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Doody's Review ServiceReviewer: John F. Moran, MD (Loyola University Stritch School of Medicine)
Description: In this book the pathophysiology of cardiac pressure wave forms are covered — not only valvular hemodynamics pre- and post-valvuloplasty, but also coronary hemodynamics, constriction physiology, and hemodynamics of cardiac arrhythmias. Almost all of these chapters originally appeared in the Journal of Catheterization and Cardiovascular Diagnosis.
Purpose: The purpose is to expand the use of the case management format for the interpretation of hemodynamics and offer a study in various patient problems of pressure waves associated with various pathologic states. The editor's objectives are well met.
Audience: The book is really directed towards any student of cardiac hemodynamics, from cardiovascular trainees to physiologists and practicing cardiologists, as well as cardiologists specializing in the techniques of cardiac catheterization. The editor is a nationally recognized authority in this area.
Features: Hemodynamics is covered by the case method in each chapter. There are black-and-white pressure tracings that are well done and well discussed on each patient problem. The editor opens the discussion with two important chapters on the recording pitfalls of right heart hemodynamics and a chapter on artifacts especially when dealing with cardiac arrhythmias. There is an excellent discussion on low gradient aortic stenosis and the importance of simultaneous pressure recordings. There is a particularly well written section on the hemodynamics of constrictive physiology.
Assessment: This second edition expands the text from 29 chapters to 42 chapters, all previously published in the Journal from 1990-1998. References in the text go back to classic papers on hemodynamics and proceed to more current material. This might include the use and limitations of coronary vasodilatory reserve and the fractional flow reserve of the myocardium, and the section on coronary hemodynamics. This is a very worthwhile collection of articles that are conveniently grouped in one place. They provide must reading for all students of hemodynamics.