Heart Disease [antikvár]

The rates at which the various branches of medicine progress are by no means uniform. To even the most casual observer of the medical scene, it is evident that cardiology is now moving ahead at an unprecedented velocity. Because of the enormous advances in clinical cardiology and cardiovascular science that have occurred in the 4 years since publication of the second edition of Heart Disease, preparation of the third edition has been a task that has been both more challenging and intellectually invigorating than I had anticipated. Although the basic formát of the book has remained the same, the new edition incorporates extensive changes. Heart Disease is now divided into 5 parts: Part I deals with the examination of the patient in the broadest sense, including clinical findings and the theory and application of modern invasive and noninvasive techniques used to elicit information about the heart and the circulation. Part II is concerned with the pathophysiology, diagnosis, and treatment of the principal abnormalities and circulatory function, including heart failure, shock, arrhythmias, and abnormalities of arterial pressure. Part III, the longest in the book, consists of descriptions of the principal congenital and acquired diseases affecting the heart, pericardium, aorta, and pulmonary vascular bed in adults and children. Part IV, new to this edition, deals with the interaction between broad fields such as genetics, aging, surgery, and heart disease. Part V deals with the manner in which diseases of other organ systems affect the circulation and vice versa. The third edition of Heart Disease is approximately 20 per cent longer than the second. This has been accomplished with little increase in the number of pages through a more efficient page layout, the use of somewhat smaller illustrations, and more liberal use of special type face. Twelve new chapters have been added or substituted: Coronary Arteriography by Dávid C. Levin and Geoffrey A. Gardiner, Jr.; Newer Cardiac Imaging Techniques by Charles B. Higgins; Acute Circulatory Failure (Shock) by Max Harry Weil, Martin von Planta, and Eric C. Rackow; Cardiac Arrest and Sudden Death by Róbert J. Myerburg and Agustin Castellanos; The Pathogenesis of Atherosclerosis by Russell Ross; Risk Factors for Coronary Artery Disease by Antonio M. Gotto, Jr., and John A. Farmer; Acute Myocardial Infarction by Richárd C. Pasternak, Eugene Braunwald, and Burton E. Sobel; Chronic Ischemic Heart Disease by John D. Rutherford, Eugene Braunwald, and Peter F. Cohen; Pulmonary Embolism by Sámuel Z. Goldhaber and Eugene Braunwald; Aging and Cardiac Disease by Myron S. Weisfeldt, Edward G. Lakatta, and Gary Gerstenblith; Cost-Effective Strategies in Cardiology by Lee Goldman; Hemostasis, Thrombosis, Fibrinolysis, and Cardiovascular Disease by Róbert I. Handin and Joseph Loscalzo. All of the other chapters have been extensively revised. The influence of molecular and cellular biology on cardiology is growing rapidly and is discussed extensively in the third edition of Heart Disease, particularly in the chapters on Genetics and Cardiovascular Disease by Goldstein and Brown, on Mechanisms of Cardiac Contraction and Relaxation by Braunwald, Sonnenblick, and Ross, as well as in the new chapters on Pathogenesis of Arteriosclerosis by Ross and on Risk Factors for Coronary Artery Disease by Gotto and Farmer. Many other important new areas are covered in detail. These include Doppler echocardiography; CT scanning and magnetic resonance imaging of the heart; thrombolytic therapy of acute myocardial infarction and pulmonary embolism; newer concepts regarding the pathogenesis, treatment, and prevention of atherosclerosis, xiii