Document 6425125
Transcription
Document 6425125
January 1970 Vol 32 No 1 -s _- RrGooiHeart ROOM PRIORIIY:/ Edfitor K. Shirley S ourhn a As0sistant Editor Walter Sonerville i I i Editorial: The British Heart JoUrnal redesigned K. Shirley Smith / 1 Editorial: Electrical pacing in heart block complicating acute myocardial infarction Douglas Chamberlain and Robert Leinbach 2 The earliest electrocardiographic evidence of myocardial infarction David Short 6 Pentaerythritol tetranitrate (sustained action) in acute myocardial infarction D. J. Newell and clinical collaborators 16 Bretylium tosylate in treatment of refractory ventricular arrhythmias complicating myocardial infarction G. Terry, C. W. Vellani, M. R. Higgins, and A. Doig 21 Systemic embolism in mitral valve disease N. Coulshed, E. J. Epstein, C. S. McKendrick, R. W. Galloway, and E. Walker 26 Transthoracic and transvenous pacemakers. A comparative clinical experience with 131 implantable units S. Goldstein, A. J. Moss, R. J. Rivers, Jr., and R. S. Weiner 335 Supraventricular tachycardia with AV block Nabil EI-Sherif 416 Value of quinidine in maintenance of sinus rhythm after electric conversion of atrial fibrillation G. Hartel, A. Louhija, A. Konttinen, and P. I. Halonen 557 Balloon atrial septostomy in complete transposition of great arteries in infancy A. W. Venables 6 i1 Pulmonary oedema in lung disease R. M. McCredie 6 Fluorescence angiography of the fundus vessels in aortic coarctation A. Eisalo, C. Raitta, R. Kala, and P. I. Halonen 771 Saccular aneurysms of left ventricle James S. Fleming 776 Fuchsinophilic degeneration of myocardium in patients with intracranial lesions Richard C. R. Connor 831 ;6 Significance of complete right bundle-branch block with right axis deviation in absence of right ventricular hypertrophy A. Castellanos, Jr., 0. Maytin, A. G. Arcebal, and L. Lemberg Pacemaker therapy in sino-atrial block complicated by paroxysmal tachycardia R. Rokseth, L. Hatle, D. Gedde-Dahl, and P. 0. Foss t 93 Comparison of left atrial pressure and wedge pulmonary capillary pressure. Pressure gradients between left atrium and left ventricle David Verel and Norman Stentiford 99 Seasonal incidence of coarctation of the aorta 0. S. Miettinen, M. L. Reiner, and A. S. 'odd is 103 Development of innervation of coronary arte ies in human foetus up until 230 mm. stage (mid-term) R. B. Smith 108 Application of new ultra-micro automated spectrophotometric determination for serum hydroxybutyrate dehydrogenase activity to diagnosis of myocardial infarction A. D. Hirst and D. M. Goldberg 114 122 Obituary: Hugh Barber Case Reports Aneurysm of pulmonary artery with persistent ductus arteriosus and pulmonary infundibular stenosis Fatal