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CONTENTS OF VOLUME 7
JANUARY 1986 VOLUME 7 NUMBER 1
COOPERATIVE STUDIES
1 Effect of Propranolol in Patients With Myocardial Infarction
and Ventricular Arrhythmia. Lawrence M. Friedman, Robert P.
Byington, Robert J. Capone, Curt D. Furberg, Sidney Goldstein,
Edgar Lichstein, Writing Group for the Beta-Blocker Heart Attack
Trial Research Group
9 Comparative Study of Encainide and Quinidine in the Treatment
of Ventricular Arrhythmias. Joel Morganroth, John C. Somberg, Peter
E. Pool, Ping-Hwa Hsu, lan K. Lee, John Durkee, for the
Encainide-Quinidine Research Group
17 Should the Intent of Testing Influence Its Interpretation?
Alan Rozanski, George A. Diamond, James S. Forrester, Daniel S.
Berman, Denise Morris, Robert H. Jones, Robert Okada, Michael
Freeman, H. J. C. Swan
CLINICAL STUDIES
25 Selective Thromboxane A2 Synthetase Inhibition in Vasospastic
Angina Pectoris. Yoshiki Yui, Ryuichi Hattori, Yoshiki Takatsu,
Chuichi Kawai
30 Editorial Comment Vasospastic Angina: A Continuing Search for
Mechanism(s). Gottlieb C. Friesinger, Rose Marie Robertson
32 Coronary Flow Reserve Provided by Sequential Internal
M!lmmary Artery Grafts. John McB. Hodgson, Arun K. Singh, Thomas M.
Drew, Raymon S. Riley, David O. Williams
38 Circulit Weight Training in Cardiac Patients. Michael H.
Kelemen, Kerry J. Stewart, Ronald E. Gillilan, Craig K. Ewart,
Stephen A. Valenti, John D. Mqnley, Mark D. Kelemen
METHQDS
43 Nonilllvasive Study of the Presystolic Component of the First
Heart Sound in Mitral Stenosis. Yoshiyuki Hada, Keiko Amano, Tsuneo
Yamaguchi, Katsu Takenaka, Hisako Takahashi, Reiko Takikawa, Ichiro
Hasegawa, Toshiyuki Takahashi, Junichi Suzuki, Tsuguya Sakamoto,
Tsuneaki Sugimoto
51 Editorial Comment Presystolic Murmur of Mitral Stenosis
Revisited. Morton E. Tavel
53 Noninvasive Identification of Left Main and Triple Vessel
Coronary Artery Disease: Improved Accuracy Using Quantitative
Analysis of Regional Myocardial Stress Distribution and Washout of
Thallium-201. Jamshid Maddahi, Alnoor Abdulla, Ernest V. Garcia, H.
J. C. Swan, Daniel S. Berman
61 Reverse Redistribution of Thallium-20l: A Sign of
Nonb'ansmural Myocardial Infarction With Patency of the
Infarct-Related Coronary Artery. A. Teddy Weiss, Jamshid Maddahi,
Allan S. Lew, P. K. Shah, William' Ganz, H. J. C. Swan, Daniel S.
Berman
68 Myocardial Relaxation in Atrial Fibrillation. Yasuyuki
Nakamura, Takashi Konishi, Hiroshi Nonogi, Tsunetaro Sakurai,
Shigetake Sasayama, Chuichi Kawai
74 Isovolumic Relaxation Period in Hypertrophic Cardiomyopathy:
Assessment by Radionuclide Angiography. Sandro Betocchi, Robert O.
Bonow, Stephen L. Bacharach, Douglas R. Rosing, Barry J. Maron,
Michael V. Green
82 Semiquantitative Grading of Severity of Mitral Regurgitation
by Real-Time Two-Dimensional Doppler Flow Imaging Technique. Kunio
Miyatake, Shiro Izumi, Mitsunori Okamoto, Naokazu Kinoshita,
Hirohiko Asonuma, Hiroshi Nakagawa, Katsuhiro Yamamoto, Makoto
Takamiya, Hiroshi Sakakibara, Yasuharu Nimura
89 Editorial Comment Real-Time Two-Dimensional Doppler Flow
Imaging: A Word of Caution. Martin E. Goldman
EXPERIMENT AL STUDIES
91 Healing After Myocardial Infarction in the Dog: Changes in
Infarct Hydroxyproline and Topography. Bodh I. Jugdutt, Roger W. M.
Amy
103 Assessment of Coronary Stenoses by Myocardial Perfusion
Imaging During Pharmacologic Coronary Vasodilation. VII. Validation
of Coronary Flow Reserve as a Single Integrated Functional Measure
of Stenosis Severity Reflecting All Its Geometric Dimensions.
Richard L. Kirkeeide, K. Lance Gould, Linda Parse I
114 Editorial Comment Efforts Toward Quantitation of Coronary
Artery Functional Capacity. Edmund M. Herrold, Jeffrey S. Borer
116 Electrophysiologic Effects of the Levo- and Dextrorotatory
Isomers of Sotalol in Isolated Cardiac Muscle and Their in Vivo
Pharmacokinetics. Rinya Kato, Nobuo Ikeda, Steven M. Yabek,
Ramaswamy Kannan, Bramah N. Singh
126 Effect of Exercise on Acute Myocardial Infarction in Rats.
Judith S. Hochman, Bernadine Healy
PEDIATRIC CARDIOLOGY
133 Arrhythmias After the Mustard Operation for Transposition of
the Great Arteries: A Long-Term Study. Constance J. Hayes, Welton
M. Gersony
138 Use of Cardiac Pacing After the Mustard Operation for
Transposition of the Great Arteries. Paul C. Gillette, Deborah G.
Wampler, Cathleen Shannon, David Ott
REPORTS ON THERAPY
142 QT Prolongation and the Antiarrhythmic Efficacy of
Amiodarone. Vilma Torres, David Tepper, David Flowers, Jonathan
Wynn, Stanley Lam, Deborah Keefe, Dennis S. Miura, John C.
