I. Pathophysiology of Ischemic Heart Disease -- 1. Factors that Regulate Transmural Myocardial Blood Flow Distribution -- 2. The Relationship between Coronary Blood Flow and Reversible and Irreversible Ischemic Injury -- 3. Energy Metabolism and Transport in the ischemic and Postischemic Myocardium -- 4. The Pathophysiology of Atherosclerosis of the Coronary Arteries and Changes that Predispose to Ischemic Heart Disease -- 5. The Role of Coronary Artery Spasm in Acute Ischemic Syndromes -- 6. The Role of Thrombosis in Acute Myocardial Ischemic Syndromes -- 7. The Biochemistry of Thrombolytic Agents -- 8. Clinical Pharmacology of Streptokinase -- 9. Terminology for Location of Acute Myocardial Infarcts -- 10. Subendocardial versus Transmural Infarction: Anatomic and Electrocardiographic Considerations -- 11. Hemodynamic Abnormalities in Acute Myocardial Infarction -- 12. Autonomic Imbalance during Acute Myocardial Ischemia and Infarction -- II. The Prediction and Prevention of Acute Myocardial Ischemia and Infarction -- 13. The Changing Prognosis of Patients with Unstable Angina and Acute Myocardial Infarction -- 14. Risk Factors that Predict Fatal and Nonfatal Cardiac Events -- 15. The Role of Nutrition in Atherogenesis and Acute Myocardial Infarction -- 16. The Role of Antithrombotic Therapy in the Acute Ischemic Syndromes -- 17. Clinical Trials of Modification of Mortality during Acute Myocardial Infarction -- III. Methods for Diagnosing and Sizing Myocardial Infarctions -- 18. Serum CK-MB in Diagnosis and Assessment of Acute Myocardial Infarction -- 19. The Ability of the QRS Complex to Determine the Location and Size of Myocardial Infarcts -- 20. Radionuclide Techniques for Diagnosing and Sizing of Myocardial Infarction -- 21. The Clinical Diagnosis of Right Ventricular Infarction -- IV. Methods for Monitoring the Patient with Acute Myocardial Ischemia -- 22. Hemodynamic Monitoring in Acute Myocardial Infarction -- 23. The Use of Echocardiographic Techniques for Determining Cardiac Function during Acute Myocardial Infarction -- 24. The Potential Usefulness of Doppler Ultrasound in Myocardial Infarction -- 25. The Use of Serial Radionuclide Angiography for Monitoring Function during Acute Myocardial Infarction -- 26. Tachyarrhythmias during Acute Myocardial Infarction and Options for Their Electrical Management -- V. Coronary Care: The Prehospital Phase -- 27. The Tiered Response Mobile Intensive Care System in the Management of Out-of-hospital Cardiac Arrest -- 28. The First Hour of Acute Myocardial Infarction Observed during Mobile Intensive Care -- 29. Cost Effectiveness of Mobile Intensive Care Unit for an Entire Community -- VI. Coronary Care : The Postadmission Phase -- 30. Optimal Identification of the Patient with Acute Myocardial Ischemia in the Emergency Room -- 31. Achieving Pain Relief with Physiologic Management and Analgesic Agents during Acute Myocardial Infarction -- 32. The Use of Intravenous Antiventricular Arrhythmic Agents during Acute Myocardial Infarction -- 33. The Clinical Use of Thrombolytic Agents -- 34. Methods for Detecting Salvage of Jeopardized Myocardium following Intracoronary Thrombolysis in Acute Myocardial Infarction -- 35. The Role of Surgery in Unstable Angina Pectoris and Acute Myocardial Infarction -- VII. Coronary Care: The Coronary Care Unit -- 36. The Evolution of Care of Patients with Unstable Angina and Myocardial Infarction -- 37. Organization and Administration of the Cardiac Care Unit -- 38. The Cost-effectiveness of Coronary Care Units -- VIII. Coronary Care: The Coronary Care Unit Phase -- 39. The Optimal Use of Temporary Pacing during Acute Myocardial Infarction -- 40. Drug Interactions in Coronary Care -- 41. The Use of ?-adrenergic and Calcium-blocking Drugs during Acute Myocardial Ischemia and Infarction -- 42. Respiratory Care for Patients with Acute Myocardial Ischemia -- 43. Optimal Regulation of Preload and Afterload during Acute Myocardial Infarction -- 44. The Medical Management of Cardiogenic Shock due to Myocardial Necrosis -- 45. Surgical Treatment of Cardiogenic Shock following Acute Myocardial Infarction -- 46. Myocardial Infarct Expansion and Extension -- 47. Pericarditis following Myocardial Infarction -- 48. Preparation of the Patient, Family, and Staff for Imminent Death on a Coronary Care Unit -- IX. Coronary Care: The Predischarge Phase -- 49. Determination of the Optimal Time for Patient Mobilization and Hospital Discharge following Acute Myocardial Infarction -- 50. Identification and Prophylactic Treatment of Patients at High Risk of Late Postinfarction Sudden Death -- 51. The Quantification of Residual Ischemia in Patients Recovering from Acute Myocardial Infarction by Exercise Thallium-201 Scintigraphy -- 52. The Value of Radionuclide Angiography for Risk Assessment of Patients following Acute Myocardial Infarction -- 53. Optimal Use of Ambulatory Monitoring prior to Hospital Discharge following Acute Myocardial Infarction -- 54. Electrophysiologic Testing to Identify High-risk Patients after Acute Myocardial Infarction -- 55. Strategies for Assessing the Risk Status of Patients following Acute Myocardial Infarction or Unstable Angina -- X. Coronary Care: The Convalescent Phase -- 56. The Role of Outpatient Transtelephonic ECG Monitoring and Self-medication following Acute Myocardial Infarction -- 57. Minimizing Psychological Stress for Patients and Family following Acute Myocardial Infarction -- 58. Minimizing Disability and Optimizing Return to Work following Acute Myocardial Infarction