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The Clinical Recognition of Congenital Heart Disease

Otto G. Thilenius, MD, PhD
JAMA. 1994;272(15):1222-1223. doi:10.1001/jama.1994.03520150096049.
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Dr Perloffs The Clinical Recognition of Congenital Heart Disease, now in its fourth edition, continues to occupy a unique place among pediatric cardiology textbooks. It addresses the key question, "How do I make a diagnosis?" and is thus a critical source of information for the pediatrician and the pediatric cardiologist alike. Even for the seasoned cardiologist, the depth of clinical information, clarity of writing, and superb photographs are a source of knowledge and satisfaction. Whereas other texts spend time with embryologic hypotheses or arguments on nomenclature, Dr Perloff reminds us that the jugular venous and carotid pulses are still part of the clinical evaluation and that the phonocardiogram (!) contains useful information. His aim is a "text accessible to those with less than expert knowledge of congenital heart disease," which, if we are truly honest, includes all of us.

The diagnosis of congenital heart disease is uniquely suitable to a logical,


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