Exploracion cardiovascular y fonomecanocardiografia clinica

Exploracion cardiovascular y fonomecanocardiografia clinica

Book Reviews Exploration Cardiovascular g&a Clinica by B. L. Medica Mexicana, Mexico price given. y FonomecanocardioFISHLEDER. La Prensa City, 1966, ...

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Book Reviews Exploration Cardiovascular g&a Clinica by B. L. Medica Mexicana, Mexico price given.

y FonomecanocardioFISHLEDER. La Prensa City, 1966, pp. 791, no

include the relation of oxygen and cellular metabolism, oxygen toxicity, physiologic responses to high oxygen tension, the use of hyperbaric oxygenation in cardiovascular disease, anaerobic infections, traumatic ischemia and wound healing, radiation therapy, toxemias and tissue preservation. There are short reports on problems immediately pertinent to the operation of a hyperbaric facility, such as chamber safety, insurance codes, compression and decompression schedules, chamber instrumentation and physiologic monitoring. Of particular interest to cardiologists are those chapters detailing the protective effects of hyperbaric oxygenation in the surgical treatment of congenital cardiac disease, in cerebral ischemia, during circulatory arrest, following experimental coronary artery occlusion and in experimental hemorrhagic shock. The conclusions indicating increased survival following coronary artery occlusion in pigs exposed to hyperbaric oxygenation confirm several previous reports in which other animals were used. Although many of the individual investigations have been published elsewhere, this volume serves the valuable function of bringing together in a well organized and compact fashion an enormous amount of information presented in a sophisticated manner by leading investigators. Widespread usefulness of the book, of course, will depend on the ultimate value of hyperbaric oxygenation in the treatment of common diseases affecting the cardiovascular system. It probably represents the most thorough compendium of knowledge of the many therapeutic possibilities and problems of hyperbaric oxygenation presently available and is recommended to those of all disciplines interested in this growing area of medicine. LESLIE A. KUHN, M.D.

This superb book of the Mexican School is devoted to the graphic study of the cardiac patient. It contains 30 chapters, each richly illustrated by diagrams and original tracings and followed by a detailed bibliography. The first four chapters are devoted to the theoretic bases and technical methods for recording heart sounds, precordial motions, and arterial and venous pulses. Chapter 5 presents the phases of the cardiac cycle; Chapter 6, an analysis of cardiovascular dynamics by various methods. Seven chapters are devoted to phonocardiographic and phonoarterial findings, and four, to congenital heart disease. Later chapters cover pulmonary hypertension; valvular lesions and coarctation ; pericarditis, systemic hypertension and hyperkinetic states; and arrhythmias. It is to be deplored that, in the presence of a magnificent clinical study of various cardiovascular conditions, the more recent physiologic studies on the mechanism of production of the heart sounds and on the auscultatory areas of the precordium are ignored. This dates the book to about 1958 and weakens many interpretations of the changes of heart sounds and murmurs caused by alterations of the cardiac valves or of the heart muscle. The systematic index will aid students of cardiology in consulting this comprehensive work. AI.D~ A. LUISADA, M.D. Proceedings of the Third International Conference on Hyperbaric Medicine edited by Ivan W. Brown, and Barbara G. Cox. National Academy of Sciences-National Research Council, Washington, D. C., 1966, pp. 791, $15.00.

Cowdry’s Arteriosclerosis. A Survey of the Problem, ed. 2, edited by H. T. BLUMENTHAI., M.D. Charles C Thomas, Springfield, Ill., 1967, pp. 855, $48.50.

The relatively recent renewal of interest in the therapeutic potentials of hyperbaric oxygenation has given international impetus to the conduct of pertinent basic and clinical research. This volume details the proceedings of the third international conference on this topic, sponsored by Duke University and the National Research Council and held in November 1965. It covers a range of problems relevant to exposure to high oxygen tension, from basic biochemical and physiologic alterations to clinical and experimental use of this technic in a variety of disease entities. A large amount of detailed information is presented by active investigators, and the informal discussions relating to the presentations proThe general vide additional useful perspective. topics discussed, each with several component papers,

This edition is for a second generation, Dr. Cowdry’s first edition having appeared in 1937. The most famous contributor is N. N. Anitschkow, whose 1912 paper proved that cholesterol added to ordinary rabbit food rapidly evoked severe atherosclerosis. All the contributors are investigators in this field, or perhaps in these fields, for many emphasize one aspect of pathogenesis as though it were the sole and sufficient cause of every type of arteriosclerosis. Ninety pages deal with clinical, including surgical, aspects of all forms of arterial lesions; 629 describe and discuss the anatomic and physiologic background of vascular disorders from aorta to arteriole. Liebow’s 46

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