Clinical Cardiology [antikvár]

Preface Clinical Cardiology provides medical students, house staff, cardiology trainees, internists, and other physicians in practice with a current, balanced, integrated account of adult cardiovascular disease. Its guiding premise is that the modern physician must be adept at the classic bedside skills of history-taking and physical examination and proficient in the interpretation of a host of noninvasive and invasive special investigations. Innovations in the Fifth Edition In the 3 years since the fourth edition, the practice of cardiology has advanced considerably, largely as a result of technologic developments. This new edition describes those advances and includes many new references. The senior authors welcome a new co-author—Dr Melvin Cheitlin—whose fresh approach to a wide range of topics and extensive clinical expertise are of great value in maintaining our practical, up-to-date approach. We have extensively revised almost all chapters and include the following new material: • New ideas on hemodynamics, based on computer modeling of the systemic circulation. • Recent developments in noninvasive investigation (eg, color Doppler) and therapeutic procedures (eg, balloon valvuloplasty, thrombolysis). • A revised and expanded discussion of pacemakers. • A revised and updated discussion of every aspect of coronary artery disease, including prevention and therapy. This remains the most important field of advance. • A completely revised discussion of antihypertensive drug therapy, emphasizing the importance of angioten-sin-converting enzyme inhibitors, calcium channel blockers, and aipha-blockers as single drug therapy—in contrast to the long-established practice of relying solely on treatment with diuretics and beta-adrenergic blocking agents. • A revised discussion of the treatment of cardiac failure, emphasizing angiotensin-converting enzyme inhibitors and cardiac transplantation in light of the effectiveness of cyclosporine in reducing the incidence of rejection. We welcome comments and suggestions from readers and reviewers and will try to respond to them in the next edition. Spanish, French, Italian, German, Greek, and Polish translations have been published, and Portuguese and Turkish translations are in preparation. IVIaurice Sokolow Malcolm B. Mcllroy Melvin D. Cheitlin San Francisco Summer, 1989