July 1973 Vol 35 No 7

British Br J: first published as on 1 July 1973. Downloaded from

A monthly journal of published in association with the British Cardiac Society Journal

Studies on innocent praecordial Repetitive paroxysmal tachycardia vibratory murmurs in children. originating in the left 1: Systolic time intervals and pulse wave G. von Bernuth, G. G. Bekz, and transmission times in normal children K. Schairer 729 G. M. A. van der Hoeven, C. de Monchy, Action of verapamil in sinus node, and J. E. W. Beneken atrioventricular, and intraventricular Studies on innocent praecordial conduction M. H. Husaini, J. Kvasnicka, vibratory murmurs in children. L. Ryddn, and S. Holmberg 734 II: Systolic time intervals and pulse wave Evaluation of P wave axis in distinguishing transmission times in children with an anatomical site of http://heart.bmj.com/ innocent praecordial vibratory murmur H. M. Thomas, Jr., M. J. Spicer, and C. de Monchy, G. M. A. van der Hoeven, W. P. Nelson 738 and J. E. W. Beneken Haemodynamic effects of a new beta- Studies on innocent praecordial blocking agent 'Sectral' (M & B 1 7803A) vibratory murmurs in children. B. S. Lewis, A. Bakst, A. S. Mitha, Ill: Follow-up study of children with an K. Purdon, and M. S. Gotsman 743 innocent praecordial vibratory murmur Balloon atrial septostomy for total on October 2, 2021 by guest. Protected copyright. C. de Monchy, G. M. A. van der Hoeven, anomalous pulmonary venous return and J. E. W. Beneken C. E. Mullins, G. M. El-Said, W. H. Neches, Initial low frequency vibrations of the R. L. Williams, T. A. Vargo, M. R. Nihill, first heart sound T. G. Armstrong and and D. G. McNamara 752 M. S. Gotsman Supravalvar aortic stenosis E. C. Martin Changes in the inotropic state of the left and 1. F. Moseley 758 during isometric exercise Case reports W. Grossman, L. P. McLaurin, S. B. Saltz, Kearns' syndrome, a new form of J. A. Paraskos, J. E. Dalen, and L. Dexter cardiomyopathy S. C. Uppal 766 Videometry studies of left ventricular wall Double outlet right ventricle with movement after myocardial infarction L-malposition of great arteries, G. R. Sutherland, A. L. Evans, M. Davison, ventricular D-loop, and three fibrotic and J. Kennedy leaflets in a stenotic subpulmonary Cardiac function assessed by systolic conus A. Blancquaert, E. Defloor, time intervals after aortocoronary L. Bossaert, M. Kunnen, M. De Maegd, saphenous bypass and F. Derom 770 H. Matlof, H. N. Hultgren, J. F. Pfeifer, Loffler's endocarditis in childhood and D. C. Harrison R. F. H. Rasche, R. D. Kelsch, and Use of atropine for higher right atrial D. K. Weaver 774 pacing rates. 'Maximal' pacing for diagnosis of D. V. Cokkinos, S. Katsaros, P. Grivas, G. Bakoulas, S. Tr. Plessas, and E. Voridis 720 British Medical Association

ASTM CODEN: BHJUAV 35(7) 669-776 (1973) CONTENTS OF VOLUME 35 Number i page EDITORIAL: RETIREMENT OF K. SHIRLEY SMITH AS EDITOR Walter Somerville I Br Heart J: first published as on 1 July 1973. Downloaded from HAEMODYNAMIC EFFECT OF DESLANOSIDE AT REST AND DURING EXERCISE IN PATIENTS WITH CHRONIC BRONCHITIS V. Jezek and F. Schrijen 2 PULMONARY ATRESIA WITH INTACT VENTRICULAR SEPTUM AND CRITICAL PULMONARY STENOSIS PRESENTING IN FIRST MONTH OF LIFE. INVESTIGATION AND SURGICAL RESULTS G. A. H. Miller, M. Restifo, E. A. Shinebourne, M. Paneth, M. C. Joseph, S. C. Lennox, and I. H. Kerr 9 IN SEARCH OF CAUSES OF ISCHAEMIC HEART DISEASE S. L. Malhotra I7 ATRIAL FUNCTION AFTER FOR ATRIAL FIBRILLATION J. Mahlich, W. Schweizer, and F. Burkart 24 HAEMODYNAMIC CHARACTERISTICS OF SYSTEMIC ARTERIAL BLOOD SUPPLY TO THE F. Macartney, P. Deverall, and Olive Scott 28 Two CASES OF ENDOCARDIAL FIBROELASTOSIS-POSSIBLE X-LINKED DETERMINATION R. H. Lindenbaum, P. S. Andrews, and A. S. S. I. Khan 38 NATURAL HISTORY OF VALVULAR AORTIC STENOSIS S. Frank, A. Johnson, and J. Ross, Jr. 4I Pseudomonas Cepacia ENDOCARDITIS TREATED WITH CO-TRIMOXAZOLE AND KANAMYCIN D. C. E. Speller 47 PROGNOSIS OF PERICARDITIS AFTER ACUTE MYOCARDIAL INFARCTION A. P. Niarchos and C. S. McKendrick 49 ROLE OF THE SYMPATHETIC NERVOUS SYSTEM IN SUPPORTING CARDIAC FUNCTION IN ESSENTIAL ARTERIAL HYPERTENSION M. Guazzi, F. Magrini, C. Fiorentini, and A. Polese 55 EXAGGERATED 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 65 http://heart.bmj.com/ ECHOCARDIOGRAPHIC STUDIES OF GENESIS OF MITRAL DIASTOLIC MURMURS Nicholas J. Fortuin and Ernest Craige 75 LEFT VENTRICULAR HEMIBLOCK PATTERNS IN VENTRICULAR PRE-EXCITATION K. G. Lowe, D. Emslie-Smith, C. Ward, and H. Watson 82 FOLIC ACID DEFICIENCY IN INFANTS AND CHILDREN WITH HEART DISEASE G. D. Rook, R. Lopez, N. Shimizu, and J. M. Cooperman 87 HAEMODYNAMICS OF EXERCISE IN CHILDREN WITH ISOLATED AORTIC VALvuLAR DISEASE

