New perspectives in cardiac pacing: Editors: S. Serge Barold and Jacques Mugica Futura Publishing...

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249 author book, the quality is nonuniform. Approximately half is devoted to echocardiography and there are excel- lent discussions of quantitative echocardiography and Doppler assessment of prosthetic valves and regurgita- tion. Much less good are the chapters on colour-coded Doppler flow imaging and on transoesophageal echo- cardiography (only three transoesophageal images are shown). Nuclear cardiology is incompletely covered but there are excellent chapters on thrombus imaging and on positron emission tomography. The book might be worth buying for the positron chapter alone. because it covers very clearly some of the physical principles that are unique to positron imaging and it summarises the devel- opment of the technique into an important clinical tool. Only the basics of radionuclide ventriculography are described and there is no coverage at all of thallium-201 imaging or new perfusion agents, both areas in which nuclear cardiology is expanding rapidly. Digital subtraction angiography is described with much technical detail but very little on its potential for the assessment of coronary flow reserve. Ultrafast X-ray computed tomography deserves a chapter of its own and, whilst anatomical imaging with magnetic reso- nance is well covered, there is very little on functional imaging and nothing on flow. In summary therefore, a mixed bag. But it would be worth dipping into for some of the better chapters. Cardiac Imaging National Heart & Lung Inst. London. U.K. Richard Underwood New Perspectives in Cardiac Pacing Editors: S. Serge Barold and Jacques Mugica Futura Publishing Co., Mount I&co, New York, 1988; 441 pp.; $60.00; ISBN o-87993-330-5 This is a very useful text. It is well organised and comfortable to read. The chapters are well organised and their content accessible to the reader who wishes to make quick reference, but equally thorough for the reader who wishes an expert review. The illustrations are of high quality and easy to understand with good legends. All the chapters are well written and compre- hensive. A small criticism (essentially for its own sake) that could be levelled at the editors is that more space could be given to the investigational approach in de- termining the optimal pacemaker for a given patient. The chapter dealing with optimal pacing mode selection discusses the indications for the various pacing modes but does not really address the investigational ap- proach. This book, however, is a thorough overview of cardiac pacing in the late ’80s and will be well read in most pacing units by medical, technical and nursing staff. National Heart Hosp. London, U.K. John Morgan Brain Injury and Protection during Heart Surgery Editor: Mark Hilberman Martinus Nijhoff Publishers, Boston/ Dordrecht/ Lancaster, 1988; 173 pp.; DF1150, $58.50, E40.95; ISBN O-89838-952-6 Some excellent reviews on important aspects of brain injury and protection during heart surgery are found in this book. It is obviously written by clinicians for clini- cians and covers various topics, such as the regulation of cerebral blood flow, low flow/low pressure perfu- sion, total circulatory arrest, micro/ macroemboli, in- vestigational tools and protective agents. A fairly repre- sentative glimpse is obtained of the current knowledge in this rapidly developing field with many yet unsolved issues. Particularly interesting parts of the book are those dealing with the regulation of cerebral blood flow. The roles of anaesthetic agents, hypothermia and pH management are thus clarified. The section which analyzes the potentials of protective agents is also in- structive. While the book provides valuable background for cerebral protection in patients without preoperative cerebro/cerebro-vascular disease, the specific aspects when treating high risk patients are approached only vaguely. With the impressive body of expertise gathered for this book, a more deliberate attempt may have been rewarding. The book is recommended as a brief update for those already in the field, and as an introduction for those without previous knowledge in the subject of protecting the brain during heart surgery. Cardiothoracic Surgery Brompton Hospital London, U.K. R. Ekroth J. Vanderlendem

Transcript of New perspectives in cardiac pacing: Editors: S. Serge Barold and Jacques Mugica Futura Publishing...

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author book, the quality is nonuniform. Approximately half is devoted to echocardiography and there are excel- lent discussions of quantitative echocardiography and Doppler assessment of prosthetic valves and regurgita- tion. Much less good are the chapters on colour-coded Doppler flow imaging and on transoesophageal echo- cardiography (only three transoesophageal images are shown).

Nuclear cardiology is incompletely covered but there are excellent chapters on thrombus imaging and on positron emission tomography. The book might be worth buying for the positron chapter alone. because it covers very clearly some of the physical principles that are unique to positron imaging and it summarises the devel- opment of the technique into an important clinical tool. Only the basics of radionuclide ventriculography are described and there is no coverage at all of thallium-201 imaging or new perfusion agents, both areas in which nuclear cardiology is expanding rapidly.

Digital subtraction angiography is described with much technical detail but very little on its potential for the assessment of coronary flow reserve. Ultrafast X-ray computed tomography deserves a chapter of its own and, whilst anatomical imaging with magnetic reso- nance is well covered, there is very little on functional imaging and nothing on flow.

In summary therefore, a mixed bag. But it would be worth dipping into for some of the better chapters.

Cardiac Imaging National Heart & Lung Inst. London. U.K. Richard Underwood

New Perspectives in Cardiac Pacing Editors: S. Serge Barold and Jacques Mugica

Futura Publishing Co., Mount I&co, New York,

1988; 441 pp.; $60.00; ISBN o-87993-330-5

This is a very useful text. It is well organised and comfortable to read. The chapters are well organised and their content accessible to the reader who wishes to make quick reference, but equally thorough for the reader who wishes an expert review. The illustrations are of high quality and easy to understand with good legends. All the chapters are well written and compre- hensive. A small criticism (essentially for its own sake) that could be levelled at the editors is that more space could be given to the investigational approach in de- termining the optimal pacemaker for a given patient.

The chapter dealing with optimal pacing mode selection discusses the indications for the various pacing modes but does not really address the investigational ap- proach. This book, however, is a thorough overview of cardiac pacing in the late ’80s and will be well read in most pacing units by medical, technical and nursing staff.

National Heart Hosp. London, U.K. John Morgan

Brain Injury and Protection during Heart Surgery Editor: Mark Hilberman Martinus Nijhoff Publishers, Boston/ Dordrecht/ Lancaster, 1988; 173 pp.; DF1150, $58.50, E40.95; ISBN O-89838-952-6

Some excellent reviews on important aspects of brain injury and protection during heart surgery are found in this book. It is obviously written by clinicians for clini- cians and covers various topics, such as the regulation of cerebral blood flow, low flow/low pressure perfu- sion, total circulatory arrest, micro/ macroemboli, in- vestigational tools and protective agents. A fairly repre- sentative glimpse is obtained of the current knowledge in this rapidly developing field with many yet unsolved issues.

Particularly interesting parts of the book are those dealing with the regulation of cerebral blood flow. The roles of anaesthetic agents, hypothermia and pH management are thus clarified. The section which analyzes the potentials of protective agents is also in- structive.

While the book provides valuable background for cerebral protection in patients without preoperative cerebro/cerebro-vascular disease, the specific aspects when treating high risk patients are approached only vaguely. With the impressive body of expertise gathered for this book, a more deliberate attempt may have been rewarding.

The book is recommended as a brief update for those already in the field, and as an introduction for those without previous knowledge in the subject of protecting the brain during heart surgery.

Cardiothoracic Surgery Brompton Hospital London, U.K.

R. Ekroth J. Vanderlendem