By David J. Stott, Gordon D. O. Lowe
Written by way of top specialists within the box, Cardiovascular illnesses and health and wellbeing within the Older sufferer covers the epidemiology, pathophysiology and administration of heart problems within the older sufferer. in response to and elevated from the cardiovascular part in Pathy's ideas and perform of Geriatric Medicine, 5th variation, this publication offers authoritative, useful details on one of many significant illnesses of outdated age. a very good reference for scientific and pre-clinical degrees, it is a must-have source for geriatricians, cardiologists, and GPs, in addition to cardiac professional nurses and complex perform nurses.
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Additional info for Cardiovascular Disease and Health in the Older Patient: Expanded from 'Pathy's Principles and Practice of Geriatric Medicine, Fifth Edition'
Clin Geriatr 2001;9:41–51. Cardiac Ageing and Systemic Disorders 43 56 Eguchi K, Boden-Albala B, Jin Z et al. Association between diabetes mellitus and left ventricular hypertrophy in a multiethnic population. Am J Cardiol 2008;101:1787–91. 57 Sattar N, McConnachie A, Shaper G et al. Can metabolic syndrome usefully predict cardiovascular disease and diabetes? Outcome data from two prospective studies. Lancet 2008;371:1927–35. 58 Smeeth L, Thomas SL, Hall AJ et al. Risk of myocardial infarction and stroke after acute infection or vaccination.
Prevalence and incidence in people 80–89 is 10 times those 50–59 years. ● Increasing growth of older population and improved care for CHD is leading to a growing epidemic of heart failure. ● In spite of improved survival, heart failure still carries a grave prognosis. ● Ischaemic aetiology is less common in developing countries. Epidemiology of Heart Disease ● Heart failure risk is attributed to modiﬁable risk factors particularly CHD in men and hypertension in women. ● Diastolic heart failure is more common in older women who are likely to have hypertension, left ventricular hypertrophy and less likely to have CHD.
Although there is no uniform ageing heart phenotype, some general principles are apparent, and we have attempted to summarize these. In this regard there are established and emergent data from multiple sources including in vitro work, animal models and clinical studies. This chapter aims ﬁrstly to summarize effects of ageing on cardiac structure, function and homeostatic reserve. The potential impact of these changes on the manifestation of various systemic (non-cardiac) diseases is then considered.