomy of Atrioventricular Nodal Reentry Investigated by Intracardiac Echocardiography David B. Delurgio, Stephen C. Frohwein, Paul F. Walter, Impact of Acute Propranolol Administration on and Jonathan J. Langberg Dobutamine-Induced Myocardial Ischemia as Evaluated by Myocardial Perfusion Imaging and Echocardiogra Predictors of Natural Killer Cell-Mediated Cytotoxicity Adel R. Shehata, Linda D. Gillam, Victor R. Mascitelli, Deficiency in Advanced Heart Failure Secondary to Either Steven D. Herman, Alan W. Ahlberg, Michael P. White, Ischemic or Idiopathic Dilated Cardiomyopathy Chunguang Chen, David D. Waters, and Gary V. Heller lynn V. Doering, Donna L. Vredevoe, Mary A. Woo, Gregg C. Fonarow, Christine Skotsko, and Benjamin Bonavida Cardiac Sympathetic Denervation in Patients With Coronary Artery Disease Without Previous Myocardial Effect of Inadequate Cardiac Output Reserve on Exercise Infarction Tolerance in Patients With Moderate Mitral Stenosis .. 236 Juha Hartikainen, Juha Mustonen, Jyrki Kuikka, Esko Vera H. Rigolin, Michael B. Higgenbotham, Vanninen, and Raimo Kettunen Paul A. Robiolio, Steven E. Hearne, William A. Baker, Katherine B. Kisslo, J. Kevin Harrison, and Thomas M. Bashore Effects of Fluvastatin on Coronary Atherosclerosis in Patients With Mild to Moderate Cholesterol Elevations (Lipoprotein and Coronary Atherosclerosis Late (Five to Nine Years) Follow-Up After Balloon Dilation Study [LCAS]) of Valvular Pulmonary Stenosis in Adults J. Alan Herd, Christie M. Ballantyne, John A. Farmer, James Claudius HJ. Teupe, Wolfram Burger, Rainer Schrader, and J. Ferguson Ill, Peter H. Jones, M. Stewart West, K. Lance Andreas M. Zeiher Gould, and Antonio M. Gotto, Jr., for the LCAS Investigators Effect of Multiple Coil Closure of Patent Ductus Arteriosus PREVENTIVE CARDIOLOGY on Blood Flow to the Left Lung as Determined by Lung Perfusion Scans Design & Rationale of the Air Force/Texas Coronary Julianne K. Evangelista, Ziyad M. Hijazi, Atherosclerosis Prevention Study (AFCAP/TexCAPS) ..287 Robert L. Geggel, Elizabeth Oates, and David R. Fulton John R. Downs, Polly A. Beere, Edwin Whitney, Michael Clearfield, Stephen Weis, Jeffrey Rochen, Evan A. Stein, Deborah R. Shapiro, Alexandra Langendérfer, and Antonio Ischemic Chest Pain and Global T-Wave Inversion in M. Gott, Jr. Women With Normal Coronary Angiograms Elvis Brscic, Antonino Brusca, Patrizia Presbitero, Fulvio Orzan, Maria Rosa Conte, and Erennio Rosettani ARRHYTHMIAS AND CONDUCTION DISTURBANCES Relation of Direct Assessment of Cardiac Autonomic Systolic and Diastolic Effects of Variable Atrioventricular Function With Metaiodobenzylguanidine Imaging to Heart Delay in Patients With Complete Heart Block and Normal Rate Variability in Diabetes Mellitus Ventricular Function Michael R. Freeman, David Newman, Paul Dorian, Fabio M. Leonelli, Ke Wang, Mona Youssef, Rosetta Hall, Aiala Barr, and Anatoly Langer and Dayna Brown Clinical and Socioeconomic Profile of Patients With FROM THE EDITOR Malignant Ventricular Arrhythmias in 1993 to 1995 ...299 A Unique Heart Disease Associated With A Unique Michael J. Domanski, Sanjeev Saksena, George Wyse, Al Cancer: Carcinoid Heart Disease Hallstrom, Eleanor B. Schron, Anil Nanda, Anita Nanda, William C. Roberts and Steven Kutalek, for the AVID Investigators CONTENTS INDEX 1679 Differing Effects of Age on Heart Rate Variability in Men Effectiveness of Aforvastatin for Reducing Low-Density and Women Lipoprotein Cholesterol to National Cholesterol