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Vascular Disease in the Elderly

      Type of Book: A multiauthored text that broadly reviews the scope of vascular disease in elderly patients.
      Scope of Book: Intended as a reference source for clinicians, this book focuses on the care of elderly patients with arterial vascular disease.
      Contents: The book is organized into 26 chapters that cover various aspects of the medical and surgical treatment of elderly patients with vascular disease. The first chapters address physiologic changes in the blood vessels and risk factors for peripheral arterial occlusive disease and stroke. Chapters 7 through 10 discuss preoperative and postoperative care in patients undergoing vascular surgical procedures. Subsequent chapters are devoted to the medical and surgical treatment of cerebrovascular, coronary artery, peripheral arterial occlusive, aneurysmal, and venous diseases. The chapters vary in quality and thoroughness, but most succeed in addressing issues pertinent to the elderly population. This is the first text of its kind, a compilation of data from original sources with this focus. It is timely because of the increasing prevalence of vascular disease in the aging population. The sections on risk factor modification and staging of operation in patients with occlusive disease in multiple vascular territories are particularly useful. Throughout the text, quality of life and the social context of vascular disease are emphasized. Most chapters contain useful tables and graphs, and each chapter is adequately referenced.
      Strengths: This text complements existing vascular medicine textbooks and is the best single source of information on diverse aspects of vascular disease in elderly patients. The sections on risk factor management, vascular aging, and the pathophysiology of vascular disease are particularly useful.
      Deficiencies: Venous insufficiency and the differential diagnosis of the swollen limb are covered minimally. The section on venous occlusive disease has a general focus and does not address issues pertinent to the elderly population. The book contains relatively little material on the physiologic and pathologic aspects of vascular aging.
      Recommended Readership: Vascular surgeons, vascular interns, geriatricians, and other health-care providers who are interested in the care of patients with vascular disease.
      Overall Grading: ★★★