THE PHYSIOLOGY OF BREATHING: A TEXTBOOK FOR MEDICAL STUDENTS

THE PHYSIOLOGY OF BREATHING: A TEXTBOOK FOR MEDICAL STUDENTS

THE BOOKSHELF ADVANCES IN CARDIOLOGY: ELECTROCARDIOLOGY II : PHYSIOLOGICAL, PATHOPHYSIOLOGICAL AND DIAGNOSTIC RESEARCH (vol 19): Proceedings of the 2n...

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THE BOOKSHELF ADVANCES IN CARDIOLOGY: ELECTROCARDIOLOGY II : PHYSIOLOGICAL, PATHOPHYSIOLOGICAL AND DIAGNOSTIC RESEARCH (vol 19): Proceedings of the 2nd International Congress on Electrocardiology (16th International Symposium on Vectorcardiography, Varna, October 1975) . Edited by H. ABEL and Z. PAVLOV. Basel, Switzerland, S. Karger AG, 1977, 318 pp, 119 Illus, approximately $58.25. Both clinical cardiology and investigative cardiology in the United States suffer from a lack of acquaintance with the work of non-English-speaking physicians. The result of a scientific meeting in Bulgaria, this book summarizes in English the work of many European investigators, particularly Eastern Europeans, and a few American and West European contributors. From electrophysiologic theory through clinical application of electrocardiography, the contributions cover a broad range. Because the great majority are two-page or threepage "summary papers," it is impossible to condense even a list of topics . One may cite for particular interest the work of Amirov on cardiac dipole circular movement, of Preda and d' Alche on temperature dependence of cardiac activation, of Antaloczi on computer applications in the interrelationships of cardiac electric measurements, and of McCaughan, Pipberger, and colleagues on the Frank electrocardiogram in normal women. Several investigations indicate support of Burch's well-known contention that the theoretically superior, mathematically "corrected" lead systems do not perform better than simple lead systems. Clin icians will also welcome the very realistic appraisal of the pitfalls of the electrocardiographic diagnosis of strictly posterior infarction by Antonin and Koje. DePadua contributes an excellent critique of limiting the analysis of hemiblocks to a bifascicular left conducting system , providing support for a trifascicular system (anterior septal activation) in explaining normal variants, absence of medial precordial R waves, and presence of exaggerated R waves in leads V I and V 2 in the absence of strict posterior infarction. Those who daily face the problem of "poor r wave progression in the medial precordial leads" can read with profit the series of Berger and Schack, which points to the pluricausality of this phenomenon. While containing much solid material, this book suHers from two more or less serious drawbacks. The great num ber of "summary papers" whet the appetite, but they are frequently too short and too condensed to permit adequate evaluation of the quality of the data. For 288 pages of text, with very few glossy illustrations, the price of the book is astonishing. David H. Spodick, M.D ., D.Sc., F.C.C.P. W orcester, Man THE PHYSIOLOGY OF BREATHING: A TEXTBOOK FOR MEDICAL STUDENTS. By AREND BoUHUYs. New York, Grone and Stratton, Ine., 1977,352 pp, $12.50. Respiratory physiology is one of the most complex fields of human physiology; unfortunately, the number of textbooks aimed at the medical student is exceedingly small Therefore, it is not surprising that respiratory physiology is hard to teach and at least as difficult to understand. This new textbook for medical students by Arend Bou-

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huys is an updated and revised version of the chapters on pulmonary physiology of the book, Breathing: Physiology, Environment and Lung Disease (published in 1974) by the same author. The Physiology of Breathing is, in my opinion, an outstanding addition to the present didactic literature on pulmonary physiology. The 12 chapters of the book are a most readable, accessible, and authoritative presentation of the fundamental aspects of pulmonary physiology. The many illustrations included in the book have been appropriately selected from the best-known and the most informative illustrations of the literature. Each chapter is excellently referenced with review articles and especially with the pertinent original reports. Style, illustrations, and references attest that Bouhuys has sensed the sophistication of the medical student. The book also offers an unusually good introduction to the applied physiology of the lung; for instance, the voluntary acts of breathing (singing, speech, etc) and the influence of the environment on pulmonary disease are considered in two separate chapters. Moreover , the clinical implications of a certain physiologic aspect (clinical measurement of the corresponding function, its pathophysiology, etc) are discussed in every single chapter. Besides the aspects of "classic" pulmonary physiology (ie , the physiology of gas transfer across airways, alveolocapfllary membrane, and red cell membrane), Bouhuys also presents the essentials of the pharmacology and biochemistry of most pulmonary cells, as these aspects relate to the act of breathing. In conclusion, The Physiology of Breathing, by its conception, style, quality, and extent of information, is one of the most important textbooks of pulmonary physiology. It is highly recommended not only for medical students, its specified target, but also for a larger audience, ie, the pulmonary fellow, the physician Interested in refreshing his knowledge of pulmonary physiology, and, of course, the teacher involved in this arduous discipline.

Valentin T . Popa, M.D. , F.C.C.P. Chicago RADIOGRAPHIC ANATOMY OF THE CORONARY ARTERIES: AN ATLAS. By BENIGNO Soro, RICHARD O. RUSSELL, JR., and ROCER E. MORASC. Mount Kisco, NY, Futura Publishing Co., 1976, 305 pp, $35.00. The book by Soto, Russell, and Moraski lives up to the spirit of its subtitle of "atlas," which, according to Webster, is a ''bound collection of maps ." In this case, the maps are those of the human coronary arteries, in health and disease . The book, in spite of its impressive size, is succinct and well organized. Its many large illustrations ably perform the task of guiding the reader from the simple and mnemonically useful "circle-and-loop" diagrams to the intricacies of the diseased vessels and the collateral circulation. Faithful to the scope of the book, details of technique and equipment are reduced to the barest essentials, and even the text preceding the illustrations is brief and concise. "Designed for physicians and students of medicine who do not perform coronary arteriograms,' this volume is not a "how-to" book intended to provide critical insight into the technique of coronary arteriography; however, it will be useful to all "who may review the films of their patients and who recognize the need for a better understanding of this important aspect of anatomy and medicine." I certainly agree that Soto and coauthors have fulfilled this goal.