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American college of cardiology news
AMERICAN COLLEGE OF CARDIOLOGY NEWS
PRESIDENT’S PAGE: How to Persuade the U.S. Congress to Appropriate More Money for Heart Research
Borys Surawicz, MD, FACC
At the end of April, the United States House of Representatives Subcommittee on Labor, Health, Education and Welfare of the Committee on Appropriations, chaired by Rep. W. Natcher (D., KY.), was in public session to hear the statements from the constituency interested in commenting on appropriate portions of the President’s budget. As has been customary in the past, the President of the American College of Cardiology was invited to testify on behalf of the FY 1980 Health Appropriations for the National Heart, Lung, and Blood Institute (NHLBI). The current NHLBI budget is about $506 million approximately half of that of the National Cancer Institute. President Carter’s budget for 1980 proposed to hold the NHLBI at the 1979 level. Excluding the mandatory expenditures for Lung and Blood programs, about $354 million re: main for Heart and Cardiovascular research. Most of this money has already been committed to various on-going programs, aliowing little funding of new meritorious research programs. The College recommends an increase in the Heart and Vascular program budget of
about $38 million to fund a greater fraction of the worthwhile projects approved by the Advisory Council of the NHLBI. Arriving on a warm morning in Washington, whose spring decor included a profusion of flowering shrubbery and tulips on Capitol Hill, I clutched 25 copies of my prepared statement, getting ready to make “an impact” on our legislators. A bit disappointing was the discovery that I could speak for only 10 minutes, an understandable limitation considering the number of witnesses eager to present their views on various portions of the proposed budget. Ten minutes, I consoled myself, should be enough, after all, to develop a good argument. The text of my oral presentation (the submitted written o&s was longer, more technical, precise and specific) was as follows: “The American College of Cardiology appreciates the opportunity to appear before this Committee to express our views concerning appropriitions for fiscal year 1980 for the National Heart, Lung, and Blood Institute. When I recommend spending more money, I must justify it to myself as a concerned taxpayer and a citizen cognizant of the enormous problems caused by inflation, deficit budgeting and the competition for the wisest investment of the tax dollar. In this case I have no hesitation over my conviction that the investment we are proposing is eminently sound, necessary, prudent and promising a generous return to us and to future generations. I am promoting a product that is unique in importance to our health and to the future of our society. What are our goals in the area of health? We have never defined them accurately because we do not know precisely how far we can push the frontiers of life expectancy and how much we ten retard the senility of the mind and body. We know that we are not immortal: we suspect that there are well defined biologic limits to the life span and the integrity
Augud
1979
of the organism. But within these boundaries we would like to be in control of our fate. A brief glance at the history of mankind illustrates that humanity has made phenomenal strides toward this goal. In the past, our struggle was directed against other living organisms that were multiplying at the cost of our bodies. The enemy was not vistble then. It was necessary to develop the microscope to see bacteria and the electron microscope to see viruses. When they became visible, when their structure, metabolism, life cycle and natural defenses were identified, the scientist was able to eradicate the parasites within our bodies and extend the human life span from 20 or 30 years to 70 or 80 years, all within half a century. Where do we stand now? And what are the enemies to be destroyed? First, we must acknowledge that, although the average life expectancy is a useful index, it is not the key factor in our problem. We are averaging the lives of those who die gently and inevitably in their sleep at the age of 90 with those of my colleagues and yours who die in their 40’s, 50’s and 60’s while working at a desk, taking a shower, driving a car or jogging on the street. These deaths cause an entirely different reaction because they remove people in the midst of their most productive periods. Each year we lose many hundreds of thousands in these age groups (mostly men but also women) because of a phenomenon called sudden cardiac death, an apparent short circuit of the electrical ignition system of our heart pump. Not everyone with coronary artery disease dies suddenly. We have another problem of prolonged illness and disability due to angina pectoris, myocardial infarction and congestive heart failure, which affect hundreds of thousands of new victims each year, many in the prime of life. We know that the heart pump itself is designed for a very long life; at fault are the blood vessels. When they become ob-
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AMERICAN COLLEGE OF CARDIOLOGY NEWS
of hypotheses and experimental designs, lead first to limited and then to broadened clinical trials, which in turn produce sound recommendations for treatment and prevention. We firmly believe that the most important forms of cardiovascular and cerebrovascular disease are preventable. We must obtain more knowledge through more research. The NHLBI can be extremely proud of its achievements. I believe that we are the only country in the western world where the mortality rate due to cardiovascular disease is declining. Because cardiovascular disease is the leading cause of mortality, this decline therefore affects total mortality and represents a significant achievement. We attribute this primarily to the sponsored research and related activities. Because this success must continue, we are still far from our ultimate goal. We should not abandon efforts where success has been proven, where scientists have good ideas, workable hypotheses and excellent designs for controlled studies. From personal experience and from that of my colleagues, I know that the Institute is both demanding and stingy. I assure you that in most cases it is easier to write a book than to prepare a fundable research application to NHLBI. Many applications are rejected for numerous reasons-inadequate support for the hypothesis, poor experimental design, insufficient amount of new information to be gained, duplication of efforts, wastefulness, and so forth. They are first peerreviewed by jealous competitors who are looking for flaws and inaccuracies; then they go to the scrutinizing Council for approval and rating in terms of priorities. When they are approved it means that the research proposal is workable, promising and properly budgeted. If we do not increase the FY 1980 budget proposed by the Administration,
strutted. blood flow ceases, causing heart attack or stroke, another lethal or crippling vascular disease. These facts are, of course, well known; what is not as well known is that these events are not inevitable. When people marched in solemn processions praying to ward off the medieval plague, their problem was not knowing that the cause was the bacillus pestis; nor did they guess that this organism could be destroyed by a few grams of an antibiotic drug. In our times, cardiovascular and cerebrovascular disease are the equivalents of the medieval plague. They pull from our ranks, seemingly at random, our relatives, friends, colleagues and leaders. I must repeat that they are not inevitable. Some civilizations appear to be free of this plague. We may say they do not eat and live as well, do not travel as comfortably, do not sit as much in front of TV sets, but this is precisely what we need to know. We must be able to tell our people what they should or should not do to prevent myocardial infarction, stroke and sudden cardiac death. We understand that something in our way of life forms the germs of our destruction. We begin to identify them as risk factors-for example, heredity, high blood pressure, cigarette smoking, blood lipids or lack of exercise. But before we can make intelligent recommendations on how or how not to live, we need to know much more than we know today. We must obtain such knowledge through sound basic research, solid clinical investigation and well designed clinical trials. The National Heart, Lung, and Blood Institute supports a remarkably balanced research program. Under this program advances in basic laboratory research are sifted out and molded into working hypotheses, and clinical investigation produces facts and ideas that then go back to the laboratories for testing. The final products, in the form
NEW COLLEGE MEMBERS The following individuals were elected to membership in the American College of Cardiology on June 4, 1979 in the category indicated.
