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Vector electrocardiography
Book reviews
to surgical relief. In the area of unilateral renal disease a good ground work is laid which can be supplemented from the recent literature in this rapidly moving held. The theory, action, and side effects of most of the drugs currently used are taken up, along with careful instructions in regard to their use. Guanethidine, a current favorite, is described, but sufficient experience for complete evaluation was lacking at the time of publication to do justice to this drug. The author side-steps the question of when to treat hypertension, and one is left to assume that he would treat all cases. .% few words in regard to the order of trial of drugs and the drugs most useful in different types of hypertension would be desirable. The chapter on etiology and experimental hypertension is good and has an extensive, carefully selected bibliography. This book will be useful to all physicians who must grapple with this problem and will be read with interest by those who specialize in this field.
I)EVEI.OPMT:NT AND STRUCTURE OF THE CARDIOVASWLAR SYSTEM. An American College of Cardiology Monograph from Cardiology-An Encyclopedia. Edited by Aldo A. Luisada, M.D., New York, 1961, McGraw-Hill Book Company, Inc., 225 pages. Price $9.95. This
monograph consists of a collection of systematically arranged articles which pertain to the structure of the heart and blood vessels, each of which is written as a separate and more or less complete entity, independent of previously presented sections. For example, those who are interested in arterial vessels of the neck may study the four-page section on the aortic arch and its branches, wherein the principal innervations, anatomic variations, and anomalies are discussed and more than adequately illustrated. Similar presentations cover the pulmonary, renal, and hepatic circulations. The coronary circulation is incorporated in a section entitled “Arteries, Veins, and Lymphatic Vessels of the Heart.” Of particular interest is the illustrative material, which consists of beautifully executed roentgenograms which were made after radiopaque injection of the human coronary arteries. In general, all presentations are as complete as seems consistent with the objectives of this monograph. Special value lies in the bibliography, which consists of approximately 400 titles. This is contained in a completely separate section, and is arranged alphabetically according to author. The index is adequate and arranged for the collection of cross-reference material. The opening chapter, “Embryology of the Heart and Major \‘essels,” contains descriptions which should be unusually clear to the uninitiated but is not so elaborately illustrated as subsequent chapters, Of special value is the section which deals with partitioning of the truncoconal segment and the embryogenesis of transposition defects and stenoses. In view of the fact that this monograph deals
43.5
with the structure and angioarchitecture of heart and blood vessels and contains special sections devoted to the macrocirculation and microcirrulation of the lungs, liver, and kidneys, one wonders why a section devoted to the phylogeny of the cardiovascular system has been included, whereas the complex peculiarities of the cerebral circulation are omitted. \lith this one exception, this monograph seems to be a useful and ready source of specific information and should “help anatomists and physicians in their difficult task as teachers and researchers.”
VECTOR ELECTROCARDIOGRAPHY. By Herman N, Uhley, Assistant Chief, Department of Medicine, Mount Zion Hospital and Medical Center, San Francisco, Calif. Philadelphia, 1962, J. B. I,ippincott Company, 339 pages. This volume is not aimed at instructing the reader in the fine points of electrocardiography or vectorcardiography. In fact, there are no actual electrocardiograms and only one actual vectorcardiogram in the book. The aim is to present the relationship between the two, using a few frequently encountered electrocardiographic. “syndromes.” The unique feature is the presentation of diagrams of instantaneous events during a single cycle so that the pages can be flipped, producing animation of a sort. The instantaneous events are presented as a frontal and horizontal loop, and as scalar projections. Perhaps the reviewer’s Scotch background prejudiced him unduly, but the chief criticism centers about the large amount of wasted space and the limited information contained in the volume. The loop and scalar lead diagrams are confined to the upper outer quadrant of the right-hand page. The loops are tiny (the QRS loop in left ventricular hypertrophy is only 0.X cm. and the T loop 0.2 cm. in length). The legend is on an opposite page and generally confined to the upper half. Quick calculation reveals that about 60 per cent of the illustrative section is blank page. Only eight illustrative conditions are covered. Each requires about 40 pages to develop, many of which are repetitions (e.g., four pages of diagrams, four pages of legend to present an isoelectric S-T segment in a normal tracing). The loops and electrocardiograms are presented in an idealized fashion, with no indication of the range of variation to be expected in each of the “syndromes.” This is consistent with the author’s aims, but the reviewer had expected more in view of the size and title of the volume. There are a few quarrels with the content. Inferior myocardial infarction is presented with a normal T wave, whereas anterolateral myocardial infarction is presented with the expected abnormal T wave. Left ventricular hypertrophy is described as having accentuated leftward and posterior terminal forces. The initial forces in left bundle branch block are described as writing a Q wave in Lead Vz. The bibliography seems to
436
Announcements
be a recommended reading list instead of a true bibliography. Most major ECG tests are ineluded, but the relevance of some (e.g., those confined to arrhythmias) to this volume is obSCWY.
