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The hypertrophied heart
%egnancy Hypertensian. By Emanuel A. Friedman, M.D., and Raymond K. Neff, ScD., Littleton, ,Massachusetts, 1977, PSG Pubfishing Company, Inc., 400 pages. Price $40.00.
This book is intended primarily for obstetricians and gynecoiogists but should interest internists, general practitioners, and cardiologists for many reasons. The book provides the yeader with the view-point of the obstetrician. Hypertension is an important problem in itself. Hypertension offers special dificulties in the pregnant patient. The book also summarizes very well the Collaborative Perinatal Project supported by the Nationai Institute of Neurological Diseases and Blindness (now the National Institute of Neurological Diseases and Stroke). The book is primarily a statistical report concerning such variables as age, risk factors, diagnostic factors, standards, choice of groups, interrelationship of variables during pregnancy. Fourteen university hospital institutions participated initiahy and two discontinued prior to completion of the study. The practicing physician will find this to be a useful reference source, but will find the book rather difficult to read sven though it represents the results of an important and extensive study. Unfortunately. none of the large hospitals for the indigent patients were included in the study in spite of difficulties they would have brought to view. Medical statisticians will find this to be a useful source of Information on hypertension and pregnancy. The influence of drugs and other aspects of therapy for hypertension on, the fetus and fetal mortality is another important aspect of the book. Medical libraries of the world should include the book among their files. Obstetricians and others who manage hypertension will want to own a copy for reference. The data and statistical analyses are extensive and well presented. Carreiative
3tlas
~ZWTXS. By Doctors Gould, New York,
of
Wectorcardiograms
C. V. Ramana 1977, Futura
and
Electrocardio-
Reddy and Lawrence Publishing Company,
and woJd serve as a useful I .ererecce *. ia xia: ~s.s 0;’ campiicated vectorcardiograms. This book wiii be of vah~ to trainees in cardiology and practising cardiologists and hopefully will stimulate clinicians to -use electrocardiograph: :and vectorcardiography in a eompiimentary fashion.
Auscdea%ionof the Yeart. third edition. i3y R;x. Mavin, M.3., Lane 13. Craddock, M.D., Phi&p S. Wolfe, -M.D., Shander, M.D., Chicago. 1977, Year Book Medi,:ai Inc., 285 pages.
and David Pubhshers,
The third edition of Ar/scz&otion COPetZ3inS th+Z oi‘I,& NeCli+t same fundamental principles of auscuitation as the first edition and now includes the systolic ciick, postoperative cardiac sounds, and correlations with echoca.rdiography. Except for these additions, the third edition is essentially the same as the first. This is surety expected, for heart sounds are not expected to change nor is the use of the stethoscope. The main shortcoming of this book is the failure to emphasize continuously for learners the relationship of the heart sounds to various simultaneous cardiac events, especidly the hemodynamic events. The relationship to the EGG IS relatively simple and adequate for timmg but heart sounds represent mechanical and hydraulic phenomena ra the? than eiect.ric. For beginners, the importance of auscuitation k not limited to the mere detection of the various sounds, murn::~s, rdles, etc., but an understanding of the situation responsibie for them and, in turn, the clinical significance. The book contains a brief discussion of sound, ihe stethoscope, graphic recording, normal SGLIII~S and abnorrna! sounds as produced by various types of cardiac disease. The authors have produced a useful book about a negieeted subject. That this book is useful and a success is attested by the fact that a third edition appears.
A. 294
The stated purpose for the preparation of this book was to provide the reader with electrocardiograms and vectorcardiograms recorded simultaneously from adults with various types of heart disease and to correlate those recordings with a c!inical summary of the patient. To this end, the authors have achieved their goal. Thus, as he would in practice, the reader is permitted to interpret the ECG and VCG together. This approach is certainly the preferable one and illustrates how much the ECG and clinical findings contribute to the interpretation of the VCG. The authors’ interpretation of the electrocardiograms and vectorcardiograms follow each clinical presenta.tion. Although the first chapter deals with the normal vectorcardrogram and electrocardiogram, it is not adequate preparation for moper understanding of the material presented in this book. Therefore, the reader shollld acquaint himself with the 6mdamentals of VCG and ECG before reading the book. The illustraticns are of good quality. The Frank VCG lead system is used throughout the book. The appendices contain :iZerentiai diagnoses of various vectorcardiographic patterns
~~~~r~pbjed Heart. Edited by Proi. Darmstadt, 1977, Dr. Dintrich SteinkopK
Dr. Ruthard Jacob, Verlag, 222 pages.
This paperback volume contains the papers presented at the Erwin Riesch Symposium held in Tubingen, i-r September, 1976. The 33 brief papers produce a book of 222 pages. The range of the discussions is wide, being concerned primar+Iy with the biochemistry, physical chemistry, morphology, and physiologic corretations with cardiac hypertrophv and the normal myocardium. The relation of uXrastructure of the sarcoma to myocardial contraction is d~lseusscd within the limits of existing knowiedge. This symposium not only summarizes very weil the existing knowledge of myocardial hypertrophy but also indicates the limited information avaiiable. The investigators plunge into a discussion of myocardiai hypertrophy, but they fail to define it adequateiy, This only attests to the extent of the problems involved, Xegardiess, this book contains a good col!ection of brief papers-that should interest all physicians, biochemists, biophysicists morphoicgists, and pathologT%ts. This is an interestmg book to read and study. Myocardial hypertrophy is an important snd common problem in medicine.