Education Phyllis K. Stein, Robert E. Kleiger, and Jeffrey N. Rottman Program Treatment Goals Michael H. Davidson, James W. Nawrocki, Stuart R. Weiss, Sherwyn L. Schwartz, Paul. Lupien, Peter H. Jones, VALVULAR HEART DISEASE Harry E. Haber, and Donald M. Black Doppler Echocardiographic Assessment of Progression of Aortic Regurgitation Changes in Serum Lipids When Fluvastatin is Substituted Luis R. Padial, Alvaro Oliver, Maria Vivaldi, Alex Sagie, for Lovastatin in the Same Doses Nelmacy Freitas, Arthur E. Weyman, and Robert A. Levine Joseph P. Rindone, Greg Arriola, Debra Hiller, and Rolando Achacoso CONGENITAL HEART DISEASE Role of Right Ventricular and Pulmonary Functional Inverse Relation Between Height and Cardiovascular Abnormalities in Limiting Exercise Capacity in Adults With Mortality in Men During 30-Year Follow-Up Congenital Heart Disease Timo E. Strandberg Vera H. Rigolin, Jennifer S. Li, Michael W. Hanson, Martin J. Sullivan, Paul A. Robiolio, Steven E. Hearne, William A. Systolic Blood Pressure at Rest, Not the Degree of Beta Baker, J. Kevin Harrison, and Thomas M. Bashore Blockade, Predicts the Result of Follow-Up Tilt-Table Testing for Vasovagal Syncope William R. Lewis and Mark D. Carlson METHODS Development and Validation of a Noninvasive Active Compression Cardioversion for Refractory Atrial Method to Determine Arterial Pressure and Vascular Fibrilliation Compliance ToddJ . Cohen, Bassiema Ibrahim, Donna Denier, Abdul ToddJ . Brinton, Bruno Cotter, Mala T. Kailasam, David L. Haji, and Weilun Quan Brown, Shiu-Shin Chio, Daniel T. O'Connor, and Anthony N. DeMaria Long-Term Clinical Experience With a Steroid-Eluting Active Fixation Ventricular Electrode in Children .... Alpay Celiker, Dursun Alehan, Ali Oto, and Sencan Ozme Effect of Supplemental Oral L-Arginine on Exercise Capacity in Patients With Stable Angina Pectoris 331 Persistence of Human Leukocyte Antigen (HLA) Antibodies Leszek Ceremuzyfski, Tomasz Chamiec, and Krystyna After One Year in Children Receiving Cryopreserved Herbaczyiska-Cedro Valved Allografts Robert E. Shaddy, Dixie D. Thompson, Karen A. Osborne, Distinction Between Open and Occluded Infarct-Related John A. Hawkins, and Thomas C. Fuller Arteries Using Contrast-Enhanced Magnetic Resonance Imagin Right Ventricular Function in Patients Treated Paul Dendale, Phillipe R. Franken, Monika Meusel, Rob van With Inhaled Nitric Oxide After Cardiac Surgery der Geest, and Albert de Roos for Congenital Heart Disease in Newborns and Children Circadian Variation in the Onset of Acute Pulmonary Ingram Schulze-Neick, Moritz Biiltmann, Heinrich Werner, Edema and Associated Acute Myocardial Infarction in Andreas Gamillscheg, Michael Vogel, Felix Berger, Rolf Diabetic and Nondiabetic Patients Rossaint, Roland Hetzer, and Peter E. Lange Stephen Fava and Joseph Azzopardi Effects of Renal Artery Stent Implantation in Patients With Cardiologists’ Perception of Risk of Coronary Renovascular Hypertension Presenting With Unstable Revascularization Procedures Angina or Congestive Heart Failure Paul T. Vaitkus, William T. Witmer, and Chituru Adele Sandeep Khosla, ChristopherJ .W hite, TyroneJ .C ollins, J. Stephen Jenkins, Dinesh Shaw, and Stephen R. Ramee Lack of Arrhythmogenicity with ST-Segment Elevation During High-Dose of Dobutamine Atropine Stress in A Novel Approach to Pediatric Intraaortic Balloon Pump Patients With Documented or Suspected Coronary Artery Timing Using M-Mode Echocardiography i 341 L. LuAnn Minich, Lloyd