july vol no british the journal · july 1973 vol 35 no7 amonthlyjournalofcardiology publishedin...

July 1973 Vol 35 No 7

A monthly journal of cardiologypublished in association withthe British Cardiac Society

British

Journal

Studies on innocent praecordialvibratory murmurs in children.1: Systolic time intervals and pulse wavetransmission times in normal childrenG. M. A. van der Hoeven, C. de Monchy,and J. E. W. BenekenStudies on innocent praecordialvibratory murmurs in children.II: Systolic time intervals and pulse wavetransmission times in children with aninnocent praecordial vibratory murmurC. de Monchy, G. M. A. van der Hoeven,and J. E. W. BenekenStudies on innocent praecordialvibratory murmurs in children.Ill: Follow-up study of children with aninnocent praecordial vibratory murmurC. de Monchy, G. M. A. van der Hoeven,and J. E. W. BenekenInitial low frequency vibrations of thefirst heart sound T. G. Armstrong andM. S. GotsmanChanges in the inotropic state of the leftventricle during isometric exerciseW. Grossman, L. P. McLaurin, S. B. Saltz,J. A. Paraskos, J. E. Dalen, and L. DexterVideometry studies of left ventricular wallmovement after myocardial infarctionG. R. Sutherland, A. L. Evans, M. Davison,and J. KennedyCardiac function assessed by systolictime intervals after aortocoronarysaphenous vein bypass surgeryH. Matlof, H. N. Hultgren, J. F. Pfeifer,and D. C. HarrisonUse of atropine for higher right atrialpacing rates. 'Maximal' pacing fordiagnosis of coronary artery diseaseD. V. Cokkinos, S. Katsaros, P. Grivas,G. Bakoulas, S. Tr. Plessas, andE. Voridis

Repetitive paroxysmal tachycardiaoriginating in the left atriumG. von Bernuth, G. G. Bekz, andK. Schairer 729Action of verapamil in sinus node,atrioventricular, and intraventricularconduction M. H. Husaini, J. Kvasnicka,L. Ryddn, and S. Holmberg 734Evaluation of P wave axis in distinguishinganatomical site of atrial septal defectH. M. Thomas, Jr., M. J. Spicer, andW. P. Nelson 738Haemodynamic effects of a new beta-blocking agent 'Sectral' (M & B 1 7803A)B. S. Lewis, A. Bakst, A. S. Mitha,K. Purdon, and M. S. Gotsman 743Balloon atrial septostomy for totalanomalous pulmonary venous returnC. E. Mullins, G. M. El-Said, W. H. Neches,R. L. Williams, T. A. Vargo, M. R. Nihill,and D. G. McNamara 752Supravalvar aortic stenosis E. C. Martinand 1. F. Moseley 758Case reports

Kearns' syndrome, a new form ofcardiomyopathy S. C. UppalDouble outlet right ventricle withL-malposition of great arteries,ventricular D-loop, and three fibroticleaflets in a stenotic subpulmonaryconus A. Blancquaert, E. Defloor,L. Bossaert, M. Kunnen, M. De Maegd,and F. DeromLoffler's endocarditis in childhoodR. F. H. Rasche, R. D. Kelsch, andD. K. Weaver

720 British Medical Association

ASTM CODEN: BHJUAV 35(7) 669-776 (1973)

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CONTENTS OF VOLUME 35Number i page

EDITORIAL: RETIREMENT OF K. SHIRLEY SMITH AS EDITOR Walter Somerville IHAEMODYNAMIC EFFECT OF DESLANOSIDE AT REST AND DURING EXERCISE IN PATIENTS WITH

CHRONIC BRONCHITIS V. Jezek and F. Schrijen 2PULMONARY ATRESIA WITH INTACT VENTRICULAR SEPTUM AND CRITICAL PULMONARY STENOSIS

PRESENTING IN FIRST MONTH OF LIFE. INVESTIGATION AND SURGICAL RESULTSG. A. H. Miller, M. Restifo, E. A. Shinebourne, M. Paneth, M. C. Joseph, S. C. Lennox, and

I. H. Kerr 9IN SEARCH OF CAUSES OF ISCHAEMIC HEART DISEASE S. L. Malhotra I7ATRIAL FUNCTION AFTER CARDIOVERSION FOR ATRIAL FIBRILLATION

J. Mahlich, W. Schweizer, and F. Burkart 24HAEMODYNAMIC CHARACTERISTICS OF SYSTEMIC ARTERIAL BLOOD SUPPLY TO THE LUNGS

F. Macartney, P. Deverall, and Olive Scott 28Two CASES OF ENDOCARDIAL FIBROELASTOSIS-POSSIBLE X-LINKED DETERMINATION

R. H. Lindenbaum, P. S. Andrews, and A. S. S. I. Khan 38NATURAL HISTORY OF VALVULAR AORTIC STENOSIS S. Frank, A. Johnson, and J. Ross, Jr. 4IPseudomonas Cepacia ENDOCARDITIS TREATED WITH CO-TRIMOXAZOLE AND KANAMYCIN

D. C. E. Speller 47PROGNOSIS OF PERICARDITIS AFTER ACUTE MYOCARDIAL INFARCTION

A. P. Niarchos and C. S. McKendrick 49ROLE OF THE SYMPATHETIC NERVOUS SYSTEM IN SUPPORTING CARDIAC FUNCTION IN ESSENTIAL

ARTERIAL HYPERTENSION M. Guazzi, F. Magrini, C. Fiorentini, and A. Polese 55EXAGGERATED DISPLACEMENT OF THE ATRIOvENTRICULAR CANAL TowARDS THE BULBUS CORDIS

(RIGHTWARD DISPLACEMENT OF THE MITRAL VALVE)M. Quero Jimenez, V. M. Perez Martinez, M. J. Maitre Azcarate, G. Merino Batres, and

