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Cardiovascular pathology
PERIPHERAL ARTERIAL DISEASE, A Physician’s Approach. By Robert L. Richards, M.D. F.R.C.P.E.D.; F.R.C.P. (Glasg.), London, 1970, E.&S. Livingstone, Ltd. 126 pages. Price $10.50. Richards has produced a very good and succinct discussion of peripheral arterial disease. The approach is sound, clinical, and practical. He describes the office and general hospital approach to the diagnosis and management of arterial disease of the limbs, There are no frills, fancy and yet unevaluated procedures of diagnosis or treatment included. He clearly defines what is useful in management of these diseases and the limitations in drugs and surgery. The author in this brief book displays knowledge of the subject. This reviewer warns the readers that a profound knowledge of peripheral vascular physiology and clinical medicine will be required to appreciate the full implications of the statements and recommendations made. The illustrations are few but well selected, the bibliography is good, and the index is welcomed even though this is a small book. All doctors in genera1 practice, internal medicine, and surgery who manage cardiovascular diseases will find this to be a useful and practical book. ELECTRICAL IMPEI)ANCE PLETHYSMOGRAPRY. Electrical Resistive Measure of the Blood Volume, Peripheral and Central Blood Flow, By Jan Nyboer, D.Sc., M.D., Springfield, 1970, Charles C Thomas, Publisher. 390 Price $22.00.
It
in the peripheral circulation. It is recomalso for students and others who are with studying the cardiovascular sys-
CARDIOVASCULAR PATHOLOGY, Vol. 3 (Suppl. to Vols. 1 and 2). By Reginald E. B. Hudson, M.D., F.R.C.Path., B.Pbarm. F.P.S., Baltimore, 1970, The Williams & Wilkins Company, 1,166 pages. Price $74.75. This
The Pulse ed. 2. Ill., pages.
has been approximately 10 years since Nyboer pubiished the first edition of his book, Electrical Isnpedance Pletlzysmography. The author is an expert on the subject, having devoted almost his entire professional life to this field. This book summarizes and brings up to date his work and thinking on impedance plethysmography. The book describes very well the principle of plethysmography and the applications of the impedance technique for measuring variations in blood flow with each heart beat. The original recording and illustrations are very good. Nyboer has included drawings of the electric circuits used in his studies. The principles involved with the applications of impedance measurements are carefully and effectively presented. The versatility and simplicity of the method is well known. Nyboer shows how it can be applied to measuring blood flow in the limbs, fingertips, forehead, and other parts of the body, The method lends itself very nicely for studies of the effects of drugs and procedures in changing the rate of blood flow in selected parts of the body. This is well exemplified by tracings obtained before and after the use of drugs and procedures. This is a good book which should prove to be useful to anyone in-
296
terested mended invo!ved tem.
third volume is an excellent supplement to Hudson’s first two volumes on cardiovascular pathology. The field not only has been advancing rapidly, but it has received relatively little attention, so that a volume of this sort is needed. The material discussed not only included pathologic morphologic changes but normal morphology as well. This is obviously necessary to appreciate fully the influence of disease. Gross, histologic, and ultrastructural changes are clearly defined for the heart, conducting system, arteries, and veins. This volume is truly a supplement to the first two. Hudson integrates function, clinical and even therapeutic principles, with the anatomic changes. This is done very w-ell. It is unusua!, for example, to find a discussion of electric shock therapy for cardiac arrhythmias (p. S-118) in a book on morbid anatomy. This may be considered unfortunate by some readers who are conventional pathologists. This, of reflects the author’s effort to make course, pathology of interest to the clinician. This may be so but this reviewer wonders if Hudson writes from experience with clinical cardiology. The impression received from such sections of the book is that he writes from a review of the literature rather than from the point of view of a practicing cardiologist. The presentation is excellent, the illustrations good, and the bibliography extensive. This volume and the previous two should be a part of the library of cardiologists and internists who practice a great deal of cardiology.
