- Email: [email protected]
RESPIRATORY ANATOMY AND PHYSIOLOGY
III. ---
---I
the bOOkshel1
CODE BLUE: CARDIAC ARREST AND RESUSCITATION. Edited by MICKEY S. EISENBERG. RICHARD O. CUMMINS and MARY 'f. Ho. Philadelphia: W B Saunders Company, 1987,244 pp, $18.95 This volume, as part of the Saunders Blue Book series, aims to provide practical information about cardiac arrest and resuscitation for medical students and physicians at all levels. The authors have done an excellent job of providing both background information and practical advice for the management of adult. pediatric and traumatic cardiac arrest. In doing so. they have provided a useful supplement to the American Heart Associations Textbook of Advanced Cardiac Life Support. Where the recommendations differ from the ACLS guidelines is clearly stated, and reasons for the differences are explained. The book has numerous tables and very clear line drawings. There is a table of frequently-used cardiac arrest drugs with dosage guidelines inside the front covers of the book for quick reference. The chapters on outcome after cardiac arrest. code organization, and airway management are full of useful information and practical hints. Overall. this text is interesting. readable and fulfills its objectives of providing a short. practical guide for cardiac arrest management.
Eloise M. Hannan M.D .• FCCP Gainesville. Florida
DECISION MAKING IN VASCULAR SURGERY. Edited by R. G. SCRIBNER, W H. BROWS and R. L. TAWES. Toronto: B C Decker Inc. 1987. $40.00
Decision Making in Surgery. written and conceived by Dr. Ben Eiseman, has now expanded to multiple specialties including vascular surgery. This book. edited by Scribner. Brown and Tawes with a host of contributors, is one of many books in the Decision Making series; Dr. Eiseman serves as consulting editor. Decision Making in Vascular Surgery is divided into four major sections: basic considerations, arterial disease. venous disease and special considerations. Because of the scope of arterial problems, the book is largely composed of topics under the section on arterial disease, which is subdivided into anatomic sites of the disease process and complications of arterial surgery. Throughout the entire book, algorithms of diagnostic and therapeutic workups were freely used to illustrate decision-making in each clinical setting. The format of each chapter, especially the style. is quite uniform. a feature often not evident in books with multiple authors. The editors are to be congratulated for maintaining uniformity throughout the entire book. Each chapter gives a clear and succinct description of the problem with useful selected references. Can decision making in surgery, in particular vascular surgery, be done by a cookbook approach? Probably not. Decision making, especially in the operating room, is derived from experience. knowledge and, to a large extent, instinct. For instance. when one is confronted with an unexpected colon carcinoma at surgery in a patient operated on for aortic aneurysm. decisionmaking about the appropriate approach requires experience and understanding of the potential hazards and benefits of treating one disease over the other. This decision-making process probably will not be solved by algorithms outlined in this book. Nearly all algorithms in the book deal with steps in the work-up for a particular clinical problem, and the true sense of decisionmaking is not apparent. Beginners in vascular surgery will find helpful diagnostic and therapeutic guides in this book. As stated by the editors, the book is designed to help the physician be effective. To this end, this book has achieved its goal and the algorithmic style is ideal for this approach. ]ames S. T: foo. M.D .• Ph.D. Chicago
BASIC ARTERIAL BLOOD GAS INTERPRETATION. By GARY L. ZAGELBAUM, MELVIN A. WELCHER and PETERDOYLE. Boston: Little Brown and Company, 1988. 319 pp, $19.50 This book was written to provide sufficient background information and practice exercises for learning the interpretation of arterial blood gas tests. Relevant anatomy, physiology and chemistry are presented to assist the reader in developing expertise in this clinical skill. The test uses a low-level, programmed-manual method to accomplish this. The six chapters build on each other and end with perhaps the most valuable portion of the book, a series of practical problems to test the readers comprehension. With a
22
programmed text, one expects a slow methodic presentation of concepts, terms and illustrations, but this book takes too much space to lead the reader to the goal of interpreting blood gas reports. The illustrations are neverending and over-simplistic. It seems that the authors felt driven to provide at least one drawing or table per page. When presented with such a text. the reader will probably attempt to jump ahead when the going gets slow a temptation that is strongly prohibited in the preface but encouraged by the book itsel£ The practice exercises are excellent but too few The book is intended for respiratory care practitioners, critical care nurses and medical students, but most of these could have used a book of half the size. It could be used as an ancillary teaching method for those who just can't grasp this skill during classroom and clinical time. It is therefore recommended only as a supplementary workbook for these groups of health professionals.
