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December 15, 1978

The Clinical Recognition of Congenital Heart Disease

Author Affiliations

University of Massachusetts Worcester

JAMA. 1978;240(25):2776-2777. doi:10.1001/jama.1978.03290250080042

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


The stupendous medical and surgical advances of the 1960s propelled much congenital heart disease from diagnostic vagueness to precision and from therapeutic desperation to palliation or correction. Dr Perloff's first edition (1971) summarized the first fruits of that spectacular decade. This second edition includes much material based on recent clinical and laboratory investigation, improved surgical approaches, and newer noninvasive methods. A worthy successor to the first edition, it employs the identical format: 31 chapters cover all forms of congenital disease of the heart and great vessels but exclude pericardial malformations. With due attention to anatomy and physiology, the emphasis remains diagnostic; laboratory techniques and treatment are omitted. Organization of each chapter is methodical and comprehensive.

As in the first edition, the chapters on corrected transposition, idiopathic dilation of the pulmonary trunk, atrial septal defects, and pulmonic stenosis with interatrial communication are particularly rewarding. The text provides both a clinical vade