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Contents Vol. 21, No. 11, November 1998

Editorial

Coronary Bypass Surgery after an Acute Myocardial Infarction: Will Delaying Surgery Decrease Cardiac Events?
C. R. Conti, M.D., M.A.C.C.   793

Review

Clinical Implications of Endothelial Dysfunction
C. J. Pepine, M.D.   795

Clinical Investigations

Relationship between Joint National Committee-VI Classification of Hypertension and Ambulatory Blood Pressure in Patients with Hypertension Diagnosed by Casual Blood Pressure
Y. Inden, M.D., M. Tsuda, M.D., H. Hayashi, M.D., H. Takezawa, M.D., S. Iino, M.D., T. Kondo, M.D., Y. Yoshida, M.D., M. Akahoshi, M.D., M.Terasawa, M.D., T. Itoh, M.D., H. Saito, M.D., M. Hirai, M.D.   801

Treatment with Ramipril Improves Systolic Function Even in Patients with Mild Systolic Dysfunction and Symptoms of Heart Failure after Acute Myocardial Infarction
O. Kongstad-Rasmussen, M.D., P. Blomstrand, M.D., Ph.D., M. Broqvist, M.D., Ph.D., U. Dahlström, M.D., Ph.D., B. Wranne, M.D., Ph.D.   807

Clinical Characteristics of Ruptured Chordae Tendineae in Hospitalized Patients: Primary Tear versus Infective Endocarditis
S. Portugese, M.D., H. Amital, M.D., A. Tenenbaum, M.D., Y. Bar-Dayan, M.D., Y. Levy, M.D., A. Afek, M.D., J. Shemesh, M.D., Y. Shoenfeld, M.D.   813

Aneurysms of the Ascending Aorta: Diagnostic Features and Prognosis in Patients with Marfan's Syndrome versus Hypertension
Y. v. Kodolitsch, M.D., O. Simic, M.D., C. A. Nienaber, M.D., FACC, FESC   817

Optimum Lead Positioning for Recording Bipolar Atrial Electrocardiograms during Sinus Rhythm and Atrial Fibrillation
J. E. P. Waktare, M.D., M. M. Gallagher, M.D., A.M. Murtagh, R.N., A. J. Camm, M.D., M. Malik, M.D., Ph.D.   825

Association of Genetic Polymorphisms in the ACE, ApoE, and TGFb Genes with Early Onset Ischemic Heart Disease
S. Biggart, B.Sc., MRCP, D. Chin, MRCP, M. Fauchon, B.Sc., G. Cardew, D.Phil., L. du Fou, B.Sc., N. Harker, M.Sc., E. Quinn, RGN, C. Keller, RGN, R. Vincent, M.D., FRCP, L. Mayne, D.Phil.   831

Modulation of Ventricular Rate in Permanent Atrial Fibrillation: Randomized, Crossover Study of the Effects of Slow-Release Formulations of Gallopamil, Diltiazem, or Verapamil
G. L. Botto, M.D., W. Bonini, M.D., T. Broffoni, M.D.    837

Prior Revascularization Increases the Effectiveness of Enhanced External Counterpulsation
W. E. Lawson, M.D., J. C. K. Hui, Ph.D., T. Guo, M.D., L. Burger, R.N., P. F. Cohn, M.D.   841

Images in Cardiology

Aortic Stenosis
I. E. Godoy, M.D., and R. M. Lang, M.D.   845

Distortion of the Aorta Due to Kyphosis
R. J. Raymond, M.D., and G. J. Dehmer, M.D.   846

Short Communications

Pregnancy-Induced Severe Left Ventricular Systolic Dysfunction in a Patient with Hypertrophic Cardiomyopathy
M. Kazimuddin, M.D., A. Vashist, M.D., A. W. Basher, M.D., E. J. Brown, Jr., M.D., I. A. Alhaddad, M.D.   848

Acute Profound Thrombocytopenia after Abciximab Therapy during Coronary Angioplasty
T. Joseph, M.D., J. Marco, M.D., L. Gregorini, M.D.   851

Early Deaths with Thrombolytic Therapy for Acute Myocardial Infarction in Corticosteroid-Dependent Rheumatoid Arthritis
P. Kotha, M.D., FACC, M. J. McGreevy, M.D., FACC, A. Kotha, M.D., M. Look, M.D., M. H. Weisman, M.D., FACP   853

Uncommon Electrocardiographic Changes Corresponding to Symptoms during Recurrent Pulmonary Embolism as Documented by Computed Tomography Scans
T. Watanabe, M.D., S. Kikushima, M.D., K. Tanno, M.D., E. Geshi, M.D., Y. Kobayashi, M.D., Y. Takeyama, M.D., T. Katagiri, M.D.   858

Complicated Pericardial Cyst: Atypical Anatomy and Clinical Course
G. L. Bava, M.D., L. Magliani, M.D., D. Bertoli, M.D., P. F. Gorrieri, M.D., A. Rimini, M.D., G. Zaccagnini, M.D., A. Bertolini, M.D.   862

Profiles in Cardiology

Richard Gorlin
E. H. Sonnenblick, M.D.   865

Book Reviews

Clinical Electrocardiography: A Textbook, Second Updated Edition
The Endothelium in Clinical Practice: Source and Target of Novel Therapies
Genetic and Environmental Risk Factors of Major Cardiovascular Malformations: The Baltimore-Washington Infant Study: 1981-1989
Acute Coronary Syndromes