FELLOWSHIP BARRETT, Peter A., MB, BS, Sydney, Australia BHAYANA, Joginder N., MD, Buffalo, NY
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the institute will be able to fund only 18 percent of the approved competing new and renewal research projects, and will not be able to initiate any new contract proposals. In the text of my written testimony, I have listed some of the most important and exciting ideas awaiting funds. Mr. Chairman and distinguished Members of this Subcommittee, on behalf of the American College of Cardiology, I wish to express our gratitude for allowing us to present our views on this important subject. Thank you.” As I was leaving the room after the Chairman’s courteous “Thank you, doctor,” I could not help wondering about the impact of such testimony. The patient congressmen are exposed to hundreds of similar appeals. The hearings go on from the early morning till late evening, with occasional interruptions by bells summoning them to a vote in the plenary session. What kind of eloquence and persuasion could break the tedium and monotony of pleas for more money? This is difficult to answer. Trying to rate my performance objectively I ranked myself below my two predecessors; an eloquent spokesman for Cooley’s anemia and two charming representatives of student nurses. Still, it might have been worth a day’s absence from work. I have divulged my text not as a particularly incisive, persuasive or clever statement, but as a sample of material to be amplified and strengthened by everyone who shares my belief that money spent on heart research is a good investment for our society. If you believe this, tell your legislator with as much gusto and persuasion as you can muster. Borys Surawicz, MD, FACC President American College of Cardiology
BYRD, Charles L., MD, Miami Beach, FL CASTLE, Lon W., MD, Cleveland, OH COMBS, Robert L.. MD, Modesto, CA CONNELLY, Gilbert P., MD, Boston, MA CORBETT. Brian N., MD, Winnipeg, Canada CORSO, Paul J.. MD, Washington, DC COTE, Pierre, MD, Montreal, Canada CUMMINGS, Peter, MD, Visalia, CA DAVISON, Richard, MD, Chicago, IL DeMEESTER, Tom R., MD, Chicago, IL
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DORCHAK, Joseph R., MD, Spartanburg, SC ELIASCH, Harald M., MD, Stockholm, Sweden ELLIS, Robert J., MD, San Francisco, CA FERNANDO, Hemal A., MB. BS, Visalia, CA FINKELSTEIN, Lorne S., MD, Hamilton, Canada FINKLEA, John L., MD, Montgomery, AL
FIROR, Whitmer B., MD, Saskatoon, Canada
AMERICAN COLLEGE OF CARDIOLOGY NEWS
GAARDER, Thomas D., MD, Fullerton, CA GAMBLE, Robert N., MD, Evanston, IL GIWA, Lateef 0.. MB, BS, Stony Brook, NY GLASSMAN, Robert D.. MD, Indianapolis, IN GOLD, Richard N.. MD, Los Angeles, CA GOODMAN, Lloyd S., MD, Savannah, GA GRIFFIN, John S., MD, Texarkana, TX HAGER, W. David, MD, Tucson, AZ HAKIMI-NAINI, Mehdi. MD, Detroit, Ml HARDARSON, Thordur, MD, PhD, Reykjavik, Iceland HEIBEL, Richard H., MD, Erie, PA HIGGINS, Charles B., MD, San Diego, CA HUMBERT, Vernon H., Jr., MD, Lexington, KY KIM, William In Ki, MD, Elk Grove Village, IL LESSER, Laurence M., MD, East Point, GA LICHTENBERG, Stephen B.. MD, Poughkeepsie, NY LIES, James E., MD, Wichita, KS LOPEZ, Leonardo V., MD, Miami, FL LOPEZ, Wilberto L.. MD, Quezon City, Philippines MANDAL, Ashis Kumar, MBBS, Los Angeles, CA MARY-RABINE, Luc, MD, Liege, Belgium MASON, James L., MD, St. Petersburg, FL MASROOR. Mohammad A., MBBS, Savannah, GA MATTHEWS, Oliver P., Jr., MD, Portsmouth, VA MclLDUFF, Joseph B., MD, Albany, NY MYERS, William O., MD, Marshfield, WI NAIR, Rameschandran K., MB. BS, Fort Worth, TX ORLICK, Arthur E., MD, Buffalo, NY PARENT, Gerard T., MD, Wauwatosa, WI PATADIA, Bipin C.. MB, BS, Pomona, CA PEARLMAN, Alan S., MD, Seattle, WA PIPKIN, Robert D., MD, Palo Alto, CA PLAUTH, William H., Jr., MD, Atlanta, GA POOLE, Patrick D., MD, Birmingham, Ml RADOFF, Alan M., MD, New Haven, CT RATAN, Rangson R., MD, Peoria, IL RATHOD, Ramesh H., MBBS, Irvine, CA REISIG, A. Henry, Jr., MD, Spokane, WA RICCIO, Albert H.. MD, Smlthtown, NY RICHARDS, John G.. MB, BS, Sydney, Australia RICHMOND, David R., MB, ChB, Sydney, Australia RIMMER, Robert H., Jr., MD, Milton, MA ROGERS, Richard C.. MD, Portland, OR ROSKAMM, Helmut, MD; Bad Krozingen, West Germany RYZOFF, Ronald I., MD, Hewlett Bay Park, NY SABAWALA, Phiroze B., MBBS. Houston, TX SCHLOSS, Michael, MD, New York, NY SELDON. Mark A., MD, New York, NY SINGH, Arun K.. MBBS, Providence, RI
SIQUEIRA-FILHO, Aristarco G., MD, Rio de Janeiro, Brazil SPITLER, Allen L., MD, Madisonville, KY SPIVACK, Nordy S., MD, Garden Grove, CA SRIDHARAN, Marandapalli R., MBBS, Louisville, KY STEVENSON, Roger, Jr., MD, Rockville, MD TAEGTMEYER, Heinrich. MD, Oxford, England THOMASON, Henry C., Jr., MD, Gastonia, NC TRITEL, Harvey, MD, Fort Myers, FL URINA-DAZA, Manuel A., MD, Barranquilla, Colombia URRUTIA, Hector, MD, San Salvador, El Salvador WALDMAN, Jon Deane, MD, San Diego, CA WALL, Rod A., MD, Johnstown, PA WALLACH, Ronald, MD, Armonk, NY WARDEN, Herbert E., MD, Morgantown, WV WEBER, Michael A., MB, BS, Long Beach, CA WIGLE, Ernest D., MD, Toronto, Canada WILSON, John Newhall, MD, Albuquerque, NM WRAY, Everett B., Ill, MD, Huntington, WV WYNDHAM, Christopher R. C., MBBS, Chicago, IL YORAN, Chaim, MD, Bronx, NY ZAKI, Emil Sadek. MD, Cairo, Egypt ZESK, John S., MD, Meriden, CT ZORRILLA, Carlos D., MD, Louisville, KY ADVANCE
