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Books > Medicine > Clinical & internal medicine > Paediatric medicine
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The Developing Heart: A 'History' of Pediatric Cardiology (Hardcover, 1995 ed.)
Loot Price: R5,181
Discovery Miles 51 810
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The Developing Heart: A 'History' of Pediatric Cardiology (Hardcover, 1995 ed.)
Series: Developments in Cardiovascular Medicine, 163
Expected to ship within 10 - 15 working days
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Pediatric cardiology is celebrating in the 1990s the 50th
anniversary of the beginnings of the age of therapy. This informal
`history' describes how the discipline grew from the era of
pathologic anatomy to the dawn of therapy, the beginnings of closed
heart surgery between 1939 and 1945. That dawn ushered in a
remarkable half century of change and growth, leading from
clinicophysiologic correlations through the start of open heart
surgery in the 1950s. The text celebrates some of the achievements
of this vivid and heroic age, and describes how, in the mid 1970s,
new surgical and medical approaches, including prostaglandins and
Doppler echocardiography, led to successful cardiac treatment in
infancy, the `infant era'. Interventional cardiology and the study
of childhood arrhythmias began. Now, in the 1990s, a new era
emphasising molecular biology and cardiac development is growing
from the tools and concepts of the past. The four eras have focused
on pathologic anatomy, clinicophysiologic correlations and surgery,
heart problems in infancy, and now the developing heart. In each
era there have been advances in the four domains of pediatric
cardiology, the heart before birth, the normal heart, heart disease
and defects, and preventive cardiology. Growth in knowledge has
been both episodic and dramatic, yet not a picture of unalloyed
achievement. The later chapters discuss some of the problems
beginning to be recognised in the new and current `developmental
era'. The pioneers of pediatric cardiology, both men and women, are
more than eponyms, for each used in new and original ways the tools
and concepts available in their era. The interaction of tools and
concepts is a theme in this book. Just as the tool of the
stethoscope was vital in delineating the clinical profile of
ventricular septal defect and patent ductus, the fluoroscope played
a role in developing the concept of the Blalock Taussig shunt.
Pioneers also include patients and their families, and the book
includes some discussion of what little is known of childhood and
of the child with heart disease in the four different eras. This is
a brief overview of the growth of knowledge of children's hearts
from before William Harvey until our own time, and includes
references to histories of cardiac surgery and to collections of
classic cardiac papers. By its emphasis on the child as the central
historic figure, and on the interaction of tools and concepts in
the growth of knowledge, the text provides a celebratory approach
to the 50th anniversary of modern pediatric cardiology.
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