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The second edition of this book was necessary in order to accommodate the rapid rise of interest in this subject. It provides a concise summary of these developments from the bench to the bedside. At stake is the enormous importance of the issue at hand: how to select the patient with severe left ventricular dysfunction who may benefit from coronary revascularization. This is the crux of the matter, knowing that medical therapy in these patients carries a poor outcome even with the newer drugs and that cardiac transplantation is possible in only a few. §This book should prove to be a valuable aid to those providing the technical aspects of procedure as well as those who manage such patients, physicians and surgeons alike. It should be in every medical library and on the desk of every medical student, internist, cardiologist, cardiac surgeon, anesthesiologist, nuclear medicine specialist and radiologist.