HANDBCCH DER ALLGEMEINI~N PATHOLOGIE, Herausgegeben von H. W. Altmann et al., Die Organe, Die Organstruktur als Grundlage der Organleistung und Organerkrankung, III. Bearbeitet Van W. Doerr, H. Otto, Redigiert Von H. Meessen, and F. Roulet, Berlin, Heidelberg, New York, 1970, Springer-Verlag, 821 pages. Price $85.00, This
volume on the pathology of diseases of the lungs and heart includes a rather extensive summary of modern techniques and concepts. For example, electron microscopic considerations are nicely presented. The authors have attempted to describe a more dynamic approach to pathoiogic manifestations of the disease states than is
It
in the peripheral circulation. It is recomalso for students and others who are with studying the cardiovascular sys-
CARDIOVASCULAR PATHOLOGY, Vol. 3 (Suppl. to Vols. 1 and 2). By Reginald E. B. Hudson, M.D., F.R.C.Path., B.Pbarm. F.P.S., Baltimore, 1970, The Williams & Wilkins Company, 1,166 pages. Price $74.75. This
The Pulse ed. 2. Ill., pages.
has been approximately 10 years since Nyboer pubiished the first edition of his book, Electrical Isnpedance Pletlzysmography. The author is an expert on the subject, having devoted almost his entire professional life to this field. This book summarizes and brings up to date his work and thinking on impedance plethysmography. The book describes very well the principle of plethysmography and the applications of the impedance technique for measuring variations in blood flow with each heart beat. The original recording and illustrations are very good. Nyboer has included drawings of the electric circuits used in his studies. The principles involved with the applications of impedance measurements are carefully and effectively presented. The versatility and simplicity of the method is well known. Nyboer shows how it can be applied to measuring blood flow in the limbs, fingertips, forehead, and other parts of the body, The method lends itself very nicely for studies of the effects of drugs and procedures in changing the rate of blood flow in selected parts of the body. This is well exemplified by tracings obtained before and after the use of drugs and procedures. This is a good book which should prove to be useful to anyone in-
296
terested mended invo!ved tem.
third volume is an excellent supplement to Hudson’s first two volumes on cardiovascular pathology. The field not only has been advancing rapidly, but it has received relatively little attention, so that a volume of this sort is needed. The material discussed not only included pathologic morphologic changes but normal morphology as well. This is obviously necessary to appreciate fully the influence of disease. Gross, histologic, and ultrastructural changes are clearly defined for the heart, conducting system, arteries, and veins. This volume is truly a supplement to the first two. Hudson integrates function, clinical and even therapeutic principles, with the anatomic changes. This is done very w-ell. It is unusua!, for example, to find a discussion of electric shock therapy for cardiac arrhythmias (p. S-118) in a book on morbid anatomy. This may be considered unfortunate by some readers who are conventional pathologists. This, of reflects the author’s effort to make course, pathology of interest to the clinician. This may be so but this reviewer wonders if Hudson writes from experience with clinical cardiology. The impression received from such sections of the book is that he writes from a review of the literature rather than from the point of view of a practicing cardiologist. The presentation is excellent, the illustrations good, and the bibliography extensive. This volume and the previous two should be a part of the library of cardiologists and internists who practice a great deal of cardiology.
HANDBCCH DER ALLGEMEINI~N PATHOLOGIE, Herausgegeben von H. W. Altmann et al., Die Organe, Die Organstruktur als Grundlage der Organleistung und Organerkrankung, III. Bearbeitet Van W. Doerr, H. Otto, Redigiert Von H. Meessen, and F. Roulet, Berlin, Heidelberg, New York, 1970, Springer-Verlag, 821 pages. Price $85.00, This
volume on the pathology of diseases of the lungs and heart includes a rather extensive summary of modern techniques and concepts. For example, electron microscopic considerations are nicely presented. The authors have attempted to describe a more dynamic approach to pathoiogic manifestations of the disease states than is