F. Moreno Granados 65ECHOCARDIOGRAPHIC STUDIES OF GENESIS OF MITRAL DIASTOLIC MURMURS

Nicholas J. Fortuin and Ernest Craige 75LEFT VENTRICULAR HEMIBLOCK PATTERNS IN VENTRICULAR PRE-EXCITATION

K. G. Lowe, D. Emslie-Smith, C. Ward, and H. Watson 82FOLIC ACID DEFICIENCY IN INFANTS AND CHILDREN WITH HEART DISEASE

G. D. Rook, R. Lopez, N. Shimizu, and J. M. Cooperman 87HAEMODYNAMICS OF EXERCISE IN CHILDREN WITH ISOLATED AORTIC VALvuLAR DISEASE

Luis Cueto and James H. Moller 93CARDIOMYOPATHY IN NOONAN'S SYNDROME. REPORT OF 3 CASES

C. Phornphutkul, A. Rosenthal, and A. S. Nadas 99MITRAL VALVE DISEASE AND OPEN HEART SURGERY IN OSTEOGENESIS IMPERFECTA TARDA

S. J. Wood, J. Thomas, and M. V. Braimbridge I03CASE REPORTS 107, IIO

Number 2Two OR MORE INTRA AV NODAL PATHWAYS IN ASSOCIATION WITH EITHER A JAMES OR KENT

EXTRANODAL BYPASS IN 3 PATIENTS WITH PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIAR. A. J. Spurrell, D. Krikler, and E. Sowton II3

ATRIOVENTRICULAR CONDUCTION IN PATIENTS WITH SHORT PR INTERVALS AND NoRMAL QRSCOMPLEXES J. K. Bissett, A. J. Thompson, N. deSoyza, and M. L. Murphy I23

ESTIMATION OF LEFT VENTRICULAR SIZE BY ECHOCARDIOGRAPHY D. G. Gibson I28PROGNOSTIC INDEX FOR MYOCARDIAL INFARCTION TREATED IN A CORONARY CARE UNIT

B. L. Chapman and C. H. Gray I35PREDICTION OF LEFT HEART FILLING PRESSURE AND ITS SEQUENTIAL CHANGE IN ACUTE MYO-

CARDIAL INFARCTION FROM THE TERMINAL FORCE OF THE P WAVEJ. Heikkila, P. G. Hugenholtz, and B. S. Tabakin I42

ACUTE HAEMODYNAMIC EFFECTS OF PRACTOLOL IN PATIENTS WITH IDIOPATHIC HYPERTROPHICSUBAORTIC STENOSIS Harvey J. Matlof and Donald C. Harrison I52



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Number 2-(continued) pagePATHOLOGY OF INFECTIVE ENDOCARDITIS. A POSTMORTEM EVALUATION

I. Steiner, A. K. Patel, M. S. R. Hutt, and K. Somers I59SELECTIVE CORONARY ANGIOGRAPHY IN PRIMARY MYOCARDIAL DISEASE

B. S. Lewis and M. S. Gotsman I65HEART VALVE SURGERY IN II4 PATIENTS OVER THE AGE OF 60

W. Oh, R. Hickman, R. Emanuel, L. McDonald, Jane Somerville, D. Ross, K. Ross, andL. Gonzalez-Lavin I74

FAMILIAL HYPERTROPHIC CARDIOMYOPATHY IN CEYLONN. J. Wallooppillai, D. P. Atukorale, M. de S. Jayasinghe, and S. Kulathungam i8i

INCIDENCE OF CARDIAC MALFORMATIONS AT BIRTH AND LATER, AND NEONATAL MORTALITYMaurice Campbell I89

PURULENT PERICARDITIS FOLLOWED BY EARLY CONSTRICTION IN YOUNG CHILDRENR. Caird, N. Conway, and I. K. R. McMillan 201

ARBOVIRUS (DENGUE TYPE) AS A CAUSE OF ACUTE MYOCARDITIS AND PERICARDITISN. Nagaratnam, K. Siripala, and Nandani de Silva 204

ELECTROCARDIOGRAPHIC CHANGES DURING EXERCISE IN KURDISH AND YEMENITE JEWS IN ISRAELC. T. M. Davies, J. M. M. Neilson, and S. Samueloff 207

DOUBLE-BLIND CROSSOVER CLINICAL TRIAL OF PYRIDINOLCARBAMATE IN PERIPHERAL ARTERIALDISEASE (ARTERIOSCLEROSIS OBLITERANS)

K. W. Walton, Gillian M. Craig, Patricia Prior, J. A. H. Waterhouse, and J. Skilton 2IICASE REPORTS 220, 223, 226

Number 3EDITORIAL: UNDERSTANDING THE ATRIAL SOUND H. J. N. Bethell and P. G. F. Nixon 229RATE CORRECTED SYSTOLIC TIME INTERVALS AND VALSALVA MANOEUVRE

C. Layton, H. di Nunzio, G. Gent, P. Freedman, and A. McDonald 236FAMILIAL SYNDROME OF MIDSYSTOLIC CLICK AND LATE SYSTOLIC MURMUR

P. Rizzon, Giuseppina Biasco, G. Brindicci, and F. Mauro 245PHONOCARDIOGRAM AND APEX CARDIOGRAM IN SYSTOLIC CLICK - LATE SYSTOLIC MURMUR

SYNDROME E. J. Epstein and N. Coulshed 260SYSTOLIC TIME INTERVALS IN VALVULAR AORTIC STENOSIS AND IDIOPATHIC HYPERTROPHIC SUB-

AORTIC STENOSIS M. Ibrahim, Michele Silie, J.-P. Delahaye, and R. Froment 276TEMPORAL SEQUENCE OF RIGHT AND LEFT ATRIAL CONTRACTIONS DURING SPONTANEOUS SINUS