Y. Tani, Edwin C. McGough, Robert Masoor Kamalesh, Krishnaswamy Chandrasekaran, Chittur E. Shaddy, and John A. Hawkins A. Sivaram, and Udho Thadani, with the technical assistance of Ken DeMasters and Lin Price Usefulness of Atrial Septostomy as a Treatment for Primary Pulmonary Hypertension and Guidelines for its Blood Pressure Responses to Mental Stress in Emotionally Application Defensive Patients With Stable Coronary Artery Stuart Rich, Emad Dodin, and Vallerie V. McLaughlin Disease Paul Grossman, Lana L. Watkins, Heather Ristuccia, and Usefulness of Transesophageal Echocardiography in . Frank H. Wilhelm Assessment of Aortic Graft Dehiscence 1680 THE AMERICAN JOURNAL OF CARDIOLOGY® VOL. 80 DECEMBER 15, 1997 Raj S. Ballal, Robert P. Gatewood, Jr., Navin C. Nanda, Prognostic Value of Slow Resolution of ST-Segment Rajat S. Sanyal, James K. Kirklin, and Albert D. Pacifico Elevation Following Successful Direct Percutaneous Transluminal Coronary Angioplasty for Recovery of Left Relation Between Patent Foramen Ovale and Perfusion Ventricular Function Abnormalities in Acute Pulmonary Embolism Yasunari Somitsu, Masato Nakamura, Toshiyuki Degawa, Rachel L. Miller, Sam Das, Thiruvengadam Anandarangam, and Tetsu Yamaguchi David W. Leibowitz, Philip O. Alderson, Byron Thomashow, and Shunichi Homma A New Predictor of Restenosis After Successful Percutaneous Transluminal Coronary Angioplasty in Patients With Multivessel Coronary Artery Disease ...411 Lack of Detection of Myocardial Injury During Competitive Shuichi Hamasaki, Hiroki Abematsu, Shinichi Arima, Races of 100 Miles Lasting 18 to 30 Hours Minoru Tahara, Koichi Kihara, Hirohisa Shono, Lawrence Laslett and Elliott Eisenbud Shoichiro Nakao, and Hiromitsu Tanaka Cardiovascular Screening and Emergency Procedures at Red Wine, White Wine, Liquor, Beer, and Risk of Health Clubs and Fitness Centers Coronary Artery Disease Hospitalization KyleJ .M cInnis, Satoko Hayakawa, and GaryJ . Balady Arthur L. Klatsky, Mary Anne Armstrong, and Gary D. Friedman Comparison of Cine Magnetic Resonance Imaging and Effect of Morning Versus Evening Dosing of Diltiazem on Doppler Echocardiography for Evaluation of Left Myocardial Ischemia Detected by Ambu Ventricular Diastolic Function Electrocardiographic Monitoring in Chronic Stable Angina Anne M. Kudelka, David A. Turner, Philip R. Liebson, James Pectoris 421 E. Macioch, Jin Zhao Wang, and John T. Barron Prakash C. Deedwania, Peter E. Pool, Udho Thadani, Jack Eff, and the Dilacor XR Ambulatory Ischemia Study Impact of Metoprolol on Heart Rate, Blood Pressure, and Group Contractility in Normal Subjects During Dobutamine Stress Echocardiography Incremental Prognostic Value of Adenosine Stress Pamela A. Marcovitz and William F. Armstrong Myocardial Perfusion Single-Photon Emission Computed Tomography and Impact on Subsequent Management in CASE REPORT Patients With or Suspected of Having Myocardial Ischemia Histopathology of Restenosis After Stenting of Narrowed Rory Hachamovitch, Daniel S. Berman, Hosen Kiat, Coronary Arteries After Cardiac Transplantation During Ishac Cohen, Howard Lewin, Aman Amanullah, the Teenage Years Xingping Kang, John Friedman, and George A. Diamond Malcolm T. Foster, James B. Atkinson, TiongKeat Yeoh, and Tim A. Fischell Correlation of Thallium Uptake With Left Ventricular Wall Thickness by Cine Magnetic Resonance Imaging in READERS’ COMMENTS Patients With Acute and Healed Myocardial Infarcts ..434 Mark A. Lawson, Lynne L. Johnson, Leslie