Luis Cueto and James H. Moller 93 on October 2, 2021 by guest. Protected copyright. CARDIOMYOPATHY IN NOONAN'S SYNDROME. REPORT OF 3 CASES C. Phornphutkul, A. Rosenthal, and A. S. Nadas 99 MITRAL VALVE DISEASE AND OPEN HEART SURGERY IN OSTEOGENESIS IMPERFECTA TARDA S. J. Wood, J. Thomas, and M. V. Braimbridge I03 CASE REPORTS 107, IIO

Number 2 Two OR MORE INTRA AV NODAL PATHWAYS IN ASSOCIATION WITH EITHER A JAMES OR KENT EXTRANODAL BYPASS IN 3 PATIENTS WITH PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA R. A. J. Spurrell, D. Krikler, and E. Sowton II3 ATRIOVENTRICULAR CONDUCTION IN PATIENTS WITH SHORT PR INTERVALS AND NoRMAL QRS COMPLEXES J. K. Bissett, A. J. Thompson, N. deSoyza, and M. L. Murphy I23 ESTIMATION OF LEFT VENTRICULAR SIZE BY D. G. Gibson I28 PROGNOSTIC INDEX FOR MYOCARDIAL INFARCTION TREATED IN A CORONARY CARE UNIT B. L. Chapman and C. H. Gray I35 PREDICTION OF LEFT HEART FILLING PRESSURE AND ITS SEQUENTIAL CHANGE IN ACUTE MYO- CARDIAL INFARCTION FROM THE TERMINAL FORCE OF THE P WAVE J. Heikkila, P. G. Hugenholtz, and B. S. Tabakin I42 ACUTE HAEMODYNAMIC EFFECTS OF PRACTOLOL IN PATIENTS WITH IDIOPATHIC HYPERTROPHIC SUBAORTIC STENOSIS Harvey J. Matlof and Donald C. Harrison I52 Number 2-(continued) page PATHOLOGY OF INFECTIVE ENDOCARDITIS. A POSTMORTEM EVALUATION I. Steiner, A. K. Patel, M. S. R. Hutt, and K. Somers I59 SELECTIVE CORONARY ANGIOGRAPHY IN PRIMARY MYOCARDIAL DISEASE Br Heart J: first published as on 1 July 1973. Downloaded from B. S. Lewis and M. S. Gotsman I65 SURGERY IN II4 PATIENTS OVER THE AGE OF 60 W. Oh, R. Hickman, R. Emanuel, L. McDonald, Jane Somerville, D. Ross, K. Ross, and L. Gonzalez-Lavin I74 FAMILIAL HYPERTROPHIC CARDIOMYOPATHY IN CEYLON N. J. Wallooppillai, D. P. Atukorale, M. de S. Jayasinghe, and S. Kulathungam i8i INCIDENCE OF CARDIAC MALFORMATIONS AT BIRTH AND LATER, AND NEONATAL MORTALITY Maurice Campbell I89 PURULENT PERICARDITIS FOLLOWED BY EARLY CONSTRICTION IN YOUNG CHILDREN R. Caird, N. Conway, and I. K. R. McMillan 201 ARBOVIRUS (DENGUE TYPE) AS A CAUSE OF ACUTE MYOCARDITIS AND PERICARDITIS N. Nagaratnam, K. Siripala, and Nandani de Silva 204 ELECTROCARDIOGRAPHIC CHANGES DURING EXERCISE IN KURDISH AND YEMENITE JEWS IN ISRAEL C. T. M. Davies, J. M. M. Neilson, and S. Samueloff 207 DOUBLE-BLIND CROSSOVER CLINICAL TRIAL OF PYRIDINOLCARBAMATE IN PERIPHERAL ARTERIAL DISEASE (ARTERIOSCLEROSIS OBLITERANS) K. W. Walton, Gillian M. Craig, Patricia Prior, J. A. H. Waterhouse, and J. Skilton 2II CASE REPORTS 220, 223, 226

Number 3 EDITORIAL: UNDERSTANDING THE ATRIAL SOUND H. J. N. Bethell and P. G. F. Nixon 229