In summary, this is a book with a limited This aim seems to have been accomplished, the reviewer would have preferred a higher of information to page surface.
aim. but ratio
Announcements 4 GKADUATE COURSE IN MEDICAL HYPNOSIS is being offered to physicians and dentists by the University of Pennsylvania Graduate School of Medicine. The Department of Neurology and Psychiatry is in charge of organizing the sessions. The 96-hour course will consist of 24 weekly afternoon sessions, beginning Oct. 3, 1962. At the present time, it is the only course offered which meets recommendations made by the American Medical Association’s Committee on Hypnosis. During the first part of the course, basic concepts of hypnosis will be taught through lectures on psychiatry and hypnosis, demonstrations, and supervised practical work in hypnosis. The latter part of the course will cover clinical . apphcatlons of hypnosis. Here there will be sessions limited to psychiatrists, and other sessions limited to general practitioners, dentists, and specialists other than psychiatrists. The course will be given at the Institute of the Pennsvlvania Hospital, 111 North 49th St., Philadelphia 39, Pa. The teaching staff of eight is headed by Lauren H. Smith, M.D., Professor and Chairman of Psychiatry, Department of Neurology and Psychiatry at the Graduate School of Medicine, and Administrator of the Hall-Mercer Hospital, Pennsylvania Division. Dr. Smith is also Chairman of the American Medical Association Council on Mental Health. The staff will include Dr. Harold Kosen, Head of the American Medical Association’s Committee on Hypnosis.
The University of Texas Postgraduate School of Medicine will sponsor a Clinical Symposium on THE PRACTICAL TREATMENT OF HYPERTENSION, Sept. 20-22, 1962. The Symposium will be held in the auditorium of The University of Texas M. D. Anderson Hospital and Tumor Institute, Texas Medical Center, Houston, Tex. Guest speakers and their topics will be as follows: Dr. James Conway, University of Michigan Medical Center, Ann Arbor, Mich.: “Current Concepts and Theories Regarding the Etiology of Essential Hypertension and Its Natural History.” Dr. Arthur Grollman, The University of Texas Southwestern Medical School, Dallas, Tes.: “Metabolic Observat;ons in Essential Hypertension and the Role of
Associated Vascular Disease and Its Influence on Therapeutic Considerations.” Dr. W. R. LVilson, Johns Hopkins University School of Medicine, Baltimore, Md.: “The Effects of Newer Hypotensive Drugs on the Hemodynamics of Hypertension.” Dr. Walter Kirkendall, University of Iowa School of Medicine, Iowa City, Iowa: “Indications for Treatment, Present-Day Drug Therapy of Essential Hypertension, and Changes Observed in the Fundi of Hypertensive Patients During Treatment and in the Absence of Treatment.” Dr. Leon Goldberg, Emory LTniversity, Atlanta, Ga.: “Alpha-Methyl Dopa and Guanethidine as Therapeutic Agents in the Treatment of Essential Hypertension and Pheochromocytoma, Its Diagnosis and Treatment.” Dr. Rav F. Gifford, Cleveland Clinic, Cleveland, Ohio: “The Diagnosis and Treatment of Renovascular Hypertension and the Treatment of Hypertensive Emergencies.” Dr. Reginald Smithwick, Boston l’niversity, Massachusetts Memorial Hospitals Medical Center, Boston, Mass.: “Sympathcctomy, Adrenalectomy, and Ncphrectomy in the Treatment of Hypertension.” For further information write: Office of the Dean, The University of Texas Postgraduate Srhool of Medicine, 102 Jesse Jones Library Building, Texas Medical Center, Houston 2.5, Tes.
THE INFORMATION EXPLOSION--ITS CHALLEKGII AKD PROBLEMS will be the theme of the 19th Annual Meeting of the American Medical Writers Association at the Sheraton Park Hotel in Washington, I). C., Oct. 12 and 13, 1962. The first day will be devoted to what medical journal editors, authors, educators, pharmaceutical companies, and medical writers can do to meet the challenge of the flood of new medical information. On the second day, the meeting will consider the promise of recent advances in information storage and retrieval, in utilization of the “newer” communication media (films, radio, television, recordings, and programmed instruction), and in professionalism among medical communication personnel. For details and registration forms, contact John Sargeant, Chairman of the Local Arrangements Committee, Medical and Chirurgical Faculty of Maryland, 1211 Cathedral Street, Baltimore 1, Md.
