Broken Hearts

David S. Jones is the A. Bernard Ackerman Professor of the Culture of Medicine at Harvard University.

Offers a historical perspective on medical decision making in the case of heart disease. The Chronicle Review For anyone who has had a heart attack or whose family member has had one, this book is definitely worth reading. -- Stephen Goddard History Wire - Where the Past Comes Alive Any health collection strong in cardiac care will find this a winning presentation perfect for general health or specialty collections alike. Midwest Book Review The light Jones shines on the interventional cardiovascular enterprise illuminates numerous, sometimes fatal and always costly flaws that every patient and society at large ignores at great peril. -- Nortin M. Hadler Scientists' Bookshelf A surprising and sobering book. David S. Jones combines rigorous research with a clear narrative style to produce a very persuasive historical analysis. I heartily recommend that physicians read Broken Hearts to benefit from a dose of detective work, a dose of insight, and a good dose of humility. -- Jack Coulehan, MD Pharos Jones does a very good job of outlining how difficult it is to understand all the workings of the human body, what is involved in medical research, and how that research is applied to human subjects through the lens of one medical specialty. -- Katherine Burger Johnson Watermark All in all, Jones presents a different and refreshing take on the challenges before us. He provides more questions than answers, but this is all to the good. Unless we pose the proper questions we cannot ever hope to obtain the right answers. -- Allen B. Weisse Bulletin of the History of Medicine Wide-ranging, full of interesting and telling historical details, steadily paced yet thorough in its making sense of complex medicine, Broken Hearts exposes cardiac care as neither mundane nor settled. -- Janet K. Shim Sociology of Health and Illness Jones asks us to embrace the complexity of medical decision-making, to recognize medical research gains and gaps, and to acknowledge the social values and priorities that shape our present scenario. Difficult decisions in medicine remain, but perhaps Jones's book will contribute to more judicious ones. -- Shelley Mckellar Technology and Culture For the past half century, patients have been advised to undergo valve replacement, angioplasty, or coronary artery bypass graft procedures to prevent or ameliorate cardiac pathologies. But how good are these procedures? How certain are the surgeons or physicians who recommend them that they will work? How do they know? Giving some answers to these questions and showing how the criteria for making medical decisions change over time are the themes of Broken Hearts. Choice Jones's larger point is a meditation on how we understand and misunderstand medical knowledge. -- Sarah Dine Health Affairs This book will appeal to a wide audience interested in the history of coronary artery disease, its treatment options, and medical decision-making. For those wanting more, there is an extensive bibliography. In closing, Jones asks us to embrace the complexity of medical decision-making, to recognize medical research gains and gaps, and to acknowledge the social values and priorities that shape our present scenario. Difficult decisions in medicine remain, but perhaps Jones's book will contribute to more judicious ones. -- Shelley McKellar Technology and Culture A fascinating and insightful history of the interplay between research on the causes of coronary artery disease and the development and assessment of therapeutic-especially surgical-approaches to cardiac care... There is much to recommend in Broken Hearts. It is accessible, it will appeal to a wide range of readers, and it offers a useful overview of the complex issues surrounding cardiac care at a time with health-care policy, both in the United States and globally, is fiercely debated and rapidly changing. -- A.R. Ruis Journal of the History of Medicine and Allied Sciences An excellent resource... The information gleaned from the book will aid the patient in understanding his or her disease and will assist one in decision-making. -- Robin Wulffson Examiner.com Jones's book is a sophisticated history of heart attacks and some of the most spectacular medical interventions of the twentieth century. It is meticulously researched and thoughtful, and Jones pays equal attention to technical details, social contexts and economic implications. The book will be of interest to anyone interested in the uncertainties of modern medicine: uncertainties associated with understanding the cause of illness and, perhaps more importantly, the success of treatment. -- Carsten Timmermann Social History of Medicine Broken Hearts is a captivating study of the history of cardiology. By moving away from the long-standing tendency to frame the history of cardiology as a progress-narrative, this book makes a great addition to the emerging body of literature that adopts a critical stance towards cardiac care... Somatosphere

• List of FiguresPrefaceAcknowledgmentsIntroduction: An Embarrassment of RichesPart I: Theory and TherapyChapter 1. The Mysteries of Heart AttacksChapter 2. The Case for Plaque RuptureChapter 3. The Case against Plaque RuptureChapter 4. Learning by DoingChapter 5. The Plaque Rupture ConsensusChapter 6. Rupture TherapeuticsChapter 7. Therapeutic RupturesChapter 8. Fear and UnpredictabilityPart II: ComplicationsChapter 9. Surgical Ambition and FearChapter 10. Suffering CerebrumsChapter 11. Deliriogenic PersonalitiesChapter 12. The Case of the Missing ComplicationsChapter 13. Selective InattentionChapter 14. The Cerebral Complications of Coronary Artery Bypass SurgeryChapter 15. A Taxonomy of InattentionChapter 16. Competition's ComplicationsConclusion: Puzzles and ProspectsNotesBibliographyIndex