Robert G. McGee. M.S .• RRT Henderson. Kentucky
ENDOTHELIAL SEEDING IN VASCULAR SURGERY. Edited by MALCOLM HERRING and JOHN L. GLOVER. New York: Grune and Stratton Inc, 1987, 177 pp, $47.50 Endothelial seeding-what a fantastic idea! Who would think that scraping the endothelium of a vein with steel wool could set off an explosion in investigations of endothelial cell biology? And what vascular surgeon would suspect that the investigations would produce such a fascinating volume of information about the physiology of endothelial cells and their effects on the body as a whole? No~ some ten years after the inception of this work at Indiana University, comes this volume, the result of a symposium held some time ago in Indianapolis. Endothelial seeding is designed to reduce the hyperplastic changes which have been noted to develop near anastomoses. Furthermore, endothelial seeding is intended to enhance patency of small caliber prostheses. Now ten years after beginning the research. we find that endothelial seeding is falling short of its promise. Nevertheless, seeding of endothelial cells on a vascular prosthesis in the experimental animal model does result in the formation of a confluent, luminal monolayer. When this occurs, enhanced graft patency is seen, and it is hoped that these lessons learned in the animal lab will apply to man. Therefore. the information contained in this slim volume will be interesting to surgeons who wish to remain informed about endothelial seeding, who may be interested in beginning clinical work in this area, and those who are interested in research in tissue culture and endothelial physiology. This latter group of surgeon-scientists may find 1987 information to be somewhat archaic. However, there are many departure points within this text that will lead to future investigations. Among them are the observations of Glagov, which define differences in species with regard to growth and metabolism of endothelium. Also, as Levy points out, there is a precarious balance between clotting and anticlotting at the graft surface. Current research on use of agents to attach endothelial cells to prostheses including albumin and fibronectin finds expression in this volume as well. Such research in endothelial seeding has already improved our knowledge of basic physiologic processes in the endothelium. Further work may define the eventual role of this activity in clinical vascular surgery.
John] Bergan, M.D .• FCCP Chicago
RESPIRATORY ANATOMY AND PHYSIOLOGY. By DAVID E. MARTIN and JOHNW YOUTSEY. St. Louis: CV Mosby Company, 1988,277 pp, $17.95 This text evolved from a series of lectures in respiratory anatomy and physiology presented for nurses, respiratory therapists and medical students and is part of a continuing series of books from faculty lectures. This development is obvious since the topics begin as outlines and are then expanded into complete presentations; the result is an easily read and amply illustrated textbook. The book is well organized into mutually complimentary chapters that build on one another. The interaction between the pulmonary system and other body systems seems to be the re-occurring theme throughout the book and serves to emphasize the importance of this system to the reader. The illustrations are ample and completely integrated with the text of the book. For example, drawings explaining rib movement are the most understandable that this reviewer has seen used in describing this phenomenon. The authors have balanced the emphasis between the anatomy and physiology of the pulmonary system and show how complimentary the two disciplines are in meeting the bodys needs. Each chapter ends with a list of relevant
Continued on page 27
Continued from page22 references to both landmark articles and books and to more current research available. The volume is intended for all healthcare practitioners who need a solid background in pulmonary anatomy and physiology at the beginning college level. The text is esPeCially suited for two- and four-year respiratory care curriculums. The price is appropriate for this well written and illustrated book.
RobertG.
