From Library Journal
Here, two cardiologists analyze current treatment strategies for heart disease and offer prescriptions for improving heart health. In Heal Your Heart, an authority on coronary artery narrowing advocates early diagnosis to minimize risk, a very low-fat diet, moderate exercise, and the use of cholesterol-lowering drugs. Unfortunately, the many current references to the clinical literature with which Gould supports his regimen require considerable effort to locate and then interpret. His recommendation of reducing daily consumption of dietary fat to no more than ten percent of calories is significantly lower than what is currently recommended by the American Heart Association (AHA) and the National Cholesterol Education Program. In addition, the text could have benefited from the inclusion of tables and illustrations more accessible to a general audience. Nevertheless, his book is a worthwhile selection because it provides the sophisticated lay reader with detailed information on how the heart functions and the cause and course of atherosclerosis (coronary artery narrowing) as well as a program for taking control of heart disease that can be modified to suit a wide variety of needs. Recommended for large consumer health collections. Living Longer with Heart Disease poses more questions than it ultimately answers. Authored by the director of the Noninvasive Heart Center, San Diego, it largely serves to question traditional medical practice and much of the current medical establishment, leaving the reader stuck in a maze of medical confusion. For example, Wayne's discussion of the "Cholesterol Myth" may well lead readers to conclude that taking a "statin" (a specific class of drug designed to lower cholesterol levels) may be medically unnecessary. While blaming the pharmaceutical industry's greed for spawning a deceptive mass-marketing campaign concerning the drug's benefits, Wayne fails to inform readers about current AHA guidelines for prescribing these drugs, which clearly state the medical necessity for such therapy as well as recommended dosages and adverse effects. Given Wayne's failure to provide consumers with clear and impartial answers to their medical questions, this book is not recommended.?Gail Hendler, New York Acad. of Medicine
Copyright 1998 Reed Business Information, Inc.
--This text refers to an out of print or unavailable edition of this title.
From Booklist
Gould writes well for both lay readers and his peers but does not see himself as a not-to-be-questioned authority, for "medicine is not the same as business," he says; "it is a mutual effort to improve life and survival." After several decades of practice, close familiarity with the medical literature, and research on and clinical use of positron emission tomography (PET), Gould feels justified in declaring that heart bypass operations and balloon dilations are not as effective as their proponents have claimed and that coronary angiograms, another favorite of those proponents, can produce misleading results. Although Gould's lucid style (bespeaking, it seems, obvious skill for listening to patients) makes things easy for the reader, the uncluttered, well-labeled illustrations help substantially, too. The big concluding chapter of "Gould Guidelines to Prevent or Reverse Vascular and Coronary Heart Disease," which differ from those promulgated by the American Heart Association and others, gives practical advice to those who have had heart problems and those who want to avoid them.
William Beatty
--This text refers to an out of print or unavailable edition of this title.
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