RATE CORRECTED SYSTOLIC TIME INTERVALS AND VALSALVA MANOEUVRE http://heart.bmj.com/ C. Layton, H. di Nunzio, G. Gent, P. Freedman, and A. McDonald 236 FAMILIAL SYNDROME OF MIDSYSTOLIC CLICK AND LATE SYSTOLIC MURMUR P. Rizzon, Giuseppina Biasco, G. Brindicci, and F. Mauro 245 AND APEX CARDIOGRAM IN SYSTOLIC CLICK - LATE SYSTOLIC MURMUR SYNDROME E. J. Epstein and N. Coulshed 260 SYSTOLIC TIME INTERVALS IN VALVULAR AORTIC STENOSIS AND IDIOPATHIC HYPERTROPHIC SUB- AORTIC STENOSIS M. Ibrahim, Michele Silie, J.-P. Delahaye, and R. Froment 276 OF RIGHT AND LEFT ATRIAL DURING SPONTANEOUS SINUS TEMPORAL SEQUENCE CONTRACTIONS on October 2, 2021 by guest. Protected copyright. RHYTHM AND PACED LEFT ATRIAL RHYTHM G. G. Belz, G. v. Bernuth, R. Hofstetter, D. R6hl, and M. Stauch 284 QT INTERVAL IN RIGHT AND LEFT BUNDLE-BRANCH BLOCK S. Talbot 288 DOUBLE INLET RIGHT VENTRICLE. Two PATHOLOGICAL SPECIMENS WITH COMMENTS ON EMBRYO- LOGY L. Mufnoz-Castellanos, Maria V. de la Cruz, and A. CiesliAski 292 CATHETERIZATION OF THE IN TRANSPOSITION OF THE GREAT ARTERIES USING A SWAN-GANZ FLOW-DIRECTED Suzanne M. Jones and G. A. H. Miller 298 PULMONARY VALVULAR DYSPLASIA. A CARDIOFACIAL SYNDROME L. M. Linde, S. W. Turner, and R. S. Sparkes 301 EFFECT OF LIGNOCAINE ON CONDUCTING SYSTEM OF HUMAN HEART S. Bekheit, J. G. Murtagh, P. Morton, and E. Fletcher 305 EFFECT OF GLUCAGON ON LEFT VENTRICULAR PERFORMANCE IN AORTIC STENOSIS J. Hamer, D. Gibson, and J. Coltart 3I2 COMPARISON OF TWO ADRENERGIC BETA-RECEPTOR BLOCKING AGENTS, ALPRENOLOL AND PRO- PRANOLOL, IN TREATMENT OF ANGINA PECTORIS D. J. Hetherington, M. B. Comerford, G. Nyberg, and E. M. M. Besterman 320 RHEUMATOID FACTOR IN HYPERTENSION A. Ebringer and A. E. Doyle 334 STANDARDIZED DIAGRAM FOR RAPID TABULATION OF CORONARY ATERIOGRAMS M. Frankin, M. V. O'Reilly, and M. J. Krauthamer 338 FIFTH ASIAN-PACIFIC CONGRESS OF CARDIOLOGY Cornelio PaPp 34I CASE REPORTS 344, 347, 349 Number 4 page UNuSuAL RESPONSEOF DEMAND PACEMAKERS TO MAGNETS S. S. Barold, J. J. Gaidula, and R. Castillo 353 LONG-TERM PROGNOSIS AFTER CARDIAC PACING IN ATRIOVENTRICULAR BLOCK Br Heart J: first published as on 1 July 1973. Downloaded from M. M. Zion, P. E. Marchand, and I. W. P. Obel 359 SUPERNORMAL PHASE OF AV CONDUCTION. A STUDY DURING HEART BLOCK AND ENDOCARDIAL PACING David 0. Williams 365 PROLONGED PR INTERVALAND CORONARY ARTERY DISEASE H. B. Calleja and M. X. Guerrero 372 SAFETY OF CORONARY ARTERIOGRAPHY M. C. Petch, R. Sutton, and K. E. Jefferson 377 PREVALENCE 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 38I COMPARISON OF PULMONARY ARTERY AND PULMONARY VENOUS WEDGE PRESSURE IN CONGENITAL HEART DISEASE Richard E. Hawker and John M. Celermajer 386 REVISION OF GORLIN CONSTANT FOR CALCULATION OF MITRAL VALVE AREA FROM LEFT HEART PRESSURES K. E. Hammermeister, J. A. Murray, and J. R. Blackmon 392 HAEMODYNAMIC 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 397 GENESIS, 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 402 STATIC EXERCISE IN UNTREATED SYSTEMIC HYPERTENSION D. J. Ewing,J. B. Irving, F. Kerr, and B. J. Kirby 4I3 HAEMODYNAMIC RESPONSES TO ISOMETRIC EXERCISE (HANDGRIP) IN PATIENTS WITH HEART DISEASE M. L. Fisher, D. 0. Nutter, W. Jacobs, and R. C. Schlant 422 FOUR FACES OF ACUTE MYOPERICARDITIS Austen J. S. Gardiner and David Short 433 CONGENITAL DISCRETE SUBVALVAR AORTIC STENOSIS. SURGICAL EXPERIENCE AND LONG-TERM FOLLOW-UP IN 20 PAEDIATRIC PATIENTS G. Champsaur, G. A. Trusler, and W. T. Mustard 443

LATE RESULTS OF PERCUTANEOUS RETROGRADE FEMORAL ARTERIAL CATHETERIZATION IN CHILDREN http://heart.bmj.com/ R. E. Hawker, Judy Palmer, R. G. Bury, J. D. Bowdler, and J. M. Celermajer 447 ROLE OF CENTRAL BLOOD VOLUME IN HYPERKINETIC BORDERLINE HYPERTENSION Charles N. Ellis and Stevo Julius 450 USE OF AMILORIDE AS A POTASSIUM CONSERVING AGENT IN SEVERE CARDIAC DISEASE C. Davidson and I. M. Gillebrand 456 SIXTH EUROPEAN CONGRESS OF CARDIOLOGY 462 CASE REPORTS 464,466 on October 2, 2021 by guest. Protected copyright.