Somberg
148 Acute and Chronic Effects of Amiodarone on Ventricular
Refractoriness, Intraventricular Conduction and Ventricular
Tachycardia Induction. Fred Morady, Lorenzo A. DiCarlo, Jr.,
Ryszard B. Krol, Jeffrey M. Baerman, Michael de Buitleir
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158 Symptomatic "Isolated" Carotid Sinus Hypersensitivity:
Natural History and Results of Treatment With Anticholinergic Drugs
or Pacemaker. Dec/an D. Sugrue, Bernard J. Gersh, David R. Holmes,
Jr., Douglas L. Wood, Michael J. Osborn, Stephen C. Hammill
DIAGNOSTIC TECHNIQUES
163 Trallsesophageal Two-Dimensional Echocardiography for the
Detection olf Left Atrial Appendage Thrombus. Wolfgang Aschenberg,
Michael Schluter, Peter Kremer, Erwin Schroder, Volker Siglow,
Walter Bleifeld
167 Characterization of Retrograde Conduction by Direct
Emlocardial Recording From an Accessory Atrioventricular Pathway.
William G. 0' Callaghan, Paul G. Colavila, G. Neal Kay, Kenneth A.
Ellenbogen, Marcel R. Gilbert, Lawrence D. German
CASE REPORTS
172 Regression in Thromboembolic Type of Primary Pulmonary
Hypertension During 21/2 Years of Antithrombotic Therapy. Marc
Cohen, William D. Edwards, Valentin Fuster
176 Paroxysmal Fascicular Tachycardia and Ventricular
Tachycardia Due to Mechanical Stimulation by ~ Mitral Valve
Prosthesis. Sung Soon Kim, Jose Gallastegui, William J. Welch,
Robert A. Bauernfeind
180 Atrioventricular Block Complicating Amiodarone•Induced
Hypothyroidism in a Patient with Pre-excitation and Rate Dependent
Bilateral Bundle Branch Block. Lucia Mangiardi, Fiorenza Gaila,
Susanna Brun, Patrizia Presbitero, Koonlawee Nademanee, Bramah N.
Singh
185 Reduced Acetylation of Procainamide by Para•aminobenzoic
Acid. Eric S. Nylen, Andrew I. Cohen, Marc H. Wish, John 1. Lima,
James D. Finkelstein
SYMPOSIUM ON THE ATHLETE HEART. Barry J. Maron, Stephen E.
Epstein, Guest Editors
189 Introduction. Barry J. Maron, Stephen E. Epstein
190 Structural Features of the Athlete Heart as Defined by
Echocardiography. Barry J. Maron
204 Causes of Sudden Death in Competitive Athletes. Barry J.
Maron, Stephen E. Epstein, William C. Roberts
215 Exercise: A Risk for Sudden Death in Patients With Coronary
Heart Disease. Leonard A. Cobb, W. Douglas Weaver
220 Sudden Death and the Competitive Athlete: Perspectives on
Preparticipation Screening Studies. Stephen E. Epstein, Barry J.
Maron
231 Mitral Valve Prolapse: Definition and Implications in
Athletes. Robert M. Jeresaty
237 Tachyarrhythmias in Young Athletes. Aldo Coelho, Edwin
Palileo, William Ashley, Steven Swiryn, A. Tom Petropoulos, William
J. Welch, Robert A. Bauernfeind
EDITORIALS
244 The Continuing Problem 9f Retracted Papers. Simon Dack
246 LETTERS TO THE EDITOR
ACC NEWS
248 President's Page. William W. Parmley
FEBRUARY 1986 VOLUME 7 NUMBER 2
COOPERATIVE STUDIES
251 Persantine-Aspirin Reinfarction Study. Part II. Secondary
Coronary Prevention With Persantine and Aspirin. Prepared for the
Investigator Group by Christian R. Klimt, Gene!! L. Knatterud,
Jeremiah Stamler, Paul Meier
CLINICAL STUDIES
270 Left Ventricular Mechanical Efficiency in Coronary Artery
Disease. Allen B. Nichols, Mulva H. Pearson, Robert R. Sciacca,
Paul J. Cannon
280 Editorial Comment Cardiac Efficiency and Coronary Heart
Disease. John Ross, Jr.
282 Editorial Comment Left Ventricular Mechanical Efficiency in
Coronary Artery Disease. Joel S. Karliner
284 Hemodynamic Differentiation of Pathologic and Physiologic
Stenosis in Mitral Porcine Bioprostheses. Lawrence S. C. Czer,
Richard J. Gray, Timothy M. Bateman, Michele A. DeRobertis, Kenneth
Resser, Aurelio Chaux, Jack M. Matloff
295 The Electrocardiogram in Obesity: Statistical Analysis of
1,029 Patients. Stuart Frank, Jerry A. Colliver, Arthur Frank
300 Recurrent Acute Pericarditis: Follow-Up Study of 31
Patients. Noble O. Fowler, A. Daniel Harbin III
METHODS
307 Assessment of Pericardial Constraint: The Relation Between
Right Ventricular Filling Pressure and Pericardial Pressure
Measured After Pericardiocentesis. Otto A. Smiseth, Michael A.
Frais, Iris Kingma, Alan V. M. White, Merril L. Knudtson, James M.
Cohen, Dante E. Manyari, Eldon R. Smith, John V. Tyberg
315 Editorial Comment Measuring Pericardial Constraint. Ralph
Shabetai
317 Quantitative Assessment of Regional Left Ventricular Motion
Using Endocardial Landmarks. Cornelis J. Slager, Ton E. H.
Hooghoudt, Patrick W. Serruys, Johan C. H. Schuurbiers, Johan H. C.
Reiber, Geert T. Meester, Pieter D. Verdouw, Paul G. Hugenholtz
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327 Edlitorial Comment Assessment of Regional Myocardial
Function. William Grossman
REPORTS ON THERAPY
329 Effort Angina With Adequate Beta-Receptor Blockade:
Comparispn With Diltiazem Alone and in Combination. Dennis P.
Humen, Pamela O'Brien, Paul Purves, Donald Johnson, William J.
Kostuk
336 Editorial Comment Combination Therapy for Angina Pectoris.
Joel S. Karliner
338 Mexiletine and Tocainide: Does Response to One Predict
Response to the Other? Michael Hession, Richard Blum, Philip J.
