ࡱ> ac`M Ybjbj== "(WWYl*DDDD,p *~$ R      x | 3t*D:0A.A ** 21 May 2003,  HYPERLINK "http://www.cardiosource.com/library/journals/journal/previous?sdid=4884&volume=41" \o "http://www.cardiosource.com/library/journals/journal/previous?sdid=4884&volume=41" Volume 41,  HYPERLINK "http://www.cardiosource.com/library/journals/journal/previous?sdid=4884&volume=41&issue=10&toc=TOC@@JOURNALS@JAC@0041@0010" \o "http://www.cardiosource.com/library/journals/journal/previous?sdid=4884&volume=41&issue=10&toc=TOC@@JOURNALS@JAC@0041@0010" Issue 10 Pages 1744-1749  INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET  Effect of supplemental phytonutrients on impairment of the flow-mediated brachialartery vasoactivity after a single high-fat meal Gary D. Plotnick MD, FACC , Mary C. Corretti MD, FACC, Robert A. Vogel MD, FACC , Robert Hesslink Jr ScD and John A. Wise PhD Received: 7/2/2002. Revised: 11/25/2002. Accepted: 1/9/2003.  INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET   INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET Abstract Objectives Our objective was to determine if long-term daily administration of phytonutrient supplements can prevent the immediate adverse impact of a high-fat meal and increase the production of nitric oxide. Background Ingestion of a high-fat meal impairs flow-mediated vasodilation of the brachial artery for at least 4 h; however, co-ingestion of vitamin antioxidants or a green salad has been shown to prevent this effect. Methods Flow-mediated brachial artery reactivity test (BART) both before and 3 h after a 900 calorie 50 g fat meal was evaluated in 38 healthy volunteers (age 36.4 10.1 years). Subjects were randomized to four weeks of daily supplementation with a powdered fruit vegetable juice concentrate (Juice Plus [JP]) along with a complex supplement providing nutritional antioxidants and various herbal extracts (Vineyard [V]), JP alone, or a matching placebo. At three and four weeks, BART was repeated both before and after the high-fat meal. Serum nitrate/nitrite concentrations were measured at baseline and at four weeks. Results Four weeks of the JP-V combination blunted the detrimental effect of the high-fat meal (-47.5 23.4% at baseline vs. -1.7 9.7% at four weeks [p < 0.05]). Four weeks of JP alone had a similar beneficial effect (-45.1 19.7% at baseline