RHYTHM AND PACED LEFT ATRIAL RHYTHMG. G. Belz, G. v. Bernuth, R. Hofstetter, D. R6hl, and M. Stauch 284

QT INTERVAL IN RIGHT AND LEFT BUNDLE-BRANCH BLOCK S. Talbot 288DOUBLE INLET RIGHT VENTRICLE. Two PATHOLOGICAL SPECIMENS WITH COMMENTS ON EMBRYO-

LOGY L. Mufnoz-Castellanos, Maria V. de la Cruz, and A. CiesliAski 292CATHETERIZATION OF THE PULMONARY ARTERY IN TRANSPOSITION OF THE GREAT ARTERIES USING

A SWAN-GANZ FLOW-DIRECTED CATHETER Suzanne M. Jones and G. A. H. Miller 298PULMONARY VALVULAR DYSPLASIA. A CARDIOFACIAL SYNDROME

L. M. Linde, S. W. Turner, and R. S. Sparkes 301EFFECT OF LIGNOCAINE ON CONDUCTING SYSTEM OF HUMAN HEART

S. Bekheit, J. G. Murtagh, P. Morton, and E. Fletcher 305EFFECT OF GLUCAGON ON LEFT VENTRICULAR PERFORMANCE IN AORTIC STENOSIS

J. Hamer, D. Gibson, and J. Coltart 3I2COMPARISON OF TWO ADRENERGIC BETA-RECEPTOR BLOCKING AGENTS, ALPRENOLOL AND PRO-

PRANOLOL, IN TREATMENT OF ANGINA PECTORISD. J. Hetherington, M. B. Comerford, G. Nyberg, and E. M. M. Besterman 320

RHEUMATOID FACTOR IN HYPERTENSION A. Ebringer and A. E. Doyle 334STANDARDIZED DIAGRAM FOR RAPID TABULATION OF CORONARY ATERIOGRAMS

M. Frankin, M. V. O'Reilly, and M. J. Krauthamer 338FIFTH ASIAN-PACIFIC CONGRESS OF CARDIOLOGY Cornelio PaPp 34ICASE REPORTS 344, 347, 349



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UNuSuAL RESPONSEOF DEMAND PACEMAKERS TO MAGNETSS. S. Barold, J. J. Gaidula, and R. Castillo 353

LONG-TERM PROGNOSIS AFTER CARDIAC PACING IN ATRIOVENTRICULAR BLOCKM. M. Zion, P. E. Marchand, and I. W. P. Obel 359

SUPERNORMAL PHASE OF AV CONDUCTION. A STUDY DURING HEART BLOCK AND ENDOCARDIALPACING David 0. Williams 365

PROLONGED PR INTERVALAND CORONARY ARTERY DISEASE H. B. Calleja and M. X. Guerrero 372SAFETY OF CORONARY ARTERIOGRAPHY M. C. Petch, R. Sutton, and K. E. Jefferson 377PREVALENCE OF THREE CARDINAL RISK FACTORS IN A RANDOM SAMPLE OFMEN AND IN PATIENTS

WITH ISCHAEMIC HEART DISEASE T. B. S. Dick and M. C. Stone 38ICOMPARISON OF PULMONARY ARTERY AND PULMONARY VENOUS WEDGE PRESSURE IN CONGENITAL

HEART DISEASE Richard E. Hawker and John M. Celermajer 386REVISION OF GORLIN CONSTANT FOR CALCULATION OF MITRAL VALVE AREA FROM LEFT HEART

PRESSURES K. E. Hammermeister, J. A. Murray, and J. R. Blackmon 392HAEMODYNAMIC EXPLANATION OF WHY THE MURMUR OF MITRAL REGURGITATION IS INDEPENDENT

OF CYCLE LENGTH J. S. Karliner, R. A. O'Rourke, D. J. Kearney, and R. Shabetai 397GENESIS, FREQUENCY, AND DIAGNOSTIC SIGNIFICANCE OF EJECTION SOUND IN ADULTS WITH

TETRALOGY OF FALLOT C. E. Martin, P. S. Reddy, D. F. Leon, and J. A. Shaver 402STATIC EXERCISE IN UNTREATED SYSTEMIC HYPERTENSION

D. J. Ewing, J. B. Irving, F. Kerr, and B. J. Kirby 4I3HAEMODYNAMIC RESPONSES TO ISOMETRIC EXERCISE (HANDGRIP) IN PATIENTS WITH HEART

DISEASE M. L. Fisher, D. 0. Nutter, W. Jacobs, and R. C. Schlant 422FOUR FACES OF ACUTE MYOPERICARDITIS Austen J. S. Gardiner and David Short 433CONGENITAL DISCRETE SUBVALVAR AORTIC STENOSIS. SURGICAL EXPERIENCE AND LONG-TERM

FOLLOW-UP IN 20 PAEDIATRIC PATIENTSG. Champsaur, G. A. Trusler, and W. T. Mustard 443

LATE RESULTS OF PERCUTANEOUS RETROGRADE FEMORAL ARTERIAL CATHETERIZATION IN CHILDRENR. E. Hawker, Judy Palmer, R. G. Bury, J. D. Bowdler, and J. M. Celermajer 447

ROLE OF CENTRAL BLOOD VOLUME IN HYPERKINETIC BORDERLINE HYPERTENSIONCharles N. Ellis and Stevo Julius 450

USE OF AMILORIDE AS A POTASSIUM CONSERVING AGENT IN SEVERE CARDIAC DISEASEC. Davidson and I. M. Gillebrand 456

