Aloka Color Doppler Scanning iSchnology Focuses on Patient ...

Aloka Color Doppler Scanning iSchnologyFocuses on Patient Comfort

A major trend incardiovascular diagnosis

Now cardiologists can obtain detailedimages from a probe placed almost

adjacent to the heart. Aloka transeso-phageal probes go behind the ribcageand lungs to overcome these obstaclesto ultrasound diagnosis The differenceis in our advanced transesophagealprobe design—powerful, flexible, andslim. For easier inser-tion and dramaticallyenhanced patientcomfort. They can beleft in place for pre-.intra-. and post-oper-ative monitoring bycardiac surgeons andanesthetists.These probes are soslim that even small children can acceptthem. Adults can swallow them whileawake, making them suitable for out-patients as well. No other method canpresent such valuable cardiac data withso little patient discomfort and somuch safety.

Smaller, more versatile designsPatient comfort and diagnostic preci-sion now come in three probe varieties.

Smaller head with ad-vanced transducer design

Because these probes are so easy toswallow, they greatly broaden the rangeof ultrasound applications.Since the introduction of the SSD-870cardiovascular sector scanner, our singleplane probe has been a primary reasonfor the recognition of the transesopha-geal technique as an essential cardiacdiagnostic tool. Now it is joined by thenew ultra-slim Aloka pediatric model,with tiny 7mm rounded head and sliminsertion tube.We are also proud to introduce a newbiplane probe. By performing twosector scans with a single probe, thisminimizes blind spots and allows threedimensional exploration, giving you evenmore information than a single planeconfiguration

Extending the powerful perfor-mance of the SSD-870Since we introduced the world s firstcommercially available ultrasonic diag-nostic scanner in I960, the Aloka namehas become synonymous with ultra-sound innovation. Our top-of-the-lineSSD-870 boasts unsurpassed imagequality, high frame rate multi-functioncine memory, and scrolling memory.With our new probes, you'll find thatthe SSD-870 now gives you morediagnostic power than ever before.

COLOR DOPPLERSSD

ALOKAALOKA CO LTD. 6-22-1 Mure,Mttaka-shi,Tokyo,181Japan Telephone:(0422)45-5111 Facsimile:(0422)45-4058 Telex:02822-344

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ic.oup.com/eurheartj/issue/10/12 by guest on 24 January 2022

EUROPEAN HEART JOURNAL

Editor-in-Chief

H. E. Kulbertus (Liege, Belgium)

Supplements Editor

D. G. Julian (London, U.K.)

Deputy Editor

L. A. Pterard Department of Cardiology, University of Liege, Liege, Belgium

Editorial Office

European Heart Journal, Academic Press, 24-28 Oval Road, London NWI 7DX, U.K.Telephone: London (01) 267 4466

Editorial Board

G. Bretthardt W.Kobler E. O. Robies de Medina(MQnster, F.R.G.) (Heidelberg, F.R.G.) (Utrecht, Netherlands)

M. Cerqoeira-Gomes F. Loogen J. R. T. C. RoeUndt(Oporto, Portugal) (Dusseldorf, F.R.G.) (Rotterdam, Netherlands)

J. Cosin L. Matos W. Rutfshaoser(Valencia, Spain) (Budapest, Hungary) (Geneva, Switzerland)

P. Coumel B. J. Menmer B. K. H. Semb(Paris, France) (Aachen, F.R.G.) (Stockholm, Sweden)

J. Delaye S. Nttter-Hauge J. L. Wiltons(Lyon, France) (Oslo, Norway) (Leuven, Belgium)

P. G. Hugenboltz O. Pachlnger A. Zanchetti(Rotterdam, Netherlands) (Vienna, Austria) (Milano, Italy)

H.-P. Krayenbuehl K. PyorSla(Zurich, Switzerland) (Kuopio, Finland)

AH members of national cardiac societies In Europe and of tbe E.S.C. Working Groups are automatically members of tbeEuropean Society of Cardiology and are entitled to receive tbe Journal at tbe special redoced rate.