The sections on the cardiovascular effects of chronic exercise and the chapter on exercise and prevention of coronary artery disease are well written and quite exhaustive in their references. The section on cardiac rehabilitation is also an exhaustive, well-referenced review of the subject. Many studies are referenced; a weakness of this section is that the author does not clearly draw all of the results of the various studies quoted together in cleal; conclusive form. Overall. this is an excellent book and one that physicians who deal in stress testing will want for their library.
Ebul S. Greenberg, M. D.
Long BetJCh. CoUfomia
uec«, M.S., RRT
Hendenon, Ksntucky
HEART DISEASE. By EARL SILBER. New York: MacMillan Publishing Co. 1987, 1,922 pp. $120.00 DISEASES OF THE VEINS. By N. L. BROWSE, K. G. BURNAND and M. L. THOMAS. London: Edward Arnold, 1988,694 pp. '75.00 Although Browse and co-worken refer to the veins as the "Cinderella of the circulation, neglected, and almost forgotten, " the fact is that Cinderella is coming to the ball. Demonstrated success of commercial venous clinics is teaching vacsular surgeons that the public is demanding treatment of its vein problems and is willing to pay even exorbitant prices. As the veins have been neglected by cardiac and vascular surgeons, nonvascular-trained practitioners have entered the field. In troth, nature does abhor a vacuum. Now this volume appean as full grown as Botticellis Venus as she arose &om the sea. While not as beautiful as Venus, this book is eminently practical. It is a large volume. elegantly printed and filled with line drawings and well-reproduced photographs. Its 26 chapten cover all aspects of veins and their problems. The one neglected area is the treatment of cutaneous telangiectasias. Everything else is dealt with in utenIo. Whatever question arises in the mind of the interested surgeon, an answer is to be found in these pages. For example. the history of studies of the veins is thoroughly laid out from the first mention in 1550 BC to the most timely investigations of 1987. Within this section are the interesting facts thatCrafoord described the use ofheparin for treatment of postoperative deep vein thrombosis and Leriche described a technique of thrombectomy for deep venous thrombosis. Even Turner Warwick joins these luminaries and Robert Linton in citations of surgical therapy. In short. this is a complete work reading as if from the Pen of a single author who writes in straightforward declarative sentences which leave no doubt as to their meaning. Predictablg direct arterial reconstructive surgery is entering a decline. Surgeons interested in treating the complete menu of vascular problems may tum to this book in how to manage venous problems. If they do. the care of patients with these problems will be improved. and vascular surgeons will replace practitionen in management of venous difBculties.
]ohnJ Bergan, M.D., FCCP Chicago
A YOUNG MAN'S GUIDE 10 SEX. By JAY GALE. Los Angeles: Frice Stem Sloan Inc, 1988. 234 pp. '7.95 A YOUNG WOMAN'S GUIDE 10 SEX. By JACQUEUNE Voss and JAY GALE. Los Angeles: Price Stem Sloan Inc. 1988.298 pp. $7.95 Jay Gales A Young Mans Guide to Sex and his A Young Womans GuitU to Sex. written with Jacqueline \bss. should be available to every young (and some not-so-young) Penon. Both provide basic. well written information about sex. The books deal with the physical equipment and aspects of sex in a nonin8ammatory nor blushing fashion. More importantl)4 neither text ignores the often neglected emotional and psychologic aspects of sex. There is no morality clause but rather a discussion of values and individual feelings. When opinion is expressed, it is firmly stated to be an opinon and not Permitted to be confused with fact. Both books are very readable and well worth the small cost.