Podrid, Steven Lampert, Joseph Stein, Bernard Lown
REPORTS ON HYPERTENSION
344 Acute and Chronic Sympathetic Reflex Activation and
AIIItihypertensive Response to Nifedipine. Wolfgang Kiowski, Paul
Erne, Osmund Bertel, Peter Bolli, Fritz Biihler
MORPHOLOGIC STUDIES
349 Infarct Expansion: Pathologic Analysis of 204 Patients With
a Single Myocardial Infarct. John S. Pirolo, Grover M. Hutchins, G.
William Moore
PEDIATRIC CARDIOLOGY
355 Sensitivity, Specificity and Predictive Value of
Two•Dimensional Echocardiography in Detecting Coronary Artery
Aneurysms in Patients With Kawasaki Disease. Thomas E. Capannari,
Stephen R. Daniels, Richard A. Meyer, David C. Schwartz, Samuel
Kaplan
361 Hypoplastic Left Heart Syndrome: Report of a Unique
Survivor. Martin Ehrlich, Fredrick Z. Bierman, Kent Ellis, Welton
M. Gersony
REVIEWS
366 Left Main Coronary Artery Originating From the Right Sinus
of Valsalva anlt Coursing Between the Aorta and Pulmonary Trunk.
Charles W. Barth III, William C. Roberts
374 Inltraoperative Two-Dimensional Echocardiography: New
Application of an Old Technique~ Martin E. Goldman, Bruce P.
Mindich
EXPERIMENTAL STUDIES
383 Contrast Echocardiography in Acute Myocardial Ischemia. III.
An in Vivo Comparison of the Extent of Abnormal Wall Motion With
the Area at Risk for Necrosis. Sanjiv Kaul, Natesa G. Pandian,
Linda D. Gillam, John B. Newell, Robert D. Okada, Arthur E. Weyman,
with the technical assistance of Donna Lutrario
393 Editorial Comment Acute Myocardial Ischemia: From Tennant
and Wiggers to Contrast Echocardiography. William F. Armstrong
395 Editorial Comment Promise and Status of Myocardial
Contrast-Enhanced Two-Dimensional Echocardiography: Delineation of
Ischemic Risk Zone and Quantitation of Myocardial Perfusion
Defects. Samuel Meerbaum
397 Effect of Lidocaine and Bretylium on Energy Requirements for
Transthoracic Defibrillation: Experimental Studies. Richard E.
Kerber, Natesa G. Pandian, Susan R. Jensen, Luis Constantin, Robert
A. Kieso, Jef/rey Melton, Michelle Hunt
406 Action and Localization of Vasoactive Intestinal Peptide in
the Coronary Circulation: Evidence for Nonadrenergic,
Noncholinergic Coronary Regulation. Jose M. Brum, Alfred A. Bove,
Qian Sufan, William Reilly, Vay L. W. Go
414 Afferent Reinnervation of the Autotransplanted Heart in
Dogs. Pramod K. Mohanty, Marc D. Thames, John R. Capehart, Akira
Kawaguchi, Bruce Bailon, Richard R. Lower
419 Myocardial Norepinephrine, Epinephrine and Dopamine
Concentrations After Cardiac Autotransplantation in Dogs. Pramod K.
Mohanty, James R. Sowers, Marc D. Thames, Fran W. J. Beck, Akira
Kawaguchi, Richard R. Lower
DIAGNOSTIC TECHNIQUES
425 Right Atrial Flow Topography in Healthy Subjects Studied
With Real Time Two-Dimensional Doppler Flow Imaging Technique.
Kunio Miyatake, Shiro Izumi, Akihiko Shimizu, Naokazu Kinoshita,
Mitsunori Okamoto, Hiroshi Sakakibara, Yasuharu Nimura
432 Flexible Fiberoptic Pericardioscopy for the Diagnosis of
Pericardial Disease. George T. Kondos, Stuart Rich, Sidney
Levitsky
CASE REPORTS
435 Coronary Artery Venous Bypass Graft Aneurysm With
Symptomatic Coronary Artery Emboli. Charles P. Taliercio, Hugh C.
Smith, James R. Pluth, Raymond J. Gibbons
438 Unruptured Sinus of Valsalva Aneurysm With Right Ventricular
Outflow Obstruction Diagnosed by Two•Dimensional and Doppler
Echocardiography. Robert W. Kiefaber, Burton S. Tabakin, Laurence
H. Coffin, Thomas C. Gibson
443 Congenital Aneurysm of the Left Sinus of Valsalva With an
Aortopulmonary Tunnel. Daniel Scagliotti, Elizabeth A. Fisher,
Barbara J. Deal, David Gordon, Eva V. Chomka, Bruce H. Brundage
EDITORIALS
446 Coronary Artery Spasm: The Pendulum Continues Swinging.
Robert A. Chahine
449 LETTERS TO THE EDITOR
450 CORRECTIONS
ACC NEWS
451 President's Page. William W. Parmley
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FEBRUARY 1986 VOLUME 7 NUMBER 2 (SUPPLEMENT A)
Abstracts of Papers to Be Presented at the 35th Annual
Scientific Session of the American College of Cardiology, Atlanta,
Georgia, March 9-13, 1986
lA Abstracts
253A Acknowledgments
255A Author Index
265A SUbject Index
MARCH 1986 VOLUME 7 NUMBER 3
CLINICAL STUDIES
455 Effect of Coronary Occlusion During Percutaneous
Transluminal Angioplasty in Humans on Left Ventricular Chamber
Stiffness and Regionai Diastolic Pressure•Radius Relations. William
Wijns, Patrick W. Serruys, Cornelis J. Slager, Joerg Grimm, Hans P.
Krayenbuehl, Paul G. Hugenholtz, Otto M. Hess
464 Extent and Severity of Myocardial Hypoperfusion as
Predictors of Prognosis in Patients With Suspected Coronary Artery
Disease. Marc L. Ladenheim, Brad H. Pollock, Alan Rozanski; Daniel
S. Berman, Howard M. StaniloJf, James S. Forrester, George A.
Diamond
472 Angiographic Evolution of Coronary Artery Morphology in
Unstable Angina. John A. Ambrose, Stephen L. Winters, Rohit R.
