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Doody's Review ServiceReviewer: Christopher J Graver, PhD, ABPP-CN(Madigan Healthcare System)
Description: Cardiovascular disease affects millions of people in a variety of ways, and not always limited to the heart. This book takes a broader look at the sequelae of cardiovascular disease with a particular focus on brain changes and neuropsychological effects.
Purpose: The two main purposes are to provide a foundation for understanding cardiovascular disease and to present a review of the literature regarding neuropsychological functioning and heart disease in individuals with chronic cardiovascular disease.
Audience: This book is intended for neuropsychologists, clinical psychologists, psychiatrists, and neurologists, as well as students of these disciplines. It is written at an accessible level for clinicians and students.
Features: An introduction to cardiovascular disease is followed by conditions that frequently are comorbid, such as diabetes type 2. Next is an excellent review of the clinical, historical, and neuropsychological features of vascular dementia. There is good coverage of basic cardiac function, as well as cardiac rehabilitation. Although an important topic, the chapter on cardiovascular disease and depression seems out of place. Much of the information it presents on assessment is generic to any good neuropsychological evaluation, but there is a list of clinical considerations in vascular dementia that is helpful for structuring an interview and records review. The next few chapters provide information on various manifestations of heart disease and the associated neurological and neuropsychological outcomes. These are solid and concise reviews that on their own make the book worthwhile, covering more advanced topics such as systemic vascular function and cerebral hemodynamics. This is further extended with a discussion of autonomic nervous system dysfunction. The book wraps up with a brief review of neuroimaging and provides a few MRI examples, but this could have been much more robust given the topic and heterogeneity in presentation. The references are current and abundant with a strong scientific foundation.
Assessment: Readers would be hard pressed to find a more comprehensive review of cardiovascular disease and the neuropsychological sequelae. This book exceeds the goal of providing a useful reference for neuropsychologists or behavioral neurologists working with patients with vascular disorders. It should accompany any general neuropsychology book for its expert coverage of this critical area.