TO FELLOWSHIP
ARANDA, Juan M., MD, San Juan, PR BLOCH, Winston N., Jr., MD, Quincy, IL DAS GUPTA. Ramanuja, MBBS, Calcutta, India FETEIH. Nizar M., MD, Riyadh, Saudi Arabia FOSTER, Peter Ray, MD, Indianapolis, IN GEBUHR, Carl J., MD, Muskegon, Ml HALPE, Dudley C. E., MBBS, Phoenix, AZ HUSAIN, lnayat S., MBBS, Park Ridge, IL JAFFE, Jonathan R., MB, ChB, Hollywood, FL KHAN, Abdul H., MB, BS, Pawtucket, RI LOH, Christopher W., MB, BS, Carmarillo, CA MASELLI-CAMPAGNA, Giuseppe L., MD, Bari, Italy MEYER, Barry L., MD, Visalia, CA MONTERO-CASARRUBIOS, Alfredo. MD, Houston, TX OH, Winston Min-Chung, MB, BCh, Singapore, Singapore OWENS, William C., MD, Boise, ID PALMERO. Hugo A., MB, PhD, Cordoba, Argentina PEASE, Howard F.. MD, El Paso, TX RAY, Michael E.. MD, Fairfield, CT REES, Allan H., MD, Louisville, KY REITMAN, Milton J., MD, Manhasset, NY
August 1979
RICKS, William B., MD, San Jose, CA SANTOS, Alvani D., MD, Rochester, NY SHORE, Richard T., MD, Milwaukee, WI STERN, Alan G., MD, Trenton, NJ TAMBE, Alan A., MD, Cleveland, OH UTSU, Fumihiko. MD, Kurume, Japan ASSOCIATE
FELLOWSHIP
ABNEY, Robert L., III, MD, Jackson, MS ALI, Abdul, M.B., BS, Houston, TX BROWN, Daniel C., MD, Bellingham, WA CAVANAUGH, Daniel G., MD, El Paso, TX COST, F. Howard, Jr., MD, Martinsburg, WV DAS, Dines C., MD, St. Cloud, FL EASOW, Babu, MBBS, Travis AFB, CA ERNEST, Antony C., MBBS. Lancaster, CA GARDBERG, Leonard J., MD, Winter Park, FL GELBERG, Harris Jay, MD, Santa Barbara, CA GIEDWOYN, Jerzy 0.. MD, Portland, OR HARPER, John M., MD, Hendersonville, NC HOOD, W. Stephen, MD, Hagerstown, MD JACOBS, Julian H., MD, Monticello, NY JAFFE, Allan S., MD, St. Louis, MO KOTHARI, Anil G., MBBS, Browns Mills, NJ LARSON, Arthur W., MD, Schenectady, NY MCGINNIS. Andrew W. H.. MD, Stamford, CT MOHANTY, Harish, MD, Bombay, India NAKORNCHAI, Vimol, MD, Bloomington, IL PALLARES, Frank, MD, San Antonio, TX PATEL, Bhadresh A., MBBS, Freeport, IL PUROHIT, Girish, MB, BCh, South Boston, VA ROTHMAN, Howard C., MD, Fort Lee, NJ SAINATH, Shavkarlingam, MBBS, Fountain Valley, CA SHRESTHA, Narsingh K.. MD, Kathmandu, Nepal TODD, Jane L., MD, Phoenix, AZ VALDES, Mariano, MD, PhD, Valencia. Spain VAS, Ran, PhD., Los Angeles, CA WISTRAN, Daniel C., MD, Lynn, MA ZAMARRA, John W., MD, Fullerton, CA ADVANCE
TO ASSOCIATE
FELLOWSHIP
KAUSHIK, Vidya S., MB, BS, Los Angeles, CA VUCINIC, Mihailo, MD, Beograd, Yugoslavia
AFFILIATE ATTAR, Mohammed, MD, Houston, TX KHAN, M. Qaisar A., MBBS, West Covina. CA MATSUNO, Masayoshi, MD, Fullerton, CA MORANT, Victor A.. MD, Cleveland, OH PICHLER, Maximilian W., MD, Vienna, Austria SAHOTA, Harvinder. MBBS, Seal Beach, CA
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AMERICAN COLLEGE OF CARDIOLOGY NEWS
CALENDAR OF EXTRAMURAL PROGRAMS The aim of each program is to increase the theoretical and practical knowledge of the normal and abnormal function of the cardiovascular system in man. Most of the programs are pertinent to direct care of patients with heart disease. The need for such programs increases with the ever increasing amount of scientific and clinical data, the constant changes in technology and methodology, and the greater availability of therapeutic options. Today most cardiologists, internists and family practitioners feel the need of supplementing their professional reading by direct contact with the authors, research workers and leaders in the field. To solve these problems the Committee selects each year series of carefully super-
vised programs which are usually preceded by extensive consultations with the program directors recruited among the foremost specialists educators and scientists in the field of clinical cardiology and allied basic science disciplines. Although each program director is personally responsible for the choice of faculty, and the structure of the program, the National Committee of Continuing Education assumes the overall responsibility for the caliber of the postgraduate education and the relevance to the practice of cardiology. This is accomplished by the processes of meticulous scrutiny of the objectives, analysis of the educational methods, and studying the impact of each course on the knowledge and attitudes
of the participants.
These programs should help each physician to keep up with the new knowledge, to put into practice the new advances and to retract gracefully from the obsolete and useless practices. An effective practitioner must learn and relearn, listen to new ideas, share past experiences and observe the work of his peers. The National Program Committee for Continuing Medical Education of the American College of Cardiology believes that these goals can be accomplished by all members and nonmember professionals participating in our continuing education programs. Leonard S. Dreifus, MD, FACC Chairman, Continuing Education Committee for Extramural Programs
Programs and faculty are subject to change. For further information write Registration Secretary, Extramural Programs Department, American College
of Cardiology,
Heart House, 9111
Old Georgetown
Road, Bethesda,
Maryland 20014.
