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.