Saving the Heart

Saving the Heart : The Battle to Conquer Coronary Disease

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Description

Though still the leading cause of death, coronary heart disease is now killing half as many people in the U.S. as in the 1960s, partly because of innovative treatments like bypass surgery, balloon angioplasty, and thrombolytic drugs. This book tells the stories of the bold researchers who developed such treatments and explores the tough ethical questions raised by the big money being made in modern cardiology. Klaidman shows how clinicians, engineers, and entrepreneurs have devised radically new ways to treat a diseased heart. He examines the startling extent to which financial ambition has shaped the dynamics of cardiology-now a multi-billion dollar medical/academic/industrial/governmental hybrid-and the inevitable conflicts of interest such ambition creates. Can a patient's needs come first when market share and profits skew the focus away from medical prudence? Can clinical trials be both free of bias and fast enough to keep up with the flood of new drugs and high-tech devices? Klaidman tackles these questions using real cases, often in the context of wrenching bedside decisions. Immensely readable and packed with vivid detail, Heart Beat explores the past, present and swiftly developing future of a high-stakes medical specialty. And it weaves into the fast moving narrative advice on how to make the right treatment choices and identify the best cardiologists and surgeons. If you are one of the 14 million Americans who suffers from coronary disease, Heart Beat could save oour life.show more

Product details

  • Hardback | 288 pages
  • 152.4 x 236.22 x 25.4mm | 566.99g
  • Oxford University Press Inc
  • New York, United States
  • English
  • 15 halftones, 2 line figures
  • 0195112792
  • 9780195112795

Table of contents

1. A Heart Attack: David Allison's terrifying experience; 2. The Revolution of 1912: James Herrick insists that heart attacks are caused by clots and are survivable; 3. Creating the Platform: Jay McLean, Werner Forssman and John Gibbon make the discoveries that make treatment possible; 4. Groping in the Dark: Primitive attempts at coronary surgery are made and Mason Sones invents the diagnostic test that makes bypass surgery possible; 5. Accidents and Innovations: How bypass surgery began, how Rene Favaloro made it matter, and how three big clinical trials tested what it could do; 6. Surgeons: John Kirklin, Paul Taylor, and what it takes to be a heart surgeon; 7. Smart Operators: Wesley Sterman and Charles Taylor put engineering and entrepreneurship at the service of surgery, and vice versa; 8. A Momentous Decision: Lewis Hollander decides to have beating-heart surgery; 9. A Balloon on a Snake: Andreas Gruentzig invents angioplasty and flames out in a storm over Georgia; 10. The Interventionalist as Entrepreneur: John Simpson invents a better catheter; 11. Trials and Errors: BARI and EAST, two big, well-conducted clinical trials that might not have warranted the multi-million dollar investment of taxpayer dollars; 12. Interventional Cardiology Expands: Julio Palmaz invents the coronary stent; 13. How Healing Can Harm: The hunt for the molecular causes of heart attacks; 14. What Shall We Make of All This?: A critical summation; APPENDIX A: DESIGNING AND MOUNTING CLINICAL TRIALS; APPENDIX B: WHAT PATIENTS NEED TO KNOWshow more

Review quote

"One of the most important medical books I've ever read. As someone who has had a heart attack, bypass surgery, and angioplasty, I know fully well what Mr. Klaidman is writing about. I urge everyone interested in this important topic to read this timely book."--Larry King, Host, "Larry King Live""Anyone facing treatment for a cardiac condition should read this book.... Using clear lay language, he humanizes the history of cardiology and explains the evolution of many of the procedures commonly used today--including angioplasty, bypass surgery, and stenting. This useful book should help to remove some of the mystery and fear surrounding heart disease. Recommended for all public libraries."--Library Journal"Stephen Klaidman skillfully contrasts the breakthrough technologies necessary for saving the heart with the thorny ethical considerations necessary for saving the profession. Although disturbing at times, his views reflect much of the public concern about medicine that should be mandatory reading for all of us who care for patients."--Spencer B. King III, M.D., Immediate Past President, American College of Cardiology "One of the most important medical books I've ever read. As someone who has had a heart attack, bypass surgery, and angioplasty, I know fully well what Mr. Klaidman is writing about. I urge everyone interested in this important topic to read this timely book."--Larry King, Host, "Larry King Live" "Anyone facing treatment for a cardiac condition should read this book.... Using clear lay language, he humanizes the history of cardiology and explains the evolution of many of the procedures commonly used today--including angioplasty, bypass surgery, and stenting. This useful book should help to remove some of the mystery and fear surrounding heart disease. Recommended for all public libraries."--Library Journal "Stephen Klaidman skillfully contrasts the breakthrough technologies necessary for saving the heart with the thorny ethical considerations necessary for saving the profession. Although disturbing at times, his views reflect much of the public concern about medicine that should be mandatory reading for all of us who care for patients."--Spencer B. King III, M.D., Immediate Past President, American College of Cardiology "One of the most important medical books I've ever read. As someone who has had a heart attack, bypass surgery, and angioplasty, I know fully well what Mr. Klaidman is writing about. I urge everyone interested in this important topic to read this timely book."--Larry King, Host, "Larry King Live" "Anyone facing treatment for a cardiac condition should read this book.... Using clear lay language, he humanizes the history of cardiology and explains the evolution of many of the procedures commonly used today--including angioplasty, bypass surgery, and stenting. This useful book should help to remove some of the mystery and fear surrounding heart disease. Recommended for all public libraries."--Library Journal "Stephen Klaidman skillfully contrasts the breakthrough technologies necessary for saving the heart with the thorny ethical considerations necessary for saving the profession. Although disturbing at times, his views reflect much of the public concern about medicine that should be mandatory reading for all of us who care for patients."--Spencer B. King III, M.D., Immediate Past President, American College of Cardiology "One of the most important medical books I've ever read. As someone who has had a heart attack, bypass surgery, and angioplasty, I know fully well what Mr. Klaidman is writing about. I urge everyone interested in this important topic to read this timely book."--Larry King, Host, "Larry King Live""Anyone facing treatment for a cardiac condition should read this book.... Using clear lay language, he humanizes the history of cardiology and explains the evolution of many of the procedures commonly used today--including angioplasty, bypass surgery, and stenting. This useful book should help toremove some of the mystery and fear surrounding heart disease. Recommended for all public libraries."--Library Journal"Stephen Klaidman skillfully contrasts the breakthrough technologies necessary for saving the heart with the thorny ethical considerations necessary for saving the profession. Although disturbing at times, his views reflect much of the public concern about medicine that should be mandatory readingfor all of us who care for patients."--Spencer B. King III, M.D., Immediate Past President, American College of Cardiologyshow more

About Stephen Klaidman

Stephen Klaidman is a Senior Research Fellow at the Kennedy Institute of Ethics, Georgetown University. He is the author of Health in the Headlines and The Virtuous Journalist (both OUP). He lives in Washington, D.C.show more

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