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April 16, 1997

Heart Disease: A Textbook of Cardiovascular Medicine

Author Affiliations

Albert Einstein College of Medicine Flushing Hospital Medical Center Flushing, NY


edited by Eugene Braunwald, 5th ed, 1996 pp, with illus, $125, ISBN 0-7216-5666-8, Philadelphia, Pa, WB Saunders Co, 1996.

JAMA. 1997;277(15):1247-1248. doi:10.1001/jama.1997.03540390077042

This is a magnificent and vast opus with 21 new chapters and approximately 2000 pages, 450 tables, 4000 illustrations, and 18000 references. Masterfully, it reflects the state of the art of contemporary cardiology. The text has five parts, subdivided to deal with the history and physical examination, noninvasive and invasive techniques, pathophysiology, diagnosis and treatment, congenital and acquired diseases in adults and children, genetics, the aging heart, postoperative cardiac care, economics, and, finally, the relationship between diseases of other organs and the cardiovascular system.

In fact, Braunwald's text is a brilliant continuation of Friedberg's text of the 1950s and 1960s. Modern technology, excellent production, and especially the contributions of so many experts have raised Braunwald's fifth edition to rarely achieved heights.

In his impressive inaugural chapter on the history, Braunwald conveys that listening to the patient is essential for gaining trust and understanding the patient's illness. History taking remains a