Arora, Angie Eng, Albert Riccio, Richard Gorlin, Valentin
Fuster
479 Seven Year Survival of Patients With Normal or Near Normal
Coronary Arteriograms: A CASS Registry Study. Harvey G. Kemp,
Richard A. Kronmal, Ronald E. Vlietstra, Robert L. Frye and
participants in the Coronary Artery Surgery Study
BISHOP LECTURE
484 The Electrocardiogram 80 Years After Einthoven. Hein J. 1.
Wellens
EPIDEMIOLOGIC STUDIES
492 Characteristics and Prognosis of Incomplete Right Bundle
Branch Block: An Epidemiologic Study. Youlian Liao, Linda Ann
Emidy, Alan Dyer, John S. Hewitt, Richard B. Shekelle, Oglesby
Paul, Ronald Prineas, Jeremiah Stamler
METHODS
501 Noninvasive Assessment of Valve Area in Patients With Aortic
Stenosis. Jan Ohlsson, Bengt Wranne
509 Determination of the Stenotic Aortic Valve Area in Adults
Using Doppler Echocardiography. Catherine M. Otto, Alan S.
Pearlman, Keith A. Comess, Robyn P. Reamer, Carolyn L. Janko, Lee
L. Huntsman
518 Noninvasive Assessment of Left Ventricular Diastolic
Functiol1: Comparative Analysis of Doppler Echocardiographic and
Radionuclide Angiographic Techniques. Paolo Spirito, Barry J.
Maron, Robert O. Bonow
527 Determination of the Quantitative Thallium Imaging Variables
That Optimize Detection of Coronary Artery Disease. Sanjiv Kaul,
Charles A. Boucher, John B. Newell, David A. Chesler, Joshua M.
Greenberg, Robert D. Okada, H. William Strauss, Robert E. Dinsmore,
Gerald M. Pohost
538 Abnormal Thallium Kinetics in Postoperative Coarctation of
the Aorta: Evidence for Diffuse Hypertension-Induced Vascular
Pathology. Brian P. Kimball, Bette L. Shurvell, Richard R.
Mildenberger, Sylvain Houle, Peter R. McLaughlin
546 Endocardial Photoablation by Excimer Laser. Eugene Downar,
Jagdish Butany, Anthony Jares, Boris P. StoicheJf
EXPERIMENTAL STUDIES
551 Coronary Venous Retroinfusion of Procainamide: A New
Approach for the Management of Spontaneous and Inducible Sustained
Ventricular Tachycardia During Myocardial Infarction. Hrayr S.
Karagueuzian, Masao Ohta, 1. Kevin Drury, Michael C. Fishbein,
Samuel Meerbaum, Eliot Corday, William J. Mandel, Thomas Peter,
with the technical assistance of Avile McCullen
564 Effects of Staged Versus Sudden Reperfusion After Acute
Coronary Occlusion in the Dog. Shigeru Yamazaki, Yozo Fujibayashi,
Ram E. Rajagopalan, Samuel Meerbaum, Eliot Corday
573 Sodium Nuclear Magnetic Resonance Imaging of Myocardial
Tissue of Dogs After Coronary Artery Occlusion and Reperfusion.
Paul J. Cannon, Andrew A. Maudsley, Sadek K. Hilal, Howard E.
Simon, Frederick Cassidy
580 Reversal of Dysfunction in Postischemic Stunned Myocardium
by Epinephrine and Postextrasystolic Potentiation. Lewis C. Becker,
Joseph H. Levine, Anthony F. DiPaula, Thomas Guarnieri, Thomas
Aversano
CARDIAC PACING
590 Selective Atrial Sensing in Dual Chamber Pacemakers
Eliminates Endless Loop Tachycardia. peter T. Klementowicz, Seymour
Furman
595 Effect of Variation in PQ Interval on Patterns of
Atrioventricular Valve Motion and Flow in Patients With Normal
Ventricular Function. Roger A. Freedman, Paul G. Yock, Debra S.
Echt, Richard L. Popp
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PEDIATRIC CARDIOLOGY
603 Temporal Flow Velocity Profile in the Descending Aorta in
Coarctation. Stephen P. Sanders, Debbie MacPherson, Scott B.
Yeager
610 Hypoplastic Left Heart Syndrome: Is Echocardiography
Accurate Enough to Guide Surgical Palliation? Stephen E. Bash,
James C. Huhta, G. Wesley Vick Ill, Howard P. Gutgesell, David A.
Ott
617 Subaortic Obstruction in Complex Congenital Heart Disease:
Management by Proximal Pulmonary Artery to Ascending Aorta End to
Side Anastomosis. Angela E. Lin, Hillel Laks, Gerald Barber, Alvin
J. Chin, Roberta G. Williams
625 Two-Dimensional Echocardiographic Diagnosis of Pulmonary
Artery Sling in Infancy. Scott B. Yeager, Alvin J. Chin, Stephen P.
Sanders
630 Pulmonary Atresia With Ventricular Septal Defect:
Preoperative and Postoperative Responses to Exercise. Gerald
Barber, Gordon K. Danielson, Francisco J. Puga, Charles T. Heise,
David J. Driscoll
HYPERTENSION
639 The Prevalence and Correlates of Echocardiographic Left
Ventricular Hypertrophy Among Employed Patients With Uncomplicated
Hypertension. Isaac W. Hammond, Richard B. Devereux, Michael H.
Alderman, Elizabeth M. Lutas, Mariane C. Spitzer, Joan S. Crowley,
John H. Laragh
651 Double-Blind Comparison of Captopril and Enalapril in Mild
to Moderate l!ypertension. Peter H. Vlasses, Dale P. Conner, Heschi
H! f!.otmensch, Richard J. Fruncillo, Janice R. Danzeisen, Kenneth
J. Shepley, Roger K. Ferguson
REPORTS ON THERAPY
661 Survival of Patients With Severe Congestive Heart Failure
Treated With Oral Milrinone. Donald S. Baim, Wilson S. Colucci, E.