SIXTH EUROPEAN CONGRESS OF CARDIOLOGY 462CASE REPORTS 464,466

Number 5EVALUATION OF PRACTOLOL IN HYPERTENSION. EFFECTS ON SYMPATHETIC NERVOUS SYSTEM AND

RENIN RESPONSIVENESS M. D. Esler and P. J. Nestel 469ASSESSMENT OF RELATIVE ACTIONS OF BETA-ADRENRGIC BLOCKING DRUGS ON HEART RATE AND

LEFT VENTRICULAR EJECTION USING A NON-INVASIVE METHOD IN PATIENTS WITH AORTICSTARR-EDWARDS PROSTHESES Marion R. Crouchman 475

STUDY WITH REFLECTED ULTRASOUND OF PATIENTS WITH MITRAL VALVE REPAIRD. A. S. Mary, B. C. Pakrashi, G. H. Wooler, and M. I. Ionescu 480

HEART MOTION VIDEO TRACKING H. Mond, T. Fenelon, R. McDonald, and G. Sloman 488QUANTITATIVE ANGIOGRAPHIC ANALYSIS OF THE LEFT VENTRICLE IN PATIENTS WITH ISOLATED

RHEUMATIC MITRAL STENOSISJ. A. Holzer, J. S. Karliner, R. A. O'Rourke, and K. L. Peterson 497

PERMANENT NEUROLOGICAL DEFICITS COMPLICATING SINOATRIAL BLOCKH. H. R. Samarasinghe and Nimal Senanayake 503

COMPARISON OF SINOVENTRICULAR CONDUCTION IN CHILDREN AND ADULTS USING BUNDLE OF HISELECTROGRAMS S. Bekheit, P. Morton, J. G. Murtagh, and E. Fletcher 507

ADAMS-STOKES SYNDROME CAUSED BY PAROXYSMAL THIRD-DEGREE ATRIOVENTRICULAR BLOCKG. Jensen, B. Sigurd, J. Meibom, and E. Sand0e 5I6

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Number 5-(continued) pagePULMONARY BLOOD FLOW AND LEFT VENTRICULAR VOLUMES IN TRANSPOSITION OF THE GREAT

ARTERIES AND INTACT VENTRICULAR SEPTUMJ. F. Keane, R. C. Ellison, M. Rudd, and A. S. Nadas 52I

EFFECT OF POSTURE ON BLOOD PRESSURE IN THE ELDERLYF. I. Caird, G. R. Andrews, and R. D. Kennedy 527

RESULTS OF CONSERVATIVE TREATMENT OF ANGINA PECTORIS IN CANDIDATES FOR AORTOCORONARYSAPHENouS VEIN BYPASS L. L. Basta, J. M. Kioschos, and F. M. Abboud 53I

VENOUS THROMBOSES IN MYOCARDIL INFARCTION. COMPARISON IN HEPARIN DOSAGEP. G. Habersberger, A. Pitt, and S. T. Anderson 538

EFFECT OF CARDIAC 'NONDISEASE' ON INTELLECTUAL AND PERCEPTUAL MOTOR DEVELOPMENTG. G. Cayler, D. B. Lynn, and Edwina M. Stein 543

PROCEEDINGS OF THE BRITISH CARDIAC SOCIETY 548CASE REPORTS 562, 566, 570

Number 6PROGRESS IN THE TREATMENT OF TRANSPOSITION OF THE GREAT ARTERIES: ST. CYREs LECTURE

I972 R. E. Bonham-Carter 573FUNCTIONAL PROPERTIES OF ACCESSORY AV PATHWAYS DURING PREMATURE ATRIAL STIMULATION

A. Castellanos, Jr., C. A. Castillo, A. S. Agha, B. Befeler, and R. J. Myerburg 578MONOPHASIC ACTION POTENTIAL OF THE RIGHT ATRIUM IN PAROXYSMAL ATRIAL FLUTTER AND

FIBRILLATION S. Gavrilescu, S. Cotoi, and T. Pop 585WENCKEBACH PHENOMENON IN THE BUNDLE-BRANCH SYSTEM

F. Franchi, G. Morace, and F. Fantini 590ARRIVAL OF EXCITATION AT RIGHT VENTRICULAR APICAL ENDOCARDIUM IN WOLFF-PARKINSON-

WHITE SYNDROME TYPE A, WITH AND WITHOUT RIGHT BUNDLE-BRANCH BLOCKC. A. Castillo, A. Castellanos, Jr., B. Befeler, R. J. Myerburg, A. S. Agha, and M. Vagueiro 594

VENTRICULAR FIBRILLATION IN THE COURSE OF PRINZMETAL'S ANGINA PECTORISG. F. Levi and C. Proto 6oi

STUDIES OF INTRA-ATRIAL CONDUCTION WITH BIPOLAR ATRIAL AND HIS ELECTROGRAMSR. N. Scott Millar, B. J. Maurer, D. S. Reid, R. Wray, J. S. Birkhead, and J. P. Shillingford 604

ELECTROPHYSIOLOGICAL FEATuRS OF COMPLETE AV BLOCK WITHIN HIS BUNDLEP. K. Gupta, E. Lichstein, and K. Chadda 6io

INCIDENCE AND PRESENTATION OF MYOCARDIAL INFARCTION IN AN ENGLISH COMMUNITYL. J. Kinlen 6I6

DEEP VENOUS THROMBOSIS AFTER MYOCARDIAL INFARCTION. PREDISPOSING FACTORSA. V. Simmons, Margaret A. Sheppard, and A. F. COX 623

EFFECT OF DIAZEPAM ON MYOCARDIAL BLOOD FLOW OF PATIENTS WITH AND WITHOUT CORONARYARTERY DISEASE H. Ikram, A. P. Rubin, and R. F. Jewkes 626

EFFICACY OF PHENYTOIN IN THE MANAGEMENT OF VENTRICULAR ARRHYTHMuAS INDUCED BYHYPOKALAEMIA M. V. O'Reilly and R. T. MacDonald 63I

