Courts have also suggested that a forum clause, even though it is freely bargained for and contravenes no important public policy of the forum, may nevertheless be "unreasonable" and unenforceable if the chosen forum isseriouslyinconvenient for the trial of the action. Of course, where it can be said with reasonable assurance that at the time they entered the contract, the parties to a freely negotiated private international commercial agreement contemplated the claimed inconvenience, it is difficult to see why any such claim of inconvenience should be heard to render the forum clause unenforceable.

17

*17We are not here dealing with an agreement between two Americans to resolve their essentially local disputes in a remote alien forum. In such a case, the serious inconvenience of the contractual forum to one or both of the parties might carry greater weight in determining the reasonableness of the forum clause. The remoteness of the forum might suggest that the agreement was an adhesive one, or that the parties did not have the particular controversy in mind when they made their agreement; yet even there the party claiming should bear a heavy burden of proof.^[18]Similarly, selection of a remote forum to apply differing foreign law to an essentially American controversy might contravene an important public policy of the forum. For example, so long asBissogoverns American courts with respect to the towage business in American waters, it would quite arguably be improper to permit an American tower to avoid that policy by providing a foreign forum for resolution of his disputes with an American towee.

additional questions

Q1

Doesn't the term 'acute coronary syndrome' include unstable angina, nonST-segment elevation myocardial infarctions and ST-elevated MI (STEMI)?

Q2

Kindly mention the indications for clopidogrel in acute coronary

syndrome (ACS). Should it be used along with aspirin or alone if the

latter is contraindicated? Are there any studies that combine both

with either low-molecular-weight heparin (LMWH) or unfractionated

heparin? How long should clopidogrel be continued?``1354

Q3

What role do IV fluids play in the management of acute inferior wall

myocardial infarction?

Q4

Is there any benefit in combining aspirin with clopidogrel in post-MI

angina and ischaemic stroke? A MATCH trial showed this combination

not to be of benefit - would you therefore recommend we stop using this

combination in our hospital unit?

Q5

In a patient with the typical chest pain of myocardial infarction (MI) and

no other criteria for thrombolysis would highly elevated cardiac enzymes

indicate thrombolysis?

Q6

When treating mitral stenosis using a balloon valvotomy, how come no

thrombus develops at the site of the atrial septum or at the separated

commissure of the valve leaflets?1346

Q7

Why does a mitral stenosis produce a loud S1?

Q8

Why is the mitral valve more affected than any other valve in the heart in

most valvular diseases?

Q9

What is William's syndrome (supravalvular obstruction)? Why does

hypercalcaemia occur with this syndrome?

Q10

Kindly tell me all the causes postulated for the collapsing pulse seen in

aortic regurgitation.