AUGUST 1979 THROUGH DECEMBER 1979 TO be arranged indlvldually
Preceptorshlpa In Cardiology. Arthur Seizer, FACC, director, Pacific Medical Center, San Francisco, CA
To be arranged individually
Preceptorships in Cardiology. Jules Constant, FACC, director. Buffalo General Hospital, Buffalo, NY
AUG. 25-27
Tutorials in the Tetons: Cardiac Emergencies (Fifth Annual). Robert S. Eliot, FACC and Alan D. Forker, FACC and Gerald L. Wolf, co-directors. Jackson Lake Lodge, Moran, WY
SEPT. 10-13
OCT. 19-20
Electrocardiography: Core Curriculum and Self-Assessment. Arthur Seizer. FACC, director. Fairmont Hotel, San Francisco, CA
SEPT. 17-19
Advanced Echocardiography. Harvey Feigenbaum, FACC. director and Betty C. Corya, James C. Dillon, FACC and Arthur E. Weyman, FACC. co-directors. Hyatt Regency Hotel, Indianapolis, IN
398
OCT. 22-23
Electrocardiography: Core Curriculum and Set&Assessment. Paul L. McHenry, FACC, director and Charles Fisch. FACC, co-director. Hilton Hotel (Downtown, Indianapolis), Indianapolis, IN
Sept. 10-13
OCT. 11-13
Gazes, FACC, director and Charles P. Summerall, III, FACC. Grady H. Hendrix. FACC, William H. Barnwell, II, FACC, Bruce W. Usher, FACC. J. Lindsay Leviner, FACC, Robert G. Irvin and Larry E. Kibler, co-directors. Kiawah Island Inn. Kiawah Island. Charleston, SC
New Concepts in Management of Congestive Heart Failure. Peter C.
August 1878
Cardiology Update-1979. William W. Parmley, FACC,andKanu Chatterjw, FACC, co-directors. Del Monte Hyatt House, Monterey, CA
DEC. 2-5
Coronary, Valvutar, Hypertensive and Myocardial Heart Diseases: The Mutti-dlaclpllnary Approach. William C. Roberts, FACC, director. Williamsburg Conference Center, Williamsburg Lodge, Williamsburg, VA
DEC. 7-9
Advances in Heart Disease 1960. Dean T. Mason, FACC. director. Fairmont Hotel, San Francisco, CA
DEC. 12-14
Cross-Sectional Echocardlography vs. Cardiac Nuclear Imaging. Joel Morganroth. FACC, director. Fairmont Hotel, Philadelphia, PA
DEC. 14-16
Clinical Decisions in Cardiovascular Disease. Henry I. Russ&. FACC. director. Sheraton Centre. New York, NY
Correlations in lschemic Heart Disease. Leonard S. Genes. FACC, director. Carolina Inn, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC
OCT. 25-27
New Techniques and Concepts in Cardiology. Coronary Artery Dlsease: Rehabllilatlon, Surgery, Coronary Spasm, Balloon Dtlatatlon: Valvular Heart Dlseaq Hypertrophic Cardiomyopathy. Stephen E. Epstein. FACC. director. Hyatt Regency .Hotel, Wash: ington. DC
NOV. 5-14
Cardiology tor the Consultant: ACllnician’s Retreat. E. Grey Dimond. FACC and James E. Crockett, FACC. codirectors. Ran&o Santa Fe Inn. Ranch0 Santa Fe, CA
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COLLEGE NEWS
LEARNING CENTER: PROGRAM CALENDAR
The American College of Cardiology’s newest department, the Learning Center, located at the College’s Bethesda Maryland headquarters, began operations in October 1977 with the offering of its first continuing medical education program for physicians with a specialty or an interest in cardiovascular medicine. The purpose of the Learning Center is to support the professional commitment to quality patient care by providing
a new standard of excellence in cardiovascular continuing education. For additional information concerning the programs listed below or for a complete schedule of programs through December 1979, contact Program Coordinator, Learning Center, American College of Cardiology, 9111 Old Georgetown (301) 897-5400.
Road, Bethesda, Maryland 20014. Telephone
SEPTEMBER 1979 THROUGH NOVEMBER 1979 Month/Dates
Course Director
Title of Program
Sept. S-7
J. O’Neal Humphries, MD
Coronary Care Units: Management of Patients With Acute Myocardiai infarction
Sept. lo-11
Dan G. McNamara, MD
Decisions in Clinical Pediatric Cardiology
Sept. 17-19
Louis Lemberg, MD
CCU Update for Nursing Supervisors
Sept. 24-26
Kenneth M. Rosen, MD
The Electrophysioiogic Basis for Diagnosis and Therapy of Arrhythmla
Sept. 27-26
Douglas P. Zipes, MD
Pacing Frontiers: Physiological Pacing and Arrhythmia Control
Oct. 6-11
Leonard S. Dreifus, MD
Mechanisms and Therapy of Cardiac Arrhythmias
0~1.16-17
Marvin Moser, MD
Hypertension
Oct. 29-31
Max Harry Weil, MD
Emergency Care of the Critlcaily ill Patient
Nov. l-3
Barrie Levitt, MD
Cardiovascular Therapeutics
Nov. 26-30
William W. Parmley, MD
Non-invasive Cardiovascular Procedure: Principles and Clinical Applications
ANNUAL SCIENTIFIC SESSION AMERICAN COLLEGE OF CARDIOLOGY 29th
Houston, Texas
l
Abstracts Entries
l
l
must be postmarked
no later than September
17, 1979
Technical Exhibits Deadline for requests for space: October 5, 1979 Scientific Exhibits Deadline
l
March g-13,1980
for requests
for space:
October
5, 1979
Young Investigators’ Awards Competition Entries
must be postmarked
no later than November
1, 1979
For application of
forms, write Patrick A. Ziarnik, Director, Annual Scientific Session Department. Cardiology, Heart House, 9 7 17 Old Georgetown Road, Bethesda, Maryland 200 74.
August
1979
The American
Journal
American
College
of CARDIOLOGY
Volume 44
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COLLEGE NEWS
AMERICAN
COLLEGE OF CARDIOLOGY Announces . . .
AFFILIATE IN TRAINING MEMBERSHIP For Physicians in Cardiovascular
Related Training Programs
Candidates for this membership category must be current full-time trainees in a recognized cardiovascular (adult, pediatric, surgical) related program in fulfillment of requirements for admission to a subspecialty board examination which holds membership in the American Board of Medical Specialties. Upon completion of training and in order to maintain an affiliation with the College, the members are encouraged to apply to the Credentials Committee for status in one of the other three membership categories. The application for Affiliate in Training must be signed by the Director of the applicant’s training program and two sponsors, both of whom must be Fellows of the College. One of the sponsors may be the Director of the training program, provided he is a Fellow of the College. The annual dues for an Affiliate in Training are $25.00.
Advantages to the Affiliate in Training 1. Subscription College.
to The American Journal of Cardiology, the official journal of the
2. Reduced fees for all educational 3. Preference for enrollment registration.
programs of the College.
in programs sponsored by the College with a limited
4. Receipt of the quarterly publication, 5. Participation the College.
Cardiology, the newsletter
of the College.
in all affairs of the College as a member rather than as a guest of
Those desiring an application form should write to Ms. Margaret E. Coffey, Director, Membership Department, American College of Cardiology, 9111 Old Georgetown Road, Bethesda, Maryland 200 14.
