June 27, 1966

Cardiac Evaluation in Normal Infants: The Clinical and Clinical Laboratory Differentiation Between Normal and Abnormal

Author Affiliations

Los Angeles


by Robert F. Ziegler, 170 pp, 29 illus, $12.75, St. Louis: C. V. Mosby Co., 1965.

JAMA. 1966;196(13):1162. doi:10.1001/jama.1966.03100260100047

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This monograph was conceived as a comprehensive correlation of information helpful in distinguishing normal infants from those with cardiovascular problems. The first seven chapters are devoted to fetal cardiovascular physiology, neonatal cardiovascular physiology, evaluation of heart murmurs, cyanosis, heart rate and rhythm, and the roentgenographic appearance of the infant heart. The remaining two chapters, one third of the book, are devoted to differential diagnosis of specific problems. There are 29 illustrations, mostly electrocardiographic tracings, and a good bibliography.

Little new information is presented. As might be predicted by the topic, simple crystallization of the facts is difficult, and development of a systematic approach to the problem is not completely satisfying. The author is quite naturally reduced to philosophical exposition.

The book is disappointing. No sense of added diagnostic information or development of a diagnostic approach emerges. The philosophy is compounded by a distracting prolixity.

It seems doubtful that pediatricians will

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