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[Control of cardiovascular risk in the elderly]
1Servicio de Medicina Interna, Hospital de la Serranía, Ronda, Málaga, Spain. aruizc@telefonica.net
Abstract:
The population aged 65 years or more is set to increase in the next few years, especially in Spain and elsewhere in Europe. Cardiovascular diseases (CVD) are the main cause of morbidity and mortality worldwide as well as in Spain. Most studies on vascular risk factors (VRF) have been performed in younger persons, usually aged less than 70 years and without associated pathologic conditions. Patients with pluripathologies are those with multiple chronic diseases and advanced age (a mean of 78 years) in whom the most significant diseases are cardiovascular, with several VRF, leading to high mortality. Strategies to reduce morbidity and mortality in this age group are required.
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The regulation of the cardiovascular system involves the autonomic nervous system (ANS), baroreceptors, and chemoreceptors, ensuring that heart rate and blood pressure are appropriately modulated in response to varying physiological demands.
The ANS comprises two main divisions: the sympathetic and parasympathetic nervous systems. The sympathetic nervous system enhances...