Number 5 EVALUATION OF PRACTOLOL IN HYPERTENSION. EFFECTS ON SYMPATHETIC NERVOUS SYSTEM AND RENIN RESPONSIVENESS M. D. Esler and P. J. Nestel 469 ASSESSMENT OF RELATIVE ACTIONS OF BETA-ADRENRGIC BLOCKING DRUGS ON HEART RATE AND LEFT VENTRICULAR EJECTION USING A NON-INVASIVE METHOD IN PATIENTS WITH AORTIC STARR-EDWARDS PROSTHESES Marion R. Crouchman 475 STUDY WITH REFLECTED ULTRASOUND OF PATIENTS WITH D. 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 488 QUANTITATIVE ANGIOGRAPHIC ANALYSIS OF THE LEFT VENTRICLE IN PATIENTS WITH ISOLATED RHEUMATIC MITRAL STENOSIS J. A. Holzer, J. S. Karliner, R. A. O'Rourke, and K. L. Peterson 497 PERMANENT NEUROLOGICAL DEFICITS COMPLICATING SINOATRIAL BLOCK H. H. R. Samarasinghe and Nimal Senanayake 503 COMPARISON OF SINOVENTRICULAR CONDUCTION IN CHILDREN AND ADULTS USING BUNDLE OF HIS ELECTROGRAMS S. Bekheit, P. Morton, J. G. Murtagh, and E. Fletcher 507 ADAMS-STOKES SYNDROME CAUSED BY PAROXYSMAL THIRD-DEGREE ATRIOVENTRICULAR BLOCK G. Jensen, B. Sigurd, J. Meibom, and E. Sand0e 5I6 Number 5-(continued) page PULMONARY BLOOD FLOW AND LEFT VENTRICULAR VOLUMES IN TRANSPOSITION OF THE GREAT ARTERIES AND INTACT VENTRICULAR SEPTUM J. F. Keane, R. C. Ellison, M. Rudd, and A. S. Nadas 52I Br Heart J: first published as on 1 July 1973. Downloaded from EFFECT OF POSTURE ON BLOOD PRESSURE IN THE ELDERLY F. I. Caird, G. R. Andrews, and R. D. Kennedy 527 RESULTS OF CONSERVATIVE TREATMENT OF ANGINA PECTORIS IN CANDIDATES FOR AORTOCORONARY SAPHENouS VEIN BYPASS L. L. Basta, J. M. Kioschos, and F. M. Abboud 53I VENOUS THROMBOSES IN MYOCARDIL INFARCTION. COMPARISON IN HEPARIN DOSAGE P. G. Habersberger, A. Pitt, and S. T. Anderson 538 EFFECT OF CARDIAC 'NONDISEASE' ON INTELLECTUAL AND PERCEPTUAL MOTOR DEVELOPMENT G. G. Cayler, D. B. Lynn, and Edwina M. Stein 543 PROCEEDINGS OF THE BRITISH CARDIAC SOCIETY 548 CASE REPORTS 562, 566, 570

