Clinical Auscultation of the Cardiovascular System

Clinical Auscultation of the Cardiovascular System

614 BOOK REVIEWS teaching tool that combines text, illustrations, and real-time videotapes. The atlas consists of a hardcover, 180-page text w i t h...

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614

BOOK REVIEWS

teaching tool that combines text, illustrations, and real-time videotapes. The atlas consists of a hardcover, 180-page text w i t h multiple color photographs and t w o narrated V H S videotapes of 2V2-hour duration. The initial portion of the text concisely outlines t h e clinical applications, physics, and instru­ mentation of color flow Doppler echocardiogra­ phy. The n e x t section lays t h e groundwork for the interpretation of the color flow i m a g e s by describing in detail (including both photographic and video illustrations) the normal color flow Doppler examination from each of t h e four echocardiographic windows. In addition, vari­ ous combinations of color flow display formats are discussed and illustrated, a feature t h a t enables the reader to appreciate the wide range of application of color flow Doppler i m a g i n g in conjunction w i t h other modalities such as Mmode or pulsed Doppler to m a x i m i z e the exami­ nation. The largest portion of the text illustrates a v a s t array of cardiovascular abnormalities t h a t can be displayed with use of color flow Doppler imaging. This section is divided into several major categories devoted to such topics a s valvu­ lar regurgitation, valvular stenosis, cardiomy­ opathy, and prosthetic valves. After a general review of each category, several illustrative cases are presented for each category. T h e s e cases are discussed in the text and accompanjdng color photographs and t h e n are reviewed in 3- to 4m i n u t e narrated video s e g m e n t s . A total of 10 general categories and 5 0 case studies are pre­ sented. The final section consists of 170 ques­ tions and 10 unidentified video c a s e s that can be submitted for 30 credit hours in Category I of t h e Physicians Recognition Award of the American Medical Association. This comprehensive video atlas encompasses a wide range of adult and congenital cardiac problems and presents examples of transesoph­ ageal and fetal echocardiograms a s well. The text is well written, t h e color photographs are of high quality, and the videotaped e x a m p l e s and accompanying narratives are excellent. The case-by-case format is a good, e a s y to follow learning technique. The videotaped e x a m p l e s of

Mayo Clin Proc, April 1990, Vol 65

real-time color flow enhance the reader's under­ s t a n d i n g not only of the major features of color Doppler i m a g i n g but also of its subtleties. The $ 2 5 0 price t a g is reasonable w h e n one considers the quantity of material presented in the various formats, t h e high-quality photographs, and the video presentations. The CME credit is a bonus. This video atlas would be a useful introduc­ tion to color flow Doppler imaging for physicians and sonographers who are unfamiliar with the technique and would provide a good review for those with more experience. It would make a valuable addition to t h e library of any echocardi­ ography laboratory. Roger L. Click, M.D. Division of Cardiovascular D i s e a s e s and Internal Medicine

Clinical Auscultation of the Cardiovascu­ l a r S y s t e m (high-fidelity recordings of more t h a n 4 5 0 actual patients with companion texts), by W. Proctor Harvey and David C. Canfield, 2 6 0 pp, with illus, $95, 7 P e n n Ave­ nue, N e w t o n , ΝJ 07860, Laennec Publishing, 1989 W h e n Proctor Harvey's 10 tapes accompanied by short texts arrived, I could not help but review t h e m , even though I a m not a cardiologist. In the past, I have attended the cardiac auscultation course at Georgetown University more than once. I returned because of the plethora of diagnostic information t h a t w a s presented by Dr. Harvey and his colleagues. When I close m y e y e s and j u s t listen to the tapes, it is like being back at the cardiac auscul­ tation course in the Georgetown University Hospital auditorium. Proctor Harvey certainly h a s achieved the apogee in the teaching of car­ diac auscultation. Carl F. Anderson, M.D. Division of Nephrology and Internal Medicine {Proceedings Book Review Editor)