HAEMODYNAMIC MONITORING IN THE CORONARY CARE UNIT USING THE SWAN-GANZ RIGHTHEART CATHETER H. G. Mond, D. Hunt, and G. Sloman 635

NEW APPROACH TO CATHETERIZATION OF THE HEART IN INFANTS AND CHILDRENG. Azzolina, S. A. Eufrate, and A. Allella 643

THE SWAN-GANZ CATHETER IN THE CARDIAC LABORATORY P. Steele and H. Davies 647PULMONARY ARTERY BANDING AND SUBSEQUENT REPAIR IN VENTRICULAR SEPTAL DEFECT

R. G. Patel, H. N. C. Ihenacho, L. D. Abrams, R. Astley, C. G. Parsons, K. D. Roberts,and S. P. Singh 65i

THE ATRIAL SOUND IN ISCHAEMIC HEART DISEASE P. P. Turner and J. Hunter 657CASE REPORTS 663, 666



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Number 7 pageSTUDIS ON INNOCENT PRAECORDIAL VIBRATORY MURMURS IN CHILDREN. I: SYSTOLIC TIME

INTERVALS AND PULSE WAVE TRANSMISSION TuMS IN NoRMAL CHILDRENG. M. A. van der Hoeven, C. de Monchy, and J. E. W. Beneken 669

STUDIES ON INNOCENT PRAECORDIAL VIBRATORY MURMURS IN CHILDREN. II: SYSTOLIC TIMEINTERVALS AND PULSE WAVE TRANSMISSION TIMES IN CHILDREN WITH AN INNOCENT PRAE-CORDIAL VIBRATORY MURMUR

C. de Monchy, G. M. A. van der Hoeven, and J. E. W. Beneken 679STUDIES ON INNOCENT PRAECORDIAL VIBRATORY MURMURS IN CHILDREN. III: FOLLOW-UP STUDY

OF CHILDREN WITH AN INNOCENT PRAECORDIAL VIBRATORY MURMURC. de Monchy, G. M. A. van der Hoeven, and J. E. W. Beneken 685

INITIAL Low FREQUENCY VIBRATIONS OF THE FIRST HEART SoUNDT. G. Armstrong and M. S. Gotsman 69I

CHANGES IN THE INOTROPIC STATE OF THE LEFT VENTRICLE DURING ISOMETRIC EXERCISEW. Grossman, L. P. McLaurin, S. B. Saltz, J. A. Paraskos, J. E. Dalen, and L. Dexter 697

VIDEOMETRY STUDIES OF LEFT VENTRICULAR WALL MOVEMENT AFTER MYOCARDIAL INFARCTIONG. R. Sutherland, A. L. Evans, M. Davison, and J. Kennedy 705

CARDIAC FUNCTION ASSESSED BY SYSTOLIC TIME INTERVALS AFTER AORTOCORONARY SAPHENOUSVEIN BYPASS SURGERY H. Matlof, H. N. Hultgren, J. F. Pfeifer, and D. C. Harrison 714

USE OF ATROPINE FOR HIGHER RIGHT ATRIAL PACING RATES. 'MAxIMAL' PACING FOR DIAGNOSISOF CORONARY ARTERY DISEASE

D. V. Cokkinos, S. Katsaros, P. Grivas, G. Bakoulas, S. Tr. Plessas, and E. Voridis 720REPETITIVE PAROXYSMAL TACHYCARDIA ORIGINATING IN THE LEFT ATRIUM

G. von Bernuth, G. G. Belz, and K. Schairer 729ACTION OF VERAPAMIL IN SINUS NODE, ATRIOVENTRICULAR, AND INTRAVENTRICULAR CONDUCTION

M. H. Husaini, J. Kvasnicka, L. Ryd'n, and S. Holmberg 734EVALUATION OF P WAVE AXIS IN DISTINGUISHING ANATOMICAL SITE OF ATRIAL SEPTAL DEFECT

H. M. Thomas, Jr., M. J. Spicer, and W. P. Nelson 738HAEMODYNAMIC EFFECTS OF A NEW BETA-BLOCKING AGENT 'SECTRAL' (M & B I7803A)

B. S. Lewis, A. Bakst, A. S. Mitha, K. Purdon, and M. S. Gotsman 743BALLOON ATRIAL SEPTOSTOMY FOR TOTAL ANOMALOUS PULMONARY VENOUS RETURN

C. E. Mullins, G. M. El-Said, W. H. Neches, R. L. Williams, T. A. Vargo, M. R. Nihill, andD. G. McNamara 752

SUPRAVALVAR AORTIC STENOSIS E. C. Martin and I. F. Moseley 758CASE REPORTS 766, 770, 774

Number 8EDITORIAL: VALUE OF PHYSICAL EXAMINATION IN ACUTE MYOCARDIAL INFARCTION

M. Nellen, B. Maurer, and J. F. Goodwin 777ISOLATED ACUTE MYOCARDIAL INFARCTION OF PAPILLARY MUSCLES OF THE HEART. CLINICO-

PATHOLOGICAL STUDY OF 9 CASES J. A. Andersen and B. Fischer-Hansen 78IARRHYTHMIAs AND SYMPTOMS DURING TREADMILL TESTING THm WEEKS AFTER MYOCARDIAL

INFARCTION IN IOO PATIENTSM. Ericsson, A. Granath, P. Ohlsen, T. Sodermark, and U. Volpe 787

RELATION BETWEEN BLOOD LIPID LEVELS AND ANGIOGRAPHICALLY EVALUATED OBSTRUCTIONS INCORONARY ARTERIES Sigurd Nitter-Hauge and Ivar Enge 79I

