Editorials

	The measurement of health related quality of life TOM TREASURE Heart 1999; 81: 331-332. doi:10.1136/hrt.81.4.331 [Extract] [Full text] [PDF] [Request Permissions]
	Identification and treatment of patients with atrial fibrillation in primary care RICHARD HOBBS Heart 1999; 81: 333-334. doi:10.1136/hrt.81.4.333 [Extract] [Full text] [PDF] [Request Permissions]
	New British recommendations for prevention of coronary heart disease in clinical practice OLE FAERGEMAN Heart 1999; 81: 335. doi:10.1136/hrt.81.4.335 [Extract] [Full text] [PDF] [Request Permissions]

Review

	Potential interests of heart rate lowering drugs T Laperche, D Logeart, A Cohen-Solal, and R Gourgon Heart 1999; 81: 336-341. doi:10.1136/hrt.81.4.336 [Extract] [Full text] [PDF] [Request Permissions]

Papers

	Determinants of an impaired quality of life five years after coronary artery bypass surgery J Herlitz, I Wiklund, K Caidahl, B W Karlson, H Sjöland, M Hartford, M Haglid, and T Karlsson Heart 1999; 81: 342-346. doi:10.1136/hrt.81.4.342 [Abstract] [Full text] [PDF] [Request Permissions]
	Prospective study of health related quality of life before and after coronary artery bypass grafting: outcome at five years N Caine, L D Sharples, and J Wallwork Heart 1999; 81: 347-351. doi:10.1136/hrt.81.4.347 [Abstract] [Full text] [PDF] [Request Permissions]
	Quality of life four years after acute myocardial infarction: short form 36 scores compared with a normal population N Brown, M Melville, D Gray, T Young, J Munro, A M Skene, and J R Hampton Heart 1999; 81: 352-358. doi:10.1136/hrt.81.4.352 [Abstract] [Full text] [PDF] [Request Permissions]
	Changes in cardiorespiratory fitness, psychological wellbeing, quality of life, and vocational status following a 12 month cardiac exercise rehabilitation programme L D Dugmore, R J Tipson, M H Phillips, E J Flint, N H Stentiford, M F Bone, and W A Littler Heart 1999; 81: 359-366. doi:10.1136/hrt.81.4.359 [Abstract] [Full text] [PDF] [Request Permissions]
	Priority points and cardiac events while waiting for coronary bypass surgery N W Jackson, M P Doogue, and J M Elliott Heart 1999; 81: 367-373. doi:10.1136/hrt.81.4.367 [Abstract] [Full text] [PDF] [Request Permissions]
	Role of risk factors for major coronary heart disease events with increasing length of follow up S G Wannamethee, A G Shaper, P H Whincup, and M Walker Heart 1999; 81: 374-379. doi:10.1136/hrt.81.4.374 [Abstract] [Full text] [PDF] [Request Permissions]
	Contribution of modern cardiovascular treatment and risk factor changes to the decline in coronary heart disease mortality in Scotland between 1975 and 1994 S Capewell, C E Morrison, and J J McMurray Heart 1999; 81: 380-386. doi:10.1136/hrt.81.4.380 [Abstract] [Full text] [PDF] [Request Permissions]
	Management of non-cardiac chest pain: from research to clinical practice R A Mayou, C M Bass, and B M Bryant Heart 1999; 81: 387-392. doi:10.1136/hrt.81.4.387 [Abstract] [Full text] [PDF] [Request Permissions]
	Coronary artery stenting in unstable angina pectoris: a comparison with stable angina pectoris P B M Clarkson, M Halim, K K Ray, S Doshi, M Been, H Singh, and M F Shiu Heart 1999; 81: 393-397. doi:10.1136/hrt.81.4.393 [Abstract] [Full text] [PDF] [Request Permissions]
	The functional significance of chronotropic incompetence during dobutamine stress test A Elhendy, R T van Domburg, J J Bax, P R Nierop, M L Geleijnse, M M Ibrahim, and J R T C Roelandt Heart 1999; 81: 398-403. doi:10.1136/hrt.81.4.398 [Abstract] [Full text] [PDF] [Request Permissions]
	Effect of repetitive episodes of exercise induced myocardial ischaemia on left ventricular function in patients with chronic stable angina: evidence for cumulative stunning or ischaemic preconditioning? C A Rinaldi, N D Masani, A Z Linka, and R J Hall Heart 1999; 81: 404-411. doi:10.1136/hrt.81.4.404 [Abstract] [Full text] [PDF] [Request Permissions]
	Arterial thromboembolism in patients with sick sinus syndrome: prediction from pacing mode, atrial fibrillation, and echocardiographic findings H R Andersen, J C Nielsen, P E B Thomsen, L Thuesen, A K Pedersen, P T Mortensen, and T Vesterlund Heart 1999; 81: 412-418. doi:10.1136/hrt.81.4.412 [Abstract] [Full text] [PDF] [Request Permissions]
	Early detection of anthracycline induced cardiotoxicity in asymptomatic patients with normal left ventricular systolic function: autonomic versus echocardiographic variables G Tjeerdsma, M T Meinardi, W T A van der Graaf, M P van den Berg, N H Mulder, H J G M Crijns, E G E de Vries, and D J van Veldhuisen Heart 1999; 81: 419-423. doi:10.1136/hrt.81.4.419 [Abstract] [Full text] [PDF] [Request Permissions]
	Spontaneous late improvement of myocardial viability in the chronic infarct zone is possible, depending on persistent TIMI 3 flow and a low grade stenosis of the infarct artery M Faraggi, G Montalescot, L Sarda, J F Heintz, D Doumit, G Drobinski, I Sotirov, D Le Guludec, and D Thomas Heart 1999; 81: 424-430. doi:10.1136/hrt.81.4.424 [Abstract] [Full text] [PDF] [Request Permissions]