vs. -16.6 10.3% at four weeks [p < 0.05]), whereas there was no substantial effect of the placebo. In the subjects treated with supplements, concentrations of serum nitrate/nitrite increased from 78 39 to 114 62 m/l (p < 0.02). Conclusions Daily ingestion of modest amounts of a fruit/vegetable juice concentrate with or without adjunctive phytonutrient supplementation can reduce the immediate adverse impact of high-fat meals on flow-mediated vasoactivity and increase nitrate/nitrite blood concentration. Article footnote  HYPERLINK "http://www.cardiosource.com/content/library/journals/journal/article/" \l "articleTop" \o "http://www.cardiosource.com/content/library/journals/journal/article/#articleTop" * Dr. Plotnick was supported by a grant from Natural Alternatives International. Affiliations  HYPERLINK "http://www.cardiosource.com/content/library/journals/journal/article/" \l "aff1.origin" \o "http://www.cardiosource.com/content/library/journals/journal/article/#aff1.origin" * University of Maryland School of Medicine, Baltimore, Maryland, USA.  HYPERLINK "http://www.cardiosource.com/content/library/journals/journal/article/" \l "aff2.origin" \o "http://www.cardiosource.com/content/library/journals/journal/article/#aff2.origin"  Natural Alternatives International, San Marcos, California, USA. Reprint requests and correspondence: Dr. Gary D. Plotnick, Cardiology Division, University of Maryland Medical Center, 22 South Greene Street, Baltimore, Maryland 21201, USA.  INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET Source  INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET   INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET  INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET  INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET   INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET Elsevier Science Inc.  INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET   INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET  INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET  INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET   INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET  INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET  INCLUDEPICTURE "http://www.cardiosource.com/webfiles/images/cardio/transparent.gif" \* MERGEFORMATINET  2003 American College of Cardiology Foundation cdef~ͱͱͱͱͱͱͱͱdͱͱ7jNB*CJOJQJU^JaJfHphq 7j4MB*CJOJQJU^JaJfHphq )0JCJOJQJ^JaJfHq 7jB*CJOJQJU^JaJfHphq .B*CJOJQJ^JaJfHphq CJOJQJ^JaJjCJOJQJU^JaJYYopqrefǬǔǔǔǔǔǔǔcǬǔ7jQB*CJOJQJU^JaJfHphq )0JCJOJQJ^JaJfHq .B*CJOJQJ^JaJfHphq 45B*CJOJQJ\^JaJfHphq 7jB*CJOJQJU^JaJfHphq 7j:PB*CJOJQJU^JaJfHphq "fghij>?