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CORONARY ARTERIOGRAPHY
several hundred multiple-choice questions with answers and a few references? Do such exercises help the applicants pass their board examinations? My hunch is that they do not; the time would seem to be more wisely spent reviewing the literature and texts directly; however, many of my younger colleagues, who are currently studying for board examinations, endorse these review books enthusiastically, particularly when used as the basis for group discussion and review. In this particular volume the 1,200 questions conform to the type used in the most recent Cardiology Board Examination and are conveniently divided by subject. Short pre-test and post-test sections are also included. In general, the questions are pertinent and unambiguous, and the answers are correct; however, they are drawn from only 35 references, mostly textbooks and review articles, and ideally we would hope for a greater number of primary sources to stimulate the student's reading. This volume fills the need for this type of review. I have not seen any better. Sidney Alexander, M.D., F.C.C.P. Boston LYMPHOPROLIFERATIVE DISEASES. By DAVID W. MOLANDER. Springfield, Ill, Charles C Thomas, 1975, 570 pp, $39.50. The title of this multi-authored volume may not adequately indicate its contents. Chronic lymphatic leukemia, the parent lymphoproliferative disorder, is not discussed. Multiple myeloma and related dyscrasias, which are more precisely called plasma-cell proliferative disorders, are included. Other topics covered which one may not necessarily anticipate from the title are Burkitt's tumor, sarcoidosis, eosinophilic granuloma, Hand-Schiiller-Christian disease, Letterer-Siwe disease, and non-Hodgkin's lymphoma. The volume is best suited for the nonspecialist who has need for a helpful basic review of any of these topics. In particular, there is a good introductory discussion of immunoglobulins. The two chapters on Burkitt's tumor are superb. The chapter on infections, although restricted to those complicating lymphosarcoma, is comprehensive. Since our perspective of a disease rarely includes an appreciation of its presentation in animals, the enlightening chap- . ter, "Lymphosarcoma and Related Disease in Animals," is an unexpected bonus. There are criticisms. The pathologic anatomy of non-Hodgkin's lymphoma is discussed without consideration of the important and still evolving concepts of B-cell and T-cell disorders. Discussion
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of combination chemotherapy in non-Hodgkins lymphoma is parochially restricted to the author's experience and omits much important literature, The chapter on sarcoidosis avoids recent controver sies, such as the ultimate value of the K veim test ana the need for diagnostic biopsy in patients with sym· metric bilateral hilar adenopathy. The exciting ds covery relating amyloid to the variable portion 01 the light chain is not mentioned. Occasional curios practices, such as giving daily doses of tetracycline in the treatment of multiple myeloma, are advocatel without explanation. Also, the book is often repeti tive. Immunoglobulins, for example, are discussed in two chapters. David Steinberg, M.D Bostofi
CORONARY ARTERIOGRAPHY. By GoFFREOOG, GENSINI. New York, Futura Publishing Co., 1975, 488 pp, $48.00. This monograph is an elegant presentation ofthe author's experience in coronary arteriography from studying more than 3,000 patients in 15 years. There are 16 chapters in the book. The first seven are devoted to the history, techniques, equipmeet methods of data collection, storage and reporting, indications and contraindications, and complications of coronary angiography. The rest of the book deah mainly with the normal and pathologic coronary anatomy and physiology. The subjects of stress test ing, vasodilators, preoperative and postoperative studies, coronary venography and left ventriculos raphy, and pitfalls of coronary arteriography are also succinctly treated. This book is well organized, copiously illustrated and adequately referenced. The text is lucid ana quite readable. It contains not only the major "how to's" and "do's-and-don'ts" but also a number oj valuable practical points of everyday operation. In the first part of the book, the choice of contrast agents for coronary arteriography and the complies tions and their prevention and management areer pertly discussed. The author shares the opinion of Judkins and Sones that the risk of mortality attrib utable to coronary arteriography should be lower than 1/1,000. The presentation of techniques is lim· ited to Sones' technique, which the author considen the best. Discussions on the pros and cons of the percutaneous technique and the radiographic film changer are lacking; however, the author's belief in his preferred technique seems convincingly borne out by his low mortality of 0.05 percent and his good. quality angiograms shown from cover to cover. In the second part of the book, the discussions 01
pathophysiology of the obstructive lesion and of the coronary collaterals are outstanding. Atherosclerotic disease is differentiated from the aging processes of the coronary arteries. Left ventriculography is fully described in a separate chapter. The congenital anomalies of the coronary arteries are inadequately covered. All in all, I believe this is an important contribution to the field of coronary angiography.