EXERCISE AND THE HEART: CLINICAL CONCEPTS. By Vrcroa FROEUCHER. Chicago: Yearbook Medical Publishers Inc. 1987. 508 pp. $48.00
Eurcile and the Heart: ClinictJl Concepu by Victor Froelicher is a well written, exhaustive textbook of exercise physiolOB stress testing and cardiac rehabilitation. It is well referenced and comprehensive in its approach to the subject matter of stress testing and cardiac rehabilitation. It is a book which most physicians in cardiology (including cardiac fellows) will desire as a basic reference textbook. The 6nt six chapten of the book comprehensively deal with exercise and exercise stress testing. This portion of the text is easily readable and undentandable and is a must for cardiac fellows as well as cardiologists and internists who deal extensively with cardiac patients and stress testing. The section on radionuclide exercise testing is comprehensive and gives a well-rounded discussion of the basics of nuclear stress testiJljt
Earl Silbers Heart DVetue is the only single-author comprehensive textbook of cardiology on the market at this time. The primary objective of this edition is to emphasize those matters which are essential to the practicing cardiologist. including ambulatory cardiovascular medicine. As such, the book attains this goal in an admirable fashion. PathophysioloD diagnosis, SPeCific disease entities, and treatment comprise the major sections. The syntax is lucid and incisive. Opinions on controversial subjects are rendered with updated. concise, small print editorials on the bottom of many pages. A profusion of figures and tables abound; some are innovative. including those referrable to digitalis and anticoagulation. Bibliographies are virtually encyclopedic. including material from traditional and unorthodox sources. The expositions on fever in cardiac patients and post-infarction sexual activity are minor classics and should be required reading for internists and cardiologists-in-training. All textbooks have a few drawbacks and this volume is no exception. It was difficult to find the clinical and electrocardiographic manifestations of right venbicular infarction. Many of the electrocardiographic figures were inscribed by older calligraphic machines with broad stroked horizontal sweeps. Such tracings may not please the eyes of those uninitiated in the Chicago style. Footnotes are provided by the technique of parenthetic senior author and year rather than sequential numbers. The book thereby represents a veritable "whos who" of cardiol~ There is a place for three or four major textbooks of cardiolog)t The scope of the field is so broad that these texts are complimentary rather than redundant I recommend Heart DVetue for use by any clinician who has contact with cardiac patients.
Kenneth B. Deller; M.D., FCCP Phoena
ANGIOTENSIN CONVERTING ENZYME INHIBITORS. Edited by ROCER K. FERGUSON and PETERH. VLASSES. Mount Kisco. NY: Futura Publishing Com~ 1987, 159 pp. t29.50
This book is a multiauthored comprehensive overview of angiotensinconverting enzyme inhibitors. a new type of drug with cardiovascular, renal and endocrine activit)t The book deals with the use of these drugs in speci6c disease states, particularly hypertension, renaldisease, and congestive heart failure. A unique feature of the book is a brief chapter on miscellaneous uses of converting enzyme inhibiton in other disorden such as the diagnosis of primary aldosteronism in Bartters syndrome. idiopathic edema, cirrhosis, etc. In addition, a short chapter on what the editors believe to be future directions in the use of these drugs is also included. Overall usefulness of the drugs in each of the areas is discussed. as are interactions with other drugs and other £acton associated with drug use. The book includes a fairly extensive list of references in each of these areas. Each chapter, although relatively brief: is authoritative. concise and clearly written. Information contained in the individual chapters on the use of converting enzyme inhibitors in essential hYPertension, renal disease and congestive heart failure appear to be up-to-date as of the date of publication. The strengths of this book are that it brings together in a concise format the current dataavailable concerning use of converting enzyme inhibitors in essential hYPertension, renal diseaseand congestive heart failure. The primary weakness of the book is thattheoverview chapter does not contain information on many of the less common (interstitial nephritis. cough, ete), but important side effects or complications of these inhibiton. These side elFects can be found in individual chapten or under headings related to the use of drugs in specific circumstances such as pulmonary disease, but it would have been helpful to have consolidated the toxicity/side efFect information in one readily available place. The book will probably be of use in hospital libraries, particularly in institutions that maintain training programs in general internal medicine, family practice. cardiolOO nephrology and hYPertension. It will also be useful for subspecialty libraries in cardio~ clinical pharmacology and nephrol~
The drug most commonly cited in the monograph is captopril; enalapril is
discussed rather frequently and other newer agents are mentioned brie8)t
Annette Fitz, M.D. 10fDtJ City
Continued on next page
27
---I
the bOOkshel1
CODE BLUE: CARDIAC ARREST AND RESUSCITATION. Edited by MICKEY S. EISENBERG. RICHARD O. CUMMINS and MARY 'f. Ho. Philadelphia: W B Saunders Company, 1987,244 pp, $18.95 This volume, as part of the Saunders Blue Book series, aims to provide practical information about cardiac arrest and resuscitation for medical students and physicians at all levels. The authors have done an excellent job of providing both background information and practical advice for the management of adult. pediatric and traumatic cardiac arrest. In doing so. they have provided a useful supplement to the American Heart Associations Textbook of Advanced Cardiac Life Support. Where the recommendations differ from the ACLS guidelines is clearly stated, and reasons for the differences are explained. The book has numerous tables and very clear line drawings. There is a table of frequently-used cardiac arrest drugs with dosage guidelines inside the front covers of the book for quick reference. The chapters on outcome after cardiac arrest. code organization, and airway management are full of useful information and practical hints. Overall. this text is interesting. readable and fulfills its objectives of providing a short. practical guide for cardiac arrest management.
