J. L hrdiol.
tion Monograph Series, will appeal principally to the researcher interested in the effects of exercise on the cardiovascular system in health and disease. Like most multi-author publications, it suffers from conflicting styles and a rater disjointed approach to the subject. In order to minimise this, the editor, Gerald Fletcher, has grouped the 24 chapters into six parts, with some degree of success. The first part deals with myocardial metabolism and its relationship to ventricular function in both animals and humans, and the effects of exercise. This links well with the second part which covers the molecular control of cardiac cell growth and its response to such things as pressure loading and chronic tachycardia, as well as a less than clear discussion of the possible cellular effects of training. Part three tackles the systemic responses to acute exercise and training, including such diverse topics as the effects on blood pressure of dynamic and static exercise, vasomotor responses to training, training reiated hypervoiaemia, and the effects of training at altitude. Part four covers the relative risks of acute exercise for the untrained or trained individual, and is well written. It is the first section of the book to be of real value to the clinician. Part five, on the modification of cardiovascular risk by exercise, contains two good chapters on the relationship between fitness and cardiovascular disease and exercise and lipids. The final part, Clinical Applications, contains the bits which do not fit elsewhere, It starts with a very good chapter on exercise conditioning and left ventricular dysfunction, includes two others on the use of magnetic resonance imaging and exercise echocardiography to assess left ventricular function, and ends with a chapter for the clinician with guidelines for the prescription of exercise. Although the editor claims that this book is for ‘the clinician and/or basic scientist’, it has relatively little to attract the former. If your research interest is exercise and the heart, however, you will find this an interesting book to read as required with many useful references, and although all the authors are American, it contains at least a few references to the work being done on this side of the Atlantic. Astley Ainslie Hospital Edinburgh, Scotland, UK. SSDI
the contents. My initial impression was not favourable although I thought it would be a better sedative than two Nitrazepam. I wondered for whom the book had been written and why it had been written when there are already so many books on cardiology. At first I thought this was inherently a book on cardiology written by cardiologists who cynically added on a few geriatric chapters, for example, Dermography, Economics and Health Policy and the wonderful Communicating with Elderly People (don’t you leave that to your juniors?). It seemed a number of authors from the United States were used to increase sales there. As a practising geriatrician, I have seen a number of such books on a variety of topics and so I thought this was a clone. I was wrong. I found this book to be comprehensive, well written and well edited. The book imparts its knowledge in an easy style such that learning seems to be a process of osmosis. Constant references to the elderly are made throughout the text, whether discussing presentation, investigation, diagnosis, or management. It is this persisting theme that makes this no ordinary textbook on cardiology. References are given at the end of each chapter if more detailed information is required, although this is seldom necessary. All books of this type run the risk of being outdated the moment they are printed. The advance of clinical medicine is rapid and certain topics such as ace inhibitors post myocardial infarction are not included because the work had not been published at the time of printing.‘The advance of magnetic resonance imaging is also dramatic and I suspect in a year or two’s time this chapter may well look somewhat antiquated. I would recommend this book strongly to all those physicians with an interest in geriatric medicine and I will certainly look forward to referring to it constantly in the future. Department of Integrated Medicine The Glenfield Hospital Leicester, UK SSDI
Dr G.J. Fancourt
lain C. Todd
Textbook Of Geriatric Cardiology Editors: A. Martin, A.J. Camm Wiley, Chichester, UK; 1994; 813pp.; stg f89.95; ISBN 0-47194064-x I was in bed when I first looked at this book and read
Treatment of Severe Dyslipoproteinemia in the Prevention of Coronary Heart Disease A.M. Gotto, M. Mancini, W.O. Richter, P. Schwandt (Editors) Karger, Basel, Switzerland, 1992; 366 pp.; stti52.60; ISBN 3-8055-5539-3 This book is a collection of papers, looking at the pathophysiological role of lipids in atheroma formation and also the latest ideas regarding treatment of some lipid