James T. T. Chen, M.D. Durham,NC
CHEST, HEART AND VASCULAR DISORDERS FOR PHYSIOTHERAPISTS. Edited by JOAN E. CASH. Philadelphia, J. B. Lippincott Co., 1975,358 pp, 61 illus, $12.00. This is a readable 358-page paperback, well indexed and clearly printed, with accurate simple drawings. It was written by five English physiotherapists specializing in the care of patients in intensive care units and with severe respiratory and cardiovascular disease. The information should be very useful to nurses and respiratory therapists in the United States (since they often perform many of the functions described here), as well as to physiotherapists, who are taking an increasing interest in chest and intensive-care physiotherapy. Chapters 4 and 16, in particular, contain detailed and authoritative descriptions of techniques of chest physiotherapy not to be found elsewhere in the literature (to my knowledge). Most of the ventilators and other equipment described in chapter 3 are not in use in this country, and the whole chapter has a rather old-fashioned ring to it. On page 74, for "Ryle's tube," read "Levin tube"; and on pages 54 and 79, for "physician," read "internist." Except for chapter 3, the book is also an excellent summary for medical students and for physicians who may be out of touch with recent advances in intensive-care nursing, respiratory therapy, and chest physiotherapy.
his early clinical training. The discussion of cardiac therapy is adequate and up-to-date; however, pharmacologic methods available in other countries are, for the most part, lacking. One of the useful topics is the presentation of the natural history of cardiac diseases. Dr. Selzer is one of the leaders who helped all of us to a better understanding of this particular aspect of the diagnostic and therapeutic process. Perhaps the most glaring deficiency is the paucity of illustrative material. Of course, this is a relatively small volume and presumably could be carried to a medical library. The more advanced student, the family physician, the internist, and the cardiologist could develop a better understanding of the area by reviewing Dr. Selzer's excellent writings in the various medical journals covering the natural history of cardiac disease and by referring, for example, to such specialized textbook~ as Perloff's Congenital Heart Disease, Mariott's or Littman's Electrocardiography, and Feigenbaum's Echocardiography. In any event, these or similar volumes would have to be used by the serious student. Nonetheless, I believe that this is a useful hook, but primarily for the beginning third- or fourth-year medical student.
IrwinR. Callen, M.D., F.C.C.P. North Miami, Fla
BOOKS RECEIVED CARDIOVASCULAR NUCLEAR MEDICINE (vol 1). By H. WILLIAM STRAUSS, BERTRAM PITT, and A. EVERETTE JAMES, JR. St. Louis, C. V. Mosby Co., 1974, 383 pp, 362 illus, $39.50. CURRENT CONCEPTS IN RADIOLOGY (vol 2). Edited by E. J. POTCHEN. St. Louis, C. V. Mosby Co., 1975, $35.00. PHYSIOLOGY OF RESPIRATION (2nd ed). By JULIUS H. COMROE, JR. Chicago, Year Book MedicalPublishers, Inc., 1974, 316 pp, $12.95.
D. Ann Hill, M.D. Boston PRINCIPLES OF CLINICAL CARDIOLOGY: AN ANALYTICAL APPROACH. By ARTHUR SELZER. Philadelphia, W. B. Saunders Co., 1975, 735 pp, $18.50. This text utilizes a variation of the outline form to analyze the diagnostic process in cardiology' and should prove useful to the medical student during
THE TREATMENT OF BREAST CANCER. By HEDLEY ATKINS. Baltimore, University Park Press, 1974,222 pp, $19.50.
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20
of combination chemotherapy in non-Hodgkins lymphoma is parochially restricted to the author's experience and omits much important literature, The chapter on sarcoidosis avoids recent controver sies, such as the ultimate value of the K veim test ana the need for diagnostic biopsy in patients with sym· metric bilateral hilar adenopathy. The exciting ds covery relating amyloid to the variable portion 01 the light chain is not mentioned. Occasional curios practices, such as giving daily doses of tetracycline in the treatment of multiple myeloma, are advocatel without explanation. Also, the book is often repeti tive. Immunoglobulins, for example, are discussed in two chapters. David Steinberg, M.D Bostofi
CORONARY ARTERIOGRAPHY. By GoFFREOOG, GENSINI. New York, Futura Publishing Co., 1975, 488 pp, $48.00. This monograph is an elegant presentation ofthe author's experience in coronary arteriography from studying more than 3,000 patients in 15 years. There are 16 chapters in the book. The first seven are devoted to the history, techniques, equipmeet methods of data collection, storage and reporting, indications and contraindications, and complications of coronary angiography. The rest of the book deah mainly with the normal and pathologic coronary anatomy and physiology. The subjects of stress test ing, vasodilators, preoperative and postoperative studies, coronary venography and left ventriculos raphy, and pitfalls of coronary arteriography are also succinctly treated. This book is well organized, copiously illustrated and adequately referenced. The text is lucid ana quite readable. It contains not only the major "how to's" and "do's-and-don'ts" but also a number oj valuable practical points of everyday operation. In the first part of the book, the choice of contrast agents for coronary arteriography and the complies tions and their prevention and management areer pertly discussed. The author shares the opinion of Judkins and Sones that the risk of mortality attrib utable to coronary arteriography should be lower than 1/1,000. The presentation of techniques is lim· ited to Sones' technique, which the author considen the best. Discussions on the pros and cons of the percutaneous technique and the radiographic film changer are lacking; however, the author's belief in his preferred technique seems convincingly borne out by his low mortality of 0.05 percent and his good. quality angiograms shown from cover to cover. In the second part of the book, the discussions 01
pathophysiology of the obstructive lesion and of the coronary collaterals are outstanding. Atherosclerotic disease is differentiated from the aging processes of the coronary arteries. Left ventriculography is fully described in a separate chapter. The congenital anomalies of the coronary arteries are inadequately covered. All in all, I believe this is an important contribution to the field of coronary angiography.
