Editorials

	Delayed protection against ventricular arrhythmias by cardiac pacing JAMES R PARRATT and AGNES VEGH Heart 1997; 78: 423-425. doi:10.1136/hrt.78.5.423 [Extract] [Full text] [PDF] [Request Permissions]
	Possible uses of gene therapy in reducing coronary restenosis S NIKOL Heart 1997; 78: 426-428. doi:10.1136/hrt.78.5.426 [Extract] [Full text] [PDF] [Request Permissions]
	The origin of symptoms in chronic heart failure A L CLARK and T MCDONAGH Heart 1997; 78: 429-430. doi:10.1136/hrt.78.5.429 [Extract] [Full text] [PDF] [Request Permissions]

Review

	The role of exercise training in chronic heart failure Robert P Wielenga, Andrew J S Coats, Willem L Mosterd, and Inge A Huisveld Heart 1997; 78: 431-436. doi:10.1136/hrt.78.5.431 [Extract] [Full text] [PDF] [Request Permissions]

Papers

	Metabolic abnormality of calf skeletal muscle is improved by localised muscle training without changes in blood flow in chronic heart failure Mitsunori Ohtsubo, Kazuya Yonezawa, Hirotaka Nishijima, Koichi Okita, Akiko Hanada, Tetsuro Kohya, Takeshi Murakami, and Akira Kitabatake Heart 1997; 78: 437-443. doi:10.1136/hrt.78.5.437 [Abstract] [Full text] [PDF] [Request Permissions]
	Blockade in congestive heart failure: persistent adverse haemodynamic effects during chronic treatment with subsequent doses Marrick L Kukin, Jill Kalman, Michael M Mannino, Cathleen Buchholz-Varley, and Ofelia Ocampo Heart 1997; 78: 444-449. doi:10.1136/hrt.78.5.444 [Abstract] [Full text] [PDF] [Request Permissions]
	Dietary determinants of ischaemic heart disease in health conscious individuals Jim I Mann, Paul N Appleby, Timothy J Key, and Margaret Thorogood Heart 1997; 78: 450-455. doi:10.1136/hrt.78.5.450 [Abstract] [Full text] [PDF] [Request Permissions]
	Reduction in treatment delay by paramedic ECG diagnosis of myocardial infarction with direct CCU admission M W Millar-Craig, A V Joy, M Adamowicz, R Furber, and B Thomas Heart 1997; 78: 456-461. doi:10.1136/hrt.78.5.456 [Abstract] [Full text] [PDF] [Request Permissions]
	Direct admission to the coronary care unit by the ambulance service for patients with suspected myocardial infarction N Prasad, A Wright, K J Hogg, and F G Dunn Heart 1997; 78: 462-464. doi:10.1136/hrt.78.5.462 [Abstract] [Full text] [PDF] [Request Permissions]
	Change in ST segment elevation 60 minutes after thrombolytic initiation predicts clinical outcome as accurately as later electrocardiographic changes I F Purcell, N Newall, and M Farrer Heart 1997; 78: 465-471. doi:10.1136/hrt.78.5.465 [Abstract] [Full text] [PDF] [Request Permissions]
	Cardiac valve calcification: characteristics of patients with calcification of the mitral annulus or aortic valve Arthur Boon, Emile Cheriex, Jan Lodder, and Fons Kessels Heart 1997; 78: 472-474. doi:10.1136/hrt.78.5.472 [Abstract] [Full text] [PDF] [Request Permissions]
	A case-control investigation of the relation between hyperlipidaemia and calcific aortic valve stenosis P T Wilmshurst, R N Stevenson, H Griffiths, and J R Lord Heart 1997; 78: 475-479. doi:10.1136/hrt.78.5.475 [Abstract] [Full text] [PDF] [Request Permissions]
	Right ventricular dysfunction during coronary artery occlusion: pressure-volume analysis using conductance catheters during coronary angioplasty Andrew Bishop, Paul White, Peter Groves, Rajiv Chaturvedi, Carl Brookes, Andrew Redington, and Paul Oldershaw Heart 1997; 78: 480-487. doi:10.1136/hrt.78.5.480 [Abstract] [Full text] [PDF] [Request Permissions]
	Changes in pulmonary artery size before and after total cavopulmonary connection Gernot Buheitel, Michael Hofbeck, Ursula Tenbrink, Georg Leipold, Jürgen von der Emde, and Helmut Singer Heart 1997; 78: 488-492. doi:10.1136/hrt.78.5.488 [Abstract] [Full text] [PDF] [Request Permissions]
	Bradykinin induced dilatation of human epicardial and resistance coronary arteries in vivo: effect of inhibition of nitric oxide synthesis Masaya Kato, Nobuo Shiode, Togo Yamagata, Hideo Matsuura, and Goro Kajiyama Heart 1997; 78: 493-498. doi:10.1136/hrt.78.5.493 [Abstract] [Full text] [PDF] [Request Permissions]
	Delayed improvement of autonomic nervous abnormality after the Maze procedure: time and frequency domain analysis of heart rate variability using 24 hour Holter monitoring Kengo Fukushima, Tetsuro Emori, Wataru Shimizu, Takashi Kurita, Naohiko Aihara, Yoshio Kosakai, Fumitaka Isobe, Katsuro Shimomura, Yasunaru Kawashima, and Tohru Ohe Heart 1997; 78: 499-504. doi:10.1136/hrt.78.5.499 [Abstract] [Full text] [PDF] [Request Permissions]