LENGTH OF LEFT MAIN CORONARY ARTERY C. Fox, M. J. Davies, and M. M. Webb-Peploe 796INCIDENCE OF CONDUCTION DEFECTS IN AFRICAN AND COLOURED PATIENTS WITH CONGESTIVE

CARDIOMYOPATHY Elliot Chesler and Walter Beck 799BUNDLE OF HIS RECORDINGS IN CONGENITAL HEART DISEASE

Grace S. Wolff, M. D. Freed, and R. C. Ellison 805FACTORS REGULATING VENTRICULAR RATES DURING ATRIAL FLUTTER AND FIBRILLATION IN PRE-

EXCITATION (WOLFF-PARKINSON-WHITE) SYNDROMEA. Castellanos, Jr., R. J. Myerberg, Karen Craparo, B. Befeler, and A. S. Agha 8II

SPATIAL ATRIAL VECTORCARDIOGRAM IN NATURALLY OCCURRING ATRIAL FLUTTER IN MAND. Maclean, D. Emslie-Smith, and K. G. Lowe 8I7



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Number 8-(continued)PHENFORMIN AND PULMONARY HYPERTENSION

M. Fahlen, H. Bergman, G. Helder, L. Ryden, I. Wallentin, and L. ZettergrenQUANTITATIVE ASPECTS OF ELECTROCARDIOGRAMS OF ADULTS IN A JAMAICAN RURAL POPULATION

L. Ruiz, W. E. Miall, and A. V. SwanDIASTOLIC MURMUR OF CORONARY ARTERY STENOSIS J. F. Sangster and C. M. OakleyLEUCOCYTE MIGRATION INHIBITION BY HEART EXTRACT AND LIVER MITOCHONDRIA IN PATIENTS

WITH MYOCARDIAL INFARCTION J. Wartenberg and Jonathan BrostoffINTRAVASCULAR HAEMOLYSIS AND THROMBOCYTOPENIA IN LEFT VENTRICULAR OUTFLOW OBSTRUC-

TION R. J. Jacobson, C. E. Rath, and J. K. PerloffNON-TRAUMATIZING PERCUTANEOuS RIGHT HEART CATHETER.

M. Arborelius, Jr., B. Lilja, and Inga-Maj WennbergPROCEEDINGS OF THE BRITISH CARDIAC SOCIETYCASE REPORTS 868,87

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Number 9DIAGNOSIS OF SEVERE MITRAL REGURGITATION DUE TO NON-RHEUMATIC CHORDAL ABNORMALITIES

G. C. Sutton, K. Chatterjee, and P. K. Caves 877CALCIFIC PULMONARY STENOSIS Luis E. Alday and Eduardo Moreyra 887RIGHT VENTRICULAR OBSTRUCTION DUE TO ANOMALOUS MUSCLE BANDS

Raman Patel and Roy Astley 890QUANTITATIVE ASPECTS OF RIGHT-TO-LEFT SHUNTING IN UNCOMPLICATED ATRIAL SEPTAL DEFECTS

K. Rasmussen, S. Simonsen, and 0. Storstein 894TOTAL CORRECTION OF FALLOT'S TETRALOGY IN PATIENTS AGED LESS THAN I YEAR

G. M. Rees and Albert Starr 898EXAMINATION OF THE HEART IN SUPINE AND LEFT LATERAL POSITIONS

H. J. N. Bethell and P. G. F. Nixon 902OBJECTIVE HAEMODYNAMIC ASSESSMENT AFTER ACUTE MYOCARDIAL INFARCTION

S. Scheidt, G. Wilner, S. Fillmore, M. Shapiro, and T. Killip 908PERFUSION LUNG SCANNING IN OBLITERATIVE PULMONARY HYPERTENSION

A. G. Wilson, C. N. Harris, J. P. Lavender, and C. M. Oakley 9I7PROSTHETIC VALVE DIPHTHEROID ENDOCARDITIS TREATED WITH SODIUM FUSIDATE AND ERYTHRO-

MYCIN Graham Jackson and Kenneth Saunders 93IELECTROCARDIOGRAM AND VECTORCARDIOGRAM IN TURNER PHENOTYPE WITH NORMAL CHROMO-

SOMES AND PULMONARY STENOSIS Knut Rasmussen and Svein J. S0rland 937PREVALENCE OF CLINICAL AND ELECTROCARDIOGRAPHIC EVIDENCE OF ISCHAEMIC HEART DISEASE

IN THE OLDER POPULATION A. H. Kitchin, C. P. Lowther, and J. S. Milne 946PREVALENCE OF HYPERLIPOPROTEINAEMIAS IN A RANDOM SAMPLE OF MEN AND IN PATIENTS WITH

ISCHAEMIC HEART DISEASE M. C. Stone and T. B. S. Dick 954LOCALIZATION OF LESIONS IN ENDOMYOCARDIAL FIBROSIS A. G. Shaper and B. J. Bellhouse 962ANTIHEART ANTIBODY IN IDIOPATHIC HYPERTROPHIC SUBAORTIC STENOSIS

S. K. Das, J. T. Cassidy, V. N. Dodson, and P. W. Willis, III 965CLINICAL SIGNIFICANCE OF POSITIE INOTROPIC ACTION OF DIGOXIN IN PATIENTS WITH LEFT

VENTRICULAR DISEASE C. Davidson and D. Gibson 970CASE REPORTS 977, 98I

Number IOACCELERATED ATRIOVENTRICULAR CONDUCTION AFTER MYOCARDIAL INFARCTION. A STUDY USING

HIS BUNDLE ELECTROGRAMS George Mathew and E. B. RafteryMULTI-LEAD ELECTROCARDIOGRAM IN RELATION TO SERUM ENZYMES IN ACUTE MYOCARDIAL

