The Archives reviewed the first edition of this book (63:1235 [June] 1939), characterizing it as readable and worth meeting. The second edition is as good as the first, a little more up-to-date and continuing to give an admirable clinical discussion of various phases of cardiac disease and its management. New procedures are described, such as the surgical attack on certain cardiac diseases and the treatment of subacute bacterial endocarditis with sulfonamide drugs or penicillin The electrocardiogram is mentioned more frequently. The volume as a whole hews to the old line, attempting to evaluate the difficulties oftenest met in general practice and to show how they often may be overcome by relatively simple means. It is interesting to have the British viewpoint on such matters.