400
August 1879
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PRESIDENT’S PAGE: How to Persuade the U.S. Congress to Appropriate More Money for Heart Research
Borys Surawicz, MD, FACC
At the end of April, the United States House of Representatives Subcommittee on Labor, Health, Education and Welfare of the Committee on Appropriations, chaired by Rep. W. Natcher (D., KY.), was in public session to hear the statements from the constituency interested in commenting on appropriate portions of the President’s budget. As has been customary in the past, the President of the American College of Cardiology was invited to testify on behalf of the FY 1980 Health Appropriations for the National Heart, Lung, and Blood Institute (NHLBI). The current NHLBI budget is about $506 million approximately half of that of the National Cancer Institute. President Carter’s budget for 1980 proposed to hold the NHLBI at the 1979 level. Excluding the mandatory expenditures for Lung and Blood programs, about $354 million re: main for Heart and Cardiovascular research. Most of this money has already been committed to various on-going programs, aliowing little funding of new meritorious research programs. The College recommends an increase in the Heart and Vascular program budget of
about $38 million to fund a greater fraction of the worthwhile projects approved by the Advisory Council of the NHLBI. Arriving on a warm morning in Washington, whose spring decor included a profusion of flowering shrubbery and tulips on Capitol Hill, I clutched 25 copies of my prepared statement, getting ready to make “an impact” on our legislators. A bit disappointing was the discovery that I could speak for only 10 minutes, an understandable limitation considering the number of witnesses eager to present their views on various portions of the proposed budget. Ten minutes, I consoled myself, should be enough, after all, to develop a good argument. The text of my oral presentation (the submitted written o&s was longer, more technical, precise and specific) was as follows: “The American College of Cardiology appreciates the opportunity to appear before this Committee to express our views concerning appropriitions for fiscal year 1980 for the National Heart, Lung, and Blood Institute. When I recommend spending more money, I must justify it to myself as a concerned taxpayer and a citizen cognizant of the enormous problems caused by inflation, deficit budgeting and the competition for the wisest investment of the tax dollar. In this case I have no hesitation over my conviction that the investment we are proposing is eminently sound, necessary, prudent and promising a generous return to us and to future generations. I am promoting a product that is unique in importance to our health and to the future of our society. What are our goals in the area of health? We have never defined them accurately because we do not know precisely how far we can push the frontiers of life expectancy and how much we ten retard the senility of the mind and body. We know that we are not immortal: we suspect that there are well defined biologic limits to the life span and the integrity
Augud
1979
of the organism. But within these boundaries we would like to be in control of our fate. A brief glance at the history of mankind illustrates that humanity has made phenomenal strides toward this goal. In the past, our struggle was directed against other living organisms that were multiplying at the cost of our bodies. The enemy was not vistble then. It was necessary to develop the microscope to see bacteria and the electron microscope to see viruses. When they became visible, when their structure, metabolism, life cycle and natural defenses were identified, the scientist was able to eradicate the parasites within our bodies and extend the human life span from 20 or 30 years to 70 or 80 years, all within half a century. Where do we stand now? And what are the enemies to be destroyed? First, we must acknowledge that, although the average life expectancy is a useful index, it is not the key factor in our problem. We are averaging the lives of those who die gently and inevitably in their sleep at the age of 90 with those of my colleagues and yours who die in their 40’s, 50’s and 60’s while working at a desk, taking a shower, driving a car or jogging on the street. These deaths cause an entirely different reaction because they remove people in the midst of their most productive periods. Each year we lose many hundreds of thousands in these age groups (mostly men but also women) because of a phenomenon called sudden cardiac death, an apparent short circuit of the electrical ignition system of our heart pump. Not everyone with coronary artery disease dies suddenly. We have another problem of prolonged illness and disability due to angina pectoris, myocardial infarction and congestive heart failure, which affect hundreds of thousands of new victims each year, many in the prime of life. We know that the heart pump itself is designed for a very long life; at fault are the blood vessels. When they become ob-
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AMERICAN COLLEGE OF CARDIOLOGY NEWS
of hypotheses and experimental designs, lead first to limited and then to broadened clinical trials, which in turn produce sound recommendations for treatment and prevention. We firmly believe that the most important forms of cardiovascular and cerebrovascular disease are preventable. We must obtain more knowledge through more research. The NHLBI can be extremely proud of its achievements. I believe that we are the only country in the western world where the mortality rate due to cardiovascular disease is declining. Because cardiovascular disease is the leading cause of mortality, this decline therefore affects total mortality and represents a significant achievement. We attribute this primarily to the sponsored research and related activities. Because this success must continue, we are still far from our ultimate goal. We should not abandon efforts where success has been proven, where scientists have good ideas, workable hypotheses and excellent designs for controlled studies. From personal experience and from that of my colleagues, I know that the Institute is both demanding and stingy. I assure you that in most cases it is easier to write a book than to prepare a fundable research application to NHLBI. Many applications are rejected for numerous reasons-inadequate support for the hypothesis, poor experimental design, insufficient amount of new information to be gained, duplication of efforts, wastefulness, and so forth. They are first peerreviewed by jealous competitors who are looking for flaws and inaccuracies; then they go to the scrutinizing Council for approval and rating in terms of priorities. When they are approved it means that the research proposal is workable, promising and properly budgeted. If we do not increase the FY 1980 budget proposed by the Administration,
strutted. blood flow ceases, causing heart attack or stroke, another lethal or crippling vascular disease. These facts are, of course, well known; what is not as well known is that these events are not inevitable. When people marched in solemn processions praying to ward off the medieval plague, their problem was not knowing that the cause was the bacillus pestis; nor did they guess that this organism could be destroyed by a few grams of an antibiotic drug. In our times, cardiovascular and cerebrovascular disease are the equivalents of the medieval plague. They pull from our ranks, seemingly at random, our relatives, friends, colleagues and leaders. I must repeat that they are not inevitable. Some civilizations appear to be free of this plague. We may say they do not eat and live as well, do not travel as comfortably, do not sit as much in front of TV sets, but this is precisely what we need to know. We must be able to tell our people what they should or should not do to prevent myocardial infarction, stroke and sudden cardiac death. We understand that something in our way of life forms the germs of our destruction. We begin to identify them as risk factors-for example, heredity, high blood pressure, cigarette smoking, blood lipids or lack of exercise. But before we can make intelligent recommendations on how or how not to live, we need to know much more than we know today. We must obtain such knowledge through sound basic research, solid clinical investigation and well designed clinical trials. The National Heart, Lung, and Blood Institute supports a remarkably balanced research program. Under this program advances in basic laboratory research are sifted out and molded into working hypotheses, and clinical investigation produces facts and ideas that then go back to the laboratories for testing. The final products, in the form
NEW COLLEGE MEMBERS The following individuals were elected to membership in the American College of Cardiology on June 4, 1979 in the category indicated.