@B01ǯǯǓǯwǯ[ǯǯ?ǯ7jLYB*CJOJQJU^JaJfHphq 7jWB*CJOJQJU^JaJfHphq 7jFVB*CJOJQJU^JaJfHphq 7jTB*CJOJQJU^JaJfHphq .B*CJOJQJ^JaJfHphq 7jB*CJOJQJU^JaJfHphq 7j@SB*CJOJQJU^JaJfHphq 1 rstvKLMO̰̔x\@7j`B*CJOJQJU^JaJfHphq 7jX_B*CJOJQJU^JaJfHphq 7j]B*CJOJQJU^JaJfHphq 7jR\B*CJOJQJU^JaJfHphq 7jZB*CJOJQJU^JaJfHphq 7jB*CJOJQJU^JaJfHphq .B*CJOJQJ^JaJfHphq O#$%&XY̰̔7jcB*CJOJQJU^JaJfHphq 7j^bB*CJOJQJU^JaJfHphq 7jB*CJOJQJU^JaJfHphq .B*CJOJQJ^JaJfHphq 1h/ =!"#$%4MDd 0  # AbL|ZI.\LDnL|ZI.\PNG  IHDR>ԬsRGBL-IDATx^սu&Zs`"D`HE,YV9ٖ]k>ilQ9X$%RD  Lz: ?U3!L~o_}5=ns mvJ7kM\a0y_&T+, ?*h,2 N`5ax1 g1TVKW@3pIe8ð= j^cTM4T.LlUٳf*Ie>H&K/cʊlM+f,UQa &QjT $Q%[uZenQVqB` ɞ5>h Mz|BO7[CƐ ۣBz05 q.{Ni$,s7_31ܣ29loHÜx|wVx6+Ҍa|nk>Kf}3ra3] MCxƛ_˜ٺF#=5HB}ώft2Ѽ| x( YM DBS,1p~E`|^5)RW9)Vd7UcU}AɈU7tw2> ^/}쥹\PGP m`UNoZcMTWh>l̻zT3`CבHtT:"*ﮭ oaDJet*gEC_ z8#)V񺼁Xl>8cP234!l!rC/&0^tOo.] _=F$wt3! 'yE=xt@"ԴOK. /xf[T OQK[:򬩨Ģd(I/2_L4+`8`]S P?d2+w410aUV yt}sɕ}o0h汲jYЃ/|05Hp^y__ҼyY8,`[\QEYV<Eͼu;fd'Fd!˷dxjmKX:0 q/B=pM|o{Ir>q8de JKD˚ڷ.Q9rtu_{̊F&`VƄNbL&IG3Km3L{aOS4 =MȒkayǞF-zK͑x^tɴi28r/1ħ2ܣ|_@y]HKZ<x Oz<ʸ<F_Ȍ(09 >']vAK.'y)0Q4sݹQ24IM1L*X 'a,jy2#s6R_Ј]GpN=ob#<+"EH3NBޣ.{į^0$[F01 %?t$fs:<35Y^U>RPl5*2f(SH4>՗J'[[>\t*捦ٌd[I*Y*k ||$ox Srh5-#k"ś#w\s2[fDq`Pg~ˤÓilEieR/s@\Jpv"N1ww 32^ OAޟitt,gdp'qx.0{܌ns!j4ؔ%6rN#GGG(Ƙ,qnpi %9NM|Õq.' ,e+" ޲-1gF'9Lrb1㉤.EE8|U9,J$S;O=3>ح""(s&rB8.1CSsh%/ )FyE$ɾhMdQD݋I"T8좯+S?{=0f;00UL[La\hiӝc&Q<C[E ;ҩ1 {1ybj!/ AQ<(vx\rVϋC!(dtザd{[ւwXUH4m߾솱H7mZ"] Pό_ÀZ;4d->?3MvuǞ>X=\,F DwHpuI)bx&՗T/n1PHd"_hIE͇B|*aRUS>oI QeI{j.ծV2c͚:;0`ΤǮvܵ}jD3pl&G Pom;K1dwţ_lؠ&ZkDΩc)Y(!^c+CXoxކ-?qB%@QYSS35՟Ej~lӝ[dې:ct(:P\Xĵ7/C(unf3?{~8YtrI%zϜ=s*27t]{sg7>uUr6^c]Ǟ|fnڜI6›'f OL\Hljd,NF!UFʌ\;&{J.:31xls O^)71a1 #Fy6(^&ſo0yK:PaZ9\lvWa֪CL^Av9qiL:>r蕋Sϼ/O{qTW>K^v%779h:?+/Ű/ێ8ӆ EY|lxv ѱ 6$jۃFєѾdp;v0}MUE7k΋Ld6{1x5J݀i2jQ3X&# P(FꑼZȟ/i}IO >oy}33aҹ,.