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Highlights from the issue
  1. Catherine M Otto
  1. Correspondence to Professor Catherine M Otto, Division of Cardiology, University of Washington, Seattle, WA 98195, USA; cmotto{at}

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Original research in this issue of Heart covers a range of topics including adult congenital heart disease, the role of imaging myocardial scar burden in adults being evaluated for an implantable cardiac defibrillator, socioeconomic inequalities in presentation and management of acute myocardial infarction, and a systematic review on the impact of smoking on the effects of clopidogrel. Some articles of particular interest to me are summarised here; readers should consult the complete articles for further details and should check the table of contents for the full content of this issue as only a few articles are highlighted here.

There currently is little data on long term outcomes in adults with congenital heart disease. Valente and colleagues (see page 247) studied outcome data in 873 adults with repaired tetralogy of Fallot from four large congenital heart disease centres in the USA, Canada and Europe. They evaluated the association between clinical outcomes and cardiac MRI measures of right and left ventricular anatomy and function, as well as clinical factors (see figure 1 …

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