Related Experiment Video
Updated: Mar 25, 2026

Isolation and Physiological Analysis of Mouse Cardiomyocytes
Published on: September 7, 2014
Healthy aging and myocardium: A complicated process with various effects in cardiac structure and physiology
E S Nakou1, F I Parthenakis1, E M Kallergis1
1Department of Cardiology, Heraklion University Hospital, 7100, Voutes, Heraklion-Crete, Greece.
Insights
Cardiac aging involves complex changes making the heart vulnerable to disease in older adults. This review explores these age-related cardiac alterations and potential new treatments for cardiovascular conditions.
Area of Science:
- Cardiology
- Gerontology
- Molecular Biology
Background:
- Global life expectancy is increasing, particularly for individuals over 65.
- Cardiac aging encompasses structural, cellular, molecular, and functional myocardial changes.
- These alterations increase susceptibility to cardiovascular diseases in the elderly.
Purpose of the Study:
- To review multifactorial changes in the aged myocardium.
- To highlight recent evidence on the pathophysiology of cardiac aging.
- To explore clinical implications and novel therapeutic strategies for age-related cardiac dysfunction.
Main Methods:
- Comprehensive literature review of cardiac aging.
- Analysis of pathophysiological mechanisms.
- Examination of clinical management and therapeutic approaches.
Main Results:
- Aged myocardium exhibits significant structural and functional decline.
- Genetic and environmental factors influence the rate of cardiac aging.
- Increased prevalence of heart failure, atrial fibrillation, and other cardiovascular diseases in the elderly.
Conclusions:
- Cardiac aging is a complex, multifactorial process with significant clinical impact.
- Understanding cardiac aging pathophysiology is crucial for developing targeted therapies.
- Future research should focus on translating aging insights into improved cardiovascular care for older adults.
Abstract:
It is known that there is an ongoing increase in life expectancy worldwide, especially in the population older than 65years of age. Cardiac aging is characterized by a series of complex pathophysiological changes affecting myocardium at structural, cellular, molecular and functional levels. These changes make the aged myocardium more susceptible to stress, leading to a high prevalence of cardiovascular diseases (heart failure, atrial fibrillation, left ventricular hypertrophy, coronary artery disease) in the elderly population. The aging process is genetically programmed but modified by environmental influences, so that the rate of aging can vary widely among people. We summarized the entire data concerning all the multifactorial changes in aged myocardium and highlighting the recent evidence for the pathophysiological basis of cardiac aging. Keeping an eye on the clinical side, this review will explore the potential implications of the age-related changes in the clinical management and on novel therapeutic strategies potentially deriving from the scientific knowledge currently acquired on cardiac aging process.
Related Concept Videos
The Effect of Aging on Tissues
Myocarditis I: Introduction
Heart Failure II: Pathophysiology
Structure of Cardiac Muscles
Compared to skeletal muscles, cardiac muscle cells are small and mostly have a single nucleus. Additionally, they are usually...
Pathophysiology of Cardiac Performance
Pathophysiology of Heart Failure

