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LUNG BIOLOGY IN HEALTH AND DISEASE: LUNG WATER AND SOLUTE EXCHANGE
The Bookshelf (continued) On the whole. I would rec;cdHjilww:J Ritota'i ~ EkctroCGrdiognJJJlafl as a desirable beginDen' text. euy to lead and absorb. Anyoae who masten this text sboaJd be able to haDdIe himself very respectably in most everyday problems requiriDg electrocardiography. lludolpla T. W""..,., MD., F.C.CoP. Mfafrd BeacIa, FltJ
VASCULAR GRAFTS. By PmuP N. SAWYEll and MABTIN J. K.u>LlTJ'. New York. Appleton-CeDtury-Crofta. 1971. 431 pp. f38.75. This is a wen-written book on the various properties of currently available vascular grafts. It is extremely comprehensive. and because of its size and detail. its primary appealwould seem to be to very serious studeob of vucuIar surgery. It is DOt a book for the average surgeon. as it gives much iDformation which is not required in the clinical setting. no. volume would I8rYe wen as a splendid reference in the Hbruiel1Ued by thole who practice
vascular surgery.
AlfNd V. P...... MD.
BoaIon
LUNG BIOLOGY IN HEALTH AND DISEASE: LUNG WATER AND SOLUTE EXCHANGE (vol 1). Edited by NOllWAN C. STAUB (Executive Editor. Claude Leofant). New Yode, Marcel Dekker, Inc., 1978,584 pp, "9.50. This mu1tiautbored volume is the seveotb in a IeJ'ies of exceDent and authoritative mooographs on lMnc BIology Ira Healda orad l>UeGN, IpODIOl'ed by the DmIioD of 1.uDI Diseases of the National 1Dstitutes of Health. The appearuace of the book is timely and much ueeded in view of the currently acImowJedged importaDce of both eardiogeaic and DODCardiogenic pu1moDary edema as major and ubiquitoUi cliDical problems. Staub bas usemb1ed an imposing pael of autbor-inveltigaton, representing the most knowledgeable and produdfve people in their respective fields. Each bas written clearly and utenlive1y upon his subject, and amoag those mbjeds covenld ale the pulmonary interstitium with its associated vueuJar and alveolar membranes; pu1moDary ftuid and solute compertmeDts; and the dynamics of transvucular exe:t:1j~water. protein, and other
solutes, including mathematic . approaches. The chapten on pulmonary edema deal in tum with those varleties caused by increased vascular permeability, altered hemodynamics, altitude and hypoxia, trauma and shock, and abDormalities in the br0nchial circulation. AdditioDaJ chapters on the cJearance and removal of fluids. cells. and other substances from the lung. on the effects of pulmonary edema on the diJtribution of the pu1moDary flow of blood, on the detection and measurement of pulmonary edema. and on fundamental aspects of treatment are abo valuable and welcome. While there is much of value in this volume to the critical care specialist. the pulmonary clinid 8n. and the cardioJogist, particularly as a reference source. this work is primarily iDteDded for the scholar and researcher in the field of pulmonary physiology and pathophysiology. Quite properly. the UmitatioDs of experimental work are stated, simpliftcatioDs are a~ and the important UDIOlved questions are streued, with thoughtful suggestions for future investigatiODS. This is an boaest. valuable. and weD written compendium which is surely required reeding for those seriously c:oncemed with pulmonary edema and related conditions.
