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Manual of Coronary Care.

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By Alpert Joseph S., Francis Gary S.. . 142 pages. Little, Brown and Company; , Boston: , 1977.. Price, $8.95.

Ann Intern Med. 1977;87(3):385. doi:10.7326/0003-4819-87-3-385_1
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Since the introduction of coronary care units, the diagnosis and management of myocardial infarction have changed considerably. The introduction of the Swan-Ganz catheter has made possible the characterization of various subsets of high- and low-risk patients, and a more rapid diagnosis of myocardial infarction is now possible with creatine kinase (CK) isoenzymes. Appreciation of factors that may influence infarct size has also given rise to a slightly different rationale in formulating medical therapy. Recently, the use of mini-dose subcutaneous heparin versus full anticoagulation has been introduced. However, these changes continue to be ignored in recent textbooks in cardiology, and consequently


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