EUROPEAN HEART JOURNAL: ISSN 0195-688X. Volume 10.1989. pubtohed monthly by Academic Press at 2*-28 Ovsl Road, Loodon NWI 7DX, U K. Annualsubscription price including postage: £98-00 U.K. and U.S. SI96-00 overseas. European Society of Cardiology members subscription pnee inclusive of postage:SFr 100-00 Personal subscription rate for non-members of the ES.C inclusive of postage: S78-50. Subscription orders (except for E-S.C members rate) should be sentto Academic Press I irnitrrl, Foots Cray. Sidcup. Kent OAI4 SHP. U.K. (Tel: 01-300-3322). Members subscription orders should be sent to Mrs WOma Thieme.E.C.C.O., rue Juste Olivier 22, CH-1260 Nyon, Switzerland. Send notices of change of address to the publisher at least 6-8 weeks in advance, including both old and newaddress.

Second dass postage rate paid at Jamaica, NY 11431, USA.Air freight and mailing in the U-S.A. by Publications Expediting Inc.. 200 Meacham Avenue, EUnont, NY 11003, U.S.A.U.S.A. POSTMASTERS: send change of address to EUROPEAN HEART JOURNAL, c/o Publications Expediting Inc. 200 Meacham Avenue. Ebnom, NY 11003,USA.Printed in U.K on add-free paper.

O 1989 The European Society of Cardiology. The appearance of the code at the bottom of thefirstpageof a paper in this journal indicates the copyright owner's consentthat copes of the paper may be made for personal or internal use of sped fie clients in the U i A This ransentisjtrven on the conditioii,wrlMn the U ^ ^ , that the copierpay the stated per-copy fee through the Copyright Clearance Center, Inc., 27 Congress Street, Salem, MA 01970, U.S.A.,for copying beyond that permitted by Sections107 or 108 of the VS. Copyright Law. This consent does not extend to other kinds of copying such as copying for general dolribution, for advertising or promotionalpurposes, for creating new collective works, for resale or for copying or distributing copies outside tbe U.S-A-

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Instructions for Authors

The European Heart Journal is the official Journal of the European Society of Cardiology. It is particularly concerned withpublishing work from Europe, but will accept manuscripts from all parts of the world by members and non-members of theSociety. All papers should be submitted to: European Heart Journal, Academic Press Limited, 24-28 Oval Road, LondonNW1 7DX, U.K. The following instructions also apply to authors of papers appearing in supplements.

Manuscripts: In English and in the form described below. Manuscripts not conforming will be returned immediately to theauthors. Where necessary, expert statistical advice should be sought before submission, as papers containing statisticalmaterial will in most cases be submitted to independent statistical advisers. Individual case reports will be published only if theyshed new light on some aspect of cardiology. Papers for publication must be typewritten on one side of the paper only, doublespaced and using 2-5 cm margins. Four copies must be submitted (one original and three photocopies). The author shouldretain a copy for reference as accepted manuscripts will not be returned. Four sets of artwork should also be provided.

Text: The text should be in the following sequence:1. Keywords, 2. Abstract (not to exceed 200 words), 3. Introduction, 4. Methods, 5. Results, 6. Discussion, 7. Acknowledge-ments, 8. References, 9. Tables, 10. Figure legends, II. Summary of main result (30-50 words; for Journal 'introductorynotes' section). (Format may be altered for review articles, if necessary).

The front page(s) should bear(a) Title, (b) Name(s) of authors, (c) Institution where work done, (d) Footnotes to title of paper and all addresses of authors,(e) Author to whom proofs should be sent with complete address and telephone number.

Abbreviations should NOT be used except with explanation. SI units or traditional units may be used, but the alternativeshould be quoted in brackets where appropriate. Tables should be typed on separate sheets and should be numbered witharabic numerals and should have a title. Illustrations should be identified on the back with figure number in arabic numerals,title of paper and name of the author. Legends should be typed on a separate sheet of paper. Figures should be on glossy paperand unmounted unless several are grouped together in a composite figure. Only black and white ECGs are satisfactory; if theoriginals are sent they should be protected by transparent paper. Width of ECGs should not exceed 12 cm.

References: Vancouver style, (see Br Med J 1979; 1:525-5), in the text by number and numbered in order cited, reference sectionshould be double-spaced at the end of text.

Titles of journals should be abbreviated in accordance with Index Medicus, (see list printed annually in the January issue ofIndex Medicus). Complete information should be given for each reference including title of article abbreviated journal title andinclusive pagination. List of authors for up to 6 authors; list first 3 authors for 7 or more and add el al.

