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Lehrbuch der roentgenologischen differentialdiagnostik. Band I. Erkrankungen der brustorgane
Book
Reviews
LEHRBUCH DER ROENTGENOLOGISCHEN BRUSTORGANE. (Textbook of
DIFFERJZNTIALDIAGNOSTIK.
BAND
I. ERKIUNKIJNGEN
DER
Roentgenological Differential Diagnosis. Vol. I. Diseases of the Chest). By Werner Teschendorf, Ed. 4, Stuttgart, 1958, Georg Thieme, 1,183 pages, 1,138 illustrations. (New York, 19.58, Intercontinental Medical Book Corp.)
This is the fourth edition of the first volume of a two-volume Textbook of Roentgenological Differential Diagnosis. It deals with the Diseases of the Chest. The second volume, which was published in its third edition, in 1954, dealt with the Diseases of the Abdomen. The author, who was a pupil of the late Prof. Matthes, of Koenigsberg, dedicated this textbook to the memory of his late teacher, whose textbook Tke Diferentid Diagnosis of tke Diseases in Internal Medicine has become a classic in European medical literature. The volume under present review consists of five major sections. In the first 637 pages the author deals with the diseases of the lungs, pleura, and:mediastinum. The techniques of routine and selective bronchography and of the selective angiography of the pulmonary artery are discussed at length and are well illustrated. A long chapter is devoted to the differential diagnosis of the vascular pattern of the lung, with some ‘emphasis on photofluorographic techniques. A separate chapter deals with the hilar shadow. The value of tomography and of kymography in the study of the diseases of the chest is well reported. Almost 400 pages of this textbook are devoted to the diseases of the heart and aorta, The author of that section is Priv. Doz. Thurn, of Bonn, who utilized for his section of this book the large material of the University Clinic of Prof. Martini, in Bonn, and the vast cineradiographic data on congenital and acquired cardiac abnormalities of Prof. Janker and the surgical material of Prof. Derra. All present-day methods of cardiac investigation are reviewed; roentgenkymography, electrokymography, cardiac catheterization, angiocardiography, and retrograde aortography and cineradiography are discussed from the point of view of their respective indication. The methods of cardiac measurement, the hemodynamics of the heart and of the great vessels, the significance of the extracardiac factors in determining the position, size, and shape of the heart, the acquired and congenital di$eases of the heart, the anomalies of the great vessels, the diseasg of the coronary arteries, the d&eases of the myocardium and of the pericardium, the traumatic conditions of the heart, the tumors of the myocardium, and the diseases of the aorta are all thoroughly reviewed and illustrated. The last two chapters are devoted to the diseases of the esophagus and the visible abnormalities of the diaphragm and their roentgenologic differential diagnosis. This textbook has 1,138 illustrations on 1,183 pages. There are brief “headlines” on the side of each page in a space left for this purpose on the outer side of the page. This permits a quick review of the subject on a given page, e.g., the heart and the measurements of the human body, isolated enlargement of the left auricle, insufficiency of the heart muscle, dilatation with hypertrophy, etc. The references are placed at the bottom of each page and are brought up to 1957. The index is thoroughly compiled and accurate. 796
HOOK ‘I‘he importanc~e of standard book, notwithstanding the fact are described at length.
Am. Heart J. November. 1958
REVIEWS
diagnostic procedure, th;rt all more elaborate
is fir-st and foremost stressed in this texta11c1 complicated methods of in\-estigatiori
This book contains a wealth of invaluable informat ion for the internist, cardiologist, surgeon, and radiologist. Its graphic qualities are superb, its illustrations are almost self-explanatory. Its text is lucid and makes very pleasant reading. I only regret that we do not have an English version of it. I). R.
~'~XIOLOGII: DES HERZEKS. illustrations.