Coghlan, Mohamed Alami, E. Lindsey Tauxe, Steven E. Reinert, Ross Singleton, and Gerald M. Pohost AUGUST 4, 1997, VOL. 80, NO. 3A A Symposium: Autocrine and Paracrine Signaling Incidence and Natural History of Left Ventricular Between Contracting Myocardium and Coronary Thrombus Following Anterior Wall Acute Myocardial Endothelium During Ischemia: Effect of Insulin Resistance Sally C. Greaves, Guang Zhi, Richard T. Lee, Scott D. Solomon, Jean MacFadyen, Elliot Rapaport, Francis} .M enapace, Jean-lucien Rouleau, and AUGUST 7, 1997, VOL. 80, NO. 3B Marc A. Pfeffer A Symposium: Maximizing Therapeutic Outcomes in the Management of Acute Ischemic Coronary Syndromes Comparison of Degrees of Left Ventricular Dilation Within Three Hours and Up to Six Days After Onset of First Acute Myocardial Infarction Eva Korup, Dorthe Dalsgaard, Ole Nyvad, AUGUST 15, 1997, VOL. 80, NO. 4 Thomas Maller Jensen, Egon Toft, and Jens Berning CORONARY ARTERY DISEASE ARRHYTHMIAS AND CONDUCTION DISTURBANCES Diagnostic Criteria and Management of Subacute Ventricular Free Wall Rupture Complicating Acute Comparison of Clinical Characteristics and Frequency of Myocardial Infarction Implantable Defibrillator Use Between Randomized Augusto Purcaro, Carlo Costantini, Nino Ciampani, Patients in the Antiarrhythmics Vs implantable Marco Mazzanti, Carla Silenzi, Alberto Gili, Defibrillators (AVID) Trial and Nonrandomized Registry,m Romualdo Belardinelli, and Daniel Astolfi CONTENTS INDEX 1681 Soo G. Kim, Al Hallstrom, John C. Love, Yves Rosenberg, BRIEF REPORTS Judy Powell, James Roth, Michael Brodsky, Rich Moore, and Value of Leads V7-V, in Diagnosing Posterior Wall Acute Bruce Wilkoff, for the AVID Investigators Myocardial Infarction and Other Causes of Tall R Waves in V,-V2 Acute Hemodynamic Effects of Intravenous Ibutilide in Ramon E. Casas, Henry J.L. Marriott, and D. Luke Glancy Patients With or Without Reduced Left Ventricular Usefulness of Positive Troponin-T and Negative Creatine Bruce S. Stambler, KarenJ . Beckman, Alan H. Kadish, Kinase Levels in Identifying High-Risk Patients With John A. Camm, Kenneth A. Ellenbogen, Kim T. Perry, and Unstable Angina Pectoris ............................0000 .510 James T. VanderLugt Trent L. Pettiiohn, Thomas Doyle, A. Michael Spiekerman, Linley E. Watson, Mark W. Riggs, and Mark E. Lawrence Pilot Study and Protocol of the Canadian Trial of Atrial Fibrillation (CTAF) Denis Roy, Mario Talajic, Bernard Thibault, Marc Dubuc, Electrocardiographic Differentiation of the Stanley Nattel, MarkJ . Eisenberg, Antonio Ciampi, and ST-Segment Depression of Acute Myocardial Injury Due to the CTAF Investigators the Left Circumflex Artery Occlusion from that of Myocardial Ischemia of Nonocclusive Etiologies Akbar Shah, Galen S. Wagner, Cynthia L. Green, SYSTEMIC HYPERTENSION Suzanne W. Crater, Sharon T. Sawchak, Nancy M. Effects of Controlled-Onset Extended-Release Verapamil Wildermann, Daniel B. Mark, Robert A. Waugh, and on Nocturnal Blood Pressure (Dippers Versus Mitchell W. Krucoff Nondippers) William B. White, Devan V. Mehrotra, Henry R. Black, Directed Proximal Magnetic Resonance Coronary T. Daniel Fakouhi, and the COER-Verapamil Study Group Angiography Compared With Conventional Contrast Coronary Angiography VALVULAR HEART DISEASE Hideaki Yoshino, Toshiaki Nitatori, Eisei Kachi, Kohei Yano, Masato Taniuchi, Jun-ichi Hachiya, and Kyozo Ishikawa Gender-Associated Differences in Left Ventricular Geometry in Patients With Aortic Valve