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Doody's Review ServiceReviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This multiauthored monograph on cardiovascular disease in the elderly, is part of the series Contemporary Cardiology.
Purpose: Its purpose is to provide an evidence-based review of cardiovascular disease in older persons. This is a worthy objective and the book creates an approachable rendering of the state of the art.
Audience: The audience is all practitioners who treat cardiovascular disease in older persons. The authors are among the nation's leading experts in cardiovascular disease in older persons.
Features: The book discusses factors of aging that lead to altered risk factors, manifestations and management of cardiovascular disease in older persons. Primary and secondary preventive measures are discussed. There is also a chapter on end-of-life issues in older persons. There are a number of useful treatment algorithms and excellent tables. The concise clear narrative style is a big plus in the book overall. The book also does not overreach and spells out the limitations of current knowledge.
Assessment: TThe chapter on end-of-life care discusses medicolegal issues in a frank and comprehensive manner which would have been enhanced by a discussion of how to recognize the presence of end-stage heart disease for which hospice care might be the most appropriate management. This book's excellent organization and consistently vivid, clear writing have much to recommend it as a guide for evaluating and treating cardiovascular disease in older persons.