Scott Monrad, Harton S. Smith, Richard F. Wright, Alyce Lanoue,
Diane F. Gauthier, Bernard 1. Ransil, William Grossman, Eugene
Braunwald
671 Role of the Renin-Angiotensin System in the Development of
Hemodynamic and Clinical Tolerance to Long-Term Prazosin Therapy in
Patients With Severe Chronic Heart Failure. Milton Packer, Norma
Medina, Madeline Yushak
DIAGNOSTIC TECHNIQUES
681 Doppler Echocardiographic Evaluation of Hancock and
Bjork-Shiley Prosthetic Valves. Kiran B. Sagar, L. Samuel Wann,
Walter H. J. Paulsen, Donald W. Romhilt
688 Noninvasive Tissue Characterization: Diagnosis of Lipomatous
Hypertrophy of the Atrial Septum by Nuclear Magnetic Resonance
Imaging. Robert A. Levine, Arthur E. Weyman, Robert E. Dinsmore,
James Southern, Bruce R. Rosen, David E. Guyer, Thomas J. Brady,
Robert D. Okada
693 Atrial Contraction is an Important Determinant of Pulmonary
Venous Flow. Gad Keren, Alan Bier, Jack Sherez, Dennis Miura,
Deborah Keefe, Thierry LeJemtel
CASE REPORTS
696 Aneurysm of the Left Aortic Sinus Caused by Takayasu's
Arteritis: Compression of the Left Coronary Artery Producing
Coronary Insufficiency. Takeshi Nakano, Hideji Okano, Tokuji
Konishi, Hideo Takezawa
701 Cardiac Arrest in an Adolescent With Atrial Fibrillation and
Hypertrophic Cardiomyopathy. Wayne J. Stafford, Richard G. Trohman,
Martin Bilsker, Liaqat Zaman, Agustin Castellanos, Robert 1.
Myerburg
EDITORIALS
705 Laser Angioplasty: Unraveling the Gordian Knot. Jeffrey M.
Isner, Richard H. Clarke
709 Nuclear Magnetic Resonance Imaging: With or Without Nuclear?
Gerald M. Po host, Gabriel A. Elgavish, William T. Evanochko
711 The Coronary Sinus: An Alternate Channel for Administration
of Arterial Blood and Pharmacologic Agents for Protection and
Treatment of Acute Cardiac Ischemia. Eliot Corday, Samuel Meerbaum,
J. Kevin Drury
ACC NEWS
715 Newly Elected Members of the College
APRIL 1986 VOLUME 7 NUMBER 4
COOPERATIVE STUDIES
717 Early Thrombolysis in Acute Myocardial Infarction:
Limitation of Infarct Size and Improved Survival. Maarten L.
Simoons, Patrick W. Serruys, Marcel van den Brand, Jan Res, Freek
W. A. Verheugt, X. Hanno Krauss, Willem J. Remme, Frits Bar, Chris
de Zwaan, Arnoud van der Laarse, Frank Vermeer, Jacobus Lubsen, for
the Working Group on Thrombolytic Therapy in Acute Myocardial
Infarction of the Netherlands Interuniversity Cardiology
Institute
729 Preservation of Global and Regional Left Ventricular
Function After Early Thrombolysis in Acute Myocardial Infarction.
Patrick W. Serruys, Maarten L. Simoons,
Haryanto Suryapranata, Frank Vermeer, William Wijns, Marcel van
den Brand, Frits Bar, Chris Zwaan, X. Hanno Krauss, William J.
Remme, Jan Res, Freek W. A. Verheugt, Ronald van Domburg, Jacobus
Lubsen, Paul G. Hugenholtz, for the Working Group on Thrombolytic
Therapy in Acute Myocardial Infarction of the Netherlands
Interuniversity Cardiology Institute
CLINICAL STUDIES
743 Acute Thrombotic Obstruction With Disc Valve Prostheses:
Diagnostic Considerations and Fibrinolytic Treatment. Laurent D.
Ledain, Joiil P. Ohayon, J. P.
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Colle, Fram;oise M. Lorient-Roudaut, Raymond P. Roudaut, Pierre
M. Besse
752 Factors Influencing Survival After Out-of-Hospital Cardiac
Arrest. W. Douglas Weaver, Leonard A. Cobb, Alfred P. Hallstrom,
Carol Fahrenbruch, Michael K. Copass, Roberta Ray
758 Contribution of Vasopressin to Vasocopstriction in Patients
With Congestive Heart Failure: Comparison With the
Renin-Angiotensin System and the Sympathetic Nervous System. Mark
A. Creager, David P. Faxon, Sally S. Cutler, Osvaldo Kohlmann,
Thomas J. Ryan, Haralambos Gavras
766 Editorial Comment Pathophysiologic Relevance of Neurohumoral
Measurements in Chronic Q:eart Failure. Thierry H. LeJemtel
768 Diastolic Mitral Regurgitation in Patients With
Atrioventricular Conduction Abnormalities: A Common Finding by
Doppler Echocardiography. Ioannis P. Panidis, John Ross, Brian
Munley, Pasquale Nestico, Gary S. Mintz
METHODS
775 Noninvasive Assessment of Coronary Stenoses by Myocardial
Perfusion Imaging During Pharmacologic Coronary Vasodilation. VIII.
Clipical Feasibility of Positron Cardiac Imaging Without a
Cyclotron Using Generator-Produced Rubidium-82. K. Lance Gould,
Richard A. Goldstein, Nizar A. Mullani, Richard L. Kirkeeide,
Wai-Hoi Wong, Timothy J. Tewson, Marc S. Berridge, Leonqrd A.
Bolomey, Ross K. Hartz, Richard W. Smalling, Francisco Fuentes,
Akira Nishikawa
790 Editorial Comment Positron Tomography and Coronary Flow
Reserve: Toward a More Sophisticated Understanding of Coronary
Artery Disease. Alan G. Wasserman
793 Detection of Skeletal Muscle Hypoperfusion During Exercise
Using Phosphorus-31 Nuclear Magnetic Resonance Spectroscopy. David
H. Wiener, John Maris, Britton Chance, John R. Wilson
800 Instantaneous Pressure Gradient: A Simultaneous Doppler and
Dual Catheter Correlative Study. Philip J. Currie, Donald J.
Hagler, James B. Seward, Guy S. Reeder, Derek A. Fyfe, Alfred A.
Bove, A. Jamil Tajik
807 Prospective Evaluation of the Left Main Coronary Artery
Using Digital Two-Dimensional Echocardiography. Thomas Ryan,
William F. Armstrong, Harvey Feigenbaum
813 In Vivo Validation of the Origin of the Esophageal
Electrocardiogram. Philip F. Binkley, Charles A. Bush, Bruce L.