131. J’rich
Srhritz,
Berlin,
1958,
Springer
V’erlag,
570 pages,
220
As stated in the foreword, this is the first comprehensive monograph on the physiology oi the heart since R. Tigerstedt’s classic Physiologic des Kreislaufs. It includes the following chapters: I, Automatic Activity of the Heart; II, Process of Excitation; III, Conduction; IV, Normal and Pathologic Variation of Impulse Duration, Impulse Formation, and Conduction; V, The Indirect Electrocardiogram; VI, Relationship Between Electrical and Mechanical Activity; VII, V’alves; VIII, Venous Inflow; IX, Pressure and \‘olume Curves; X, Heart Sounds; XI. Mechanical Cardiogram; XII, Cardiac IYork; XIII, Cardiac Dynamics; XIV, Cardiac Energetics; ?(I’, Coronary Blood Flow; X\‘I, Cardiac Ner\-es. The main purpose of the hook was to serve as :I bridge between textbook and handbook; therefore, limitation of the material was necessary. Emphasis was placed on experimental facts rather than on “preliminary theories,” avoiding supporting one or the other hypothesis in case of controversial situations. Thus, \-ectorcardiographir theory and “fork-principle” (Gabelprincip, based on the author’s experiments with forklike divided clcctrodes) are presented on equal terms as “way of interpretation” of the electrocardiogram (Rrtuachtun~s~~eisc). Vector theor), is, however, more than that, and some of the supporting fundamental data, such as cancellation experiments, are not mentioned. Of course, an agreement on the arbitrary selection of material is difficult, and criticism on this basis should not detract from the great merits of the book. It is a scholarly work, and with the advances in all fields of cardiology such a comprehensive book fills an important gap. Electrocardiography and its electrophysiologic basis, which is also the major research field of the author, takes up the major part of the book (Chapters 1-1’1, pp. The more detailed l-236). Much space is devoted also to phonocardiography (pp. 295-348). discussion of electrocardiography and heart sounds is justified by their clinical importance, but One of the features it is also in these parts that some duplication of existing textbooks occurs. distinguishing the book is the inclusion of much of the older literature. This book is the culmina tion of a lifetime of cardiologir research, and is recommended as timely and useful for referenr.t and general orientation. E. s.
CHEMISTRY AND BIOLOGY OF MUCOPOLYSACCHARIDES (Ciba Foundation by G. E. W. Wolstemholme, O.B.E., M.i\., B.Ch., and MaeveO’Connor, Little, Brown and Company, 323 pages. Price $8.50.
Symposium). Edited B.A., Boston, 1958,
This volume presents the recent experimental research in the important subgroup of polysaccharides. The book should be of interest to most physicians, particularly those interested . in the specialties, as well as to those m other branches of medtcme. The volume includes sections on the general chemistry, physical chemical studies, and immunochemical approaches. The relationship of these complexes to various bacteria and the possible significance of this to some clinical entities is discussed in relation to chondroitin sulfate as well as neutral heteropolysaccharides in tissues. Of particular interest to clinicians are the chapters on the pharmacological effects of
Reviews
LEHRBUCH DER ROENTGENOLOGISCHEN BRUSTORGANE. (Textbook of
DIFFERJZNTIALDIAGNOSTIK.
BAND
I. ERKIUNKIJNGEN
DER
Roentgenological Differential Diagnosis. Vol. I. Diseases of the Chest). By Werner Teschendorf, Ed. 4, Stuttgart, 1958, Georg Thieme, 1,183 pages, 1,138 illustrations. (New York, 19.58, Intercontinental Medical Book Corp.)
This is the fourth edition of the first volume of a two-volume Textbook of Roentgenological Differential Diagnosis. It deals with the Diseases of the Chest. The second volume, which was published in its third edition, in 1954, dealt with the Diseases of the Abdomen. The author, who was a pupil of the late Prof. Matthes, of Koenigsberg, dedicated this textbook to the memory of his late teacher, whose textbook Tke Diferentid Diagnosis of tke Diseases in Internal Medicine has become a classic in European medical literature. The volume under present review consists of five major sections. In the first 637 pages the author deals with the diseases of the lungs, pleura, and:mediastinum. The techniques of routine and selective bronchography and of the selective angiography of the pulmonary artery are discussed at length and are well illustrated. A long chapter is devoted to the differential diagnosis of the vascular pattern of the lung, with some ‘emphasis on photofluorographic techniques. A separate chapter deals with the hilar shadow. The value of tomography and of kymography in the study of the diseases of the chest is well reported. Almost 400 pages of this textbook are devoted to the diseases of the heart and aorta, The author of that section is Priv. Doz. Thurn, of Bonn, who utilized for his section of this book the large material of the University Clinic of Prof. Martini, in Bonn, and the vast cineradiographic data on congenital and acquired cardiac abnormalities of Prof. Janker and the surgical material of Prof. Derra. All present-day methods of cardiac investigation are reviewed; roentgenkymography, electrokymography, cardiac catheterization, angiocardiography, and retrograde aortography and cineradiography are discussed from the point of view of their respective indication. The methods of cardiac measurement, the hemodynamics of the heart and of the great vessels, the significance of the extracardiac factors in determining the position, size, and shape of the heart, the acquired and congenital di$eases of the heart, the anomalies of the great vessels, the diseasg of the coronary arteries, the d&eases of the myocardium and of the pericardium, the traumatic conditions of the heart, the tumors of the myocardium, and the diseases of the aorta are all thoroughly reviewed and illustrated. The last two chapters are devoted to the diseases of the esophagus and the visible abnormalities of the diaphragm and their roentgenologic differential diagnosis. This textbook has 1,138 illustrations on 1,183 pages. There are brief “headlines” on the side of each page in a space left for this purpose on the outer side of the page. This permits a quick review of the subject on a given page, e.g., the heart and the measurements of the human body, isolated enlargement of the left auricle, insufficiency of the heart muscle, dilatation with hypertrophy, etc. The references are placed at the bottom of each page and are brought up to 1957. The index is thoroughly compiled and accurate. 796
HOOK ‘I‘he importanc~e of standard book, notwithstanding the fact are described at length.