dissection and rupture in pregnancy P. G. D'Arbela, J. W. Mugerwa, A. K. Patel, and K. Somers 124 Esch. coli endocarditis successfully treated with oral trimethoprim and sulphamethoxazole A. S. E. Fowle and P. A. Zorab 127 Primary pulmonary hypertension of unusually long duration A. D. Charters and W. de C. Baker 130 Wolff-Parkinson-White syndrome in association with atrial reciprocal rhythm and reciprocating tachycardia Myron H. Luria and 134 C. Gordon Hale IAT!DI IAL RECD. E35 Britit T -.-K I'I .UUT T r;.7 L!2RARY OF MIEDICINE FFtB 2 i19i0 CONTENTS OF VOLUME 32 Number I EDITORIAL: THE BRITISH HEART JOURNAL REDESIGNED K. Shirley Smith EDITORIAL: ELECTRICAL PACING IN HEART BLOCK COMPLICATING ACUTE MYOCARDIAL INFARCTION Douglas Chamberlain and Robert Leinbach THE EARLIEST ELECTROCARDIOGRAPHIC EVIDENCE OF MYOCARDIAL INFARCTION David Short PENTAERYTHRITOL TETRANITRATE (SUSTAINED ACTION) IN ACUTE MYOCARDIAL INFARCTION D. J. Newell and Clinical Collaborators BRETYLIUM TOSYLATE IN TREATMENT OF REFRACTORY VENTRICULAR ARRHYTHMIAS COMPLICATING MYOCARDIAL INFARCTION G. Terry, C. W. Vellani, M. R. Higgins, and A. Doig SYSTEMIC EMBOLISM IN MITRAL VALVE DISEASE N. Coulshed, E. J. Epstein, C. S. McKendrick, R. W. Galloway, and E. Walker TRANSTHORACIC AND TRANSVENOUS PACEMAKERS. A COMPARATIVE CLINICAL EXPERIENCE WITH I31 IMPLANTABLE UNITS S. Goldstein, A. J. Moss, R. J. Rivers, Jr., and R. S. Weiner SUPRAVENTRICULAR TACHYCARDIA WITH AV BLOCK Nabil El-Sherif VALUE OF QUINIDINE IN MAINTENANCE OF SINUS RHYTHM AFTER ELECTRIC CONVERSION OF ATRIAL FIBRILLATION G. Hartel, A. Louhija, A. Konttinen, and P. I. Halonen BALLOON ATRIAL SEPTOSTOMY IN COMPLETE TRANSPOSITION OF GREAT ARTERIES IN INFANCY A. W. Venables PULMONARY OEDEMA IN LUNG DISEASE R. M. McCredie FLUORESCENCE ANGIOGRAPHY OF THE FUNDUS VESSELS IN AORTIC COARCTATION A. Eisalo, C. Raitta, R. Kala, and P. I. Halonen SACCULAR ANEURYSMS OF LEFT VENTRICLE James S. Fleming FUCHSINOPHILIC DEGENERATION OF MYOCARDIUM IN PATIENTS WITH INTRACRANIAL LESIONS Richard C. R. Connor SIGNIFICANCE OF COMPLETE RIGHT BUNDLE-BRANCH BLOCK WITH RIGHT AXIS DEVIATION IN ABSENCE OF RIGHT VENTRICULAR HYPERTROPHY A. Castellanos, Jr., 0. Maytin, A. G. Arcebal, and L. Lemberg PACEMAKER THERAPY IN SINO-ATRIAL BLOCK COMPLICATED BY PAROXYSMAL TACHYCARDIA R. Rokseth, L. Hatle, D. Gedde-Dahl, and P. 0. Foss COMPARISON OF LEFT ATRIAL PRESSURE AND WEDGE PULMONARY CAPILLARY PRESSURE. PRESSURE GRADIENTS BETWEEN LEFT ATRIUM AND LEFT VENTRICLE David Verel and Norman Stentiford SEASONAL INCIDENCE OF COARCTATION OF THE AORTA 0. S. Miettinen, M. L. Reiner, and A. S. Nadas DEVELOPMENT OF INNERVATION OF CORONARY ARTERIES IN HUMAN FOETUS UP UNTIL 230 MM. STAGE (MID-TERM) R. B. Smith APPILCATION OF