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Book and Media Reviews
September 26, 2007

The AHA Clinical Cardiac Consult

Author Affiliations

Book and Media Reviews Section Editor: John L. Zeller, MD, PhD, Contributing Editor.

JAMA. 2007;298(12):1453-1458. doi:10.1001/jama.298.12.1454-a

The AHA Clinical Cardiac Consult is written by cardiology fellows and internal medicine residents with oversight by attending physicians. The text is an anthology of cardiac conditions arranged alphabetically rather than by disease states. The 2-page format is conducive to easy navigation.

Each cardiac condition is described under various headings and subheadings. The main headings include “Basics,” which includes the subheadings “Description,” “Epidemiology,” and “Risk Factors and Pathophysiology,” and “Diagnosis,” which includes “Signs and Symptoms” and “Tests” (including laboratory evaluation, imaging and diagnostic procedures, and differential diagnosis). Other headings include “Treatment,” which addresses “General Measures and Medications,” and finally “Follow-up.” References and International Classification of Disease coding information are provided as well. In a mutiauthored book of this type, repetition and redundancy are inevitable. For example, the topic of acute coronary syndromes on pages 4 and 5 is essentially duplicated, though providing somewhat different information, on pages 232 through 235 under the title of “Myocardial Infarction (Diagnosis and Management, Including All Subsets of Acute MI—STEMI, Non-STEMI).” Surprisingly, only a cursory mention is made of primary percutaneous coronary intervention in ST-segment elevation myocardial infarction, which has emerged as the preferred modality for expeditious restoration of antegrade flow in near-complete thrombotic occlusion involving the infarct-related coronary artery.