Am. Heart J. November. 1958
REVIEWS
diagnostic procedure, th;rt all more elaborate
is fir-st and foremost stressed in this texta11c1 complicated methods of in\-estigatiori
This book contains a wealth of invaluable informat ion for the internist, cardiologist, surgeon, and radiologist. Its graphic qualities are superb, its illustrations are almost self-explanatory. Its text is lucid and makes very pleasant reading. I only regret that we do not have an English version of it. I). R.
~'~XIOLOGII: DES HERZEKS. illustrations.
131. J’rich
Srhritz,
Berlin,
1958,
Springer
V’erlag,
570 pages,
220
As stated in the foreword, this is the first comprehensive monograph on the physiology oi the heart since R. Tigerstedt’s classic Physiologic des Kreislaufs. It includes the following chapters: I, Automatic Activity of the Heart; II, Process of Excitation; III, Conduction; IV, Normal and Pathologic Variation of Impulse Duration, Impulse Formation, and Conduction; V, The Indirect Electrocardiogram; VI, Relationship Between Electrical and Mechanical Activity; VII, V’alves; VIII, Venous Inflow; IX, Pressure and \‘olume Curves; X, Heart Sounds; XI. Mechanical Cardiogram; XII, Cardiac IYork; XIII, Cardiac Dynamics; XIV, Cardiac Energetics; ?(I’, Coronary Blood Flow; X\‘I, Cardiac Ner\-es. The main purpose of the hook was to serve as :I bridge between textbook and handbook; therefore, limitation of the material was necessary. Emphasis was placed on experimental facts rather than on “preliminary theories,” avoiding supporting one or the other hypothesis in case of controversial situations. Thus, \-ectorcardiographir theory and “fork-principle” (Gabelprincip, based on the author’s experiments with forklike divided clcctrodes) are presented on equal terms as “way of interpretation” of the electrocardiogram (Rrtuachtun~s~~eisc). Vector theor), is, however, more than that, and some of the supporting fundamental data, such as cancellation experiments, are not mentioned. Of course, an agreement on the arbitrary selection of material is difficult, and criticism on this basis should not detract from the great merits of the book. It is a scholarly work, and with the advances in all fields of cardiology such a comprehensive book fills an important gap. Electrocardiography and its electrophysiologic basis, which is also the major research field of the author, takes up the major part of the book (Chapters 1-1’1, pp. The more detailed l-236). Much space is devoted also to phonocardiography (pp. 295-348). discussion of electrocardiography and heart sounds is justified by their clinical importance, but One of the features it is also in these parts that some duplication of existing textbooks occurs. distinguishing the book is the inclusion of much of the older literature. This book is the culmina tion of a lifetime of cardiologir research, and is recommended as timely and useful for referenr.t and general orientation. E. s.
CHEMISTRY AND BIOLOGY OF MUCOPOLYSACCHARIDES (Ciba Foundation by G. E. W. Wolstemholme, O.B.E., M.i\., B.Ch., and MaeveO’Connor, Little, Brown and Company, 323 pages. Price $8.50.
Symposium). Edited B.A., Boston, 1958,
This volume presents the recent experimental research in the important subgroup of polysaccharides. The book should be of interest to most physicians, particularly those interested . in the specialties, as well as to those m other branches of medtcme. The volume includes sections on the general chemistry, physical chemical studies, and immunochemical approaches. The relationship of these complexes to various bacteria and the possible significance of this to some clinical entities is discussed in relation to chondroitin sulfate as well as neutral heteropolysaccharides in tissues. Of particular interest to clinicians are the chapters on the pharmacological effects of