Number 6 PROGRESS IN THE TREATMENT OF TRANSPOSITION OF THE GREAT ARTERIES: ST. CYREs LECTURE I972 R. E. Bonham-Carter 573 FUNCTIONAL PROPERTIES OF ACCESSORY AV PATHWAYS DURING PREMATURE ATRIAL STIMULATION A. Castellanos, Jr., C. A. Castillo, A. S. Agha, B. Befeler, and R. J. Myerburg 578 MONOPHASIC ACTION POTENTIAL OF THE RIGHT ATRIUM IN PAROXYSMAL ATRIAL FLUTTER AND FIBRILLATION S. Gavrilescu, S. Cotoi, and T. Pop 585 WENCKEBACH PHENOMENON IN THE BUNDLE-BRANCH SYSTEM http://heart.bmj.com/ F. Franchi, G. Morace, and F. Fantini 590 ARRIVAL OF EXCITATION AT RIGHT VENTRICULAR APICAL ENDOCARDIUM IN WOLFF-PARKINSON- WHITE SYNDROME TYPE A, WITH AND WITHOUT RIGHT BUNDLE-BRANCH BLOCK C. 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 PECTORIS G. F. Levi and C. Proto 6oi STUDIES OF INTRA-ATRIAL CONDUCTION WITH BIPOLAR ATRIAL AND HIS ELECTROGRAMS R. N. Scott Millar, B. J. Maurer, D. S. Reid, R. Wray, J. S. Birkhead, and J. P. Shillingford 604 on October 2, 2021 by guest. Protected copyright. ELECTROPHYSIOLOGICAL FEATuRS OF COMPLETE AV BLOCK WITHIN HIS BUNDLE P. K. Gupta, E. Lichstein, and K. Chadda 6io INCIDENCE AND PRESENTATION OF MYOCARDIAL INFARCTION IN AN ENGLISH COMMUNITY L. J. Kinlen 6I6 DEEP VENOUS THROMBOSIS AFTER MYOCARDIAL INFARCTION. PREDISPOSING FACTORS A. V. Simmons, Margaret A. Sheppard, and A. F. COX 623 EFFECT OF DIAZEPAM ON MYOCARDIAL BLOOD FLOW OF PATIENTS WITH AND WITHOUT CORONARY ARTERY DISEASE H. Ikram, A. P. Rubin, and R. F. Jewkes 626 EFFICACY OF PHENYTOIN IN THE MANAGEMENT OF VENTRICULAR ARRHYTHMuAS INDUCED BY HYPOKALAEMIA M. V. O'Reilly and R. T. MacDonald 63I HAEMODYNAMIC MONITORING IN THE CORONARY CARE UNIT USING THE SWAN-GANZ RIGHT HEART CATHETER H. G. Mond, D. Hunt, and G. Sloman 635 NEW APPROACH TO CATHETERIZATION OF THE HEART IN INFANTS AND CHILDREN G. Azzolina, S. A. Eufrate, and A. Allella 643 THE SWAN-GANZ CATHETER IN THE CARDIAC LABORATORY P. Steele and H. Davies 647 PULMONARY 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 657 CASE REPORTS 663, 666 Number 7 page STUDIS ON INNOCENT PRAECORDIAL VIBRATORY MURMURS IN CHILDREN. I: SYSTOLIC TIME INTERVALS AND PULSE WAVE TRANSMISSION TuMS IN NoRMAL CHILDREN G. M. A. van der Hoeven, C. de Monchy, and J. E. W. Beneken 669 Br Heart J: first published as on 1 July 1973. Downloaded from STUDIES ON INNOCENT PRAECORDIAL VIBRATORY MURMURS IN CHILDREN. II: SYSTOLIC TIME INTERVALS 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 679 STUDIES ON INNOCENT PRAECORDIAL VIBRATORY MURMURS IN CHILDREN. III: FOLLOW-UP STUDY OF CHILDREN WITH AN INNOCENT PRAECORDIAL VIBRATORY MURMUR C. de Monchy, G. M. A. van der Hoeven, and J. E. W. Beneken 685 INITIAL Low FREQUENCY VIBRATIONS OF THE FIRST HEART SoUND T. G. Armstrong and M. S. Gotsman 69I CHANGES IN THE INOTROPIC STATE OF THE LEFT VENTRICLE DURING ISOMETRIC EXERCISE W. 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 INFARCTION G. R. Sutherland, A. L. Evans, M. Davison, and J. Kennedy 705 CARDIAC FUNCTION ASSESSED BY SYSTOLIC TIME INTERVALS AFTER AORTOCORONARY SAPHENOUS VEIN 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 DIAGNOSIS OF CORONARY ARTERY DISEASE D. V. Cokkinos, S. Katsaros, P. Grivas, G. Bakoulas, S. Tr. Plessas, and E. Voridis 720 REPETITIVE PAROXYSMAL TACHYCARDIA ORIGINATING IN THE LEFT ATRIUM G. von Bernuth, G. G. Belz, and K. Schairer 729 ACTION OF VERAPAMIL IN SINUS NODE, ATRIOVENTRICULAR, AND INTRAVENTRICULAR CONDUCTION M. H. Husaini, J. Kvasnicka, L. Ryd'n, and S. Holmberg 734 EVALUATION OF P WAVE AXIS IN DISTINGUISHING ANATOMICAL SITE OF ATRIAL SEPTAL DEFECT

H. M. Thomas, Jr., M. J. Spicer, and W. P. Nelson 738 http://heart.bmj.com/ HAEMODYNAMIC 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 743 BALLOON 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, and D. G. McNamara 752 SUPRAVALVAR AORTIC STENOSIS E. C. Martin and I. F. Moseley 758 CASE REPORTS 766, 770, 774 on October 2, 2021 by guest. Protected copyright. Number 8 EDITORIAL: VALUE OF PHYSICAL EXAMINATION IN ACUTE MYOCARDIAL INFARCTION M. Nellen, B. Maurer, and J. F. Goodwin 777 ISOLATED ACUTE MYOCARDIAL INFARCTION OF PAPILLARY MUSCLES OF THE HEART. CLINICO- PATHOLOGICAL STUDY OF 9 CASES J. A. Andersen and B. Fischer-Hansen 78I AND SYMPTOMS DURING TREADMILL TESTING THm WEEKS AFTER MYOCARDIAL INFARCTION IN IOO PATIENTS M. Ericsson, A. Granath, P. Ohlsen, T. Sodermark, and U. Volpe 787 RELATION BETWEEN BLOOD LIPID LEVELS AND ANGIOGRAPHICALLY EVALUATED OBSTRUCTIONS IN CORONARY ARTERIES Sigurd Nitter-Hauge and Ivar Enge 79I LENGTH OF LEFT MAIN CORONARY ARTERY C. Fox, M. J. Davies, and M. M. Webb-Peploe 796 INCIDENCE OF CONDUCTION DEFECTS IN AFRICAN AND COLOURED PATIENTS WITH CONGESTIVE CARDIOMYOPATHY Elliot Chesler and Walter Beck 799 BUNDLE OF HIS RECORDINGS IN CONGENITAL HEART DISEASE Grace S. Wolff, M. D. Freed, and R. C. Ellison 805 FACTORS REGULATING VENTRICULAR RATES DURING ATRIAL FLUTTER AND FIBRILLATION IN PRE- EXCITATION (WOLFF-PARKINSON-WHITE) SYNDROME A. Castellanos, Jr., R. J. Myerberg, Karen Craparo, B. Befeler, and A. S. Agha 8II SPATIAL ATRIAL VECTORCARDIOGRAM IN NATURALLY OCCURRING ATRIAL FLUTTER IN MAN D. Maclean, D. Emslie-Smith, and K. G. Lowe 8I7 Number 8-(continued) page PHENFORMIN AND M. Fahlen, H. Bergman, G. Helder, L. Ryden, I. Wallentin, and L. Zettergren 824 QUANTITATIVE ASPECTS OF ELECTROCARDIOGRAMS OF ADULTS IN A JAMAICAN RURAL POPULATION Br Heart J: first published as on 1 July 1973. Downloaded from L. Ruiz, W. E. Miall, and A. V. Swan 829 DIASTOLIC MURMUR OF CORONARY ARTERY STENOSIS J. F. Sangster and C. M. Oakley 840 LEUCOCYTE MIGRATION INHIBITION BY HEART EXTRACT AND LIVER MITOCHONDRIA IN PATIENTS WITH MYOCARDIAL INFARCTION J. Wartenberg and Jonathan Brostoff 845 INTRAVASCULAR HAEMOLYSIS AND THROMBOCYTOPENIA IN LEFT VENTRICULAR OUTFLOW OBSTRUC- TION R. J. Jacobson, C. E. Rath, and J. K. Perloff 849 NON-TRAUMATIZING PERCUTANEOuS RIGHT HEART CATHETER. M. Arborelius, Jr., B. Lilja, and Inga-Maj Wennberg 855 PROCEEDINGS OF THE BRITISH CARDIAC SOCIETY 858 CASE REPORTS 868,87 I, 874

