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November 22, 1976

Cardiovascular Problems: Perspectives and Progress

Author Affiliations

Veterans Administration Hospital West Haven, Conn

JAMA. 1976;236(21):2448. doi:10.1001/jama.1976.03270220064048

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In this volume are 36 chapters, grouped in 13 subdivisions, with three lively panel discussions. About one half of the text is devoted to different aspects of coronary heart disease. Some contributions review selected topics (eg, rheumatic fever, cardiac transplantation, or normal murmurs), others survey the literature (eg, myocardial imaging or pharmacokinetics of the antiarrhythmic agents and of digoxin and digitoxin), and others summarize original work by the author and co-workers (eg, alcoholic cardiomyopathy or systolic time intervals and echocardiography in coronary heart disease).

In general, the quality of these presentations is good, sometimes excellent. Admittedly, I must differ from some of the expressed opinions, and I am more moderate in the enthusiastic acceptance of some procedures. Various contributors also maintain contrasting opinions regarding the importance of congenital vs environmental factors in the pathogenesis of atherosclerosis. These differences of opinion do not detract but rather increase the value of the