FELLOWSHIP BARRETT, Peter A., MB, BS, Sydney, Australia BHAYANA, Joginder N., MD, Buffalo, NY
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August 1979
the institute will be able to fund only 18 percent of the approved competing new and renewal research projects, and will not be able to initiate any new contract proposals. In the text of my written testimony, I have listed some of the most important and exciting ideas awaiting funds. Mr. Chairman and distinguished Members of this Subcommittee, on behalf of the American College of Cardiology, I wish to express our gratitude for allowing us to present our views on this important subject. Thank you.” As I was leaving the room after the Chairman’s courteous “Thank you, doctor,” I could not help wondering about the impact of such testimony. The patient congressmen are exposed to hundreds of similar appeals. The hearings go on from the early morning till late evening, with occasional interruptions by bells summoning them to a vote in the plenary session. What kind of eloquence and persuasion could break the tedium and monotony of pleas for more money? This is difficult to answer. Trying to rate my performance objectively I ranked myself below my two predecessors; an eloquent spokesman for Cooley’s anemia and two charming representatives of student nurses. Still, it might have been worth a day’s absence from work. I have divulged my text not as a particularly incisive, persuasive or clever statement, but as a sample of material to be amplified and strengthened by everyone who shares my belief that money spent on heart research is a good investment for our society. If you believe this, tell your legislator with as much gusto and persuasion as you can muster. Borys Surawicz, MD, FACC President American College of Cardiology
BYRD, Charles L., MD, Miami Beach, FL CASTLE, Lon W., MD, Cleveland, OH COMBS, Robert L.. MD, Modesto, CA CONNELLY, Gilbert P., MD, Boston, MA CORBETT. Brian N., MD, Winnipeg, Canada CORSO, Paul J.. MD, Washington, DC COTE, Pierre, MD, Montreal, Canada CUMMINGS, Peter, MD, Visalia, CA DAVISON, Richard, MD, Chicago, IL DeMEESTER, Tom R., MD, Chicago, IL
The American Journal of CARDIOLOGY
Volume 44
DORCHAK, Joseph R., MD, Spartanburg, SC ELIASCH, Harald M., MD, Stockholm, Sweden ELLIS, Robert J., MD, San Francisco, CA FERNANDO, Hemal A., MB. BS, Visalia, CA FINKELSTEIN, Lorne S., MD, Hamilton, Canada FINKLEA, John L., MD, Montgomery, AL
FIROR, Whitmer B., MD, Saskatoon, Canada
AMERICAN COLLEGE OF CARDIOLOGY NEWS
GAARDER, Thomas D., MD, Fullerton, CA GAMBLE, Robert N., MD, Evanston, IL GIWA, Lateef 0.. MB, BS, Stony Brook, NY GLASSMAN, Robert D.. MD, Indianapolis, IN GOLD, Richard N.. MD, Los Angeles, CA GOODMAN, Lloyd S., MD, Savannah, GA GRIFFIN, John S., MD, Texarkana, TX HAGER, W. David, MD, Tucson, AZ HAKIMI-NAINI, Mehdi. MD, Detroit, Ml HARDARSON, Thordur, MD, PhD, Reykjavik, Iceland HEIBEL, Richard H., MD, Erie, PA HIGGINS, Charles B., MD, San Diego, CA HUMBERT, Vernon H., Jr., MD, Lexington, KY KIM, William In Ki, MD, Elk Grove Village, IL LESSER, Laurence M., MD, East Point, GA LICHTENBERG, Stephen B.. MD, Poughkeepsie, NY LIES, James E., MD, Wichita, KS LOPEZ, Leonardo V., MD, Miami, FL LOPEZ, Wilberto L.. MD, Quezon City, Philippines MANDAL, Ashis Kumar, MBBS, Los Angeles, CA MARY-RABINE, Luc, MD, Liege, Belgium MASON, James L., MD, St. Petersburg, FL MASROOR. Mohammad A., MBBS, Savannah, GA MATTHEWS, Oliver P., Jr., MD, Portsmouth, VA MclLDUFF, Joseph B., MD, Albany, NY MYERS, William O., MD, Marshfield, WI NAIR, Rameschandran K., MB. BS, Fort Worth, TX ORLICK, Arthur E., MD, Buffalo, NY PARENT, Gerard T., MD, Wauwatosa, WI PATADIA, Bipin C.. MB, BS, Pomona, CA PEARLMAN, Alan S., MD, Seattle, WA PIPKIN, Robert D., MD, Palo Alto, CA PLAUTH, William H., Jr., MD, Atlanta, GA POOLE, Patrick D., MD, Birmingham, Ml RADOFF, Alan M., MD, New Haven, CT RATAN, Rangson R., MD, Peoria, IL RATHOD, Ramesh H., MBBS, Irvine, CA REISIG, A. Henry, Jr., MD, Spokane, WA RICCIO, Albert H.. MD, Smlthtown, NY RICHARDS, John G.. MB, BS, Sydney, Australia RICHMOND, David R., MB, ChB, Sydney, Australia RIMMER, Robert H., Jr., MD, Milton, MA ROGERS, Richard C.. MD, Portland, OR ROSKAMM, Helmut, MD; Bad Krozingen, West Germany RYZOFF, Ronald I., MD, Hewlett Bay Park, NY SABAWALA, Phiroze B., MBBS. Houston, TX SCHLOSS, Michael, MD, New York, NY SELDON. Mark A., MD, New York, NY SINGH, Arun K.. MBBS, Providence, RI
SIQUEIRA-FILHO, Aristarco G., MD, Rio de Janeiro, Brazil SPITLER, Allen L., MD, Madisonville, KY SPIVACK, Nordy S., MD, Garden Grove, CA SRIDHARAN, Marandapalli R., MBBS, Louisville, KY STEVENSON, Roger, Jr., MD, Rockville, MD TAEGTMEYER, Heinrich. MD, Oxford, England THOMASON, Henry C., Jr., MD, Gastonia, NC TRITEL, Harvey, MD, Fort Myers, FL URINA-DAZA, Manuel A., MD, Barranquilla, Colombia URRUTIA, Hector, MD, San Salvador, El Salvador WALDMAN, Jon Deane, MD, San Diego, CA WALL, Rod A., MD, Johnstown, PA WALLACH, Ronald, MD, Armonk, NY WARDEN, Herbert E., MD, Morgantown, WV WEBER, Michael A., MB, BS, Long Beach, CA WIGLE, Ernest D., MD, Toronto, Canada WILSON, John Newhall, MD, Albuquerque, NM WRAY, Everett B., Ill, MD, Huntington, WV WYNDHAM, Christopher R. C., MBBS, Chicago, IL YORAN, Chaim, MD, Bronx, NY ZAKI, Emil Sadek. MD, Cairo, Egypt ZESK, John S., MD, Meriden, CT ZORRILLA, Carlos D., MD, Louisville, KY ADVANCE