Preliminary report

Measuring serum aminoterminal type III procollagen peptide, 7S domain of type IV collagen, and cardiac troponin T in patients with idiopathic dilated cardiomyopathy and secondary cardiomyopathy Yukihito Sato, Kazuaki Kataoka, Akira Matsumori, Shigetake Sasayama, Tasuku Yamada, Haruyasu Ito, and Yoshiki Takatsu Heart 1997; 78: 505-508. doi:10.1136/hrt.78.5.505 [Abstract] [Full text] [PDF] [Request Permissions]

Case reports

	Human stress cardiomyopathy mimicking acute myocardial syndrome D Pavin, H Le Breton, and C Daubert Heart 1997; 78: 509-511. doi:10.1136/hrt.78.5.509 [Abstract] [Full text] [PDF] [Request Permissions]
	Right atrial myxoma mistaken for recurrent pulmonary thromboembolism D L Jardine and D L Lamont Heart 1997; 78: 512-514. doi:10.1136/hrt.78.5.512 [Abstract] [Full text] [PDF] [Request Permissions]

Short cases in cardiology

	Successful thrombolysis of right atrial and ventricle thrombi in a patient with peripartum cardiomyopathy and extensive thromboembolism Uwe Janssens, Heinrich G Klues, and Peter Hanrath Heart 1997; 78: 515-516. doi:10.1136/hrt.78.5.515 [Extract] [Full text] [Request Permissions]
	Successful thrombolysis with intracoronary administration of tissue plasminogen activator in an infant with Kawasaki disease Hitoshi Horigome, Toshio Sekijima, and Tomoyuki Miyamoto Heart 1997; 78: 517-518. doi:10.1136/hrt.78.5.517 [Extract] [Full text] [Request Permissions]

BCS working group

	The changing interface between district hospital cardiology and the major cardiac centres Heart 1997; 78: 519-523. doi:10.1136/hrt.78.5.519 [Abstract] [Full text] [Request Permissions]

Letters to the editor

	Hyperhomocysteinaemia, Helicobacter pylori, and coronary heart disease P H WHINCUP, M A MENDALL, I J PERRY, and D P STRACHAN Heart 1997; 78: 524. doi:10.1136/hrt.78.5.524 [Extract] [Full text] [PDF] [Request Permissions]
	Hyperhomocysteinaemia, Helicobacter pylori, and coronary heart disease V SAXENA, H MARKUS, S SWAMINATHAN, and M E MENDALL Heart 1997; 78: 524. doi:10.1136/hrt.78.5.524a [Extract] [Full text] [Request Permissions]

Miscellanea

	Stamps in Cardiology: Karl Freiherr von Rokitansky (1804-78) M K DAVIES and A HOLLMAN Heart 1997; 78: 425. doi:10.1136/hrt.78.5.425 [Extract] [Full text] [Request Permissions]
	Images in Cardiology: Left atrial dissection after mitral valve reconstruction EDITH R SCHMID, DANIEL SCHMIDLIN, and ROLF JENNI Heart 1997; 78: 492. doi:10.1136/hrt.78.5.492 [Extract] [Full text] [Request Permissions]