Disease and Effect of Distinct Overload Subsets Quinidine Versus Propafenone for Conversion of Atrial Luis E. P. Rohde, Guang Zhi, Sary F. Aranki, Fibrillation to Sinus Rhythm Nicole E. Beckel, Richard T. lee, and Sharon C. Reimold Sergio Di Benedetto CARDIOMYOPATHY Association Between Diuretic Use, Clinical Response, and Comparison of Alcoholic Cardiomyopathy in Women Death in Acute Heart Failure Versus Men Edward F. Philbin, Maritza Cotto, Thomas A. Rocco, Jr., Joaquim Fernandez-Sola, Ramon Estruch, and Paul L. Jenkins Jose-Maria Nicolds, Joan-Carles Paré, Emilio Sacanella, Emilia Anténez, and Alvaro Urbano-Marquez Usefulness of Dobutamine Echocardiography in the Hemodynamic Assessment of Mechanical Prostheses in Right Ventricular Dilation in Primary Amyloidosis: An the Aortic Valve Position Independent Predictor of Survival Miguel Zabalgoitia, Keith Kopec, Dia A. Abochamh, Ayan R. Patel, Simon W. Dubrey, Lisa A. Mendes, Lori Oneschuk, CesarJ . Herrera, and Robert A. O'Rourke Martha Skinner, Adrienne Cupples, Rodney H. Falk, and Ravin Davidoff Comparison of Frequency of Left Atrial Thrombus in Patients With Mechanical Prosthetic Cardiac Valves and CONGENITAL HEART DISEASE Stroke Versus Transient Ischemic Attacks John Barbetseas, Christos Pitsavos, Constantina Aggeli, A Genetic Etiology for Interruption of the Aortic Arch Themis Psarros, Alexandra Frogoudaki, Spyros Lambrou, and Type Pavlos Toutouzas Mark B. Lewin, Elizabeth A. Lindsay, Vesna Jurecic, Veronica Goytia, Jeffrey A. Towbin, and Antonio Baldini Work Time Required to Perform Diagnostic and Interventional Pediatric Cardiac Catheterizations 528 MISCELLANEOUS Rolando Zamora and StanleyJ .G oldberg Midventricular Diastolic Pulse Doppler Flow Velocity Profiles in the Normal and Abnormal Left Ventricle.... 498 Cardiac Transplantation in Adults With Small Hearts ....530 Allan D. Sniderman, Marlene McCormick, Rose Musgrave, Thomas A. Waller, John E. Capehart, and Sarah Sniderman, and Robert Patton William C. Roberts EDITORIAL Acute Hemodynamic Effects of Estrogen Administration in The Time Course of Left Ventricular Remodeling After Postmenopausal Women Acute Myocardial Infarction Eftihia Sbarouni, Zenon S. Kyriakides, Aias Antoniadis, and Stephen P. Glasser Dimitrios T. Kremastinos 1682 THE AMERICAN JOURNAL OF CARDIOLOGY® VOL. 80 DECEMBER 15, 1997 intracardiac Versus Transthoracic Echocardiographic impact on the Care of the Emergency Department Chest Imaging of Translation and Rotation of Left Ventricular Pain Patient from the Chest Pain Evaluation Registry Center of Cavity Area in Dogs (CHEPER) Study Byron F. Vandenberg, Charles R. McKay, Steven C. Louis G. Graff, John Dallara, Michael A. Ross, Delong, Robert A. Kieso, Robin S. Smith, and AnthonyJ .J oseph, James Itzcovitz, Robert P. Andelman, Richard E. Kerber Chuck Emerman, Steve Turbiner, James A. Espinosa, and Harry Severance CASE REPORTS Accuracy of Spiral Computed Tomography for Identifying Dissection of the Ascending Aorta Induced by Coronary Arterial and Venous Coronary Graft P 56 Angiography Markus G. Engelmann, Alexander von Smekal, Andreas Yochai Birnbaum, Michael C. Fishbein, Robert Kass, Knez, Elisabeth Kirzinger, Tanya Y. Huehns, Berthold Bruce Samuels, Huai Luo, and RobertJ . Siegel Héfling, and Maximilian Reiser Transmyocardial Laser Revascularization Using a Thoracoscopic Approach ARRHYTHMIAS AND CONDUCTION Aldo Milano, Andrea Pietrabissa, and Uberto Bortolotti DISTURBANCES Origin of Junctional Rhythm During