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[The Old-Age Heart]

Christine Attenhofer Jost1, Philippe Müller1, Osmund Bertel1

  • 11 HerzGefässZentrum Zürich, Klinik Im Park, Zürich.

Praxis
|August 9, 2018
PubMed

Insights

Cardiovascular changes like left ventricular hypertrophy and valve issues are common in older adults. Optimal therapy involves interventions, medications, and lifestyle changes to enhance quality of life.

Area of Science:

  • Gerontology
  • Cardiology
  • Internal Medicine

Background:

  • Aging is associated with significant cardiovascular alterations.
  • Understanding these changes is crucial for effective geriatric care.

Purpose of the Study:

  • To review common cardiovascular changes in old age.
  • To discuss current therapeutic strategies and interventions for the elderly cardiac patient.

Main Methods:

  • Literature review of age-related cardiovascular conditions.
  • Analysis of therapeutic options including medical management and interventional procedures.

Main Results:

  • Common findings include left ventricular hypertrophy, diastolic dysfunction, pulmonary hypertension, and arterial hypertension.
  • Valvular changes (aortic stenosis, mitral insufficiency) and arrhythmias (sinus node dysfunction, atrial fibrillation) are prevalent.
  • Coronary heart disease risk is substantial, and atrial fibrillation contributes to a significant percentage of strokes.

Conclusions:

  • Geriatric cardiovascular care requires a comprehensive approach.
  • Therapeutic strategies encompass interventional cardiology, pharmacotherapy, and lifestyle modifications.
  • The primary goal of treatment in the elderly is to improve quality of life.

Keywords:
AlterCœurHeartHerzInterventionenRevaskularisationagecoronary heart diseaseinterventionskoronare Herzkrankheitmaladie coronariennepercutaneous aortic valve replacementperkutaner Aortenklappenersatzremplacement percutané de la valvule aortique par voie percutanéerevascularisationrevascularizationâge

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