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[Cardiovascular risk factors in the elderly].

G Ungureanu1, I D Alexa

  • 1Facultatea de Medicină Clinica Medicală IV, Universitatea de Medicină şi Farmacie Gr. T. Popa Iaşi.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|July 2, 2002
PubMed
Summary

Cardiovascular risk factors differ in elderly patients, with some adult factors like hypertension persisting. Specific elderly risks include high iron, tachycardia, and altered cholesterol levels.

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Area of Science:

  • Gerontology
  • Cardiology
  • Public Health

Context:

  • Cardiovascular risk assessment in adults differs significantly from that in the elderly population.
  • Traditional adult cardiovascular risk factors may present differently or be less prevalent in older adults.
  • Understanding age-specific risk factors is crucial for effective cardiovascular disease prevention in the elderly.

Purpose:

  • To review and synthesize recent findings on cardiovascular risk factors specifically in the elderly population.
  • To highlight the evolving nature of cardiovascular risk factors from adulthood to old age.
  • To identify both persistent and unique cardiovascular risks relevant to geriatric patients.

Summary:

  • While hypertension, smoking, hypercholesterolemia, diabetes mellitus, and obesity remain relevant, their prevalence and impact may change in the elderly.
  • High cholesterol and smoking status are often found at lower levels in the elderly compared to adults.
  • Specific risk factors in the elderly include elevated iron levels, sinus tachycardia, high homocysteine, low high-density lipoprotein-cholesterol (HDL-C), elevated lipoprotein-A, and certain coagulation factors.

Impact:

  • Informs clinical practice for geriatric cardiovascular risk assessment and management.
  • Contributes to targeted public health strategies for cardiovascular disease prevention in aging populations.
  • Provides a foundation for future research into the unique pathophysiology of cardiovascular disease in the elderly.

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