Eloise M. Hannan M.D .• FCCP Gainesville. Florida
DECISION MAKING IN VASCULAR SURGERY. Edited by R. G. SCRIBNER, W H. BROWS and R. L. TAWES. Toronto: B C Decker Inc. 1987. $40.00
Decision Making in Surgery. written and conceived by Dr. Ben Eiseman, has now expanded to multiple specialties including vascular surgery. This book. edited by Scribner. Brown and Tawes with a host of contributors, is one of many books in the Decision Making series; Dr. Eiseman serves as consulting editor. Decision Making in Vascular Surgery is divided into four major sections: basic considerations, arterial disease. venous disease and special considerations. Because of the scope of arterial problems, the book is largely composed of topics under the section on arterial disease, which is subdivided into anatomic sites of the disease process and complications of arterial surgery. Throughout the entire book, algorithms of diagnostic and therapeutic workups were freely used to illustrate decision-making in each clinical setting. The format of each chapter, especially the style. is quite uniform. a feature often not evident in books with multiple authors. The editors are to be congratulated for maintaining uniformity throughout the entire book. Each chapter gives a clear and succinct description of the problem with useful selected references. Can decision making in surgery, in particular vascular surgery, be done by a cookbook approach? Probably not. Decision making, especially in the operating room, is derived from experience. knowledge and, to a large extent, instinct. For instance. when one is confronted with an unexpected colon carcinoma at surgery in a patient operated on for aortic aneurysm. decisionmaking about the appropriate approach requires experience and understanding of the potential hazards and benefits of treating one disease over the other. This decision-making process probably will not be solved by algorithms outlined in this book. Nearly all algorithms in the book deal with steps in the work-up for a particular clinical problem, and the true sense of decisionmaking is not apparent. Beginners in vascular surgery will find helpful diagnostic and therapeutic guides in this book. As stated by the editors, the book is designed to help the physician be effective. To this end, this book has achieved its goal and the algorithmic style is ideal for this approach. ]ames S. T: foo. M.D .• Ph.D. Chicago
BASIC ARTERIAL BLOOD GAS INTERPRETATION. By GARY L. ZAGELBAUM, MELVIN A. WELCHER and PETERDOYLE. Boston: Little Brown and Company, 1988. 319 pp, $19.50 This book was written to provide sufficient background information and practice exercises for learning the interpretation of arterial blood gas tests. Relevant anatomy, physiology and chemistry are presented to assist the reader in developing expertise in this clinical skill. The test uses a low-level, programmed-manual method to accomplish this. The six chapters build on each other and end with perhaps the most valuable portion of the book, a series of practical problems to test the readers comprehension. With a
22
programmed text, one expects a slow methodic presentation of concepts, terms and illustrations, but this book takes too much space to lead the reader to the goal of interpreting blood gas reports. The illustrations are neverending and over-simplistic. It seems that the authors felt driven to provide at least one drawing or table per page. When presented with such a text. the reader will probably attempt to jump ahead when the going gets slow a temptation that is strongly prohibited in the preface but encouraged by the book itsel£ The practice exercises are excellent but too few The book is intended for respiratory care practitioners, critical care nurses and medical students, but most of these could have used a book of half the size. It could be used as an ancillary teaching method for those who just can't grasp this skill during classroom and clinical time. It is therefore recommended only as a supplementary workbook for these groups of health professionals.