NEW ULTRA-MICRO AUTOMATED SPECTROPHOTOMETRIC DETERMINATION FOR SERUM HYDROXYBUTYRATE DEHYDROGENASE ACTIVITY TO DIAGNOSIS OF MYOCARDIAL INFARCTION A. D. Hirst and D. M. Goldberg OBITUARY: HUGH BARBER CASE REPORTS I24, 127, I30, page I 2 6 I6 2I 26 35 46 57 6i 66 7I 76 8I 85 93 99 103 io8 114 I22 I34 Number 2 EDITORIAL: RADIO-ISOTOPES AND REGIONAL BLOOD FLOW J. Russell Rees PHONOCARDIOGRAPHIC METHOD OF ASSESSING CHANGES IN LEFT VENTRICULAR FUNCTION AFTER STARR-EDWARDS REPLACEMENT OF AORTIC VALVE D. G. Gibson, G. Broder, and E. Sowton THE VECTORCARDIOGRAM IN MITRAL VALVE DISEASE John Hamer THE ELECTROCARDIOGRAM OF ATHLETES. COMPARISON WITH UNTRAINED SUBJECTS W. Van Ganse, L. Versee, W. Eylenbosch, and K. Vuylsteek ELECTROCARDIOGRAM IN CORRECTED TRANSPOSITION OF THE GREAT VESSELS OF THE BULBOVENTRICULAR INVERSION TYPE F. Fernandez, J. Laurichesse, L. Scebat, and J. Lenegre ATRIAL PARASYSTOLE H. David Friedberg and Leo Schamroth I37 i42 I49 i6o I65 I72 Number 2-(continued) NON-SPECIFIC ARTERITIS OF THE AORTA AND ITS MAIN BRANCHS page P. N. Thenabadu, K. Rajasuriya, and H. R. Wickremasinghe i8i EFFECT OF PERUVOSID (CD4I2) ON EXCITABILITY AND FUNCTIONAL REFRACTORY PERIOD OF ATRIAL AND VENTRICULAR TISSUES IN CARDIOMYOPATHY CAUSED BY TR YPANOSOMA CR UZI F. Moleiro, A. Anselmi, R. Suarez, J. A. Suarez, and A. Drayer I89 COMBINED AXILLARY PLEXUS BLOCK AND BASAL SEDATION FOR CARDIAC CATHETERIZATION IN D. M. Ross and D. 0. Williams 195 YOUNG CHILDREN G. H. Smith and J. R. Belcher I98 VALVOTOMY IN CALCIFIC MITRAL STENOSIS MECHANISM OF MITRAL REGURGITATION IN HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY R. B. Pridie and C. M. Oakley 203 DIRECT CURRENT SHOCK AND ANTIDYSRHYTHMIC DRUGS P. Szekely, N. A. Wynne, D. T. Pearson, G. A. Batson, and D. A. Sideris 209 EFFECTS OF PROPRANOLOL ON RESPONSE TO EXERCISE IN HYPERTROPHIC OBSTRUCTIVE CARDIOR. H. T. Edwards, A. Kristinsson, D. A. Warrell, and J. F. Goodwin 2I9 MYOPATHY PATHOLOGY OF CARDIOMYOPATHY FROM SOUTH INDIA C. R. R. M. Reddy, G. Parvathi, and Ramachandra Rao 226 ELECTROCARDIOGRAM DURING CARDIAC RUPTURE BY MYOCARDIAL INFARCTION A. A. H. Meurs, A. K. Vos, J. B. Verhey, and J. Gerbrandy 232 HAEMODYNAMIC STUDIES IN HYPERTENsIE PATIENTS TREATED BY ORAL PROPRANOLOL B. N. C. Prichard, E. Shinebourne, J. Fleming, and J. Hamer 236 FAMILIAL SKELETAL CARDIOVASCULAR SYNDROME (HOLT-ORAM) IN A POLYGAMOUS AFRICAN Asuquo U. Antia 24I FAMILY IMMEDIATE AND LONG-TERM RESULTS OF MITRAL VALVE REPLACEMENT WITH UNIVERSITY OF CAPE Velva Schrire and Christiaan N. Barnard 245 TOwN MITRAL VALVE PROSTHESIS IMMEDIATE AND LONG-TERM RESULTS OF AORTIC VALVE REPLACEMENT WITH UNIVERSITY OF CAPE TOwN AORTIC VALVE PROSTHESIS V. Schrire, W. Beck, R. P. Hewitson, and C. N. Barnard 