Broken Hearts: The Tangled History of Cardiac Care
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Broken Hearts: The Tangled History of Cardiac Care

by David S. Jones
     
 

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ISBN-10: 1421408015

ISBN-13: 9781421408019

Pub. Date: 01/24/2013

Publisher: Johns Hopkins University Press

Still the leading cause of death worldwide, heart disease challenges researchers, clinicians, and patients alike. Each day, thousands of patients and their doctors make decisions about coronary angioplasty and bypass surgery. In Broken Hearts David S. Jones sheds light on the nature and quality of those decisions. He describes the debates over what causes

Overview

Still the leading cause of death worldwide, heart disease challenges researchers, clinicians, and patients alike. Each day, thousands of patients and their doctors make decisions about coronary angioplasty and bypass surgery. In Broken Hearts David S. Jones sheds light on the nature and quality of those decisions. He describes the debates over what causes heart attacks and the efforts to understand such unforeseen complications of cardiac surgery as depression, mental fog, and stroke.

Why do doctors and patients overestimate the effectiveness and underestimate the dangers of medical interventions, especially when doing so may lead to the overuse of medical therapies? To answer this question, Jones explores the history of cardiology and cardiac surgery in the United States and probes the ambiguities and inconsistencies in medical decision making. Based on extensive reviews of medical literature and archives, this historical perspective on medical decision making and risk highlights personal, professional, and community outcomes.

Product Details

ISBN-13:
9781421408019
Publisher:
Johns Hopkins University Press
Publication date:
01/24/2013
Edition description:
New Edition
Pages:
336
Product dimensions:
6.00(w) x 9.00(h) x 1.30(d)
Age Range:
18 Years

Related Subjects

Table of Contents

List of Figures vii

Preface ix

Acknowledgments xi

Introduction. An Embarrassment of Riches 1

Part I Theory and Therapy

1 The Mysteries of Heart Attacks 27

2 The Case for Plaque Rupture 39

3 The Case against Plaque Rupture 48

4 Learning by Doing 57

5 The Plaque Rupture Consensus 71

6 Rupture Therapeutics 79

7 Therapeutic Ruptures 87

8 Fear and Unpredictability 102

Part II Complications

9 Surgical Ambition and Fear 113

10 Suffering Cerebrums 125

11 Deliriogenic Personalities 141

12 The Case of the Missing Complications 149

13 Selective Inattention 157

14 The Cerebral Complications of Coronary Artery Bypass Surgery 170

15 A Taxonomy of Inattention 180

16 Competition's Complications 189

Conclusion. Puzzles and Prospects 203

Notes 229

Bibliography 257

Index 311

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