Robert G. McGee. M.S .• RRT Henderson. Kentucky
ENDOTHELIAL SEEDING IN VASCULAR SURGERY. Edited by MALCOLM HERRING and JOHN L. GLOVER. New York: Grune and Stratton Inc, 1987, 177 pp, $47.50 Endothelial seeding-what a fantastic idea! Who would think that scraping the endothelium of a vein with steel wool could set off an explosion in investigations of endothelial cell biology? And what vascular surgeon would suspect that the investigations would produce such a fascinating volume of information about the physiology of endothelial cells and their effects on the body as a whole? No~ some ten years after the inception of this work at Indiana University, comes this volume, the result of a symposium held some time ago in Indianapolis. Endothelial seeding is designed to reduce the hyperplastic changes which have been noted to develop near anastomoses. Furthermore, endothelial seeding is intended to enhance patency of small caliber prostheses. Now ten years after beginning the research. we find that endothelial seeding is falling short of its promise. Nevertheless, seeding of endothelial cells on a vascular prosthesis in the experimental animal model does result in the formation of a confluent, luminal monolayer. When this occurs, enhanced graft patency is seen, and it is hoped that these lessons learned in the animal lab will apply to man. Therefore. the information contained in this slim volume will be interesting to surgeons who wish to remain informed about endothelial seeding, who may be interested in beginning clinical work in this area, and those who are interested in research in tissue culture and endothelial physiology. This latter group of surgeon-scientists may find 1987 information to be somewhat archaic. However, there are many departure points within this text that will lead to future investigations. Among them are the observations of Glagov, which define differences in species with regard to growth and metabolism of endothelium. Also, as Levy points out, there is a precarious balance between clotting and anticlotting at the graft surface. Current research on use of agents to attach endothelial cells to prostheses including albumin and fibronectin finds expression in this volume as well. Such research in endothelial seeding has already improved our knowledge of basic physiologic processes in the endothelium. Further work may define the eventual role of this activity in clinical vascular surgery.
John] Bergan, M.D .• FCCP Chicago
RESPIRATORY ANATOMY AND PHYSIOLOGY. By DAVID E. MARTIN and JOHNW YOUTSEY. St. Louis: CV Mosby Company, 1988,277 pp, $17.95 This text evolved from a series of lectures in respiratory anatomy and physiology presented for nurses, respiratory therapists and medical students and is part of a continuing series of books from faculty lectures. This development is obvious since the topics begin as outlines and are then expanded into complete presentations; the result is an easily read and amply illustrated textbook. The book is well organized into mutually complimentary chapters that build on one another. The interaction between the pulmonary system and other body systems seems to be the re-occurring theme throughout the book and serves to emphasize the importance of this system to the reader. The illustrations are ample and completely integrated with the text of the book. For example, drawings explaining rib movement are the most understandable that this reviewer has seen used in describing this phenomenon. The authors have balanced the emphasis between the anatomy and physiology of the pulmonary system and show how complimentary the two disciplines are in meeting the bodys needs. Each chapter ends with a list of relevant
Continued on page 27
Continued from page22 references to both landmark articles and books and to more current research available. The volume is intended for all healthcare practitioners who need a solid background in pulmonary anatomy and physiology at the beginning college level. The text is esPeCially suited for two- and four-year respiratory care curriculums. The price is appropriate for this well written and illustrated book.
RobertG.
