Pain in the chest

Pain in the chest

Voh,,.~ 72 Number 3 THE PATHOGENESIS OF CARDIAC CACHEXIA. By Joseph G. Pittman, M.D., Research Fellow in Medicine, Massachusetts General Hospital an...

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Voh,,.~ 72

Number 3

THE PATHOGENESIS OF CARDIAC CACHEXIA. By Joseph G. Pittman, M.D., Research Fellow in Medicine, Massachusetts General Hospital and Har,eard Medical School, and Phin Cohen, M.D., Associate in Medicine, Peter Bent Brigham Hospital and Harvard Medical School, Boston, Mass. New York, 1965, Grune & Stratton, Inc., 88 pages. Price: $5.25. This book focuses attention on the pathogenesis of the cachexia that often accompanies chronic, lcng-standing congestive heart failure. The increasing importance of this relatively neglected clinical problem is underscored by recent medical and surgical advances in the treatment of heart disease, which have prolonged considerably the lives of many cardiac patients. Dr. Pittman and Dr. Cohen describe the pathogenesis of cardiac cachexia in terms of dietary factors, metabolic abnormalities associated with congestive heart failure, abnormal losses of nutrients, and iatrogenic factors. These contributory causes are the subject of detailed analysis in this carefully written aud extensively documented monograph. Therapeutic problems are considered only very briefly.

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history and physical examination, supplemented by a few, relatively simple laboratory studies. The book is divided into two sections, the first of which describes specific applications of the techniques of clinical examination and laboratory procedures to the evaluation of chest pain. The second section is devoted to clinical, pathologic, and therapeutic considerations of the various causes of chest pain, which is classified according to anatomic origin, including pain originating in structures of the thoracic wall, thoracic viscera, mediastinum, shoulder girdle, head, neck, and abdomen, and from a number of miscellaneous syndromes that have no topographic localization. The material is presented in a concise manner, with emphasis on conditions that are either unfamiliar or likely to be overlooked by diagnosticians. This is a valuable book for physicians and medical students.

Books received PAI?~ IN THE CHEST. By William H. Wehrmacher, M.D., F.A.C.P., F.A.C.C., Northwestern University Medical School, Chicago, Ill. Springfield, Ill., 1964, Charles C Thomas, 403 pages. Price $14. Problems in the differential diagnosis of chest pain are the subject of detailed discussion in this highly readable book. Dr. Wehrmacher rightly emphasizes the fact that in most instances the etiology of chest pain can be established on the basis of a meticulous and systematic clinical

REPRODUCTION: MOLECULAR, SUBCELLULAR AND CELLULAR. Edited by Michael Locke, New York, 1966, Academic Press, Inc., 344 pages. Price $11.50. PRINCIPLES OF HEMATOLOGY. By James W. Linman, New York, 1966, The Macmillan Co., 621 pages. Price $12.50. ADVANCES IN RESPIRATORYPHYSIOLOGY. Edited by Colin G. Caro, Baltimore, 1966, The Williams & Wilkins Company, 348 pages. Price $17.50.