Radiofrequency FROM THE EDITOR Ablation of Atrioventricular Nodal Reentrant Tachycardia in Patients Without Structural Heart Disease Longitude, The Longitude Act, Scurvy, and the Beginning Noel G. Boyle, Frédéric Anselme, Kevin Monahan, Panos of Government-Supported Research Papageorgiou, Marco Zardini, Joseph Zebede, and Mark E. William C. Roberts Josephson READERS’ COMMENTS Comparison of Patients With Syncope of Unknown Cause Having Negative or Positive Tilt-Table Tests Robert Sheldon, Sarah Rose, and Mary Lou Koshman AUGUST 21, 1997, VOL. 80, NO. 4B Interval-Dependent Changes in Left Ventricular Contractile Pharmacologic and Clinical Perspectives on Mibefradil: A State in Lone Atrial Fibrillation and in Atrial Fibrillation New T-Channel Selective Calcium Antagonist Associated With Coronary Artery Disease Franklin Schneider, David T. Martin, Edgar C. Schick, and Williaml H. Gaasch AUGUST 28, 1997, VOL. 80, NO. 4C Stroke: An Urgent Need for Better Risk Identification and Comparison of Class la/Ib Versus Class Ill Antiarrhythmic Treatment Rationale Drugs for the Suppression of Inducible Sustained Ventricular Tachycardia Associated With Coronary Artery Koroush Khalighi, Robert W. Peters, Zenaida Feliciano, SEPTEMBER 1, 1997, VOL. 80, NO. 5 Stephen R. Shorofsky, and Michael R. Gold CORONARY ARTERY DISEASE CARDIOMYOPATHY Hyperventilation as a Specific Test for Diagnosis of Echocardiographic Predictors of Poor Outcome in Infants Coronary Artery Spasm With Hypertrophic Cardiomyopathy Koichi Nakao, Masamichi Ohgushi, Michihiro Yoshimura, Kenji Suda, Thomas Kohl, John P. Kovalchin, and Norman Kimihiko Morooka, Ken Okumura, Hisao Ogawa, Kiyotaka H. Silverman Kugiyama, Yuichi Oike, Kazuteru Fujimoto, and Hirofumi Yasue METHODS Preejectional Left Ventricular Wall Motion in Normal Quantitative Comparison of Angiographic Characteristics Subjects Using Doppler Tissue Imaging and Correlation of Coronary Artery Disease in Patients With Noninsulin- With Ejection Fraction Dependent Diabetes Mellitus Compared With Matched Denis Pellerin, Laurent Cohen, Fabrice Larrazet, Floris Nondiabetic Control Subjects Pajany, Serge Witchitz, and Colette Veyrat Pia Pajunen, Markku S. Nieminen, MarjaRiitta Taskinen, and Mikko SyGnne CARDIOVASCULAR PHARMACOLOGY Comparison of Medical Care and One- and 12-Month Safety and Efficacy of Long-Term Statin-Fibrate Mortality of Hospitalized Patients With Acute Myocardial Combinations in Patients With Refractory Familial Infarction in Minneapolis-St. Paul, Minnesota, United Combined Hyperlipidemia States of America and Goteborg, Sweden Vasilios G. Athyros, Athanasios A. Papageorgiou, Haris A. Paul G. McGovern, Johan Herlitz, James S. Pankow, Hatzikonstandinou, Triandafillos P. Didangelos, Maria V. Thomas Karlsson, Mikael Dellborg, Eyal Shahar, and Russell Carina, Dimitrios F. Kranitsas, and Athanasios G. V. Luepker Kontopoulos CONTENTS INDEX 1683 Barbara Naegeli, Edwin Straumann, Andreas Gerber, Urs Niederhauser, and Osmund Bertel Analysis of Phasic Flow Velocity Dynamics in the Left Anterior Descending Coronary Artery Before and After Angioplasty Using Transthoracic Echocardiography in Direct-Current Cardioversion of Atrial Tachyarrhythmias Patients With Stable Angina Pectoris Under Oral Flecainide Therapy JamesJ .C rowley and Leonard M. Shapiro Jean Frangois Leclercq, Jeanine Bizot, Patrick Attuel, and Philippe Coumel Elevated Levels of Circulating Soluble Adhesion Molecules in Peripheral Blood of Patients With Unstabie