My anticipation, based on a high regard for Dr. Askey's writings, perhaps set my hopes too high for this monograph. The first third of the book details clinical situations favoring endocardial thrombosis. The information is well presented but well known. The middle third delves into certain aspects of coagulation and embolism, but the delving is not deep enough. The last third discusses treatment, emphasizing mitral valvulotomy and anticoagulation. The latter is discussed with more enthusiasm and less skepticism than my bias would prefer. In this section, particularly, studies from various sources are not critically weighed.
Systemic Arterial Embolism is better than the average clinical monograph. It is clearly organized, well written, and easily read. My expectations, and not the book, may account for my failure to vibrate to it. Others may not be similarly handicapped.
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