TO FELLOWSHIP
ARANDA, Juan M., MD, San Juan, PR BLOCH, Winston N., Jr., MD, Quincy, IL DAS GUPTA. Ramanuja, MBBS, Calcutta, India FETEIH. Nizar M., MD, Riyadh, Saudi Arabia FOSTER, Peter Ray, MD, Indianapolis, IN GEBUHR, Carl J., MD, Muskegon, Ml HALPE, Dudley C. E., MBBS, Phoenix, AZ HUSAIN, lnayat S., MBBS, Park Ridge, IL JAFFE, Jonathan R., MB, ChB, Hollywood, FL KHAN, Abdul H., MB, BS, Pawtucket, RI LOH, Christopher W., MB, BS, Carmarillo, CA MASELLI-CAMPAGNA, Giuseppe L., MD, Bari, Italy MEYER, Barry L., MD, Visalia, CA MONTERO-CASARRUBIOS, Alfredo. MD, Houston, TX OH, Winston Min-Chung, MB, BCh, Singapore, Singapore OWENS, William C., MD, Boise, ID PALMERO. Hugo A., MB, PhD, Cordoba, Argentina PEASE, Howard F.. MD, El Paso, TX RAY, Michael E.. MD, Fairfield, CT REES, Allan H., MD, Louisville, KY REITMAN, Milton J., MD, Manhasset, NY
August 1979
RICKS, William B., MD, San Jose, CA SANTOS, Alvani D., MD, Rochester, NY SHORE, Richard T., MD, Milwaukee, WI STERN, Alan G., MD, Trenton, NJ TAMBE, Alan A., MD, Cleveland, OH UTSU, Fumihiko. MD, Kurume, Japan ASSOCIATE
FELLOWSHIP
ABNEY, Robert L., III, MD, Jackson, MS ALI, Abdul, M.B., BS, Houston, TX BROWN, Daniel C., MD, Bellingham, WA CAVANAUGH, Daniel G., MD, El Paso, TX COST, F. Howard, Jr., MD, Martinsburg, WV DAS, Dines C., MD, St. Cloud, FL EASOW, Babu, MBBS, Travis AFB, CA ERNEST, Antony C., MBBS. Lancaster, CA GARDBERG, Leonard J., MD, Winter Park, FL GELBERG, Harris Jay, MD, Santa Barbara, CA GIEDWOYN, Jerzy 0.. MD, Portland, OR HARPER, John M., MD, Hendersonville, NC HOOD, W. Stephen, MD, Hagerstown, MD JACOBS, Julian H., MD, Monticello, NY JAFFE, Allan S., MD, St. Louis, MO KOTHARI, Anil G., MBBS, Browns Mills, NJ LARSON, Arthur W., MD, Schenectady, NY MCGINNIS. Andrew W. H.. MD, Stamford, CT MOHANTY, Harish, MD, Bombay, India NAKORNCHAI, Vimol, MD, Bloomington, IL PALLARES, Frank, MD, San Antonio, TX PATEL, Bhadresh A., MBBS, Freeport, IL PUROHIT, Girish, MB, BCh, South Boston, VA ROTHMAN, Howard C., MD, Fort Lee, NJ SAINATH, Shavkarlingam, MBBS, Fountain Valley, CA SHRESTHA, Narsingh K.. MD, Kathmandu, Nepal TODD, Jane L., MD, Phoenix, AZ VALDES, Mariano, MD, PhD, Valencia. Spain VAS, Ran, PhD., Los Angeles, CA WISTRAN, Daniel C., MD, Lynn, MA ZAMARRA, John W., MD, Fullerton, CA ADVANCE
TO ASSOCIATE
FELLOWSHIP
KAUSHIK, Vidya S., MB, BS, Los Angeles, CA VUCINIC, Mihailo, MD, Beograd, Yugoslavia
AFFILIATE ATTAR, Mohammed, MD, Houston, TX KHAN, M. Qaisar A., MBBS, West Covina. CA MATSUNO, Masayoshi, MD, Fullerton, CA MORANT, Victor A.. MD, Cleveland, OH PICHLER, Maximilian W., MD, Vienna, Austria SAHOTA, Harvinder. MBBS, Seal Beach, CA
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AMERICAN COLLEGE OF CARDIOLOGY NEWS
CALENDAR OF EXTRAMURAL PROGRAMS The aim of each program is to increase the theoretical and practical knowledge of the normal and abnormal function of the cardiovascular system in man. Most of the programs are pertinent to direct care of patients with heart disease. The need for such programs increases with the ever increasing amount of scientific and clinical data, the constant changes in technology and methodology, and the greater availability of therapeutic options. Today most cardiologists, internists and family practitioners feel the need of supplementing their professional reading by direct contact with the authors, research workers and leaders in the field. To solve these problems the Committee selects each year series of carefully super-
vised programs which are usually preceded by extensive consultations with the program directors recruited among the foremost specialists educators and scientists in the field of clinical cardiology and allied basic science disciplines. Although each program director is personally responsible for the choice of faculty, and the structure of the program, the National Committee of Continuing Education assumes the overall responsibility for the caliber of the postgraduate education and the relevance to the practice of cardiology. This is accomplished by the processes of meticulous scrutiny of the objectives, analysis of the educational methods, and studying the impact of each course on the knowledge and attitudes
of the participants.
These programs should help each physician to keep up with the new knowledge, to put into practice the new advances and to retract gracefully from the obsolete and useless practices. An effective practitioner must learn and relearn, listen to new ideas, share past experiences and observe the work of his peers. The National Program Committee for Continuing Medical Education of the American College of Cardiology believes that these goals can be accomplished by all members and nonmember professionals participating in our continuing education programs. Leonard S. Dreifus, MD, FACC Chairman, Continuing Education Committee for Extramural Programs
Programs and faculty are subject to change. For further information write Registration Secretary, Extramural Programs Department, American College
of Cardiology,
Heart House, 9111
Old Georgetown
Road, Bethesda,
Maryland 20014.
