Repetitive health examinations as an intervention measure

A cohort of 107 men aged 51-53 years with borderline levels of blood pressure, serum cholesterol, or glucose tolerance was recruited from a general population in central Zagreb, Yugoslavia, and randomized into two groups; one was treated with drugs and the other observed in a similar fashion but not treated. Ninety-five men appeared regularly for the check-ups over a 2-year period. Levels of systolic blood pressure, cholesterol, and glucose showed a substantial decrease over a period of 2 years in both treated and control groups. The possible effect of repeated check-ups and their implications are discussed.

Replacement of heart valves with autologous fascia lata. Surgical technique

Autologous fascia lata graft valves attached on to a Dacron-covered titanium frame have been used since April, 1969, at the General Infirmary at Leeds and the National Heart Hospital and Guy's Hospital, London.

Seventy-seven such grafts have been inserted into 70 patients with very good immediate and short-term clinical and haemodynamic results. No systemic emboli have occurred although anticoagulants have not been used.

The technique of preparing supported autologous fascia lata grafts for clinical use is outlined in detail and the surgical implantation of these grafts into the mitral, aortic, and tricuspid areas is described.