Preventing Silent Heart DiseaseKarpman M.D., Harold L. Crown 0517573008 / 9780517573006 Hardcover Very Good 0517573008 SIGNED by author. 1989 hardcover, first printing. Some light rubbing wear to dust jacket. Otherwise clean and tight. Not ex-library. No remainder mark. Presents well in new dustjacket protector. USPS tracking number provided for U.S. orders.