Number 9 DIAGNOSIS OF SEVERE MITRAL REGURGITATION DUE TO NON-RHEUMATIC CHORDAL ABNORMALITIES G. C. Sutton, K. Chatterjee, and P. K. Caves 877 CALCIFIC PULMONARY STENOSIS Luis E. Alday and Eduardo Moreyra 887 RIGHT VENTRICULAR OBSTRUCTION DUE TO ANOMALOUS MUSCLE BANDS Raman Patel and Roy Astley 890 QUANTITATIVE ASPECTS OF RIGHT-TO-LEFT SHUNTING IN UNCOMPLICATED ATRIAL SEPTAL DEFECTS K. Rasmussen, S. Simonsen, and 0. Storstein 894 TOTAL CORRECTION OF FALLOT'S TETRALOGY IN PATIENTS AGED LESS THAN I YEAR G. M. Rees and Albert Starr 898

EXAMINATION OF THE HEART IN SUPINE AND LEFT LATERAL POSITIONS http://heart.bmj.com/ H. J. N. Bethell and P. G. F. Nixon 902 OBJECTIVE HAEMODYNAMIC ASSESSMENT AFTER ACUTE MYOCARDIAL INFARCTION S. Scheidt, G. Wilner, S. Fillmore, M. Shapiro, and T. Killip 908 PERFUSION SCANNING IN OBLITERATIVE PULMONARY HYPERTENSION A. G. Wilson, C. N. Harris, J. P. Lavender, and C. M. Oakley 9I7 PROSTHETIC VALVE DIPHTHEROID ENDOCARDITIS TREATED WITH SODIUM FUSIDATE AND ERYTHRO- MYCIN Graham Jackson and Kenneth Saunders 93I ELECTROCARDIOGRAM AND VECTORCARDIOGRAM IN TURNER WITH NORMAL PHENOTYPE CHROMO- on October 2, 2021 by guest. Protected copyright. SOMES AND PULMONARY STENOSIS Knut Rasmussen and Svein J. S0rland 937 PREVALENCE OF CLINICAL AND ELECTROCARDIOGRAPHIC EVIDENCE OF ISCHAEMIC HEART DISEASE IN THE OLDER POPULATION A. H. Kitchin, C. P. Lowther, and J. S. Milne 946 PREVALENCE OF HYPERLIPOPROTEINAEMIAS IN A RANDOM SAMPLE OF MEN AND IN PATIENTS WITH ISCHAEMIC HEART DISEASE M. C. Stone and T. B. S. Dick 954 LOCALIZATION OF LESIONS IN ENDOMYOCARDIAL FIBROSIS A. G. Shaper and B. J. Bellhouse 962 ANTIHEART ANTIBODY IN IDIOPATHIC HYPERTROPHIC SUBAORTIC STENOSIS S. K. Das, J. T. Cassidy, V. N. Dodson, and P. W. Willis, III 965 CLINICAL SIGNIFICANCE OF POSITIE INOTROPIC ACTION OF DIGOXIN IN PATIENTS WITH LEFT VENTRICULAR DISEASE C. Davidson and D. Gibson 970 CASE REPORTS 977, 98I

Number IO ACCELERATED ATRIOVENTRICULAR CONDUCTION AFTER MYOCARDIAL INFARCTION. A STUDY USING HIS BUNDLE ELECTROGRAMS George Mathew and E. B. Raftery 985 MULTI-LEAD ELECTROCARDIOGRAM IN RELATION TO SERUM ENZYMES IN ACUTE MYOCARDIAL INFARCTION A. Krotkiewski, J. Gajewska-Lipka, J. Szelemetko, and J. Ruszkowski 99I PROGNOSTIC 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 997 Number Io-(continued) page ADAMS-STOKES SYNDROME CAUSED BY SINOATRIAL BLOCK B. Sigurd, G. Meibom, and E. Sandoe IOO2

