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Doody's Review ServiceReviewer: Edwin V Palileo, M.D.(Loyola University Stritch School of Medicine)
Description: This is a timely and useful reference on the rapidly evolving and developing area of noninvasive cardiac tests. The authors attempt a comprehensive review of a variety of newer technologies, some that have established applications in clinical cardiology and some that are still in the infancy stage awaiting validation and appropriate clinical applications.
Purpose: The book is intended to summarize the current state-of-the-art of a variety of noninvasive cardiac tests derived from detailed analysis of various components of the standard surface electrocardiogram scrutinized in detail either in the time domain or frequency domain or both, as well as their ability to correlate with a variety of cardiac disorders in the context of diagnosis, prognosis, and their utility as a guide to therapy. These are worthy objectives in view of the burgeoning data accumulating on the relevance and the clinical importance of these various new technologies. This book more than meets the authors' objectives.
Audience: This book is written for practitioners in clinical cardiology, but is also a good resource for residents or students who have a keen interest and who might be involved in clinical research on any of these noninvasive modalities. The index and references provide a good starting point for anyone interested in a more in-depth understanding. The authors and contributors are all credible authorities in the field.
Features: "The first part of the book covers, in a concise but thorough manner, the current state-of-the-art in methodology and clinical application, including pertinent validating clinical trials of each noninvasive modality. Ambulatory ECG and event recording for arrhythmia detection, signal averaging of P waves and QRS complexes, ST segment analysis in the stress laboratory and ambulatory conditions, QT interval and T wave analysis, and various tests of autonomic function such as heart rate variability and heart rate turbulence, baroreceptor sensitivity, and tilt table testing are all discussed. The second part of the book covers specific cardiac conditions and situations in which noninvasive testing might or might not be useful and how to best use these tests for diagnosis and prognosis, as well as a tool to guide and monitor therapy. "
Assessment: This is an important addition to the clinical resources of cardiology practitioners on the subject of noninvasive electrocardiology. It helps readers understand and make a choice on the most useful and most appropriate methodology to use for diagnosis, prognosis, and selection of therapy for a variety of cardiac conditions that are well covered in this book.