Copyright/offprints: Authors submitting a manuscript do so on the understanding that if it is accepted for publication,copyright in the paper exclusive shall be assigned to the European Society of Cardiology. In consideration of the assignment ofcopyright 25 reprints of each paper will be supplied. Further reprints may be ordered at extra cost, the copyright assignmentform and the reprint order form will be sent with the proofs. The Society will not put any limitations on the personal freedom ofthe author to use material contained in the paper in other works. Papers are accepted for the journal on the understanding thatthey have not been or will not be published elsewhere in the same form, in any language.

Journal title is covered in Current Contents, ASCA, the Science Citation Index and Index Medicus.

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for mdtcations and conmndca&ons reQttdng use of tMse devices, sec me jmys»aan s manual CM package insert included »wi me device ifflBfnVfvcs a n w m n s or rvQBnrso BaowynBOi i"Wwnwy Standard t s art afranndHtlry agnMMM I M

r contact your iniermeckcs sales or uwennwm dtrocoy COSMOS Stde-Locn and

CttttMermetfccs inc MF1&2MS

Implantation, Sure and Simple.W i t h C O S M O S II. Implantation should be

easy. With COSMOS II, we make sure it's as easy asit gets.

First, the pocket you make for our 25-gram,elliptical pacemaker is the smallest required by anyDDD pacemaker.

Next, Intermedics" exclusive Side-Lock"connector lets you quickly connect both leadswith a single touch. Instant electrical contactwithout tools, set screws, or surprises.

Our receptacles are also YS-1* standard,accommodating a wider variety of leads —without adapters. COSMOS II is evenavailable with a 5 mm connector, makingit ideal for battery replacements.

And finally, the COSMOS II PacingSystem lets you follow-up and troubleshoot

quickly, easily, and of course, noninvasively.So when you close the pocket on the

world's smallest, smartest pacemaker, you canbe sure a wealth of information is still open

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Find out for yourself how sure and simpleimplantation can be with COSMOS II.

Implant one. Contact your local Intermedics'representative, available 24 hours a day,

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Fot indications and cofitfundKatiofis regarding use of these Devices see rr* ptiysiaare trademarks or regetered trademarks of Intermedws Inc

s manual or package mien included with me device or contact your intwmeOtcs saws represenuuve w intermedics directly COSMOS Rx2000 and irrtennedicsc 1989 Intermedics Inc MF162685

Fast and Easy Programming.With the COSMOS II Pacing System.

KxifXXI GRAPHICS

Using our can can make programming and follow-updelightfully simple. Because Intermedics' RxiOOO"GRAPHICS Programmer lets you dance through theentire process, step-by-step.

The inquire datafeature promptly identifiesdevice and programmedsettings, and notifies youof anv unusual conditionsautomatically.

With our exclusive batch programming, you canquickly change several parameters, all at once. Withouthaving to shuffle through seldom-used screens.

When you're ready, you can save finalprogrammed settings and diagnostic data

conveniently. Simply press PRINT ALL forfast hardcopy.

And then you can repeat theentire process with another patient.And actually get a kick out of it.

To see how the world's smallest,smartest I)I)D pacemaker is also theeasiest to program and follow-up,contact your local Intermedics'representative. Or simply implant one.

Intermedics

Quality comes to life:Boulevard du Souverain 47-Bte-24

B-11W) Brussels. BelgiumTel.: 32-2-6603036 Telex: 63618INTMED B

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For indications and contram trademarks tx ttea)m

regarding usi of fttsedcvicas, set the ptiystoan s manual Mpartaetuaert included witn the Oewce. of conua your iniemedics sates representative of imecmedics dnectrj COSMOS. Omega and intermedtcsrtsoUntanmftcstnc e 1989 IflMrnvdics. Inc MFW2685

Automatic Patient Protection.1 1 . You can't monitor patient-pacemaker

interactions every millisecond. But COSMOS 11 can do what you can't.Because our proprietary Omega™ chip doesn't just make COSMOS

II the world's smallest DDD pacemaker, it also makes it thesmartest. Capable of lasting as long as DDD pacemakerstwice its size. And providing more powerful automatic

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Like uniquebackup pacing, which

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Automatically.Built-in tachycardia termi-

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Nonphysiologic A-V delay, or safetypacing, to prevent serious complica-tions due to crosstalk. Automatically.

