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February 4, 1950

Failure of the Heart and Circulation

JAMA. 1950;142(5):377. doi:10.1001/jama.1950.02910230079032

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Much progress has been made in the knowledge of the mechanism of heart failure since the first edition of the book, and Dr. East was forced to make such an extensive revision that this edition is practically a new book. However, some material has been telescoped so much that it appears incomplete. This is particularly true of the discussions on failure of the coronary circulation and of peripheral failure, which together occupy only thirteen pages. In spite of the brevity of the book, most of the important new work is included. There is an excellent, nontechnical presentation of present concepts of congestive heart failure. Each of the symptoms and signs of heart failure is explained on the basis of physiologic mechanisms. The difficult subject of acute left ventricular failure is well handled. Cor pulmonale (right ventricular failure), however, is only superficially dealt with. The treatment of heart failure is too

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