Fleishman, Carl V. Leier
819 Reproducibility of Arrhythmia Induction With Intracardiac
Electrophysiologic Testing: Patients With Clinical Sustained
Ventricular Tachyarrhythmias. Peter J. Kudenchuk, Jack Kron,
Charles G. Walance, Edward S. Murphy, Cynthia D. Morris, Karen K.
Griffith, John H. McAnulty
829 Editorial Comment Inducibility and Reproducibility of
Veptricular Arrhythmias: Therapeutic Implications. J. Anthony
Gomes
832 BOOKS RECEIVED
EXPERIMENTAL STUDIES
833 Cellular Electrophysiologic Changes and "Arrhythmias" During
Experimental Ischemia and Reperfusion in Isolated Cat Ventricular
Myocardium. Shinichi Kimura,
Arthur L. Bassett, Nadir C. Saoudi, John S. Cameron, Patricia L.
Kozlovskis, Robert J. Myerburg
843 Serial Imaging of Canine Myocardial Infarction by in Vivo
Nuclear Magnetic Resonance. Peter W. Pflugfelder, Gerald Wisenberg,
Frank S. Prato, Katherine L. Turner, S. Edwin Carroll
850 Inducible Sustained Ventricular Tachycardia and Ventricular
Fibrillation in Conscious Dogs With Isolated Right Ventricular
Infarction: Relation to Infarct Structure. Hrayr S. Karagueuzian,
Kaoru Sugi, Masao Ohta, Michael C. Fishbein, William J. Mandel,
Thomas Peter, with the technical assistance of Avile McCullen
859 Twenty-Four Hour Survival in a Canine Model of Cardiac
Arrest Comparing Three Methods of Manual Cardiopulmonary
Resuscitation. Karl B. Kern, Alice B. Carter, Russel L. Showen,
William D. Voorhees III, Charles F. Babbs, Willis A. Tacker, Gordon
A. Ewy
868 Effects of Prednisolone on Acute Viral Myocarditis in Mice.
Nobuyoshi Tomioka, Chiharu Kishimoto, Akira Matsumori, Chuichi
Kawai
PEDIATRIC CARDIOLOGY
873 Comparison of High Pulse Repetition Frequency and Contin~ous
Wave DOPPler Echocardiography for Velocity Measurement and Gradient
Prediction in Children With Valvular and Congenital Heart Disease.
A. Rebecca Snider, J. Geoffrey Stevenson, James W. French, Albert
P. Rocchini, MacDonald Dick II, Amnon Rosenthal, Dennis C. Crowley,
Robert H. Beekman, Jane Peters
880 Doppler Echocardiographic Estimation of Systolic Pulmonary
Artery Pressure in Patients With Aortic•Pulmonary Shunts. Gerald R.
Marx, Hugh D. Allen, Stanley J. Goldberg
886 Editorial Comment The Optimal Doppler Examination: Pulsed,
Continuous Wave or Both? Patricia C. Come
889 Doppler and Two-Dimensional Echocardiographic Observations
of Systolic Anterior Motion of the Mitral Valve in d-Transposition
of the Great Arteries: An Explanation of the Left Ventricular
Outflow Tract Gradient. Eugenio Moro, Folkert J. ten Cate, Conny
Tirtamart, James J. Leonard, Jos Roelandt
894 Mucocutaneous Lymph Node Syndrome (Kawasaki Disease):
Delayed Aortic and Mitral Insufficiency Secondary to Active
Valvulitis. Samuel S. Gidding, Stanford T. Shulman, Michel Ilbawi,
Frank Crussi, C. Elise Duffy
LASER THERAPY
898 Use of Pulsed Energy Delivery to Minimize Tissue Injury
Resulting From Carbon Dioxide Laser Irradiation of Cardiovascular
Tissues. Lawrence I. Deckelbaum, Jeffrey M. Isner, Roberta F.
Donaldson, Sylvie M. Laliberte, Richard H. Clarke, Deeb N.
Salem
909 A New Model to Study Quantitative Effects of Laser
Angioplasty on Human Atherosclerotic Plaque. Marc E. Shelton, Ben
Hoxworth, James A. Shelton, Renu Virmani, Gottlieb C.
Friesinger
~YPERTENSION
916 Similarities and Differences in the Antihypertensive Effect
of Two Calcium Antagonist Drugs, Verapamil and Nifedipine. Enrico
Agabiti-Rosei, Maria L. Muiesan, Giuseppe Romanelli, Maurizio
Castellano, Marina Beschi, Luigi Corea, Giulio Muiesan
-
CARDIAC PACING
925 Comparative Survival After Permanent Ventricular and Dual
Chamber Pacing for Patients With Chronic High Degree
Atrioventricular Block With and Without Preexistent Congestive
Heart Failure. Martin A. Alpert, Jack J. Curtis, John F.
Sanfelippo, Greg C. Flaker, Joseph T. Walls, Vaskar Mukerji, Daniel
Villarreal, S. K. Katti, Niall P. Madigan, Ryszard B. Krol
933 Combined Bipolar Dual Chamber Pacing and Automatic
Implantable Cardioverter/Defibrillator. Rodolphe Ruff';, Roop Lal,
Nicholas T. Kouchoukos, Sung Soon Kim
REPORTS ON THERAPY
938 Utility of Ambulatory Electrocardiographic Monitoring for
Predicting Recurrence of Sustained Ventricular Tachyarrhythmias in
Patients Receiving Amiodarone. Neil M. Sokoloff, Scott R. Spielman,
Allan M. Greenspan, Alan P. Rae, Patricia M. Brady, Harold R. Kay,
Leonard N. Horowitz
DIAGNOSTIC TECHNIQUES
942 Venous Systolic Thrill and Murmur in the Neck: A Consequence
of Severe Tricuspid Insufficiency. M orteza Amidi, James M. Irwin,
Rosemarie Salemi, Steven J. Lavine, James R. Zuberbuhler, James A.
Shaver, Donald F. Leon
946 Quantitation of Shunting at the Atrial Level Using. Rapid
Acquisition Computed Tomography With Comparison With Cardiac
Catheterization. Robert M. MacMillan, Michael R. Rees, W. Jay
Eldredge, Vladir Maranhao, Donald L. Clark
CASE REPORTS
949 Echocardiographic Demonstration of Outlet Strut Fracture of
a Bjork-Shiley Mitral Prosthesis. James A. Goldstein, Robert P.