And a variety of other features,including adaptive'differential A-V

delay, which approximates nor-mal physiologic timing moreclosely. All designed to protectyour patient and maximize thebenefits of DDD pacing.

Automatically.

To see what COSMOS II cando for your patients, contact yourlocal Intermedics* representative.

Or simply implant COSMOS II.

Intermedks


B-1160 Brussels, BelgiumTel.: 32-2-6603036 Telex: 63618 INTMED B

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contrwMkcsUons rapnfmg us* ot these devices see the phywaan $ manual« package .nsert incuxtod tntti me dew* or conUd your miennedtcs sales represenutive w intermedics directly COSMOS VKJ Intermedics aretradenoriaorreoisttredtradeinariaollntemiedKS. inc t !989lntenT>edcs. inc Mf 16 2685

I. .„_._... t. La a a 1 n a

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Effective Problem-Solving.With COSMOS II.For follow-up and troubleshooting, our little pacemaker isthe armament of choice. Because the COSMOS II Pacing Systemgives you the insight to troubleshoot effectively.

It offers helpful annotation,marking pacemaker events andrefractory periods on bothelectrograms and surface ECGs. Soyou can see just what's happening,in real time.

It also offers true electroniccalipers, which let you preciselydetermine retrograde conductiontimes. Or measure any interval

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«? threshold test, which helps youidentify the lowest output for

capture, automatically.Plus other useful

features like ratehistograms, pace andsense counters, andmeasured telemetry. As

well as programmableunipolar or bipolar

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lo see COSMOS II troubleshooting in action, contact yourlocal Intermedics' representative. Or simply implant one.

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AnnouncingA Major New Textbook from

Bailliere Tindall

Edited by

D.G. Julian, A.J. Camm, K. Fox,R.J.C. Hall & P. Poole-Wilson

The DEFINITIVE BRITISH TEXT onCLINICAL CARDIOLOGY

A comprehensive, textbook of modem cardiological practice, representing the exten-sive experience of some of the world's leading experts in the field.

The book provides a wealth of practical information on clinical diagnosis, manage-ment and treatment of patients with heart disease. Although the book has a strongclinical emphasis the editors have included sufficient background detail on anatomy,physiology, biochemistry and pathology to provide a sound understanding of diseaseprocesses.Key features include:• A detailed chapter on congenital heart disease.• Extensive use of high quality illustrations on all non-invasive investigativemodalities (including colour Doppler.)

• Details of pharmacological treatment discussed in the context of each disease(and an extensive drug Appendix detailing usage).

• Each chapter is thoroughly referenced.

Diseases of the Heart is an outstanding volume that will prove essential to allphysicians responsible for the management of patients with heart diseases.

CONTENTS (abbreviated)Normal and Abnormal Cardiac Function • Examination and Investigation of the Patient •Disorders of Rhythm and Conduction • Disorders of the Heart and Circulation • Other

Conditions Affecting the Heart • General Principles of Management

0 7020 1260 2 circa 1700 pages Lavishly illustrated Hardback £65.00

August 1989Bailliere Tindall

The Marketing Depu Harcourl Brace Jovanovich Ltd, 24-28 Oval Road London NW1 7DX UK.

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HYOSCINT®L NEW ERA IN CARDIAC IMAGING

The location and extentof myocardial necrosiscan now be imaged witlthe highly sensitive andspecific radio-labelledmonoclonal antibodyMYOSCINT.Extensive clinical studiehave demonstrated thesafety and clinical utilitof MYOSCINT.

MYOSCINT can be usecfor risk stratification inpatients with myocardunecrosis and for thedefinitive diagnosis ofmyocardial infarction.

[YOSCINTIE ONLY MONOCLONAL ANTIBODY)R IMAGING MYOCARDIAL NECROSIS.

Centoco.TOCOK EUROPE B.V

'STEINWEG 101-m BOX 251-) AC. LEIDEN - THE NETHERLANDS.(31)71 15K4 44

Specializing in MAb Mediant

• MV(lSt'INT K ,\ Kwislnti I r.uiom.irk of <Vn

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