255 264 OBITUARY: CHARLES BAKER 267, 269, 272 CASE REPORTS Number 3 EDITORIAL: ROUGNON'S LETTER TO LORRY ON THE DEATH OF CAPTAIN CHARLES. A LANDMARK IN Evan Bedford THE HISTORY OF ANGINA PECTORIS Richard Emanuel GENETICS AND CONGENITAL HEART DISEASE VENTRICULAR INVERSION WITHOUT TRANSPOSITION OF THE GREAT VESSELS IN SITUS INVERSUS J. Espino-Vela, M. V. de la Cruz, L. Mufnoz-Castellanos, L. Plaza, and F. Attie CONGENITAL HEART DISEASE IN CEYLON N. J. Wallooppillai and M. de S. Jayasinghe HAEMODYNAMIC EFFECTS OF GLUCAGON J. G. Murtagh, P. F. Binnion, S. Lal, K. J. Hutchison, and E. Fletcher PREVALENCE OF PALPABLE WRIST PULSES Sandor A. Friedman EVALUATION OF CONTRAST MEDIA USED IN MAN FOR CORONARY ARTERIOGRAPHY D. C. Banks, E. B. Raftery, and S. Oram HYPERNATRAEMIA-SPECIAL PROBLEMS WITH ANGIOCARDIOGRAPHY IN TOTAL ANOMALOUS PULMONARY VENOUS DRAINAGE Jane Somerville BREmIuM TOSYLATE IN PREVENTION OF CARDIAC DYSRHYTHMIAS AFTER MYOCARDIAL INFARCTION S. H. Taylor, C. Saxton, P. S. Davies, and J. B. Stoker REGIONAL PULMONARY FUNCTION IN PATIENTS WITH MITRAL STENOSIS IN RELATION TO HAEMoDYNAMIC DATA P. Jebavy, I. Runczik, A. Oppelt, J. Tilsch, V. Stan6k, and J. Widimsky MAJOR DETACHMENT OF AORTIC PROSTHETIC VALVES George C. Sutton and John E. C. Wright MITRAL VALVE MOVEMENT: A STMUY USING AN ULTRASOUND TECHNIQUE C. F. P. Wharton and L. Lopez Bescos HAEMODYNAMIC FACTORS INFLUENCING OPENING SNAP INTERVAL IN MITRAL STEOSIS R. Ebringer, A. Pitt, and S. T. Anderson 277 28I 292 304 307 3I6 317 320 326 330 337 344 350 Number 3-(continued) page HAEMODYNAMIC STUDIES ON NEWLY DIAGNOSED DIABETICS BEFORE AHD AFTER ADEQUATE INSULIN TREATMENT S. Carlstrom and T. Karlefors 355 RECURRENCE OF THROMBOEMBOLIC DISEASE AFTER DISCONTINUING ANTICOAGULANT THERAPY. A STUDY OF FACTORS AFFECTING INCIDENCE Leon Michaels 359 EXERCISE HAEMODYNAMICS OF COARCTATION OF THE AORTA. ACUTE EFFECTS OF PROPRANOLOL Gordon R. Cumming and G. H. Mir 365 MAINTENANCE OF SINUS RHYTHM AFTER DC REVERSION OF ATRIAL FIBRILLATION. A DOUBLEBLIND CONTROLLED TRIAL OF LONG-ACTING QUINIDINE BISULPHATE Edward Byrne-Quinn and A. J. Wing 370 VENTRICULAR PARASYSTOLE IN ACUTE MYOCARDIAL INFARCTION J. Salazar and C. S. McKendrick 377 VECTORCARDIOGRAPHIC STUDY OF QRS LooP IN PATIENTS WITH LEFT SUPERIOR AXIS DEVIATION AND RIGHT BUNDLE-BRANCH BLOCK H. Kulbertus, P. Collignon, and L. Humblet 386 COMPARISON OF HAEMODYNAMIC EFFECTS OF INTRAVENOUS ISOPRENALINE AND ADRENALINE AFTER AORTIC VALvAR HOMOGRAFT REPLACEMENT R. M. M. Fordham and Leon Resnekov 393 ASSESSMENT OF PROXIMAL TUBULAR SODIUM REABSORPTION DURING WATER DIURESIS IN PATIENTS WITH HEART DISEASE D. G. Gibson, J. C. Marshall, and Eunice Lockey 399 ABNORMAL DISTRIBUTION OF PULMONARY BLOOD FLOW IN