Zucker, Bradford Y. Lee
953 SuccessfUl Medical Therapy of Mitral Anular Abscess
Complicating Infective Endocarditis. Richard L. Kunis, Mark V.
Sherrid, 1. Brandt McCabe, Michael H. Grieco, Edward M. Dwyer,
Jr.
956 Malignant Fibrous Histiocytoma Complicating Mitral Valve
Replacement. Eliezer Holtzman, Ginette Schiby, Pesach Segal, Israel
Priel
961 LETTERS TO THE EDITOR
962 CORRECTION
ACC NEWS
963 1986-1987 Board of Governors
965 President's Page: What Should a Specialist Be? John Ross,
Jr.
MA Y 1986 VOLUME 7 NUMBER 5
CLINICAL STUDIES
967 Myocardial Mechanics in Hyperthyroidism: Importance of Left
Ventricular Loading Conditions, Heart Rate and Contractile State.
Ted Feldman, Kenneth M. Borow, David H. Same, Alex Neumann, Roberto
M. Lang
975 Prevalence and Severity Of Mitral Regurgitation in the
Mitral Valve Prolapse Syndrome: A Doppler Echocardiographic Study
of 80 Patients. Ioannis P. Panidis, Michael McAllister, John Ross,
Gary S. Mintz
982 Effects of Physical Deconditioning After Intense Endurance
Training on Left Ventricular Dimensions and Stroke Volume. Wade H.
Martin lll, Edward F. Coyle, Susan A. Bloomfield, Ali A. Ehsani
990 Prevalence and Severity of Circumflex Coronary Artery
Disease in Electrocardiographic Posterior Myocardial Infarction.
Edward W. Bough, Kenneth S. Korr
997 Isolated Coronary Ostial Stenosis in Women. Richard
Thompson
METHODS
1004 Value and Limitation of Biplane Rest and Exercise
RadionucIide Angiography for Assessing Individual Bypass Grafts: A
Prospective Study. Michael B. Higginbotham, Robert N. Belkin,
Kenneth G. Morris, R. Edward Coleman, Frederick R. Cobb
EXPERIMENTAL STUDIES
1015 Intracavitary Electrode Catheter Cardioversion of Atrial
Tachyarrhythmias in the Dog. David N. Dunbar, H. Gareth Tobler,
Joseph Fetter, Charles C. Gornick, D. Woodrow Benson, Jr., David G.
Benditt
1028 Comparison of an Implanted Abdominal Aortic
Counterpulsation Device With the Intraaortic Balloon Pump in a
Heart Failure Model. John N. Nanas, Jay W. Mason, Yoshiyuki
Taenaka, Don B. Olsen
1036 Experimental Exercise-Induced Ischemia: Drug Therapy Can
Eliminate Regional Dysfunction and Oxygen Supply•Demand Imbalance.
Brian D. Guth, Tsukasa Tajimi, Rainald Seitelberger, Jong-Dae Lee,
Masunori Matsuzaki, John Ross, Jr.
1047 Disparity of Reperfusion Arrhythmias After Reversible
Myocardial Ischemia in Open Chest and Conscious Dogs. Roberto
Bolli, Mary Lee Myers, Wei-Xi Zhu, Robert Roberts
1057 Regional Myocardial Blood Flow in Experimental Myocardial
Infarction After Pretreatment With Aspirin. Wolfgang Ruf, Glenn T.
Suehiro, Anthony Suehiro, J. Judson McNamara
MORPHOLOGIC STUDIES
1063 Etiology of Pure Tricuspid Regurgitation Based on Anular
Circumference and Leaflet Area: Analysis of 45 Necropsy Patients
With Clinical and Morphologic Evidence of Pure Tricuspid
Regurgitation. Bruce F. Waller, Ann T. Moriarty, John N. Eble,
Diane M. Davey, Dean A. Hawley, John E. Pless
CARDIAC PACING
1075 The Automatic Implantable Cardioverter-DefibriIlatot:
Evaluating Suspected Inappropriate Shocks. Peter D. Chapman, Paul
Troup
-
1079 Hemodynamic Influences on Sinus Node Recovery Time: Effects
of Autonomic Blockade. Peter C. Nalos, Zhaowen Deng, Mark E.
Rosenthal, Eli S. Gang, Daniel S. Oseran, William J. Mandel, Thomas
Peter
PEDIATRIC CARDIOLOGY
1087 Exercise Tolerance and Cardiorespiratory Response to
Exercise After the Fontan Operation for Tricuspid Atresia or
Functional Single Ventricle. David J. Driscoll, Gordon K.
Danielson, Francisco J. Puga, Hartzell V. Schaff, Charles T. Heise,
Bruce A. Staats
1095 Nuclear Magnetic Resonance Imaging in Evaluation and
Follow-Up of Children Treated for Coarctation of the Aorta. Robert
A. Boxer, Michael A. LaCorte, Sharanjeet Singh, Rubin Cooper,
Marcia C. Fishman, Mitchell Goldman, Harry L. Stein
1099 Progressive Obstruction of the Foramen Ovale in Patients
With Left Atrioventricular Valve Atresia. Thomas J. Starc, Welton
M. Gersony
1104 Evaluation of Pulmonary Vascular Resistance in the Presence
of a Large Pulmonary Arteriovenous Malformation. Robert N. Vincent,
Oscar G. Casiro, Andrew N. Pelech, George F. N. Collins
REPORTS ON THERAPY
1107 Systemic and Coronary Effects of Intravenous Milrinone and
Dobutamine in Congestive Heart Failure. Richard Grose, Janet
Strain, Mark Greenberg, Thierry H. LeJemtel
1114 Comparative Antiarrhythmic Efficacy of VerapamiI,
17-Monochloracetylajmaline, Mexiletine and Amiodarone in Patients
With Severe Chagasic Myocarditis: Relation With the Underlying
Arrhythmogenic Mechanisms. Alejandro H. Haedo, Pablo A. Chiale,
Jorge D. Bandieri, Julio O. Lazzari, Marcelo V. Elizari, Mauricio
B. Rosenbaum
1121 Effect of Encainide and Flecainide on Chronic Ectopic
Atrial Tachycardia. Klaus-Peter Kunze, Karl-Heinz Kuck, Michael
Schluter, Walter Bleifeld
1127 Flecainide and Amiodarone Interaction. Patrick Shea, Roop
Lal, Sung Soon Kim, Kenneth Schechtman, Rodolphe Ruffy
1131 Procainamide Pharmacokinetics in Patients With Acute
Myocardial Infarction or Congestive Heart Failure. Kenneth M.