INFARCTION A. Krotkiewski, J. Gajewska-Lipka, J. Szelemetko, and J. RuszkowskiPROGNOSTIC VALUE OF SERUM FIBRINOGEN-RELATED ANTIGEN LEVELS AFTER MYOCARDIAL INFARC-

TION A. V. Simmons, Margaret A. Sheppard, R. Sibbald, G. Tate, and B. E. Roberts

98599I

997



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Number Io-(continued) pageADAMS-STOKES SYNDROME CAUSED BY SINOATRIAL BLOCK

B. Sigurd, G. Jensen, J. Meibom, and E. Sandoe IOO2TAPE MONITORING OF THE ELECTROCARDIOGRAM IN AMBULANT PATIENTS WITH SINOATRIAL

DISEASE B. R. M. Crook, P. M. M. Cashman, F. D. Stott, and E. B. Raftery IOO9VENTRICULAR TACHYCARDIA IN 4 PATIENTS EVALUATED BY PROGRAMMED ELECTRICAL STIMULATION

OF HEART AND TREATED IN 2 PATIENTS BY SURGIcAL DIVISION OF ANTERIOR RADIATION OFLEFT BUNDLE-BRANCH R. A. J. Spurrell, E. Sowton, and D. C. Deuchar IOI4

COMPARISON OF ULTRASOUND AND CINEANGIOGRAPHIC MEASUREMENTS OF LEFT VENTRICULARPERFORMANCE IN PATIENTS WITH AND WITHOUT WALL MOTION ABNORMALITIES

P. Ludbrook, J. S. Karliner, K. Peterson, G. Leopold, and R. A. O'Rourke IO26SPECTRUM OF HAEMODYNAMIC RESPONSES TO ATRIAL PACING IN CORONARY ARTERY DISEASE

P. A. N. Chandraratna, P. M. Shah, D. H. Kramer, R. J. Davis, and B. F. Schreiner I033FOUR YEARS EXPERIENCE OF CARDIAC PACEMAKING WITH THE DEVICES ASYNCHRONOUS GENERATOR

Alastair McDonald and Clive Layton IO4IHAEMODYNAMIC CHANGES IN PATIENTS WITH HIGH PULMONARY VASCULAR RESISTANCE AFTER

MITRAL VALVE REPLACEMENT. COMPARATIE STUDY BETWEEN USE OF UNSTENTED AORTICHOMOGRAFT VALVES AND STARR-EDWARDS PROSTHESES

K. Hollinrake, M. Baidya, and M. H. Yacoub I047EXERCISE ELECTROCARDIOGRAM PATTERNS IN NoRMAL WOMEN

G. R. Cumming, Cecile Dufresne, L. Kich, and J. Samm I055DIAGNOSIS OF AORTIC STENOSIS FROM THE CAROTID PULSE AND ITS DERIVATIVE

I. Starr, C. Ambrosi, J. H. Manchester, and J. C. Shelburne IO62DIASTOLIC CLOSURE RATE OF NoRMAL MITRAL VALVE

C. Layton, G. Gent, R. Pridie, A. McDonald, and W. Brigden io66STUDIES OF A MODEL MITRAL VALVE WITH THREE CUSPS

B. J. Bellhouse, F. H. Bellhouse, and A. J. Gunning I075IATROGENIC BRACHIAL ARTERY INJURIES A. P. Barabas, J. Bouhoutsos, and P. Martin io8oSUBVALVULAR LEFT VENTRICULAR ANEURYSMS. A REPORT OF 5 UGANDAN CASES

A. A. Poltera and Aled W. Jones IO85CASE REPORTS I092, I095, IO98

Number iiEDITORIAL: RADIOGRAPHS FOR PUBLICATION Basil Strickland iIOIEFFECTS OF ALTERED PRELOAD ON LEFT VENTRICULAR SYSTOLIC TIME INTERVALS IN ACUTE MYO-

CARDIAL INFARCTIONP. K. Khanna, P. M. Shah, D. H. Kramer, R. A. Schaefer, and I. Tager IIO2

IDIOPATHIC HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY CAUSING SEVERE RIGHT VENTRICULAROUTFLOW TRACT OBSTRUCTION IN INFANCY

P. A. Barr, J. M. Celermajer, J. D. Bowdler, and T. B. Cartmill I1I9DOUBLE-BLIND TRIAL OF PROPRANOLOL AND PRACTOLOL IN HYPERTROPHIC CARDIOMYOPATHY

P. J. B. Hubner, G. M. Ziady, G. K. Lane, T. Hardarson, B. Scales, C. M. Oakley, andJ. F. Goodwin iii6

COMPARISON BETWEEN EFFECTIVENESS OF INTRAMUSCULAR AND INTRAVENOUS LIGNOCAINE ONVENTRICULAR ARRHYTHMIA COMPLICATING ACUTE MYOCARDIAL INFARCTION

L. Ryden, A. Waldenstr6m, L. Ehn, S. Holmberg, and M. Husaini II24SURGICAL TREATMENT OF RECURRENT VENTRICULAR TACHYCARDIA

S. Nitter-Hauge and 0. Storstein II32MEASUREMENT OF PULMONARY OEDEMA IN ISCHAEMIC HEART DISEASE

R. M. McCredie and B. L. Chia II36MEASUREMENT OF INSTANTANEOUS LEFT VENTRICULAR DIMENSION AND FILLING RATE IN MAN,

USING ECHOCARDIOGRAPHY D. G. Gibson and D. Brown II4IRELATION BETWEEN CORONARY ARTERY SIZE AND LEFT VENTRICULAR WALL MASS

B. S. Lewis and M. S. Gotsman I I50



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Number i i-(continued) pageCARDIAC PACING IN INCOMPLETE ATRIOVENTRICULAR BLOCK WITH ATRIAL FIBRILLATION