AORTIC VALVE DISEASE. RELATION BETWEEN PULMONARY FUNCTION AND CHEST RADIOGRAPH Lucy S. Goodenday, G. Simon, Hazel Craig, and Lola Dalby 406 CASE REPORTS 409,412,4i6 CORRESPONDENCE 420 Number 4 EDITORIAL: EXPLORING SURGICAL TREATMENT FOR MYOCARDIAL INFARCTION B. B. Milstein LONG-TERM PROGNOSIS AFTER MITRAL ANNULOPLASTY FOR ACQUIRED MITRAL INSUFFICIENCY. CLINICAL EVALUATION P. Penther, J. P. Bourdarias, and J. Lenegre PREMATURE VALVE CLOSURE IN PATIENTS WITH A MITRAL STARR-EDWARDS PROSTHESIS AND AORTIC INCOMPETENCE T. M. Agnew and R. Carlisle THE RSR' PATTERN IN LEFT SURFACE LEADS IN VENTRICULAR ANEURYSM Nabil El-Sherif ARCUS SENILIS; ITS RELATION TO CERTAIN ATTRIBUTES AND RISK FACTORS IN PATIENTS WITH CORONARY HEART DISEASE N. Hickey, B. Maurer, and R. Mulcahy USE OF PROPRANOLOL IN ATRIAL FLUTTER D. A. L. Watt, W. R. Livingstone, R. K. S. MacKay, and E. N. Obineche SINUS BRADYCARDIA TREATED BY LONG-TERM ATRIAL PACING M. Clarke, D. W. Evans, and B. B. Milstein LONG-TERM FOLLOW-UP OF DIRECT CURRENT CARDIOVERSION AFTER CARDIAC SURGERY WITH SPECIAL REFERENCE TO QUINIDINE J. F. Gunning, A. Kristinsson, G. Miller, and K. Saunders THE SURDO-CARDIAC SYNDROME AND THERAPEUTIC OBSERVATIONS 42I 427 436 440 449 453 458 462 P. M. Olley and R. S. Fowler 467 ARRHYTHMIAS CHILDREN WITH PULMONARY STENOSIS P. B. Deverall, N. K. Roberts, and J. Stark CORRELATION BETWEEN RADIOLOGICAL CHEST FINDINGS AND SYSTEMATIC HAEMODYNAMICS IN HUMAN ARTERIAL HYPERTENSION R. Sannerstedt, S. Paulin, and E. Varnauskas CONGENITAL ABSENCE OF THE PULMONARY VALVE Fergus J. Macartney and Graham A. H. Miller CARDIOMYOPATHY IN THE SOUTHWEST AMERICAN INDIAN M. Brandfonbrener, W. S. Lovekin, and J. K. Leach OCCURRENCE OF A LEFT VENTRICULAR THIRD HEART SOUND IN INCOMPETENT MITRAL HETEROGRAFTS Mamdouh El Gamal and Donald R. Smith FOUR CASES OF RIGHT-SIDED BUNDLE-BRANCH BLOCK AND ONE CASE OF ARTIOVENTRICULAR BLOCK IN THm GENERATIONS OF A FAMILY Erik E. Simonsen and Edi G. Madsen HEREDITARY PROLONGATION OF QT INTERVAL. STUDY OF Two FAMILIES G. E. Gale, C. K. Bosman, R. B. K. Tucker, and J. B. Barlow IN 472 477 483 49I 497 50I 505 Number 4-(continued) page VALUE OF SERIAL P WAVE CHANGES IN INDICATING LEFT HEART FAILURE IN MYOCARDIAL INFARCTION Juhani Heikkila and Kimmo Luomanmaki 5IO ACUTE MASSIVE PULMONARY EMBOLISM. CLINICAL AND HAEMODYNAMIC FINDINGS IN 23 PATIENTS STUDIED BY CARDIAC CATHETERIZATION AND PULMONARY ARTERIOGRAPHY G. A. H. Miller and G. C. Sutton 5I8 'PRIMARY' PULMONARY HYPERTENSION, EOSINOPHILIA, AND FILARIASIS IN CEYLON Ivor Obeyesekere and Neil de Soysa 524 NATURAL HISTORY OF VENTRICULAR SEPTAL DEFECT WITH RIGHT-SIDED AORTIC ARCH P. J. Varghese, J. R. Allen, G. C. Rosenquist, and R. D. Rowe 537 Q-I/IIA-OS FORMULA FOR