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Journal of clinical ultrasound volume 6, issue 2 , article first published online: 1 dec 2005 abstract references cited by options for accessing this content: if you have access to this content through a society membership, please first log in to your society website. If you would like institutional access to this content, please recommend the title to your librarian. If your institution is on this list, you should login via openathens. If it is not, please login via athens login via other institutional login options you can purchase online access to this article for a 24-hour period (price varies by title) if you already have a wiley online library or wiley interscience user account: login above and proceed to purchase the article. New users: please register, then proceed to purchase the article. Registered users please login: access your saved publications, articles and searches manage your email alerts, orders and subscriptions change your contact information, including your password e-mail: password: please register to: save publications, articles and searches get email alerts get all the benefits mentioned below! Register now >. R, durham, n. C. U. S. A. Received 8 december 1975 revised 23 january 1976 accepted 28 january 1976 available online 11 march 2004 how to cite or link using doi permissions & reprints view full text purchase $31. 50 abstract the spectrum of coronary arterial involvement is described in 42 patients with hemodynamically proved idiopathic hypertrophic subaortic stenosis. Of nine patients with significant coronary arterial involvement, six had atheromatous disease and three had coronary arterial anomalies. The hemodynamic and clinical features of patients with coronary arterial involvement did not differ significantly from those of patients with normal coronary arteries. Neither the severity nor the character of the chest pain distinguished those patients with coronary disease. The diagnostic electrocardiographic features of myocardial infarction classically seen in patients with idiopathic hypertrophic subaortic stenosis were not present in the 9 patients with coronary arterial involvement but were found in 8 of the 33 patients with normal coronary arteries. viagra without a doctor prescription buy cheap viagra buy viagra online viagra online viagra for sale buy viagra buy cheap viagra cheap viagra online viagra sale canada cheap generic viagra The data demonstrate.

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We are a firm based in the West Midlands dedicated to providing a payroll service tailored to our client’s individual needs at a highly competitive price.  

Why outsource your payroll? 
The expertise required in preparing your company's payroll should not be under-estimated. The legislative burden being placed on businesses is constantly growing as are the amount of penalties for non-compliance.  Running an in-house payroll is not a cost effective option; there are substantial wage and national insurance costs to consider. This is in addition to the outlay for software, necessary training, printing and stationery. Let us handle the burden of your payroll and make the headaches that come with this task a thing of the past.  

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Our knowledgeable and experienced staff will be able to process every conceivable payroll need, be it legislative or a management requirement, in a timely and efficient manner. Whatever your payroll requirements we are confident that we will be able to meet them. We pride ourselves on a high level of service at an affordable price. We do all this while keeping all aspects of our business based in the UK. When you call us you get through to a person, in our office, who will be able to help you immediately. We do not operate frustating call centres based abroad, neither do we outsource any work.  

Which payroll software is used? 
We use Access Payroll; this is fully accredited and meets the rigorous standards demanded by HM Revenue & Customs, so you can rest assured all legislative changes are updated automatically.

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