Responsibility for the diagnosis and management of disorders of the pulmonary circulation has become the shared domain of the pulmonologist, cardiologist, surgeon, radiologist, pathologist, and, perhaps most important of all, the internist. It is the general internist who is most likely to care for the majority of patients with lung diseases that secondarily give rise to pulmonary heart disease, and it is the internist who will first evaluate the patient with primary pulmonary hyperten- sion or recurrent pulmonary thromboembolism who presents with nonspecific complaints and may manifest subtle and nondiagnostic findings on preliminary evaluation. The burgeoning medical literature concerning aspects of the pulmonary circula- tion, both clinical and investigative, is a reflection of the reawakening of great interest in this field and has led to many new developments, both in our understand- ing of cardiopulmonary pathophysiology and in the diagnosis and treatment of pulmonary vascular diseases. This book is an attempt to provide the clinician with a comprehensive overview of pulmonary heart disease from the perspective of experts representing a variety of disciplines.
It is intended to be thorough yet clinically relevant. Individuals familiar with some facets of pulmonary heart disease may gain insight into other aspects of this condition, whereas those unfamiliar with this disorder may find this work useful as a general reference or as a resource to address a specific question.
`The book is physiologically and clinically oriented and covers a selection of problems of greates clinical concern and investigative interest. Each of the chapters is actually a minimonograph in which the contributors have obviously made determined efforts to be comprehensive as well as concise. Clearly, Dr. Rubin has succeeded in organizing a superb presentataion of the state of the art and state of the science of pulmonary heart disease.' Cardiology
1. Introduction.- 2. Pathophysiology of the pulmonary circulation.- 3. Pathology of pulmonary heart disease.- 4. Clinical evaluation.- 5. The electrocardiogram in chronic lung disease.- 6. Roentgenographic evaluation of pulmonary heart disease.- 7. Pulmonary function and exercise testing.- 8. Radionuclide angiocardiographic assessment of right and left ventricular performance.- 9. The left ventricle in chronic lung disease.- 10. Arrhythmias in chronic lung disease.- 11. Acute cor pulmonale.- 12. Therapy of pulmonary heart disease.- 13. Prognosis of pulmonary heart disease.