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Broken Hearts

The Tangled History of Cardiac Care

David S. Jones

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A history illustrating the complexity of medical decision making and risk.

Still the leading cause of death worldwide, heart disease challenges researchers, clinicians, and patients alike. Each day, thousands of patients and their doctors make decisions about coronary angioplasty and bypass surgery. In Broken Hearts David S. Jones sheds light on the nature and quality of those decisions. He describes the debates over what causes heart attacks and the efforts to understand such unforeseen complications of cardiac surgery as depression, mental fog, and stroke.

Why do doctors and patients…

A history illustrating the complexity of medical decision making and risk.

Still the leading cause of death worldwide, heart disease challenges researchers, clinicians, and patients alike. Each day, thousands of patients and their doctors make decisions about coronary angioplasty and bypass surgery. In Broken Hearts David S. Jones sheds light on the nature and quality of those decisions. He describes the debates over what causes heart attacks and the efforts to understand such unforeseen complications of cardiac surgery as depression, mental fog, and stroke.

Why do doctors and patients overestimate the effectiveness and underestimate the dangers of medical interventions, especially when doing so may lead to the overuse of medical therapies? To answer this question, Jones explores the history of cardiology and cardiac surgery in the United States and probes the ambiguities and inconsistencies in medical decision making. Based on extensive reviews of medical literature and archives, this historical perspective on medical decision making and risk highlights personal, professional, and community outcomes.

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Broken Hearts

David S. Jones

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Reviews

Offers a historical perspective on medical decision making in the case of heart disease.

For anyone who has had a heart attack or whose family member has had one, this book is definitely worth reading.

Any health collection strong in cardiac care will find this a winning presentation perfect for general health or specialty collections alike.

The light Jones shines on the interventional cardiovascular enterprise illuminates numerous, sometimes fatal and always costly flaws that every patient and society at large ignores at great peril.

A surprising and sobering book. David S. Jones combines rigorous research with a clear narrative style to produce a very persuasive historical analysis. I heartily recommend that physicians read Broken Hearts to benefit from a dose of detective work, a dose of insight, and a good dose of humility.

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About

Book Details

Publication Date
Status
Available
Trim Size
6
x
9
Pages
336
ISBN
9781421415758
Illustration Description
25 b&w illus.
Table of Contents

List of Figures
Preface
Acknowledgments
Introduction: An Embarrassment of Riches
Part I: Theory and Therapy
Chapter 1. The Mysteries of Heart Attacks
Chapter 2. The Case for Plaque Rupture
Chapter 3. The

List of Figures
Preface
Acknowledgments
Introduction: An Embarrassment of Riches
Part I: Theory and Therapy
Chapter 1. The Mysteries of Heart Attacks
Chapter 2. The Case for Plaque Rupture
Chapter 3. The Case against Plaque Rupture
Chapter 4. Learning by Doing
Chapter 5. The Plaque Rupture Consensus
Chapter 6. Rupture Therapeutics
Chapter 7. Therapeutic Ruptures
Chapter 8. Fear and Unpredictability
Part II: Complications
Chapter 9. Surgical Ambition and Fear
Chapter 10. Suffering Cerebrums
Chapter 11. Deliriogenic Personalities
Chapter 12. The Case of the Missing Complications
Chapter 13. Selective Inattention
Chapter 14. The Cerebral Complications of Coronary Artery Bypass Surgery
Chapter 15. A Taxonomy of Inattention
Chapter 16. Competition's Complications
Conclusion: Puzzles and Prospects
Notes
Bibliography
Index

Author Bio