hi!
      I did as you suggested and it work also. but still it prints remaining text data .

my script is :
<?xml version="1.0"?>
   <xsl:stylesheet version="1.0"
                   xmlns:xsl="http://www.w3.org/1999/XSL/Transform"
                   xmlns:xhtml="http://www.w3.org/1999/xhtml"
                   >
   <xsl:output method="xml" indent="yes"/>
      <xsl:template match="xhtml:html/xhtml:head">
            <TITLE> <xsl:value-of select="xhtml:title"/></TITLE>
            </xsl:template>
      </xsl:stylesheet>

OUTPUT :

<?xml version="1.0" encoding="UTF-8"?>

<TITLE xmlns:xhtml="http://www.w3.org/1999/xhtml">Association between hyperglycemia and the no-reflow
phenomenon inpatients with acute myocardial infarction -- Iwakura
et al. 41 (1): 1 -- Journal of the American College of
Cardiology</TITLE>

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J Am Coll Cardiol, 2003; 41:1-7
© 2003 by
the American College of Cardiology Foundation












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CLINICAL STUDY: MYOCARDIAL INFARCTION AND ACUTE CORONARY
SYNDROME

Association between hyperglycemia and the no-reflow phenomenon
inpatients with acute myocardial infarction

Katsuomi Iwakura, MD*, Hiroshi Ito,
MD, FACC*,*, Masashi Ikushima,
MD*, Shigeo Kawano, MD*,
Atsushi Okamura, MD*, Katsuaki Asano,
MD*, Tadashi Kuroda, MD*,
Koji Tanaka, MD*, Tohru Masuyama,
MD, Masatsugu Hori, MD and Kenshi Fujii,
MD*

* Division of Cardiology, Sakurabashi Watanabe
Hospital, Osaka University, Osaka, Japan
 Department of Internal Medicine and
Therapeutics, Graduate School of Medicine, Osaka University, Osaka,
Japan

Manuscript received August 13, 2002; revised manuscript received
September 12, 2002, accepted September 20, 2002.

* Reprint requests and correspondence: Dr.
Hiroshi Ito, Division of Cardiology, Sakurabashi Watanabe Hospital,
2-4-32 Umeda, Kita-ku, Osaka 530-0001, Japan.
itomd{at}osk4.3web.ne.jp






OBJECTIVES: We investigated the association between
hyperglycemia and the no-reflow phenomenon in patients
with acute myocardial infarction (AMI).

BACKGROUND: Hyperglycemia is associated with increased risks of
heart failure, cardiogenic shock, and death after AMI,
but its underlying mechanism remains unknown.


METHODS: A total of 146 consecutive patients with a first AMI
were studied by intracoronary myocardial contrast
echocardiography (MCE) after successful reperfusion
within 24 h after symptom onset. Two-dimensional
echocardiography was recorded on day 1 and three months
later to determine the change in the wall motion score
(WMS; sum of 16 segmental scores; dyskinesia = 4 to
normokinesia = 0).

RESULTS: The no-reflow phenomenon was found on MCE in 49 (33.6%)
of 146 patients; their glucose level on hospital
admission was significantly higher than that of patients
who did not exhibit this phenomenon (209 ± 79 vs.
159 ± 56 mg/dl; p &lt; 0.0001). There was no
difference in glycosylated hemoglobin or in the
incidence of diabetes mellitus between the two subsets.
The no-reflow phenomenon was more often observed in the
75 patients with hyperglycemia (160 mg/dl) than in those without hyperglycemia
(52.0% vs. 14.1%; p &lt; 0.0001). Patients with
hyperglycemia had a higher peak creatine kinase level
(2,497 ± 1,603 vs. 1,804 ± 1,300 IU/l; p =
0.005) and a lower WMS (3.7 ± 4.8 vs. 5.7 ±
4.3; p = 0.01) than did those without hyperglycemia. The
blood glucose level was an independent prognostic factor
for no reflow, along with age, gender, absence of
pre-infarction angina, complete occlusion of the culprit
lesion, and anterior AMI.

CONCLUSIONS: Hyperglycemia might be associated with impaired
microvascular function after AMI, resulting in a larger
infarct size and worse functional recovery.









Abbreviations and Acronyms



AMI



acute myocardial infraction



CK



creatine kinase



DM



diabetes mellitus



ECG



electrocardiogram or electrocardiographic



HbA1c



glycosylated hemoglobin



MCE



myocardial contrast echocardiography



PCI



percutaneous coronary intervention



TIMI



Thrombolysis In Myocardial Infarction



WMS



wall motion score













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Implications and Treatment of Acute Hyperglycemia in the
Setting of Acute Myocardial Infarction
Circulation, May 8, 2007; 115(18): e436 - e439.
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C. Bauters, P. V. Ennezat, O. Tricot, B. Lauwerier, R.
Lallemant, H. Saadouni, P. Quandalle, O. Jaboureck, N. Lamblin, T.
Le Tourneau, and on behalf of The REVE Investigators
Stress hyperglycaemia is an independent predictor of left
ventricular remodelling after first anterior myocardial infarction
in non-diabetic patients
Eur. Heart J., March 1, 2007; 28(5): 546 - 552.

[Abstract]
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