John T. SIatJtp, MD., F.C.CoP. B...,ID
CORONARY HEART DISEASE. EXERCISE TESTING AND CARDIAC REBABlUTATlON. Edited by 'WD.I.Lul E. JAMES and EZRA. A. AMSTERDAM. Miami, Fla. Symposia Specia1iIts (distributor, Stratton lntercoatiDental Medical Boole Corp•• New York), 1971.318 pp. $21.50. The proceedings of a recent i.Dtematiooal symposium have been compiled in this monograph in an easily read format. There is a wide range of topics of current interest, and the pewntatio"l are succinct and weD referenced. The Snt of four sections is entitled "Coronary Artery Disease" and includes selected reviews of clinical problems. The results of the efforts to modify primary and secondary rille factors are
A-26
summarized. Therapeutic programs for the clinical spectrum of the disease, including up-to-date management of congestive heart failure, arrhythmias, and hemodynamic compJications. are described. The aggreuive approach with the intra-aortic balloon is discussed but needs some amplification. I believe that the report on the results of surgical treatment is incomplete, in that it emphasizes the positive aspects, with insuftldent consideration of the negative side of this controversy. The second section, entitled "Exercise Testing." is the prize. In a fully explanatory manner, this important field is covered superbly as it relates to problems of the coronary arteries and left ventricular function. There are sections on normal cardiopulmonary physiology. principles of exercise testing, and pertiDent reviews of the expanding role of testing in sports medicine and for conditioning programs. Included are reports on the abnormal respoose of the electrocardiogram and clinical factors to exercUe. the usefulness and limitations of long-term electrocardiographic monitoring. and the contraindications to and the prognostic signiflcance of stress testing. In section 3. entitled "Cardiac Rehabilitation." one ftnds authoritative answen to such pertinent questions as: "What is the exercise prescription for the apparently healthy and the cardiac patient?" Abo fully covered are the benefits and riab of programs of physical activity for the cardiac patient. The ftnaI section comprises the informal conference worlcsbops and expands on techniques for testing and writing exercise prescriptiOUI. Included are examples of various types of electrocardiographic responses and a description of the pharmacologic basis of antiarrhythmic therapy. The book is recommended highly to those concerned with coronary arterial disease. It offen up-to-date reports of investigative progress in an important 6eld, as weD as practical measures for the care of the patient. Lawrence H. Golden, M.D., F.C.C.P. Buffalo. NY DIAGNOSIS OF DISEASES OF THE CHEST: VOLUMES 1 and 2 (2nd ed). By ROBERT G. FRASER and J. A. PETER P AllE. Philadelphia, W. B. Saunden Co .• 1971 (voll) and 1978 (vol 2),656 pp (vol 1) and 639 pp (vol 2), 414 Illus (vol 1) and 236 iDus (vol 2). $26.00 ($28.10 in Canada) (vol 1) plus $26.00 ($28.10 in Canada) (vol 2). Unlike other texts of limited scope. the second edition of Pare provides a complete discussion of the chest in health and disease. Fraser and Pare not only have provided a patbologie-radiologic correlation but have made the clinical 6ndings an integral part of the discussion. As in the ftrst edition, pathologic states are discussed by etiology, pathogenesis, pathologic characteristics, radiologic manifestations, and cIinical manifestations. References for these two volumes alone have increased by about 50 percent, and the chapten have expanded accordingly. The textboole. when complete. will be composed of four volumes. The length of the text should not be considered detrimental, for the book is superbly readable. Those who greeted the 6rst edition with praise will be delighted with the second edition. for Fraser and Pare have surpassed themselves and improved on a good thing. There is expanded discussion of procedures for biopsy. immune de8dency states. and eosinophilic pulmonary disease and addition of topics tiJce immune reactions. adult respiratory de6dency states. hoet defense mechanisms in infectious disease. and prognosis in malignant disease processes. The illustrations are exceDent, and the text is deligbtfully readable. The book appears to be better bound than its predecessor. Those involved in the diagnosis and treatment of disease of the chest will 6nd this updated edition an invaluable aid. We eagerly await volumes 3 and 4.