PREDICTING LEFT ATRIAL PRESSURE IN MITRAL STENOSIS 0. Yigitbai, I. Nalbantgil, A. Birand, and A. Terek 547 PROCEEDINGS OF THE BRITISH CARDIAC SOCIETY 55I OBITUARY: EVAN JONES 559 CASE REPORTS 56I, 564, 568, 571 , 575 Number 5 EDITORIAL: THE CHANGING FACE OF ACUTE RHEUMATIC FEVER Edwin Besterman 579 THE NATURE OF THE CORONARY PROBLEM. THE STRICKLAND GOODALL MEMORIAL LECTURE 22 OCTOBER I969 A. Morgan Jones 583 EFFECT OF RESPIRATION ON VENOUS RETURN AND STROKE VOLUME IN CARDIAC TAMPONADE I. T. Gabe, D. T. Mason. J. H. Gault, J. Ross, Jr., R. Zelis, C. J. Mills, E. Braunwald, and J. P. Shillingford 592 APPEARANCE OF ATRIAL SoUND AFTER REVERSION OF ATRIAL FIBRILLATION Robert A. O'Rourke 597 SERUM ENZYME ACTIVITIES AFTER CARDIOVERSION T. Mandecki, L. Giec, and W. Kargul 6oo PATTERNS OF ENDOCRINE REACTIVITY IN PATIENTS WITH RECENT MYOCARDIAL INFARCTION. CLINICAL AND BIOCHEMICAL CORRELATIONS: TRIAL OF ENDOCRINE THERAPY L. Ceremuzynski, J. Kuch, L. Markiewicz, J. Lawecki, and J. Taton 603 CONTINUOUS ELECTROCARDIOGRAPHIC RECORDING IN PRINZMETAL'S VARIANT ANGINA PECTORIS. A REPORT OF FOUR CASES M. Guazzi, C. Fiorentino, A. Polese, and F. Magrini 6II IDIOVENTRICULAR RHYTHM COMPLICATING ACUTE MYOCARDIAL INFARCTION R. M. Norris, C. J. Mercer, and S. E. Yeates 6I7 PRECURVED CATHETERS FOR TRANSBRACHIAL CORONARY ARTERIOGRAPHY George G. Rowe 622 ELECTRICAL INTERFERENCE IN NON-COMPETITIVE PACEMAKERS E. Sowton, K. Gray, and T. Preston 626 NATURAL HISTORY OF COARCTION OF THE AORTA Maurice Campbell 633 MANAGEMENT OF PULMONARY ATRESIA Jane Somerville 64I ATRIAL FIBRILLATION IN PATIENTS WITH IDIOPATHIC HYPERTROPHIC SUBAORTIC STENOSIS D. L. Glancy, K. P. O'Brien, H. K. Gold, and S. E. Epstein 652 REPEAT VARIATION OF ELECTROCARDIOGRAM, BLOOD PRESSURE, AND BLOOD CHOLESTEROL WITHIN ONE HOUR AND SIX MONTHS Ernst Simonson and Ancel Keys 66o EXTENT OF POSSIBLE REHABILITATION OF SERVICE PERSONNEL WITH ISCHAEMIC HEART DISEASE I. Singh, P. K. Khanna, M. C. Srivastava, and R. S. Hoon 665 THE PATHOGENESIS OF ENDOMYOCARDIAL FIBROSIS: THE QUESTION OF 5-HYDROXYTRYPTAMINE G. 0. Ojo 67I VALUE OF REFERENCE TRACINGS IN DIAGNOSIS AND ASSESSMENT OF CONSTRICTIVE EPI- AND PERICARDITIS H. Kesteloot and B. Denef 675 CORRELATION OF DEGREE OF LEFT VENTRICULAR VOLUME OVERLOAD WITH CLINICAL COURSE IN AORTIC AND MITRAL REGURGITATION M. J. Tyrrell, R. C. Ellison, P. G. Hugenholtz, and A. S. Nadas 683 LATE SYSTOLIC CLICK IN NON-OBSTRUCTIVE CARDIOMYOPATHY E. N. Mercer, R. L. Frye, and E. R. Giuliani 69I PHASIC AORTIC FLOW VELOCITY IN PATIENTS WITH PULSUS ALTERNANS A. Benchimol, E. C. Barreto, and S. Teng Wei Tio 696 Number 5-(continued) PRECLINIcAL DIABETES MELLITUS IN PRECOCIOUS MYOCARDIAL INFARCTION OBITUARY: D. HowARD DAVIES CASE REPORTS