The sections on the cardiovascular effects of chronic exercise and the chapter on exercise and prevention of coronary artery disease are well written and quite exhaustive in their references. The section on cardiac rehabilitation is also an exhaustive, well-referenced review of the subject. Many studies are referenced; a weakness of this section is that the author does not clearly draw all of the results of the various studies quoted together in cleal; conclusive form. Overall. this is an excellent book and one that physicians who deal in stress testing will want for their library.
Ebul S. Greenberg, M. D.
Long BetJCh. CoUfomia
uec«, M.S., RRT
Hendenon, Ksntucky
HEART DISEASE. By EARL SILBER. New York: MacMillan Publishing Co. 1987, 1,922 pp. $120.00 DISEASES OF THE VEINS. By N. L. BROWSE, K. G. BURNAND and M. L. THOMAS. London: Edward Arnold, 1988,694 pp. '75.00 Although Browse and co-worken refer to the veins as the "Cinderella of the circulation, neglected, and almost forgotten, " the fact is that Cinderella is coming to the ball. Demonstrated success of commercial venous clinics is teaching vacsular surgeons that the public is demanding treatment of its vein problems and is willing to pay even exorbitant prices. As the veins have been neglected by cardiac and vascular surgeons, nonvascular-trained practitioners have entered the field. In troth, nature does abhor a vacuum. Now this volume appean as full grown as Botticellis Venus as she arose &om the sea. While not as beautiful as Venus, this book is eminently practical. It is a large volume. elegantly printed and filled with line drawings and well-reproduced photographs. Its 26 chapten cover all aspects of veins and their problems. The one neglected area is the treatment of cutaneous telangiectasias. Everything else is dealt with in utenIo. Whatever question arises in the mind of the interested surgeon, an answer is to be found in these pages. For example. the history of studies of the veins is thoroughly laid out from the first mention in 1550 BC to the most timely investigations of 1987. Within this section are the interesting facts thatCrafoord described the use ofheparin for treatment of postoperative deep vein thrombosis and Leriche described a technique of thrombectomy for deep venous thrombosis. Even Turner Warwick joins these luminaries and Robert Linton in citations of surgical therapy. In short. this is a complete work reading as if from the Pen of a single author who writes in straightforward declarative sentences which leave no doubt as to their meaning. Predictablg direct arterial reconstructive surgery is entering a decline. Surgeons interested in treating the complete menu of vascular problems may tum to this book in how to manage venous problems. If they do. the care of patients with these problems will be improved. and vascular surgeons will replace practitionen in management of venous difBculties.
]ohnJ Bergan, M.D., FCCP Chicago
A YOUNG MAN'S GUIDE 10 SEX. By JAY GALE. Los Angeles: Frice Stem Sloan Inc, 1988. 234 pp. '7.95 A YOUNG WOMAN'S GUIDE 10 SEX. By JACQUEUNE Voss and JAY GALE. Los Angeles: Price Stem Sloan Inc. 1988.298 pp. $7.95 Jay Gales A Young Mans Guide to Sex and his A Young Womans GuitU to Sex. written with Jacqueline \bss. should be available to every young (and some not-so-young) Penon. Both provide basic. well written information about sex. The books deal with the physical equipment and aspects of sex in a nonin8ammatory nor blushing fashion. More importantl)4 neither text ignores the often neglected emotional and psychologic aspects of sex. There is no morality clause but rather a discussion of values and individual feelings. When opinion is expressed, it is firmly stated to be an opinon and not Permitted to be confused with fact. Both books are very readable and well worth the small cost.