Comparison of Left Ventricular Mass and Geomeiric Angina 617 Remodeling in Treated and Untreated Men and Women Nitin K. Ghaisas, Chandreshwar N. Shahi, Brendan Foley, >50 Years of Age With Systemic Hypertension Michael Goggins, Peter Crean, Alan Kelly, Dermot Kelleher, Miguel Zabalgoitia, S$. Noor Ur Rahman, William E. Haley, and Michael Walsh John Amerena, Lisa Krause, Lori Oneschuk, Steven Yarows, Carla Yunis, and Charles Lucas Prognostic Significance of a Clearly Audible Fourth Heart Sound Detected a Month After an Acute Myocardial Effects of Acute Administration of Transdermal Estrogen on Postmenopausal Women With Systemic Masamichi Ishikawa, Konomi Sakata, Akira Maki, Hypertension Haruyoshi Mizuno, and Kyozo Ishikawa Guiseppe Mercuro, Sandra Zoncu, Isa Pilia, Adriana Lao, Gian Benedetto Melis, and Angelo Cherchi interleukins 6 and 8 as Mediators of Acute Phase Response in Acute Myocardial Infarction Effect of Ramipril on Mitral Regurgitation Secondary to Gaetano Pannitteri, Benedetto Marino, Pietro Paolo Campa, Mitral Valve Prolapse Robert Martucci, Ugo Testa, and Cesare Peschle Ulla Hast, Henning Kelbaek, Per Hildebrandt, Knud Skagen, and Jan Aldershvile Comparison of Patients With and Without Papillary Muscle Rupture During Acute Myocardial Infarction . 625 Fetal Atrioventricular Blood Flow Throughout Jaume Figueras, Francisco Calvo, Josefa Cortadellas, and Gestation Jordi Soler-Soler Zeev Weiner, Zeev Efrat, Etan Z. Zimmer, and Joseph Itskovitz-Eldor Clinical and Electrocardiographic Profiles Producing Exercise-induced U-Wave Inversion in Patients With Additive Effect of Beraprost on Pulmonary Vasodilation Severe Narrowing of the Left Anterior Descending by Inhaled Nitric Oxide in Children With Pulmonary Coronary Artery Hypertension Taishiro Chikamori, Hiroaki Kitaoka, Yoshihisa Matsumura, Fukiko Ichida, Kei-ichiro Uese, Shin-ichi Tsubata, Jun Takata, Hiromi Seo, and Yoshinori Doi lkuo Hashimoto, Yuji Hamamichi, Kazuaki Fukahara, Arata Murakami, and Toshio Miyawaki Partial Reversal of Heparin Anticoagulation by Intravenous Protamine in Abciximab-Treated Patients Usefulness of Gated Three-Dimensional Fetal Undergoing Percutaneous Intervention Echocardiography to Reconstruct and Display Structures DeanJ . Kereiakes, Thomas M. Broderick, David D. Whang, Not Visualized With Two-Dimensional Imaging Linda Anderson, and David Fye Mark S. Sklansky, Thomas R. Nelson, and Dolores H. Pretorius Magnum Wire for Percutaneous Coronary Balloon Angioplasty in 800 Total Chronic Occlusions CASE REPORT Yves Allemann, Urs P. Kaufmann, BeatJ .M eyer, Paul Stevens-Johnson Syndrome Associated With Carvedilol Gunnes, Philip Urban, Bruno Milhauser, Pierre-André Therapy Dorsaz, and Bernhard Meier BruceJ . Kowalski and RobertJ .C ody Serum Endothelin Levels and Pain Perception in Patients FROM THE EDITOR With Cardiac Syndrome X and in Healthy Controls .... 637 lan D. Cox, Oscar Salomone, SusanJ . Brown, Carole Primary and Secondary Neoplasms of the Heart 671 Hann, and Juan-Carlos Kaski William C. Roberts Abnormal Systemic Venous Doppler Flow Patterns in READERS’ COMMENTS Atrial Tachycardia in Infants Janette F. Strasburger, C. Elise Duffy, and Samuel S. Gidding SEPTEMBER 4, 1997, VOL. 80, NO. 5A A New > ame for DDD(R) Pacing Using a Single-Pass A Symposium: New Frontiers in the Management of DDD Lea 643 Unstable Coronary Artery Disease 1684 THE AMERICAN JOURNAL OF CARDIOLOGY® VOL. 80 DECEMBER 15, 1997

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