page A. L. Bahl 70I 706 708, 7II, 74,717, 720 Number 6 EDITORIAL: VALVE REPLACEMENT L. G. Davies QUANTITATIVE STUDY OF INFARCTED MYOCARDIUM IN CARDIOGENIC SHOCK C. Harnarayan, M. A. Bennett, B. L. Pentecost, and D. B. Brewer A CORONARY CARE UNIT IN A GENERAL MEDICAL WARD J. D. Eddy and J. Mackinnon CHANGES IN SMOKING HABITS IN MEN UNDER 65 YEARS AFTER MYOCARDIAL INFARCTION AND CORONARY INSUFFICIENCY D. R. Hay and Sarah Turbott MAINTENANCE OF SINUS RHYTHM AFTER ATRIAL DEFIBRILLATION P. Szekely, D. A. Sideris, and G. A. Batson ABNORMAL LEFT HEART FUNCTION AFTER OPERATION FOR ATRIAL SEPTAL DEFECT H. Davies, G. C. Oliver, W. J. Rappoport, and N. Gazetopoulos DETERMINATION OF REGIONAL AND CENTRAL CIRCULATION TIMEs BY THE ASCORBATE DILUTION METHOD P. Bopp, P. C. Fournet, P. R. Moret, and P. M. Duchosal FAMILIAL PULMONARY HYPERTENSION. EVIDENCE OF AUTOSOMAL DOMINANT INHERITANCE Peter Thompson and Colin McRae CHANGES OF MYOCARDIAL ENZYME ACTIVITIES IN ATRIAL FIBRILLATION G. Csap6 HEART RATE AND HAEMODYNAMICS AFTER AUTONOMIC BLOCKADE IN INFANTS AND CHILDREN G. R. Cuming and G. H. Mir LIFE UNITS. A DISCUSSION IN THE DEPARTMENT OF CARDIOLOGY, ROYAL PERTH HOSPITAL, AUSTRALIA 0. B. Tofler PULMONARY ARTERY AND LEFT HEART END-DIASTOLIC PRESSURE RELATIONS Walter H. Herbert REGRESSION OF VALVULAR PULMONARY STENOSIS R. D. Lueker, J. H. K. Vogel, and S. G. Blount CHEST WALL STIMULATION IN EVALUATION OF PATIENTS WITH IMPLANTED VENTRICULAR-INHBITED DEMAND PACEMAKERS A. S. Barold, G. A. Pupillo, J. J. Gaidula, and J. W. Linhart EFFECTS OF NITROGLYCERIN ON LEFT VENTRICULAR VOLUMES AND WALL TENSION IN PATIENTS WITH ISCHAEmIC HEART DISEASE S. J. K. Lee, Y. K. Sung, and A. J. Zaragoza CARDIAC LESIONS IN FATAL CASES OF RECENT MYOCARDIAL ISCHAEMIA FROM A CORONARY CAR UNIT D. C. Bouch and G. L. Montgomery LONG-TERM PROPRANOLOL THERAPY IN MUSCULAR SUBAORTIC STENOSIS A. G. Adelman, P. M. Shah, R. Gramiak, and E. D. Wigle LATE RESULTS OF AORTIC VALVE REPLACEMENT WITH THE STARR-EDWARDS PROSTHESIS C. M. Morgans, D. W. Barritt, R. H. Belsey, G. Keen, and R. Wensley NATURAL HISTORY OF ATRIAL SEPTAL DEFECT Maurice Campbell VALUE OF DIAZEPAM ('VALIUM') IN TREATMENT OF CARDIAC ARRHYTHMIAS F. H. N. Spracklen, R. J. Chambers, and V. Schrire WARNING SYMPTOMS BEFORE MAJOR MYOCARDIAL INFARCTION Mary Stowers and David Short CHANGES IN SYSTOLIC TIME INTERVALS IN ACUTE MYOCARDIAL INFARCTION Roland Samson RIGHT BUNDLE-BRANCH BLOCK AND LEFT AXIS DEVIATION IN ACUTE MYOCARDIAL INFARCTION J. C. Roos and A. J. Dunning CASE REPORTS 852, 855. 859, INDEX PRINTED IN GREAT BRITAIN BY WILLIAM CLOWES AND SONS, LTD., LONDON, BECCLES AND COLCHESTER 723 728 733 738 74I 747 754 758 76I 766 77I 774 779 783 790 795 804 8I2 820 827 833 839 847 863 867