EXERCISE AND THE HEART: CLINICAL CONCEPTS. By Vrcroa FROEUCHER. Chicago: Yearbook Medical Publishers Inc. 1987. 508 pp. $48.00
Eurcile and the Heart: ClinictJl Concepu by Victor Froelicher is a well written, exhaustive textbook of exercise physiolOB stress testing and cardiac rehabilitation. It is well referenced and comprehensive in its approach to the subject matter of stress testing and cardiac rehabilitation. It is a book which most physicians in cardiology (including cardiac fellows) will desire as a basic reference textbook. The 6nt six chapten of the book comprehensively deal with exercise and exercise stress testing. This portion of the text is easily readable and undentandable and is a must for cardiac fellows as well as cardiologists and internists who deal extensively with cardiac patients and stress testing. The section on radionuclide exercise testing is comprehensive and gives a well-rounded discussion of the basics of nuclear stress testiJljt
Earl Silbers Heart DVetue is the only single-author comprehensive textbook of cardiology on the market at this time. The primary objective of this edition is to emphasize those matters which are essential to the practicing cardiologist. including ambulatory cardiovascular medicine. As such, the book attains this goal in an admirable fashion. PathophysioloD diagnosis, SPeCific disease entities, and treatment comprise the major sections. The syntax is lucid and incisive. Opinions on controversial subjects are rendered with updated. concise, small print editorials on the bottom of many pages. A profusion of figures and tables abound; some are innovative. including those referrable to digitalis and anticoagulation. Bibliographies are virtually encyclopedic. including material from traditional and unorthodox sources. The expositions on fever in cardiac patients and post-infarction sexual activity are minor classics and should be required reading for internists and cardiologists-in-training. All textbooks have a few drawbacks and this volume is no exception. It was difficult to find the clinical and electrocardiographic manifestations of right venbicular infarction. Many of the electrocardiographic figures were inscribed by older calligraphic machines with broad stroked horizontal sweeps. Such tracings may not please the eyes of those uninitiated in the Chicago style. Footnotes are provided by the technique of parenthetic senior author and year rather than sequential numbers. The book thereby represents a veritable "whos who" of cardiol~ There is a place for three or four major textbooks of cardiolog)t The scope of the field is so broad that these texts are complimentary rather than redundant I recommend Heart DVetue for use by any clinician who has contact with cardiac patients.
Kenneth B. Deller; M.D., FCCP Phoena
ANGIOTENSIN CONVERTING ENZYME INHIBITORS. Edited by ROCER K. FERGUSON and PETERH. VLASSES. Mount Kisco. NY: Futura Publishing Com~ 1987, 159 pp. t29.50
This book is a multiauthored comprehensive overview of angiotensinconverting enzyme inhibitors. a new type of drug with cardiovascular, renal and endocrine activit)t The book deals with the use of these drugs in speci6c disease states, particularly hypertension, renaldisease, and congestive heart failure. A unique feature of the book is a brief chapter on miscellaneous uses of converting enzyme inhibiton in other disorden such as the diagnosis of primary aldosteronism in Bartters syndrome. idiopathic edema, cirrhosis, etc. In addition, a short chapter on what the editors believe to be future directions in the use of these drugs is also included. Overall usefulness of the drugs in each of the areas is discussed. as are interactions with other drugs and other £acton associated with drug use. The book includes a fairly extensive list of references in each of these areas. Each chapter, although relatively brief: is authoritative. concise and clearly written. Information contained in the individual chapters on the use of converting enzyme inhibitors in essential hYPertension, renal disease and congestive heart failure appear to be up-to-date as of the date of publication. The strengths of this book are that it brings together in a concise format the current dataavailable concerning use of converting enzyme inhibitors in essential hYPertension, renal diseaseand congestive heart failure. The primary weakness of the book is thattheoverview chapter does not contain information on many of the less common (interstitial nephritis. cough, ete), but important side effects or complications of these inhibiton. These side elFects can be found in individual chapten or under headings related to the use of drugs in specific circumstances such as pulmonary disease, but it would have been helpful to have consolidated the toxicity/side efFect information in one readily available place. The book will probably be of use in hospital libraries, particularly in institutions that maintain training programs in general internal medicine, family practice. cardiolOO nephrology and hYPertension. It will also be useful for subspecialty libraries in cardio~ clinical pharmacology and nephrol~
The drug most commonly cited in the monograph is captopril; enalapril is
discussed rather frequently and other newer agents are mentioned brie8)t
Annette Fitz, M.D. 10fDtJ City
Continued on next page
27