Jensen, J. Br Heart J: first published as on 1 July 1973. Downloaded from TAPE 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 IOO9 VENTRICULAR TACHYCARDIA IN 4 PATIENTS EVALUATED BY PROGRAMMED ELECTRICAL STIMULATION OF HEART AND TREATED IN 2 PATIENTS BY SURGIcAL DIVISION OF ANTERIOR RADIATION OF LEFT BUNDLE-BRANCH R. A. J. Spurrell, E. Sowton, and D. C. Deuchar IOI4 COMPARISON OF ULTRASOUND AND CINEANGIOGRAPHIC MEASUREMENTS OF LEFT VENTRICULAR PERFORMANCE IN PATIENTS WITH AND WITHOUT WALL MOTION ABNORMALITIES P. Ludbrook, J. S. Karliner, K. Peterson, G. Leopold, and R. A. O'Rourke IO26 SPECTRUM 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 I033 FOUR YEARS EXPERIENCE OF CARDIAC PACEMAKING WITH THE DEVICES ASYNCHRONOUS GENERATOR Alastair McDonald and Clive Layton IO4I HAEMODYNAMIC CHANGES IN PATIENTS WITH HIGH PULMONARY VASCULAR RESISTANCE AFTER MITRAL . COMPARATIE STUDY BETWEEN USE OF UNSTENTED AORTIC HOMOGRAFT VALVES AND STARR-EDWARDS PROSTHESES K. Hollinrake, M. Baidya, and M. H. Yacoub I047 EXERCISE ELECTROCARDIOGRAM PATTERNS IN NoRMAL WOMEN G. R. Cumming, Cecile Dufresne, L. Kich, and J. Samm I055 DIAGNOSIS OF AORTIC STENOSIS FROM THE CAROTID PULSE AND ITS DERIVATIVE I. Starr, C. Ambrosi, J. H. Manchester, and J. C. Shelburne IO62 DIASTOLIC CLOSURE RATE OF NoRMAL MITRAL VALVE C. Layton, G. Gent, R. Pridie, A. McDonald, and W. Brigden io66 STUDIES OF A MODEL MITRAL VALVE WITH THREE CUSPS B. J. Bellhouse, F. H. Bellhouse, and A. J. Gunning I075

IATROGENIC BRACHIAL ARTERY INJURIES A. P. Barabas, J. Bouhoutsos, and P. Martin io8o http://heart.bmj.com/ SUBVALVULAR LEFT VENTRICULAR ANEURYSMS. A REPORT OF 5 UGANDAN CASES A. A. Poltera and Aled W. Jones IO85 CASE REPORTS I092, I095, IO98

Number ii on October 2, 2021 by guest. Protected copyright. EDITORIAL: RADIOGRAPHS FOR PUBLICATION Basil Strickland iIOI EFFECTS OF ALTERED PRELOAD ON LEFT VENTRICULAR SYSTOLIC TIME INTERVALS IN ACUTE MYO- CARDIAL INFARCTION P. K. Khanna, P. M. Shah, D. H. Kramer, R. A. Schaefer, and I. Tager IIO2 IDIOPATHIC HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY CAUSING SEVERE RIGHT VENTRICULAR OUTFLOW TRACT OBSTRUCTION IN INFANCY P. A. Barr, J. M. Celermajer, J. D. Bowdler, and T. B. Cartmill I1I9 DOUBLE-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, and J. F. Goodwin iii6 COMPARISON BETWEEN EFFECTIVENESS OF INTRAMUSCULAR AND INTRAVENOUS LIGNOCAINE ON VENTRICULAR COMPLICATING ACUTE MYOCARDIAL INFARCTION L. Ryden, A. Waldenstr6m, L. Ehn, S. Holmberg, and M. Husaini II24 SURGICAL TREATMENT OF RECURRENT VENTRICULAR TACHYCARDIA S. Nitter-Hauge and 0. Storstein II32 MEASUREMENT OF PULMONARY OEDEMA IN ISCHAEMIC HEART DISEASE R. M. McCredie and B. L. Chia II36 MEASUREMENT OF INSTANTANEOUS LEFT VENTRICULAR DIMENSION AND FILLING RATE IN MAN, USING ECHOCARDIOGRAPHY D. G. Gibson and D. Brown II4I RELATION BETWEEN CORONARY ARTERY SIZE AND LEFT VENTRICULAR WALL MASS B. S. Lewis and M. S. Gotsman I I50 Number i i-(continued) page CARDIAC PACING IN INCOMPLETE ATRIOVENTRICULAR BLOCK WITH ATRIAL FIBRILLATION D. S. Reid, S. J. Jachuck, and C. B. Henderson II54 ST-QR PATTERN: NEW SIGN FOR DIAGNOSIS OF ANTERIOR MYOCARDIAL INFARCTION DURING RIGHT Br Heart J: first published as on 1 July 1973. Downloaded from VENTRICULAR PACING A. Castellanos, Jr., R. Zoble, P. M. Procacci, R. J. Myerburg, and B. V. Berkovits II6I TERMINOLOGICAL PITFALLS IN CONGENITAL HEART DISEASE. REAPPRAISAL OF SOME CONFUSING TERMS, WITH AN ACCOUNT OF A SIMPLIFIED SYSTEM OF BASIC NOMENCLATURE James L. Wilkinson and Francisco Acerete II66 STRUCTURAL CHANGES IN THE PULMONARY ARTERIES AND IN TETRALOGY OF FALLOT Alison Hislop and Lynne Reid II78 LEFT-SIDED JUXTAPOSITION OF THE ATRIAL APPENDAGES. REPORT OF 4 CASES DIAGNOSED BY AND ANGIOCARDIOGRAPHY A. S. Hunter, C. B. Henderson, W. Urquhart, and M. B. Farmer II84 PERSISTENT LEFT FIFTH AORTIC ARCH IN MAN. REPORT OF TWO CASES T. Izukawa, M. E. Scott, F. Durrani, and C. A. F. Moes II90 REGIONAL PULMONARY BLOOD FLOW AFTER MITRAL VALVE SURGERY B. Kra&l, I. Krivkova, J. Endrys, J. Prochaizka, J. Kubicek, I. Jurin, Z. Belobradek, I. Kosmak, and J. Kvasnicka II96 OBITUARY: MAURICE CAMPBELL I202 CORRESPONDENCE I205 CASE REPORTS I207, I2I, I2I4

