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A history illustrating the complexity of medical decision making and risk.Still the leading cause of death worldwide, heart disease challenges researchers, clinicians, and patients alike. Each day, thousands of patients and their doctors make decisions about coronary angioplasty and bypass surgery. In Broken Hearts David S. Jones sheds light on the nature and quality of those decisions. He describes the debates over what causes heart attacks and the efforts to understand such unforeseen complications of cardiac surgery as depression, mental fog, and stroke.Why do doctors and patients overestimate the effectiveness and underestimate the dangers of medical interventions, especially when doing so may lead to the overuse of medical therapies? To answer this question, Jones explores the history of cardiology and cardiac surgery in the United States and probes the ambiguities and inconsistencies in medical decision making. Based on extensive reviews of medical literature and archives, this historical perspective on medical decision making and risk highlights personal, professional, and community outcomes.

Table of Contents

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  1. Cover, Title Page, Copyright
  2. pp. 1-5
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  1. Contents
  2. pp. v-vi
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  1. List of Figures
  2. pp. vii-9
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  1. Preface
  2. pp. ix-x
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  1. Acknowledgments
  2. pp. xi-xiii
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  1. Introduction: An Embarrassment of Riches
  2. pp. 1-24
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  1. Part I: Theory and Therapy
  2. pp. 25-110
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  1. 1. The Mysteries of Heart Attacks
  2. pp. 27-38
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  1. 2. The Case for Plaque Rupture
  2. pp. 39-47
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  1. 3. The Case against Plaque Rupture
  2. pp. 48-56
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  1. 4. Learning by Doing
  2. pp. 57-70
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  1. 5. The Plaque Rupture Consensus
  2. pp. 71-78
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  1. 6. Rupture Therapeutics
  2. pp. 79-86
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  1. 7. Therapeutic Ruptures
  2. pp. 87-101
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  1. 8. Fear and Unpredictability
  2. pp. 102-110
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  1. Part II: Complications
  2. pp. 111-228
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  1. 9. Surgical Ambition and Fear
  2. pp. 113-124
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  1. 10. Suffering Cerebrums
  2. pp. 125-140
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  1. 11. Deliriogenic Personalities
  2. pp. 141-148
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  1. 12. The Case of the Missing Complications
  2. pp. 149-156
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  1. 13. Selective Inattention
  2. pp. 157-169
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  1. 14. The Cerebral Complications of Coronary Artery Bypass Surgery
  2. pp. 170-179
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  1. 15. A Taxonomy of Inattention
  2. pp. 180-188
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  1. 16. Competition’s Complications
  2. pp. 189-202
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  1. Conclusion: Puzzles and Prospects
  2. pp. 203-228
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  1. Notes
  2. pp. 229-255
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  1. Bibliography
  2. pp. 257-310
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  1. Index
  2. pp. 311-319
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