Aging, Heart Disease, and Its Management: Facts and by Niloo M. Edwards

By Niloo M. Edwards

Studies the easiest treatments and surgical ideas on hand to supply caliber take care of the aged cardiac sufferer and of these parts that require additional learn. The authors aspect preventive cures and the cardiovascular syndromes that disproportionately afflict the older person, together with arrhythmias (particularly atrial fibrillation), syncope, center failure (particularly diastolic middle failure), and ischemic middle ailment. additionally they delineate the surgical administration of the center sufferer with discussions of postoperative administration and its problems and of particular surgeries similar to coronary artery pass grafting, valve surgical procedure, pacemaker and defibibrillators, and surgical administration of center failure.

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Chapter 2 / Evolution of the American Health Care System 2 13 The Evolution of the American Health Care System S. Brent Ridge, MD and Christine Cassel, MD CONTENTS INTRODUCTION WHO PAYS? DOES HEALTH CARE MAKE US HEALTHY THE BASIS OF HEALTH POLICY AN OUNCE OF PREVENTION BOOM OR BUST: HEALTH CARE IN THE NEXT CENTURY GLOSSARY REFERENCES INTRODUCTION The common perception of medicine in America is that we have and will continue to have the best health care in the world—the best doctors, the best hospitals, the best technology, and, likewise, every American citizen is entitled access to the best medical care.

They may accelerate the move toward self-care and wellness, dramatically changing the physician–patient relationship. With advances in health and medical technologies, boomers will experience extended longevity and may lead more active and productive lives rather than simply retiring at what is considered to be a traditional retirement age. The full impact of the aging population will not be evident until after 2010, when the initial group of boomers reach retirement age. Indeed, it will not be until 2030, when the youngest members of the cohort reach 65 and the entire boomer population’s health care will be subsidized by Medicare, that the nation’s health and welfare system is expected to experience the actual social and economic impact of this large cohort.

Fortunately, most physicians only see the end result of these complex economic calculations and usually in the form of clinical practice guidelines (9). AN OUNCE OF PREVENTION Arguably, an interest in health policy and economics is not what propelled most physicians through training. However, the implications of these two factors are inextricably woven together in the combined impact of health care and public health measures. The 20 Ridge and Cassel mortality from coronary heart disease has declined 50% in the past two decades (10).

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