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Doody's Review ServiceReviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This multiauthored textbook of geriatric cardiology thoroughly discusses all aspects of heart disease in older persons. This edition, part of the series Fundamental and Clinical Cardiology, updates the third edition published in 2004.
Purpose: Its purpose is to provide an up-to-date, in-depth overview of the epidemiology, pathophysiology, evaluation, and treatment of cardiovascular diseases in older persons that is also clinically relevant and readable. The authors meet these objectives in high style.
Audience: The audience is cardiologists as well as primary care physicians, geriatricians, surgeons, anesthesiologists, and nurse practitioners who treat older persons with heart disease. This is a broad audience, and an appropriate one. The authors are all experts in the field.
Features: The eight sections cover aging changes in the cardiovascular system, risk factors and epidemiology of coronary artery disease, coronary artery disease, valvular heart disease, cardiomyopathies and heart failure, arrhythmias and conduction disturbances, cerebrovascular disease, and miscellaneous topics (including preoperative management, frailty and ethical considerations). The chapters are well illustrated and have well annotated references that incorporate the burgeoning literature in geriatric cardiology.
Assessment: This first-rate book is wonderful edited with a consistent style from chapter to chapter. In the preface the editor sets the tone in a humble, truthful way when he states that there is a paucity of data in the over 85 age group, making evidence-based conclusions difficult to come by. In the same vein, the presence of comorbid diseases may overshadow the usual factors in decision-making. Hopefully, this book will stimulate the future generation of cardiologists to look at diastolic dysfunction in the way that the current group is looking deeply at heart failure. This excellent book deserves a wide readership.