to surgical relief. In the area of unilateral renal disease a good ground work is laid which can be supplemented from the recent literature in this rapidly moving held. The theory, action, and side effects of most of the drugs currently used are taken up, along with careful instructions in regard to their use. Guanethidine, a current favorite, is described, but sufficient experience for complete evaluation was lacking at the time of publication to do justice to this drug. The author side-steps the question of when to treat hypertension, and one is left to assume that he would treat all cases. .% few words in regard to the order of trial of drugs and the drugs most useful in different types of hypertension would be desirable. The chapter on etiology and experimental hypertension is good and has an extensive, carefully selected bibliography. This book will be useful to all physicians who must grapple with this problem and will be read with interest by those who specialize in this field.
I)EVEI.OPMT:NT AND STRUCTURE OF THE CARDIOVASWLAR SYSTEM. An American College of Cardiology Monograph from Cardiology-An Encyclopedia. Edited by Aldo A. Luisada, M.D., New York, 1961, McGraw-Hill Book Company, Inc., 225 pages. Price $9.95. This
monograph consists of a collection of systematically arranged articles which pertain to the structure of the heart and blood vessels, each of which is written as a separate and more or less complete entity, independent of previously presented sections. For example, those who are interested in arterial vessels of the neck may study the four-page section on the aortic arch and its branches, wherein the principal innervations, anatomic variations, and anomalies are discussed and more than adequately illustrated. Similar presentations cover the pulmonary, renal, and hepatic circulations. The coronary circulation is incorporated in a section entitled “Arteries, Veins, and Lymphatic Vessels of the Heart.” Of particular interest is the illustrative material, which consists of beautifully executed roentgenograms which were made after radiopaque injection of the human coronary arteries. In general, all presentations are as complete as seems consistent with the objectives of this monograph. Special value lies in the bibliography, which consists of approximately 400 titles. This is contained in a completely separate section, and is arranged alphabetically according to author. The index is adequate and arranged for the collection of cross-reference material. The opening chapter, “Embryology of the Heart and Major \‘essels,” contains descriptions which should be unusually clear to the uninitiated but is not so elaborately illustrated as subsequent chapters, Of special value is the section which deals with partitioning of the truncoconal segment and the embryogenesis of transposition defects and stenoses. In view of the fact that this monograph deals
43.5
with the structure and angioarchitecture of heart and blood vessels and contains special sections devoted to the macrocirculation and microcirrulation of the lungs, liver, and kidneys, one wonders why a section devoted to the phylogeny of the cardiovascular system has been included, whereas the complex peculiarities of the cerebral circulation are omitted. \lith this one exception, this monograph seems to be a useful and ready source of specific information and should “help anatomists and physicians in their difficult task as teachers and researchers.”
VECTOR ELECTROCARDIOGRAPHY. By Herman N, Uhley, Assistant Chief, Department of Medicine, Mount Zion Hospital and Medical Center, San Francisco, Calif. Philadelphia, 1962, J. B. I,ippincott Company, 339 pages. This volume is not aimed at instructing the reader in the fine points of electrocardiography or vectorcardiography. In fact, there are no actual electrocardiograms and only one actual vectorcardiogram in the book. The aim is to present the relationship between the two, using a few frequently encountered electrocardiographic. “syndromes.” The unique feature is the presentation of diagrams of instantaneous events during a single cycle so that the pages can be flipped, producing animation of a sort. The instantaneous events are presented as a frontal and horizontal loop, and as scalar projections. Perhaps the reviewer’s Scotch background prejudiced him unduly, but the chief criticism centers about the large amount of wasted space and the limited information contained in the volume. The loop and scalar lead diagrams are confined to the upper outer quadrant of the right-hand page. The loops are tiny (the QRS loop in left ventricular hypertrophy is only 0.X cm. and the T loop 0.2 cm. in length). The legend is on an opposite page and generally confined to the upper half. Quick calculation reveals that about 60 per cent of the illustrative section is blank page. Only eight illustrative conditions are covered. Each requires about 40 pages to develop, many of which are repetitions (e.g., four pages of diagrams, four pages of legend to present an isoelectric S-T segment in a normal tracing). The loops and electrocardiograms are presented in an idealized fashion, with no indication of the range of variation to be expected in each of the “syndromes.” This is consistent with the author’s aims, but the reviewer had expected more in view of the size and title of the volume. There are a few quarrels with the content. Inferior myocardial infarction is presented with a normal T wave, whereas anterolateral myocardial infarction is presented with the expected abnormal T wave. Left ventricular hypertrophy is described as having accentuated leftward and posterior terminal forces. The initial forces in left bundle branch block are described as writing a Q wave in Lead Vz. The bibliography seems to
436
Announcements
be a recommended reading list instead of a true bibliography. Most major ECG tests are ineluded, but the relevance of some (e.g., those confined to arrhythmias) to this volume is obSCWY.
