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PREVENTION OF VENOUS THROMBOEMBOLISM
The Bookshelf
Continued from page 20
DOPPLER ECHOCARDIOGRAPHY: THE QuANlTTA11VE ArrIIOACH, 3rd ed. By AR1lflJII J. LABovm and GEORGE A. WILLIAMS. Malvern. Pa: Lea & Febiger. 1992. 131 pp. $29.00
This is a fairly inexpensive paperback that focuses on the use of pulsed wave and continuous wave Doppler as it has evolved to the current state with color Bow guidance. The quality of the color plates and black and white photographs is excellent. The back cover suggests the perfect companion text is a text on transesophageal ecbocardiography written by the same author, so I was surprised to see no mention of Doppler interrogation of the pulmonary veins. This is a common technique now with transesopbageal echo. I was also surprised to 8nd no discussions of the Doppler evaluation of aortic insufficiency using pressure half-lime analysis. The discussion of aortic stenosis failed to point out the pitfalls in the measurements of the left ventricular outBow tract and aorta, the source of most errors in the continuity equation. This handbook would be a useful adjunct to the full echocardiographic texts that are available for techniques in training and physicians in training. It would certainly not be appropriate as a "stand alone" text. Ralph D. MIlIla"" M.D., F.C.C.P.
EC1GDIOIlle.lndf4na
PRACTICAL ASPECfS OF STAGED THERAPY DEFlBRILLATORS. By LuLU J. KAPPENIlEIIGER and FRED W. LINDEMAN$. Mount Kisco. New York: Futura Publishing. 1992. 138 PP. $35.00 I find this book to be an excellent review of the recently released Medtronic pacemaker-eardioverter-de8brillator (PCD) device.. It covers all issues in detail. from indications to implantation and follow-up. even the psychologic impact on patients and their families. The information, however, is derived mostly from clinical data 0btained by Medtronics and author opinion. Nonetheless, this book does offer an excellent and thorough review of the mentioned device. All in a1I, I believe this book is a good addition to the library of any clinician with a special interest in the PCD or those who plan to use this device in their practice. LouU F. Janeira. M.D.
EC1Gn3Ollle, Indfana
PREVENTION OF VENOUS THROMBOEMBOLISM. Edited by SAMIIEL Z. GoLDIWIEII. New York: Marcel Dekker, 1993. 632 PP. $95.00 This book is an ambitious undertaking that deals with much more than the prevention of pulmonary embolism. Introductory chapters are included which address the basic biology of thrombosis, the economic burden of venous thromboembolism. and diagnostic techniques for venous thrombosis including ultrasound and Doppler sonography. Chapters in the middle of the book address each of a number of preventive regimens including dextran. heparin, mechanical compression. and some of the newer agents including low molecular weight heparins and dermatan sulfate. Following this part, another section deals with speci8c prevention strategies that relate to various high-risk groups including orthopedic and gynecologic patients, neurosurgical patients, and cancer patients. Finally. a section deals with strategies to implement prophylaxis and the cost-effectiveness of such strategies. The book is generally well written and the various chapter authors are. for the most part, recognized as competent and experienced in their fields. Illustrations are frequent and clearly add to the value of the text. The editor is a recognized expert in the treatment and prevention of venous thromboembolism.HIs care in editing the book has resulted in a very readable publication with chapters that fit together nicely without excessive overlap. Criticisms are few; the index is quite sparse and does not always give each place in the book where a specific topic is mentioned, such as venacaval fi.lten. Numerous references follow each chapter, but few references are dated past 1990. In summary, the book is a very able exposition of prevention strategies for venous thromboembolic disease. It gives information about the basic biology of blood coegulation and about the cost-effectiveness of various implementation strategies for preventing venous thromboembolic di5ease. The book is of value to any clinician who wants a current exposition of knowledge in this field. Thomaa M. HI/en, M.D., F.C.C.P.