꬯a3[!?PQXuզkp⡗^^VPrmmݴv+Kؼ\Xk*.9y7*jWwyyj} Dս=Y. =rp1 j("Pr?Ot7<"b%I5Θ0N,xÊ۬p}޼&g]}%gz}  6k 70lFt;zBqnܶ-ӛn@~tN׾\9yifVW_u;0PO IbHl93ZX ~ĸ?pPaYYU]Ξ;%C?O{&UJ2u^xiLi0bDeJê MU%cfт"6x$V0*5D҈}tӅD|B.n !.2ǐYY `٘4u;SEȓ+(>Ou|ۜ3N.lAz(Dclz͍y5;=V^Wju MLoܼ -=LχvzȘmYɘmp$RcVsͻr& d_eÅBUI[V41>W439tb@oLx(l8s35WTV]|U-#>_|mmT[ Ȇ$(CIQhR>JĘ|0I3Y4*tekd6OF+%G Wp:Ĭ* 1 Ƹ,I$e}V񹬤|l |1\#8z"F-+=XK'5ѻq$۰u'ŁjS9b|>׋_2vL 8qٟ=u}l'JpUZp&s/}N;ZPxE/]}ee3㽣#h FAd%q Ӊң'ξYܬpᲪ*<ŃE׏Ψ*38g[;=muy_AIzIK~J0<)%%MDHtA8 ! ^KAP͸!;\![M&Y4$:L#m sf6<3G;3D\B0T>aʕd@5 -''lVOp654۲tkaЭ&s2/](.U .JN,,*NZQUu5UMD1[V}ՠ jkj~tzpp"U4@r.wiU5}NVF +*}nBF~A)*IJ9`,5 !Dؤ *@`cy-fZ)ޣk-w#xZ?T6NA_sR:*R2ֵ:%-C!1o3N)r:\>Y4ΚC](y$ .dpjw\Apt$S9~BfGybz} ICLJl]s43711Ѹ FzxhbAON4p={H[BV(^GcvuVah>oƒPRZIf=VKǫk+l8fB`Miye}'Դ!5u kP1_jPPٔb< t~ f1ۭJD2.+tᰀ.#TC{X)79]J6 ]cv9YyNZ,{#ya,#:&(36ła72 ؀36 Rsq.ZPBXg`\\?9M:qB.b7ŠXuT&6XZJ6GD2cջ6bdeS\I4d4-oD``:W?sk.\ Jv޴;N󧺺: iFA6 |\#dM9<\^Q 5άn'$"J Ҟ-6L(Vc tv֒d$jMa`="D.m l2[)3i9 aS 9qѐ/緜?!1M!H5f̩}$;^ó;r4546iHqXzNmLƀe%=; ๚XW/zߓ%32"LNXjYw@g-?,{:MD Ox?[VhmٰyӞ|G¢L<$EYC tPҽGS.jD0{l^"1vWj"o2}S,)x: jI<'=!";\G~㛏ύOHcHφ$q)[ɣQa69F bx^@ʼnT8L*s䥗SV\yw?#}3۶m>whCc3njw9xro7ц2>8щatC@H=ul6 00<` +ø܆zZs={ST'q_zi%#cNH,*#Ỡ8~zx$ʦXi dȿá Ɖvjoa ׆knD~[Uk]h;z0%r>fSIU!5IV > e/(j*\\rSn\2f!Yt6T%ϐgxs7OkWW[%e8uQT\|)+4NS\6bfS\:7 I-[n޺5[  ;*JJGX7h *c=aeĦп!2Jkx;k>RT (Wxo("M0xc}U4OP!كٌ!Xa\0lsH!g1٪BqI&c| ژFKtR6+_[6n&8 aD!qɨ#5υ#A: h8f 'ƈKhX*Ȝ\6Fܗ8 ©Я+L8SRPqD zYp0Y~8%asw0p=i 8Fz/b"S48:A@L 7!ӅF2Y]tL^F/i@o `8vc1mrx@,@F<8u'Cdv rھ!`x(IQ|N[{SC# +dCT(/A@\VNpo+b_Ma9bHOg'&x;5 O$S9^p=+V51`,RVFƆG±x(^hd&'5 2X x> ӳ0 xwPQ~£l(JCgu_YشuV2 !lI&1!MՍ-X4dLL"E%X+9 ?FPH|=^Lz'1bFLYX@gO\ xvv;YqhjH|Fd).D0u@>8w J}=H(l6p-R9mvu^#HVVWt3 Ue x5Tƥd*z`׽&&(az䳟}=0<K$$/--ElfW *z ((zu:/~y? E0ʺ::N;6><xzxcDQRB^>u瞯*+۾ef{뚛mނO7pЬ}dm6nBf&̠vkAupHc ( 8LVC`h"Ew+`db2YEFRH6dHaHj@09> MP->j0LS'b 29Pa8v_7oyڇ[իZVwy#(b_C_NE G* ^ePjÚǏQHLitzFTI2Z^VQ>21><6X&p٪ZÊq{z_^A=YTZ206k 4@..9pwsʿ2eUPR^F-Dj B$TxT2sl= 1t$<02duW߰.njH,.<72`Cl&1ʪF8Ak ʋb#o爀OG.<;ݧEL<ƐO @MP0isLiYymp_W/DԬs=557|?Q-,u+.~T*333b,·"qXeM%c9.P)ްO>Q9 t9xrW/uL x !;ORKpp"ѓ'֯UFIJYUMɠXfjiBܞm;ww4HNM_>uzz39w|S_?Cí2L]iC\f/;&EPvGZǯⷔT0^֖_=+^766VP^̛9WE`E*8@&1&B~-ydE5BWO|Y`3W{x++nl.sDəD( Ȩ'HW}ᕎk݃VbF Ϟp"Z4,GSS3 ꗿ.']}}_tŹP(ʘ?̼]cQy~R3;U iasJ5sJނ[C{ {RT^EIBEp!Q4mٺ#XYR`׎Cnܤ^}ڵށz;X/v\$bNUdou$/}㍳4`Oo^x`mwyfgή]]YxWWVVOν\:1܇FJ>Fk>}SP5ӊ=ʊ87V&!#RqwYC-Sβ*.ksڹsZkkkH.)h^/X\6XLƦ-fRPNGFFPUe֭[E&)uk λݞ7nukkܵ%.W2p錏.7w7/_ގ7꜕UBaAgZ9sruɀD.@.c_GJHșr(#XHT,O-Z^~)ex<)74!Ƃd6>W!CcB(tR" R.85b)GK4EڔMQzc-= 42Tg:VT6?>!JR6p`X%4Ǘj-; 'p` Z=sh=]J˲^\Z+u ByJEu%U &5 Ypf*9)=E aTsHhyJK|cXn΄_;s D512;e+[۬X":=S8iVgN  DR .Qn2SEB5B:cr|&g`&eAa }̜ 6FH f ©x "&Bme p Z`$m2ӓ"];qMĐ ft %c4k7a1H@L.