In summary, this is a book with a limited This aim seems to have been accomplished, the reviewer would have preferred a higher of information to page surface.
aim. but ratio
Announcements 4 GKADUATE COURSE IN MEDICAL HYPNOSIS is being offered to physicians and dentists by the University of Pennsylvania Graduate School of Medicine. The Department of Neurology and Psychiatry is in charge of organizing the sessions. The 96-hour course will consist of 24 weekly afternoon sessions, beginning Oct. 3, 1962. At the present time, it is the only course offered which meets recommendations made by the American Medical Association’s Committee on Hypnosis. During the first part of the course, basic concepts of hypnosis will be taught through lectures on psychiatry and hypnosis, demonstrations, and supervised practical work in hypnosis. The latter part of the course will cover clinical . apphcatlons of hypnosis. Here there will be sessions limited to psychiatrists, and other sessions limited to general practitioners, dentists, and specialists other than psychiatrists. The course will be given at the Institute of the Pennsvlvania Hospital, 111 North 49th St., Philadelphia 39, Pa. The teaching staff of eight is headed by Lauren H. Smith, M.D., Professor and Chairman of Psychiatry, Department of Neurology and Psychiatry at the Graduate School of Medicine, and Administrator of the Hall-Mercer Hospital, Pennsylvania Division. Dr. Smith is also Chairman of the American Medical Association Council on Mental Health. The staff will include Dr. Harold Kosen, Head of the American Medical Association’s Committee on Hypnosis.
The University of Texas Postgraduate School of Medicine will sponsor a Clinical Symposium on THE PRACTICAL TREATMENT OF HYPERTENSION, Sept. 20-22, 1962. The Symposium will be held in the auditorium of The University of Texas M. D. Anderson Hospital and Tumor Institute, Texas Medical Center, Houston, Tex. Guest speakers and their topics will be as follows: Dr. James Conway, University of Michigan Medical Center, Ann Arbor, Mich.: “Current Concepts and Theories Regarding the Etiology of Essential Hypertension and Its Natural History.” Dr. Arthur Grollman, The University of Texas Southwestern Medical School, Dallas, Tes.: “Metabolic Observat;ons in Essential Hypertension and the Role of
Associated Vascular Disease and Its Influence on Therapeutic Considerations.” Dr. W. R. LVilson, Johns Hopkins University School of Medicine, Baltimore, Md.: “The Effects of Newer Hypotensive Drugs on the Hemodynamics of Hypertension.” Dr. Walter Kirkendall, University of Iowa School of Medicine, Iowa City, Iowa: “Indications for Treatment, Present-Day Drug Therapy of Essential Hypertension, and Changes Observed in the Fundi of Hypertensive Patients During Treatment and in the Absence of Treatment.” Dr. Leon Goldberg, Emory LTniversity, Atlanta, Ga.: “Alpha-Methyl Dopa and Guanethidine as Therapeutic Agents in the Treatment of Essential Hypertension and Pheochromocytoma, Its Diagnosis and Treatment.” Dr. Rav F. Gifford, Cleveland Clinic, Cleveland, Ohio: “The Diagnosis and Treatment of Renovascular Hypertension and the Treatment of Hypertensive Emergencies.” Dr. Reginald Smithwick, Boston l’niversity, Massachusetts Memorial Hospitals Medical Center, Boston, Mass.: “Sympathcctomy, Adrenalectomy, and Ncphrectomy in the Treatment of Hypertension.” For further information write: Office of the Dean, The University of Texas Postgraduate Srhool of Medicine, 102 Jesse Jones Library Building, Texas Medical Center, Houston 2.5, Tes.
THE INFORMATION EXPLOSION--ITS CHALLEKGII AKD PROBLEMS will be the theme of the 19th Annual Meeting of the American Medical Writers Association at the Sheraton Park Hotel in Washington, I). C., Oct. 12 and 13, 1962. The first day will be devoted to what medical journal editors, authors, educators, pharmaceutical companies, and medical writers can do to meet the challenge of the flood of new medical information. On the second day, the meeting will consider the promise of recent advances in information storage and retrieval, in utilization of the “newer” communication media (films, radio, television, recordings, and programmed instruction), and in professionalism among medical communication personnel. For details and registration forms, contact John Sargeant, Chairman of the Local Arrangements Committee, Medical and Chirurgical Faculty of Maryland, 1211 Cathedral Street, Baltimore 1, Md.