D. S. Reid, S. J. Jachuck, and C. B. Henderson II54ST-QR PATTERN: NEW SIGN FOR DIAGNOSIS OF ANTERIOR MYOCARDIAL INFARCTION DURING RIGHT

VENTRICULAR PACINGA. Castellanos, Jr., R. Zoble, P. M. Procacci, R. J. Myerburg, and B. V. Berkovits II6I

TERMINOLOGICAL PITFALLS IN CONGENITAL HEART DISEASE. REAPPRAISAL OF SOME CONFUSINGTERMS, WITH AN ACCOUNT OF A SIMPLIFIED SYSTEM OF BASIC NOMENCLATURE

James L. Wilkinson and Francisco Acerete II66STRUCTURAL CHANGES IN THE PULMONARY ARTERIES AND VEINS IN TETRALOGY OF FALLOT

Alison Hislop and Lynne Reid II78LEFT-SIDED JUXTAPOSITION OF THE ATRIAL APPENDAGES. REPORT OF 4 CASES DIAGNOSED BY

CARDIAC CATHETERIZATION AND ANGIOCARDIOGRAPHYA. S. Hunter, C. B. Henderson, W. Urquhart, and M. B. Farmer II84

PERSISTENT LEFT FIFTH AORTIC ARCH IN MAN. REPORT OF TWO CASEST. Izukawa, M. E. Scott, F. Durrani, and C. A. F. Moes II90

REGIONAL PULMONARY BLOOD FLOW AFTER MITRAL VALVE SURGERYB. Kra&l, I. Krivkova, J. Endrys, J. Prochaizka, J. Kubicek, I. Jurin, Z. Belobradek, I. Kosmak,

and J. Kvasnicka II96OBITUARY: MAURICE CAMPBELL I202CORRESPONDENCE I205CASE REPORTS I207, I2I, I2I4

Number I2ROLE OF ECHOCARDIOGRAPHY AND PHONOCARDIOGRAPHY IN DIAGNOSIS OF MITRAL PARAPROS-

THETIC REGURGITATION WITH STARR-EDWARDS PROSTHESESH. C. Miller, D. G. Gibson, and J. D. Stephens I2I7

A NEW CATHETER TECHNIQUE FOR HIS BUNDLE RECORDINGS VIA THE ARM VEINS0. S. Narula, M. Runge, and P. Samet I226

POLYGRAPHIC STUDIES OF THE EFFECT OF NITROGLYCERIN IN PATIENTS WITH ISCHAEMIC HEARTDISEASE T. Sawayama, M. Tohara, H. Katsume, and S. Nezuo I234

DISCREPANCIES BETWEEN ELECTROCARDIOGRAPHIC AND ENZYME EVIDENCE OF MYOCARDIALINFARCTION P. Marrott, M. P. Chopra, R. W. Portal, and C. P. Aber I240

ANTERIOR QRS FORCES IN POSTEROLATERAL INFARCTIONP. Toutouzas, A. Koidakis, P. Papadopoulos, and D. Avgoustakis I245

CLASS 3 ANTIARRHYTHMIC ACTION IN MAN. OBERVATIONS FROM MONOPHASIC ACTION POTENTIALRECORDINGS AND AMIODARONE TREATMENT

S. B. Olsson, L. Brorson, and E. Varnauskas I255EFFECT OF GLUCAGON ON INFANTS AND CHILDREN WITH ATRIOVENTRICULAR HEART BLOCK

Roger A. Hurwitz I260CIRCULATORY ASSISTANCE FOR THE FAILING HEART Leon Resnekov I265MYOCARDIAL INFARCTION AND ORAL CONTRACEPTIVES M. Michael Kubik and B. K. Bhowmick I27ITRICUSPID COMPONENT OF FIRST HEART SOUND

J. B. Lakier, K. R. Bloom, W. A. Pocock, and J. B. Barlow I275EFFICIENCY OF A PACEMAKER CLINIC TO PREVENT SUDDEN PACING FAILURES M. H. Frick I280COMPARATIVE STUDY OF ALPRENOLOL AND METHYLDOPA IN PREVIOUSLY UNTREATED ESSENTIAL

HYPERTENSION J. A. Vodin, C.-E. Wilhelmsson, and L. Werko I285PREGNANCY AND THE CHANGING PATTERN OF RHEUMATIC HEART DISEASE

P. Szekely, R. Turner, and L. Snaith I293DELAYED PERICARDIAL EFFUSION WITH TAMPONADE AFTER CARDIAC SURGERY

R. A. P. Scott and C. E. Drew I304BUNDLE OF HIS ELECTROGRAMS IN CONGENITAL CORRECTED TRANSPOSITION OF THE GREAT

ARTERIES. A STUDY OF TWO ADULT CASESH. S. Friedman, Janet Lipski, J. Pantazopoulos, G. Genkins, and E. Donoso I307



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Number I2-(continued) pageSECUNDUM ATRIAL SEPTAL DEFECT ASsocIATED WITH A CLEFT MITRAL VALVE

Daniel J. Goodman and E. William Hancock I3I5USE OF BICYCLE ERGOMETRY AND SUSTAINED HANDGRIP EXERCISE IN THE DIAGNOSIS OF PRESENCE

AND EXTENT OF CORONARY HEART DISEASER. H. Helfant, V. S. Banka, Maria A. DeVilla, R. Pine, V. Kabde, and S. G. Meister I32I

CARDIAC ECHINOCOCCOSIS: CLINICAL PICTURE AND COMPLICATIONSF. Perez-Gomez, H. Duran, S. Tamames, J. L. Perrote, and A. Blanes I326

CASE REPORTS I332, 1336,I338INDEX I34I

PRINTED IN GREAT BRITAIN BY WILLIAM CLOWES & SONS, LIMTD, LONDON, BECCLES AND COLCHESR



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