#‚BD 4 ~"=tF) x`I<d>OjExF0.nrK!NM@q]QiYP`w:1xRL0A=YSJsp(4C)i<yQbLѡ BTVf׾ƞ}++'O355UZG *|e5cj#SYV^Q{D;Y&1~UvvvaLN|VD|)Kh|"D- a :]vWB13m82|7>gq p{:,f9{E)=3dӽ}򺹢򬖖(-&#'_;Fjj +a*+²3L? -z{/yxxDJ)+@K@ ƲS1c*FJ2$3p;Ku T Zga4ԛ@I%ib`sJ**$NQ\ad9eR*e0D LuÌ)cx-$DFH?xALNT+,㨑(֤wP<}_<DXP :*j@@J"BCa` J0,dP잻x?Ω b]eXDŧ_ o^6Z3(95Nh"e(7<'~664|qgaӋV e*PUBRi:bDCY> pT!|j%# YZP]Y2j]az:t "֔? h38dR NjqS8U @n!˓EH+ژ`M+CKU| aX$@9<Ϻ6˦BVJ#˃ Soɞ hzq %A)[{Yukiu5:@YL&e޾ad:8ŤtTPBgO9r0dNzo|&JG׭[z Ks9G9, 1Xqr"sCA0H!<ȴ`oJxfO~ T@Ak9B灅TK&P 7t! %Oxy%C>(yDdF /L59P3Q ފ"?K*"7J mAw/aÈ\\F])ڏ(TΧj]͆`8sեj"EW2菄 @_֊ĸEPZFwbS\u˿XPo K%E/Shb)@J;OR=}:_ceo%0ePk'kbw\C=g.:Lm{nڣY̑D ;8YA偃+OOLL̍9VYeo~3?iٳnO}/bZEp_LzUii&?XG,\/8pV4;thjd҂>9ÇRdeU V&FnzTWpeuhgLdC,%LP)oo0Sp,i};tV ]SXML^f[I"dœXy[ F_n%K|,t:{?3;?z YbE nkiokApdExc[*];,[. 2VsbHADb"ExCՇ{q|`!he+f9#ݙށA8`r$[,޻9/ S2fOU,9 LХe6CFQxumڪJM(o۲u7llkk+XG'rldᣙd).cJJ]5b"|mvVUT L +::ӳe1߰fyΓT5 EM;vlurJ///=|`HF o c6flum]m+Y2֬T8]u DuYoԗ^ AH`!~GUFY_ a"+yhE6_j|jee0~";Q|_!`Wz^?O+V;ZENy5y)ĬPA!A~fַPlz 01$x[lnW, Vxf$7yoҟnYJjgUtV0-N3(eA41TwҊukI [8-A{%) <ُ&#/Gv^nnhb{Ohuz4K;au@ϱV%YHӇ8|:qbFK=-0:鑌dt,꘴)*V/+xOՁuU*_>λ*[, L&jr0 ԏ(4 7y yjJ  iS._AO_釠*=@64m*PKa$hVɣDKc(rx`Ya"4W0@SF:˿bŲh 9^c5e =ݽL4*/)޾(9}1.Uo,|iOӼ[g,9/EF π}"u&g.]<~jrbr81^Hm[#(4n~MU-r*qz9 jXm+Ʀ'_OhQ?_++G>춙[  CWH2`2NNeqGl&E/ăAc:YCA| kMΫtL)xوf&GxR@dJr[ .fKj}_\E>{7'SgO:FΝU4muk}ybrTw_DkHh~HNM;sf,UDýN;ogP7?~z:{nyQoֶ?{ J,r-nnقg9w7ZiMW켍|b#C(1;6o|:Q]/+Zc64'ma+Oؓ~3 Vy}` A@Ī"3S3(sp|A9H&p@`3iKL^:yGGǪkkl NqPkjzf-MN A⛚ 1XdFzfQ204ȗZV])Ia:|s/H<۶ڔ]R቉٩ٕ-+0( G&dw N*+XWoHsCã3y,!e##^߿ǒr ϟ޷hj UX8˛o]y=ZLB c ^w ] ?l2g[% {_j_|dDA2=2ꟜnqWT~v%GQYo#WgY3JMH'$^:!,Vzhx<1յu%'bE\i=GQu C6m嚕`6W\(wꊢ ȹLNQ]N\39~0@(ܺnLFft XpX)#OYeJu#juu;MPPf"]칶bOQz˷~5ހ\lvJ5 K_2k@w:{!uÖW G&jvou>[KuK55>|PFneWay|ņ@t0, v`vM(ǣpYQpq1/ th® y;A6/{"(,?ߠAG%7F-;OQvD> OT$ 3CgIGKOS9 Գ K_]]nd+\,IEB{pot:[XcF _X{37)$(EɑDMn~y ZznL_k#67T?og0̶|T»in:Uя# !?/Vt͌\tK.?EdKf$~BeJ$INYduLD-L-(E?<٢5Lq#5~jHLirb5>=+@-G9)n֕roV@ylDcN/omo!t,\  *RI!Ӽ͇IENDB`Dd@\  S 8AtransparentbcL㓹ߴO)s6xMncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\  S 8AtransparentbcL㓹ߴO)s6NncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`DdL\  S 8AtransparentbcL㓹ߴO)s6~PncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\  S 8AtransparentbcL㓹ߴO)s6RncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\  S 8AtransparentbcL㓹ߴO)s6SncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\  S 