St. Lou", Ml&Ioun
Conunued on page 26
24
Continued from page 20
DOPPLER ECHOCARDIOGRAPHY: THE QuANlTTA11VE ArrIIOACH, 3rd ed. By AR1lflJII J. LABovm and GEORGE A. WILLIAMS. Malvern. Pa: Lea & Febiger. 1992. 131 pp. $29.00
This is a fairly inexpensive paperback that focuses on the use of pulsed wave and continuous wave Doppler as it has evolved to the current state with color Bow guidance. The quality of the color plates and black and white photographs is excellent. The back cover suggests the perfect companion text is a text on transesophageal ecbocardiography written by the same author, so I was surprised to see no mention of Doppler interrogation of the pulmonary veins. This is a common technique now with transesopbageal echo. I was also surprised to 8nd no discussions of the Doppler evaluation of aortic insufficiency using pressure half-lime analysis. The discussion of aortic stenosis failed to point out the pitfalls in the measurements of the left ventricular outBow tract and aorta, the source of most errors in the continuity equation. This handbook would be a useful adjunct to the full echocardiographic texts that are available for techniques in training and physicians in training. It would certainly not be appropriate as a "stand alone" text. Ralph D. MIlIla"" M.D., F.C.C.P.
EC1GDIOIlle.lndf4na
PRACTICAL ASPECfS OF STAGED THERAPY DEFlBRILLATORS. By LuLU J. KAPPENIlEIIGER and FRED W. LINDEMAN$. Mount Kisco. New York: Futura Publishing. 1992. 138 PP. $35.00 I find this book to be an excellent review of the recently released Medtronic pacemaker-eardioverter-de8brillator (PCD) device.. It covers all issues in detail. from indications to implantation and follow-up. even the psychologic impact on patients and their families. The information, however, is derived mostly from clinical data 0btained by Medtronics and author opinion. Nonetheless, this book does offer an excellent and thorough review of the mentioned device. All in a1I, I believe this book is a good addition to the library of any clinician with a special interest in the PCD or those who plan to use this device in their practice. LouU F. Janeira. M.D.
EC1Gn3Ollle, Indfana
PREVENTION OF VENOUS THROMBOEMBOLISM. Edited by SAMIIEL Z. GoLDIWIEII. New York: Marcel Dekker, 1993. 632 PP. $95.00 This book is an ambitious undertaking that deals with much more than the prevention of pulmonary embolism. Introductory chapters are included which address the basic biology of thrombosis, the economic burden of venous thromboembolism. and diagnostic techniques for venous thrombosis including ultrasound and Doppler sonography. Chapters in the middle of the book address each of a number of preventive regimens including dextran. heparin, mechanical compression. and some of the newer agents including low molecular weight heparins and dermatan sulfate. Following this part, another section deals with speci8c prevention strategies that relate to various high-risk groups including orthopedic and gynecologic patients, neurosurgical patients, and cancer patients. Finally. a section deals with strategies to implement prophylaxis and the cost-effectiveness of such strategies. The book is generally well written and the various chapter authors are. for the most part, recognized as competent and experienced in their fields. Illustrations are frequent and clearly add to the value of the text. The editor is a recognized expert in the treatment and prevention of venous thromboembolism.HIs care in editing the book has resulted in a very readable publication with chapters that fit together nicely without excessive overlap. Criticisms are few; the index is quite sparse and does not always give each place in the book where a specific topic is mentioned, such as venacaval fi.lten. Numerous references follow each chapter, but few references are dated past 1990. In summary, the book is a very able exposition of prevention strategies for venous thromboembolic disease. It gives information about the basic biology of blood coegulation and about the cost-effectiveness of various implementation strategies for preventing venous thromboembolic di5ease. The book is of value to any clinician who wants a current exposition of knowledge in this field. Thomaa M. HI/en, M.D., F.C.C.P.
St. Lou", Ml&Ioun
Conunued on page 26
24