Dlagnom of ~e8 of the Cheu by Fraser and
H. KDrkut, MD.
Boaton
CARDIOVASCULAR CUNICS: CLINICAL ELECTROCARDIOCRAPmC CORRELATIONS (vol 8. No.3). Edited by JORGE C. RJOI (Series Editor. Albert N. Brest). Philadelphia, F. A. Davis ce., 1971,319 pp. 133 iDUi. $35.00. Since Einthoven. millions of miles of electrocardiographic tape passing through electrocardiographic machines have recorded a variety of e1ectrophysiologic data which daily affect the life. ~ fortunes. and happiness of patients and families. CUnicGl Electrocardlogrophic Correlations, an edited book, attempts to help the physician to provide proper interpretation and to draw
VASCULAR GRAFTS. By PmuP N. SAWYEll and MABTIN J. K.u>LlTJ'. New York. Appleton-CeDtury-Crofta. 1971. 431 pp. f38.75. This is a wen-written book on the various properties of currently available vascular grafts. It is extremely comprehensive. and because of its size and detail. its primary appealwould seem to be to very serious studeob of vucuIar surgery. It is DOt a book for the average surgeon. as it gives much iDformation which is not required in the clinical setting. no. volume would I8rYe wen as a splendid reference in the Hbruiel1Ued by thole who practice
vascular surgery.
AlfNd V. P...... MD.
BoaIon
LUNG BIOLOGY IN HEALTH AND DISEASE: LUNG WATER AND SOLUTE EXCHANGE (vol 1). Edited by NOllWAN C. STAUB (Executive Editor. Claude Leofant). New Yode, Marcel Dekker, Inc., 1978,584 pp, "9.50. This mu1tiautbored volume is the seveotb in a IeJ'ies of exceDent and authoritative mooographs on lMnc BIology Ira Healda orad l>UeGN, IpODIOl'ed by the DmIioD of 1.uDI Diseases of the National 1Dstitutes of Health. The appearuace of the book is timely and much ueeded in view of the currently acImowJedged importaDce of both eardiogeaic and DODCardiogenic pu1moDary edema as major and ubiquitoUi cliDical problems. Staub bas usemb1ed an imposing pael of autbor-inveltigaton, representing the most knowledgeable and produdfve people in their respective fields. Each bas written clearly and utenlive1y upon his subject, and amoag those mbjeds covenld ale the pulmonary interstitium with its associated vueuJar and alveolar membranes; pu1moDary ftuid and solute compertmeDts; and the dynamics of transvucular exe:t:1j~water. protein, and other
solutes, including mathematic . approaches. The chapten on pulmonary edema deal in tum with those varleties caused by increased vascular permeability, altered hemodynamics, altitude and hypoxia, trauma and shock, and abDormalities in the br0nchial circulation. AdditioDaJ chapters on the cJearance and removal of fluids. cells. and other substances from the lung. on the effects of pulmonary edema on the diJtribution of the pu1moDary flow of blood, on the detection and measurement of pulmonary edema. and on fundamental aspects of treatment are abo valuable and welcome. While there is much of value in this volume to the critical care specialist. the pulmonary clinid 8n. and the cardioJogist, particularly as a reference source. this work is primarily iDteDded for the scholar and researcher in the field of pulmonary physiology and pathophysiology. Quite properly. the UmitatioDs of experimental work are stated, simpliftcatioDs are a~ and the important UDIOlved questions are streued, with thoughtful suggestions for future investigatiODS. This is an boaest. valuable. and weD written compendium which is surely required reeding for those seriously c:oncemed with pulmonary edema and related conditions.