8AtransparentbcL㓹ߴO)s6UncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\  S 8AtransparentbcL㓹ߴO)s6VncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\   S 8AtransparentbcL㓹ߴO)s6 XncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\   S 8Atransparent bcL㓹ߴO)s6YncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\   S 8Atransparent bcL㓹ߴO)s6[ncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\   S 8Atransparent bcL㓹ߴO)s6\ncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\   S 8Atransparent bcL㓹ߴO)s6^ncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\  S 8Atransparent bcL㓹ߴO)s6_ncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\  S 8AtransparentbcL㓹ߴO)s6ancL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\  S 8AtransparentbcL㓹ߴO)s6bncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB`Dd\  S 8AtransparentbcL㓹ߴO)s6%dncL㓹ߴO)s6PNG  IHDR%VsBIT|.wPLTEU~tRNS@fbKGDH cmPPJCmp0712Om IDATc`clIENDB` i8@8 NormalCJ_HaJmH sH tH <A@< Default Paragraph Font,U@, Hyperlink >*ph>V@> FollowedHyperlink >*B* phY([0f1OY YYce~ o q egi>@A0 rtuKMN#%YXXCCCXXXCCCCCCCCCCCCC~ BJKM  c o w  "[jn [3333 )&X[ Nancy KroupaRex M. Dendinger IIC:\JuicePlus+\JACC.doc@Yp@UnknownGz Times New Roman5Symbol3& z Arial"qhuۂ %/* &!20Y3H Rex M. Dendinger IIOh+'0p  , 8 DPX`h sssss Normal.dotRex M. Dendinger II3x Microsoft Word 9.0@_@ @0t՜.+,D՜.+,, hp|  p%   Title  8@ _PID_HLINKSAD ~l~Fhttp://www.cardiosource.com/content/library/journals/journal/article/ aff2.originl}Fhttp://www.cardiosource.com/content/library/journals/journal/article/ aff1.origin,6Fhttp://www.cardiosource.com/content/library/journals/journal/article/ articleTopt{http://www.cardiosource.com/library/journals/journal/previous?sdid=4884&volume=41&issue=10&toc=TOC@@JOURNALS@JAC@0041@0010B[Rhttp://www.cardiosource.com/library/journals/journal/previous?sdid=4884&volume=41bpd transparentbp transparentbp transparentbp transparentbpf transparentbp transparentbp? transparentbp  transparentbp  transparentbp  transparentbp  transparentbps  transparentbp transparentbpL transparentbp transparentbp$ transparent  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGIJKLMNOQRSTUVWYZ[\]^_bRoot Entry F463tdData de1TableHWordDocument"(SummaryInformation(PDocumentSummaryInformation8XCompObjjObjectPool463t463t  FMicrosoft Word Document MSWordDocWord.Document.89q