AUGUST 1979 THROUGH DECEMBER 1979 TO be arranged indlvldually
Preceptorshlpa In Cardiology. Arthur Seizer, FACC, director, Pacific Medical Center, San Francisco, CA
To be arranged individually
Preceptorships in Cardiology. Jules Constant, FACC, director. Buffalo General Hospital, Buffalo, NY
AUG. 25-27
Tutorials in the Tetons: Cardiac Emergencies (Fifth Annual). Robert S. Eliot, FACC and Alan D. Forker, FACC and Gerald L. Wolf, co-directors. Jackson Lake Lodge, Moran, WY
SEPT. 10-13
OCT. 19-20
Electrocardiography: Core Curriculum and Self-Assessment. Arthur Seizer. FACC, director. Fairmont Hotel, San Francisco, CA
SEPT. 17-19
Advanced Echocardiography. Harvey Feigenbaum, FACC. director and Betty C. Corya, James C. Dillon, FACC and Arthur E. Weyman, FACC. co-directors. Hyatt Regency Hotel, Indianapolis, IN
398
OCT. 22-23
Electrocardiography: Core Curriculum and Set&Assessment. Paul L. McHenry, FACC, director and Charles Fisch. FACC, co-director. Hilton Hotel (Downtown, Indianapolis), Indianapolis, IN
Sept. 10-13
OCT. 11-13
Gazes, FACC, director and Charles P. Summerall, III, FACC. Grady H. Hendrix. FACC, William H. Barnwell, II, FACC, Bruce W. Usher, FACC. J. Lindsay Leviner, FACC, Robert G. Irvin and Larry E. Kibler, co-directors. Kiawah Island Inn. Kiawah Island. Charleston, SC
New Concepts in Management of Congestive Heart Failure. Peter C.
August 1878
Cardiology Update-1979. William W. Parmley, FACC,andKanu Chatterjw, FACC, co-directors. Del Monte Hyatt House, Monterey, CA
DEC. 2-5
Coronary, Valvutar, Hypertensive and Myocardial Heart Diseases: The Mutti-dlaclpllnary Approach. William C. Roberts, FACC, director. Williamsburg Conference Center, Williamsburg Lodge, Williamsburg, VA
DEC. 7-9
Advances in Heart Disease 1960. Dean T. Mason, FACC. director. Fairmont Hotel, San Francisco, CA
DEC. 12-14
Cross-Sectional Echocardlography vs. Cardiac Nuclear Imaging. Joel Morganroth. FACC, director. Fairmont Hotel, Philadelphia, PA
DEC. 14-16
Clinical Decisions in Cardiovascular Disease. Henry I. Russ&. FACC. director. Sheraton Centre. New York, NY
Correlations in lschemic Heart Disease. Leonard S. Genes. FACC, director. Carolina Inn, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC
OCT. 25-27
New Techniques and Concepts in Cardiology. Coronary Artery Dlsease: Rehabllilatlon, Surgery, Coronary Spasm, Balloon Dtlatatlon: Valvular Heart Dlseaq Hypertrophic Cardiomyopathy. Stephen E. Epstein. FACC. director. Hyatt Regency .Hotel, Wash: ington. DC
NOV. 5-14
Cardiology tor the Consultant: ACllnician’s Retreat. E. Grey Dimond. FACC and James E. Crockett, FACC. codirectors. Ran&o Santa Fe Inn. Ranch0 Santa Fe, CA
The American Journal of CARDIOLOGY
Volume 44
COLLEGE NEWS
LEARNING CENTER: PROGRAM CALENDAR
The American College of Cardiology’s newest department, the Learning Center, located at the College’s Bethesda Maryland headquarters, began operations in October 1977 with the offering of its first continuing medical education program for physicians with a specialty or an interest in cardiovascular medicine. The purpose of the Learning Center is to support the professional commitment to quality patient care by providing
a new standard of excellence in cardiovascular continuing education. For additional information concerning the programs listed below or for a complete schedule of programs through December 1979, contact Program Coordinator, Learning Center, American College of Cardiology, 9111 Old Georgetown (301) 897-5400.
Road, Bethesda, Maryland 20014. Telephone
SEPTEMBER 1979 THROUGH NOVEMBER 1979 Month/Dates
Course Director
Title of Program
Sept. S-7
J. O’Neal Humphries, MD
Coronary Care Units: Management of Patients With Acute Myocardiai infarction
Sept. lo-11
Dan G. McNamara, MD
Decisions in Clinical Pediatric Cardiology
Sept. 17-19
Louis Lemberg, MD
CCU Update for Nursing Supervisors
Sept. 24-26
Kenneth M. Rosen, MD
The Electrophysioiogic Basis for Diagnosis and Therapy of Arrhythmla
Sept. 27-26
Douglas P. Zipes, MD
Pacing Frontiers: Physiological Pacing and Arrhythmia Control
Oct. 6-11
Leonard S. Dreifus, MD
Mechanisms and Therapy of Cardiac Arrhythmias
0~1.16-17
Marvin Moser, MD
Hypertension
Oct. 29-31
Max Harry Weil, MD
Emergency Care of the Critlcaily ill Patient
Nov. l-3
Barrie Levitt, MD
Cardiovascular Therapeutics
Nov. 26-30
William W. Parmley, MD
Non-invasive Cardiovascular Procedure: Principles and Clinical Applications
ANNUAL SCIENTIFIC SESSION AMERICAN COLLEGE OF CARDIOLOGY 29th
Houston, Texas
l
Abstracts Entries
l
l
must be postmarked
no later than September
17, 1979
Technical Exhibits Deadline for requests for space: October 5, 1979 Scientific Exhibits Deadline
l
March g-13,1980
for requests
for space:
October
5, 1979
Young Investigators’ Awards Competition Entries
must be postmarked
no later than November
1, 1979
For application of
forms, write Patrick A. Ziarnik, Director, Annual Scientific Session Department. Cardiology, Heart House, 9 7 17 Old Georgetown Road, Bethesda, Maryland 200 74.
August
1979
The American
Journal
American
College
of CARDIOLOGY
Volume 44
399
COLLEGE NEWS
AMERICAN
COLLEGE OF CARDIOLOGY Announces . . .
AFFILIATE IN TRAINING MEMBERSHIP For Physicians in Cardiovascular
Related Training Programs
Candidates for this membership category must be current full-time trainees in a recognized cardiovascular (adult, pediatric, surgical) related program in fulfillment of requirements for admission to a subspecialty board examination which holds membership in the American Board of Medical Specialties. Upon completion of training and in order to maintain an affiliation with the College, the members are encouraged to apply to the Credentials Committee for status in one of the other three membership categories. The application for Affiliate in Training must be signed by the Director of the applicant’s training program and two sponsors, both of whom must be Fellows of the College. One of the sponsors may be the Director of the training program, provided he is a Fellow of the College. The annual dues for an Affiliate in Training are $25.00.
Advantages to the Affiliate in Training 1. Subscription College.
to The American Journal of Cardiology, the official journal of the
2. Reduced fees for all educational 3. Preference for enrollment registration.
programs of the College.
in programs sponsored by the College with a limited
4. Receipt of the quarterly publication, 5. Participation the College.
Cardiology, the newsletter
of the College.
in all affairs of the College as a member rather than as a guest of
Those desiring an application form should write to Ms. Margaret E. Coffey, Director, Membership Department, American College of Cardiology, 9111 Old Georgetown Road, Bethesda, Maryland 200 14.
400
August 1879
The American Journal d CARDIOLOGY
Volume 44