James T. T. Chen, M.D. Durham,NC
CHEST, HEART AND VASCULAR DISORDERS FOR PHYSIOTHERAPISTS. Edited by JOAN E. CASH. Philadelphia, J. B. Lippincott Co., 1975,358 pp, 61 illus, $12.00. This is a readable 358-page paperback, well indexed and clearly printed, with accurate simple drawings. It was written by five English physiotherapists specializing in the care of patients in intensive care units and with severe respiratory and cardiovascular disease. The information should be very useful to nurses and respiratory therapists in the United States (since they often perform many of the functions described here), as well as to physiotherapists, who are taking an increasing interest in chest and intensive-care physiotherapy. Chapters 4 and 16, in particular, contain detailed and authoritative descriptions of techniques of chest physiotherapy not to be found elsewhere in the literature (to my knowledge). Most of the ventilators and other equipment described in chapter 3 are not in use in this country, and the whole chapter has a rather old-fashioned ring to it. On page 74, for "Ryle's tube," read "Levin tube"; and on pages 54 and 79, for "physician," read "internist." Except for chapter 3, the book is also an excellent summary for medical students and for physicians who may be out of touch with recent advances in intensive-care nursing, respiratory therapy, and chest physiotherapy.
his early clinical training. The discussion of cardiac therapy is adequate and up-to-date; however, pharmacologic methods available in other countries are, for the most part, lacking. One of the useful topics is the presentation of the natural history of cardiac diseases. Dr. Selzer is one of the leaders who helped all of us to a better understanding of this particular aspect of the diagnostic and therapeutic process. Perhaps the most glaring deficiency is the paucity of illustrative material. Of course, this is a relatively small volume and presumably could be carried to a medical library. The more advanced student, the family physician, the internist, and the cardiologist could develop a better understanding of the area by reviewing Dr. Selzer's excellent writings in the various medical journals covering the natural history of cardiac disease and by referring, for example, to such specialized textbook~ as Perloff's Congenital Heart Disease, Mariott's or Littman's Electrocardiography, and Feigenbaum's Echocardiography. In any event, these or similar volumes would have to be used by the serious student. Nonetheless, I believe that this is a useful hook, but primarily for the beginning third- or fourth-year medical student.
IrwinR. Callen, M.D., F.C.C.P. North Miami, Fla
BOOKS RECEIVED CARDIOVASCULAR NUCLEAR MEDICINE (vol 1). By H. WILLIAM STRAUSS, BERTRAM PITT, and A. EVERETTE JAMES, JR. St. Louis, C. V. Mosby Co., 1974, 383 pp, 362 illus, $39.50. CURRENT CONCEPTS IN RADIOLOGY (vol 2). Edited by E. J. POTCHEN. St. Louis, C. V. Mosby Co., 1975, $35.00. PHYSIOLOGY OF RESPIRATION (2nd ed). By JULIUS H. COMROE, JR. Chicago, Year Book MedicalPublishers, Inc., 1974, 316 pp, $12.95.
D. Ann Hill, M.D. Boston PRINCIPLES OF CLINICAL CARDIOLOGY: AN ANALYTICAL APPROACH. By ARTHUR SELZER. Philadelphia, W. B. Saunders Co., 1975, 735 pp, $18.50. This text utilizes a variation of the outline form to analyze the diagnostic process in cardiology' and should prove useful to the medical student during
THE TREATMENT OF BREAST CANCER. By HEDLEY ATKINS. Baltimore, University Park Press, 1974,222 pp, $19.50.
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