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Still the leading cause of death worldwide, heart disease challenges researchers, clinicians, and patients alike. Each day, thousands of patients and their doctors make decisions about coronary angioplasty and bypass surgery. In Broken Hearts David S. Jones sheds light on the nature and quality of those decisions. He describes the debates over what causes heart attacks and the efforts to understand such unforeseen complications of cardiac surgery as depression, mental fog, and stroke.
Why do doctors and patients overestimate the effectiveness and underestimate the dangers of medical interventions, especially when doing so may lead to the overuse of medical therapies? To answer this question, Jones explores the history of cardiology and cardiac surgery in the United States and probes the ambiguities and inconsistencies in medical decision making. Based on extensive reviews of medical literature and archives, this historical perspective on medical decision making and risk highlights personal, professional, and community outcomes.
|Publisher:||Johns Hopkins University Press|
|Sold by:||Barnes & Noble|
|File size:||4 MB|
|Age Range:||18 Years|
About the Author
David S. Jones is the A. Bernard Ackerman Professor of the Culture of Medicine at Harvard University.
Table of Contents
List of Figures vii
Introduction. An Embarrassment of Riches 1
Part I Theory and Therapy
1 The Mysteries of Heart Attacks 27
2 The Case for Plaque Rupture 39
3 The Case against Plaque Rupture 48
4 Learning by Doing 57
5 The Plaque Rupture Consensus 71
6 Rupture Therapeutics 79
7 Therapeutic Ruptures 87
8 Fear and Unpredictability 102
Part II Complications
9 Surgical Ambition and Fear 113
10 Suffering Cerebrums 125
11 Deliriogenic Personalities 141
12 The Case of the Missing Complications 149
13 Selective Inattention 157
14 The Cerebral Complications of Coronary Artery Bypass Surgery 170
15 A Taxonomy of Inattention 180
16 Competition's Complications 189
Conclusion. Puzzles and Prospects 203
What People are Saying About This
"Very informative and containing important insights, Broken Hearts is thoroughly researched, well written, and the only work of its kind dealing with these treatments of heart disease."