Pierre Théroux gathered together 94 other contributors for this impressively produced
and important book on the acute coronary syndromes. I reviewed the book from the perspective
of a clinical cardiologist dealing with all the manifestations of the acute coronary
syndrome (ACS) on a daily basis, including being actively involved in every aspect
of diagnosis, therapy and subsequent management. This book makes a successful attempt
to encompass nearly all facets of this clinical syndrome. The term “acute coronary
syndrome” is a rubric covering a taxonomy of clinical manifestations of coronary heart
disease including the clinical conditions of crescendo-angina, unstable angina, non-ST
elevation acute myocardial infarction, ST segment elevation acute myocardial infarction
and sudden ischaemic cardiac death. The majority of these acute clinical conditions
result from rapid changes occurring in coronary artery atheromatous plaque (and/or
endothelium) with concomitant and variable levels of superimposed thrombosis. In other
words these conditions have a shared basic pathogenesis. The clinical conditions grouped
under this name include a number of important clinical conditions that have significant
morbidity and mortality for our patients. Therefore, an attempt at a grand overview
of the clinical problem in one book is very welcome.
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© 2004 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier Inc. All rights reserved.