Number I2 ROLE OF AND PHONOCARDIOGRAPHY IN DIAGNOSIS OF ECHOCARDIOGRAPHY MITRAL PARAPROS- http://heart.bmj.com/ THETIC REGURGITATION WITH STARR-EDWARDS PROSTHESES H. C. Miller, D. G. Gibson, and J. D. Stephens I2I7 A NEW CATHETER TECHNIQUE FOR HIS BUNDLE RECORDINGS VIA THE ARM VEINS 0. S. Narula, M. Runge, and P. Samet I226 POLYGRAPHIC STUDIES OF THE EFFECT OF NITROGLYCERIN IN PATIENTS WITH ISCHAEMIC HEART DISEASE T. Sawayama, M. Tohara, H. Katsume, and S. Nezuo I234 DISCREPANCIES BETWEEN ELECTROCARDIOGRAPHIC AND ENZYME EVIDENCE OF MYOCARDIAL INFARCTION P. Marrott, M. P. Chopra, R. W. Portal, and C. P. Aber I240 on October 2, 2021 by guest. Protected copyright. ANTERIOR QRS FORCES IN POSTEROLATERAL INFARCTION P. Toutouzas, A. Koidakis, P. Papadopoulos, and D. Avgoustakis I245 CLASS 3 ANTIARRHYTHMIC ACTION IN MAN. OBERVATIONS FROM MONOPHASIC ACTION POTENTIAL RECORDINGS AND AMIODARONE TREATMENT S. B. Olsson, L. Brorson, and E. Varnauskas I255 EFFECT OF GLUCAGON ON INFANTS AND CHILDREN WITH ATRIOVENTRICULAR HEART BLOCK Roger A. Hurwitz I260 CIRCULATORY ASSISTANCE FOR THE FAILING HEART Leon Resnekov I265 MYOCARDIAL INFARCTION AND ORAL CONTRACEPTIVES M. Michael Kubik and B. K. Bhowmick I27I TRICUSPID COMPONENT OF FIRST HEART SOUND J. B. Lakier, K. R. Bloom, W. A. Pocock, and J. B. Barlow I275 EFFICIENCY OF A PACEMAKER CLINIC TO PREVENT SUDDEN PACING FAILURES M. H. Frick I280 COMPARATIVE STUDY OF ALPRENOLOL AND METHYLDOPA IN PREVIOUSLY UNTREATED ESSENTIAL HYPERTENSION J. A. Vodin, C.-E. Wilhelmsson, and L. Werko I285 PREGNANCY AND THE CHANGING PATTERN OF RHEUMATIC HEART DISEASE P. Szekely, R. Turner, and L. Snaith I293 DELAYED PERICARDIAL EFFUSION WITH TAMPONADE AFTER R. A. P. Scott and C. E. Drew I304 BUNDLE OF HIS ELECTROGRAMS IN CONGENITAL CORRECTED TRANSPOSITION OF THE GREAT ARTERIES. A STUDY OF TWO ADULT CASES H. S. Friedman, Janet Lipski, J. Pantazopoulos, G. Genkins, and E. Donoso I307 Number I2-(continued) page SECUNDUM ATRIAL SEPTAL DEFECT ASsocIATED WITH A CLEFT MITRAL VALVE Daniel J. Goodman and E. William Hancock I3I5 USE OF BICYCLE ERGOMETRY AND SUSTAINED HANDGRIP EXERCISE IN THE DIAGNOSIS OF PRESENCE Br Heart J: first published as on 1 July 1973. Downloaded from AND EXTENT OF CORONARY HEART DISEASE R. H. Helfant, V. S. Banka, Maria A. DeVilla, R. Pine, V. Kabde, and S. G. Meister I32I CARDIAC ECHINOCOCCOSIS: CLINICAL PICTURE AND COMPLICATIONS F. Perez-Gomez, H. Duran, S. Tamames, J. L. Perrote, and A. Blanes I326 CASE REPORTS I332, 1336,I338 INDEX I34I http://heart.bmj.com/ on October 2, 2021 by guest. Protected copyright.

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