John T. SIatJtp, MD., F.C.CoP. B...,ID
CORONARY HEART DISEASE. EXERCISE TESTING AND CARDIAC REBABlUTATlON. Edited by 'WD.I.Lul E. JAMES and EZRA. A. AMSTERDAM. Miami, Fla. Symposia Specia1iIts (distributor, Stratton lntercoatiDental Medical Boole Corp•• New York), 1971.318 pp. $21.50. The proceedings of a recent i.Dtematiooal symposium have been compiled in this monograph in an easily read format. There is a wide range of topics of current interest, and the pewntatio"l are succinct and weD referenced. The Snt of four sections is entitled "Coronary Artery Disease" and includes selected reviews of clinical problems. The results of the efforts to modify primary and secondary rille factors are
A-26
summarized. Therapeutic programs for the clinical spectrum of the disease, including up-to-date management of congestive heart failure, arrhythmias, and hemodynamic compJications. are described. The aggreuive approach with the intra-aortic balloon is discussed but needs some amplification. I believe that the report on the results of surgical treatment is incomplete, in that it emphasizes the positive aspects, with insuftldent consideration of the negative side of this controversy. The second section, entitled "Exercise Testing." is the prize. In a fully explanatory manner, this important field is covered superbly as it relates to problems of the coronary arteries and left ventricular function. There are sections on normal cardiopulmonary physiology. principles of exercise testing, and pertiDent reviews of the expanding role of testing in sports medicine and for conditioning programs. Included are reports on the abnormal respoose of the electrocardiogram and clinical factors to exercUe. the usefulness and limitations of long-term electrocardiographic monitoring. and the contraindications to and the prognostic signiflcance of stress testing. In section 3. entitled "Cardiac Rehabilitation." one ftnds authoritative answen to such pertinent questions as: "What is the exercise prescription for the apparently healthy and the cardiac patient?" Abo fully covered are the benefits and riab of programs of physical activity for the cardiac patient. The ftnaI section comprises the informal conference worlcsbops and expands on techniques for testing and writing exercise prescriptiOUI. Included are examples of various types of electrocardiographic responses and a description of the pharmacologic basis of antiarrhythmic therapy. The book is recommended highly to those concerned with coronary arterial disease. It offen up-to-date reports of investigative progress in an important 6eld, as weD as practical measures for the care of the patient. Lawrence H. Golden, M.D., F.C.C.P. Buffalo. NY DIAGNOSIS OF DISEASES OF THE CHEST: VOLUMES 1 and 2 (2nd ed). By ROBERT G. FRASER and J. A. PETER P AllE. Philadelphia, W. B. Saunden Co .• 1971 (voll) and 1978 (vol 2),656 pp (vol 1) and 639 pp (vol 2), 414 Illus (vol 1) and 236 iDus (vol 2). $26.00 ($28.10 in Canada) (vol 1) plus $26.00 ($28.10 in Canada) (vol 2). Unlike other texts of limited scope. the second edition of Pare provides a complete discussion of the chest in health and disease. Fraser and Pare not only have provided a patbologie-radiologic correlation but have made the clinical 6ndings an integral part of the discussion. As in the ftrst edition, pathologic states are discussed by etiology, pathogenesis, pathologic characteristics, radiologic manifestations, and cIinical manifestations. References for these two volumes alone have increased by about 50 percent, and the chapten have expanded accordingly. The textboole. when complete. will be composed of four volumes. The length of the text should not be considered detrimental, for the book is superbly readable. Those who greeted the 6rst edition with praise will be delighted with the second edition. for Fraser and Pare have surpassed themselves and improved on a good thing. There is expanded discussion of procedures for biopsy. immune de8dency states. and eosinophilic pulmonary disease and addition of topics tiJce immune reactions. adult respiratory de6dency states. hoet defense mechanisms in infectious disease. and prognosis in malignant disease processes. The illustrations are exceDent, and the text is deligbtfully readable. The book appears to be better bound than its predecessor. Those involved in the diagnosis and treatment of disease of the chest will 6nd this updated edition an invaluable aid. We eagerly await volumes 3 and 4.
Dlagnom of ~e8 of the Cheu by Fraser and
H. KDrkut, MD.
Boaton
CARDIOVASCULAR CUNICS: CLINICAL ELECTROCARDIOCRAPmC CORRELATIONS (vol 8. No.3). Edited by JORGE C. RJOI (Series Editor. Albert N. Brest). Philadelphia, F. A. Davis ce., 1971,319 pp. 133 iDUi. $35.00. Since Einthoven. millions of miles of electrocardiographic tape passing through electrocardiographic machines have recorded a variety of e1ectrophysiologic data which daily affect the life. ~ fortunes. and happiness of patients and families. CUnicGl Electrocardlogrophic Correlations, an edited book, attempts to help the physician to provide proper interpretation and to draw