Technology

	Implantable loop recorder: evaluation of unexplained syncope R A Kenny and A D Krahn Heart 1999; 81: 431-433. doi:10.1136/hrt.81.4.431 [Extract] [Full text] [PDF] [Request Permissions]

Case studies

	Platelet IIb/IIIa antagonists followed by delayed stent implantation. A new treatment for vein graft lesions containing massive thrombus N Robinson, K Barakat, and D Dymond Heart 1999; 81: 434-437. doi:10.1136/hrt.81.4.434 [Abstract] [Full text] [PDF] [Request Permissions]

Case reports

	Transcatheter closure of a mid-muscular ventricular septal defect with an Amplatzer VSD occluder device M Tofeig, R G Patel, and K P Walsh Heart 1999; 81: 438-440. doi:10.1136/hrt.81.4.438 [Abstract] [Full text] [PDF] [Request Permissions]
	Diagnostic utility of metabolic exercise testing in a patient with cardiovascular disease P M Elliott, M G Hanna, S A Ward, P F Chinnery, D M Turnbull, N W Wood, and W J McKenna Heart 1999; 81: 441-443. doi:10.1136/hrt.81.4.441 [Abstract] [Full text] [PDF] [Request Permissions]

Short cases in cardiology

	Dilated cardiomyopathy in thyrotoxicosis S Goland, S Shimoni, and O Kracoff Heart 1999; 81: 444-445. doi:10.1136/hrt.81.4.444 [Extract] [Full text] [PDF] [Request Permissions]
	Non-surgical CHOP cures right ventricular outflow obstruction J P J Halcox Heart 1999; 81: 445-446. doi:10.1136/hrt.81.4.445 [Extract] [Full text] [Request Permissions]
	Isolated unruptured aneurysm of the right sinus of Valsalva causing right ventricular outflow obstruction K M J Marques, C C De Cock, and C A Visser Heart 1999; 81: 447-448. doi:10.1136/hrt.81.4.447 [Extract] [Full text] [Request Permissions]

Letters to the editor

	Non-cardiac chest pain: a useful physical sign? RICHARD A BEST Heart 1999; 81: 450. doi:10.1136/hrt.81.4.450 [Extract] [Full text] [PDF] [Request Permissions]
	AV node ablation and implantation of mode switching dual chamber pacemakers: effective treatment for drug refractory PAF T LEVY, S WALKER, and V PAUL Heart 1999; 81: 450-451. doi:10.1136/hrt.81.4.450a [Extract] [Full text] [Request Permissions]
	Management of polycythaemia in adults with cyanotic congenital heart disease L SWAN and W S HILLIS Heart 1999; 81: 451. doi:10.1136/hrt.81.4.451 [Extract] [Full text] [Request Permissions]
	Myocardial infarction in young people with normal coronary arteries P MUSIALEK, A KARDOS, and A P BANNING Heart 1999; 81: 451. doi:10.1136/hrt.81.4.451a [Extract] [Full text] [Request Permissions]
	Value of improved treadmill exercise capacity J D SOMAUROO and D T CONNELLY Heart 1999; 81: 451-452. doi:10.1136/hrt.81.4.451b [Extract] [Full text] [Request Permissions]

Miscellanea

	Stamps in Cardiology: Phonocardiography M K DAVIES and A HOLLMAN Heart 1999; 81: 334. doi:10.1136/hrt.81.4.334 [Extract] [Full text] [Request Permissions]
	Images in Cardiology: Unilateral pulmonary oedema complicating supine bicycle exercise echocardiography H VÖLLER, C DOVIFAT, and K SCHRÖDER Heart 1999; 81: 351. doi:10.1136/hrt.81.4.351 [Extract] [Full text] [Request Permissions]
	Images in Cardiology: Acute myocardial infarction from paradoxical embolism in a case of massive pulmonary thromboembolism R BUSSANI, N PAVLETIC, and F SILVESTRI Heart 1999; 81: 430. doi:10.1136/hrt.81.4.430 [Extract] [Full text] [Request Permissions]
	Images in Cardiology: Recurrence of thymoma presenting as a superior vena cava syndrome P LEFEBVRE, A LELEUX, and C PHILIPPART Heart 1999; 81: 433. doi:10.1136/hrt.81.4.433 [Extract] [Full text] [Request Permissions]
	Images in Cardiology: Coronary artery spasm P W JOHNSTON and S W WEBB Heart 1999; 81: 448-449. doi:10.1136/hrt.81.4.448 [Extract] [Full text] [Request Permissions]

Corrections

	Heart 1999; 81: 452. doi:10.1136/hrt.81.4.452 [Extract] [Full text] [Request Permissions]