Clive Handler and Gerry Coghlan have written a book that will become essential reading for the primary care physician managing cardiac problems in the new age of medical practice. In it they give clear, concise and readable information on diagnosis, management and treatment priorities in this most important field of medicine. The book uses current evidence and follows current guidelines to direct the clinician in treating conditions seen every day in general practice. It builds confidence in understanding the role and responsibility in commissioning cardiology specialist care.The narrative is peppered with real patient problems and sections giving advice to patients in layman's language. This book will not only promote the primary care physician's ability to manage problems in-house but also guide the commissioning clinician on putting in place appropriate and efficient specialist services. An excellent text that will be a valuable addition to the libraries of all general practices. Buy more than one copy - clinicians from practice nurses, students and registrars to the most senior doctors will all find it essential reading.