Kessler, David S. Kayden, Daneil M. Estes, Patricia L. Koslovskis,
Rafael Sequeira, Richard G. Trohman, Andres R. Palomo, Robert J.
Myerburg
BASIC CONCEPTS IN CARDIOLOGY Arnold M. Katz, Guest Editor
1140 Quantitative Structural Analysis of the Myocardium During
Physiologic Growth and Induced Cardiac Hypertrophy: A Review. Piero
Anversa, Roberto Ricci, Giorgio Olivetti
DIAGNOSTIC TECHNIQUES
1151 Utility of Echocardiography in the Management of Patients
With Penetrating Missile Wounds of the Heart. Alycia Hassett, Jon
Moran, David C. Sabiston, Joseph Kisslo
1157 Echocardiographic Abnormalities and Disease Severity in
Fabry's Disease. Martin E. Goldman, Richard Cantor, Marcia F.
Schwartz, Maureen Baker, Robert J. Desnick
1162 Reversibility of Long-Standing Left Ventricular Aneurysm
Predicted by Thailium-201 Imaging. Warren M. Breisblatt, David L.
Brown, Frederick L. Weiland
CASE REPORTS
1167 Echocardiographic Identification of an Aortic Valve Ring
Abscess. Scott J. Pollak, Joel M. Feiner
1174 Intracardiac Thrombus Causing Peritoneovenous Shunt
Failure: Detection by Two-Dimensional Echocardiography. Valentina
Ugolini, James F. Norcross, J. Tracy Schreiber, Richard E. Kuntz,
Anne L. Taylor
1177 Hemodynamic Compromise (Tricuspid Stenosis and
Insufficiency) Caused by an Unruptured Aneurysm of the Sinus of
Valsalva. Kenneth L. Gibbs, Michael J. Reardon, Neil E. Strickman,
Carlos M. de Castro, Joseph A. Gerard, James L. Rycyna, Robert J.
Hall, Denton A. Cooley
1182 LETTERS TO THE EDITOR
JUNE 1986 VOLUME 7 NUMBER 6
EDITORIAL
1187 On the Training of Cardiologists. J. Willis Hurst
1191 17TH BETHESDA CONFERENCE: Adult Cardiology Training. Robert
C. Schlant, Conference Chairman
1192 Participants
1195 Introduction. Robert C. Schlant
1196 Task Force I: Training in Clinical Cardiology. Robert L.
Frye, William W. Parmley, Bruce Brundage, Nicholas Fortuin, Noble
O. Fowler, Valentin Fuster, W. Proctor Harvey, J. Willis Hurst,
John W. Joyce, Charles E. Rackley, Elliot Rapaport, Richard J.
Reitemeier, Richard O. Russell, Jr., Thomas J. Ryan, Donald E.
Saunders, Jr.
1201 Task Force II: Training in Electrocardiography. Charles
Fisch, E. William Hancock, Paul L. McHenry, Arthur Selzer, Peter M.
Yurchak
1205 Task Force III: Training in Cardiac Catheterization. C.
Richard Conti, David P. Faxon, Andreas Gruentzig, Rolf M. Gunnar,
Michael Lesch, T. Joseph Reeves
1207 Task Force IV: Training in Echocardiography. Anthony N.
DeMaria, Michael H. Crawford, Harvey Feigenbaum, Richard L. Popp,
A. Jamil Tajik
1209 Task Force V: Training in Nuclear Cardiology and Nuclear
Magnetic Resonance. Gerald M. Pohost, Robert J. Adolph, George A.
Beller, Jack W. Fleming, James L. Ritchie
1213 Task Force VI: Training in Cardiac Pacing. J. Warren
Harthorne, Victor Parsonnet
-
1215 Task Force VII: Arrhythmias and Specialized
Electrophysiologic Studies. Jeremy N. Ruskin. Nancy C. Flowers.
Mark E. Josephson. Shahbudin H. Rahimtoola
1217 Task Force VIII: Training in Cardiovascular Research.
Eugene Braunwald. Harry A. Fozzard. Donald C. Harrison. Robert A.
O·Rourke. John T. Shepherd. Burton E. Sobel
CLINICAL STUDIES
i219 Determinants of the Spontaneous Ectopic Activity in
Repetitive Monomorphic Idiopathic Ventricular Tachycardia. Marc
Zimmermann. Pierre Maisonblanche. Bruno Cauchemez. Jean-Fran
-
DIAGNOSTIC STUDIES
1392 Intracardiac Electrode Catheter Recordings of
Atrioventricular Bypass Tracts in Wolff-Parkinson-White Syndrome:
Techniques, Electrophysiologic Characteristics and Demonstration of
Concealed and Decremental Propagation. Stephen L. Winters, J,
Anthony Gomes
1404 Bundle Branch Reentrant Tachycardia Treated by Electrical
Ablation of the Right Bundle Branch. Paul Touboul, Gilbert
Kirkorian, Georges Atallah, Pierre Lavaud, Pierre Moleur, Michel
Lamaud, Marie P. Mathieu
CASE REPORTS
1410 Percutaneous Mitral Valvuloplasty in an Adult Patient With
Calcific Rheumatic Mitral Stenosis. Raymond G. McKay, James E.
Lock, John F. Keane, Robert D. Safian, Julian M. Aroesty, William
Grossman
1416 Percutaneous Transvenous Balloon Valvotomy in a
Patient With Severe Calcific Mitral Stenosis. Igor F. Palacios,
James E. Lock, John F. Keane, Peter C. Block
EDITORIAL
1420 The Use of Catheter Intervention Procedures for Congenital
Heart Disease. James E. Lock, John F. Keane, Kenneth E. Fellows
1424 LETTERS TO THE EDITOR
ACC NEWS
1426 1986-1987 Committee Appointments
INDEXES
1430 Author Index: Volume 7
1433 Subject Index: Volume 7