Alan G Fraser1, Eric G Butchart2, Piotr Szymański3. 1. Advocacy Division, European Society of Cardiology, The European Heart House, 06903 Sophia Antipolis, France. Electronic address: fraserag@cf.ac.uk. 2. Retired Consultant Cardiothoracic Surgeon, University Hospital of Wales, Cardiff, UK. 3. Institute of Cardiology, Warsaw, Poland.