This book is a guide to the operation of a coronary care unit based on the practice and the experiences of the authors. The format is excellent. It opens with a description of the natural history of patients with acute myocardial infarction and closes by emphasizing the necessity for an intermediate coronary care unit. In between these two chapters, the major problem areas in management of patients with myocardial infarction are considered.
Although the authors make a laudable plea for avoiding the use of new terms that contribute little or nothing to a better understanding of fundamental mechanisms (page 148), they descend to terms such as "coronoid," "coronette" and "mitral madness." The example chosen to illustrate pulsus alternans, is not the classic form. Throughout the book there is unnecessary repetition which detracts from this otherwise concise volume.
The book is intended as a guide for those just starting a new