This book is intended primarily for obstetricians and gynecoiogists but should interest internists, general practitioners, and cardiologists for many reasons. The book provides the yeader with the view-point of the obstetrician. Hypertension is an important problem in itself. Hypertension offers special dificulties in the pregnant patient. The book also summarizes very well the Collaborative Perinatal Project supported by the Nationai Institute of Neurological Diseases and Blindness (now the National Institute of Neurological Diseases and Stroke). The book is primarily a statistical report concerning such variables as age, risk factors, diagnostic factors, standards, choice of groups, interrelationship of variables during pregnancy. Fourteen university hospital institutions participated initiahy and two discontinued prior to completion of the study. The practicing physician will find this to be a useful reference source, but will find the book rather difficult to read sven though it represents the results of an important and extensive study. Unfortunately. none of the large hospitals for the indigent patients were included in the study in spite of difficulties they would have brought to view. Medical statisticians will find this to be a useful source of Information on hypertension and pregnancy. The influence of drugs and other aspects of therapy for hypertension on, the fetus and fetal mortality is another important aspect of the book. Medical libraries of the world should include the book among their files. Obstetricians and others who manage hypertension will want to own a copy for reference. The data and statistical analyses are extensive and well presented. Carreiative
3tlas
~ZWTXS. By Doctors Gould, New York,
of
Wectorcardiograms
C. V. Ramana 1977, Futura
and
Electrocardio-
Reddy and Lawrence Publishing Company,
and woJd serve as a useful I .ererecce *. ia xia: ~s.s 0;’ campiicated vectorcardiograms. This book wiii be of vah~ to trainees in cardiology and practising cardiologists and hopefully will stimulate clinicians to -use electrocardiograph: :and vectorcardiography in a eompiimentary fashion.
Auscdea%ionof the Yeart. third edition. i3y R;x. Mavin, M.3., Lane 13. Craddock, M.D., Phi&p S. Wolfe, -M.D., Shander, M.D., Chicago. 1977, Year Book Medi,:ai Inc., 285 pages.
and David Pubhshers,
The third edition of Ar/scz&otion COPetZ3inS th+Z oi‘I,& NeCli+t same fundamental principles of auscuitation as the first edition and now includes the systolic ciick, postoperative cardiac sounds, and correlations with echoca.rdiography. Except for these additions, the third edition is essentially the same as the first. This is surety expected, for heart sounds are not expected to change nor is the use of the stethoscope. The main shortcoming of this book is the failure to emphasize continuously for learners the relationship of the heart sounds to various simultaneous cardiac events, especidly the hemodynamic events. The relationship to the EGG IS relatively simple and adequate for timmg but heart sounds represent mechanical and hydraulic phenomena ra the? than eiect.ric. For beginners, the importance of auscuitation k not limited to the mere detection of the various sounds, murn::~s, rdles, etc., but an understanding of the situation responsibie for them and, in turn, the clinical significance. The book contains a brief discussion of sound, ihe stethoscope, graphic recording, normal SGLIII~S and abnorrna! sounds as produced by various types of cardiac disease. The authors have produced a useful book about a negieeted subject. That this book is useful and a success is attested by the fact that a third edition appears.
A. 294
The stated purpose for the preparation of this book was to provide the reader with electrocardiograms and vectorcardiograms recorded simultaneously from adults with various types of heart disease and to correlate those recordings with a c!inical summary of the patient. To this end, the authors have achieved their goal. Thus, as he would in practice, the reader is permitted to interpret the ECG and VCG together. This approach is certainly the preferable one and illustrates how much the ECG and clinical findings contribute to the interpretation of the VCG. The authors’ interpretation of the electrocardiograms and vectorcardiograms follow each clinical presenta.tion. Although the first chapter deals with the normal vectorcardrogram and electrocardiogram, it is not adequate preparation for moper understanding of the material presented in this book. Therefore, the reader shollld acquaint himself with the 6mdamentals of VCG and ECG before reading the book. The illustraticns are of good quality. The Frank VCG lead system is used throughout the book. The appendices contain :iZerentiai diagnoses of various vectorcardiographic patterns
~~~~r~pbjed Heart. Edited by Proi. Darmstadt, 1977, Dr. Dintrich SteinkopK
Dr. Ruthard Jacob, Verlag, 222 pages.
This paperback volume contains the papers presented at the Erwin Riesch Symposium held in Tubingen, i-r September, 1976. The 33 brief papers produce a book of 222 pages. The range of the discussions is wide, being concerned primar+Iy with the biochemistry, physical chemistry, morphology, and physiologic corretations with cardiac hypertrophv and the normal myocardium. The relation of uXrastructure of the sarcoma to myocardial contraction is d~lseusscd within the limits of existing knowiedge. This symposium not only summarizes very weil the existing knowledge of myocardial hypertrophy but also indicates the limited information avaiiable. The investigators plunge into a discussion of myocardiai hypertrophy, but they fail to define it adequateiy, This only attests to the extent of the problems involved, Xegardiess, this book contains a good col!ection of brief papers-that should interest all physicians, biochemists, biophysicists morphoicgists, and pathologT%ts. This is an interestmg book to read and study. Myocardial hypertrophy is an important snd common problem in medicine.