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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
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Syncope in the elderly.

L A Lipsitz

    Annals of Internal Medicine
    |July 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Syncope, a transient cerebral dysfunction, is common and often unexplained in the elderly. Evaluation requires careful history, physical exam, and selective lab tests to manage recurrent episodes, considering age-related drug changes.

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    Area of Science:

    • Geriatrics
    • Cardiology
    • Neurology

    Background:

    • Syncope is a frequent and serious symptom of transient cerebral dysfunction.
    • Causes of syncope in elderly individuals often stem from accumulated age- and disease-related issues.
    • These abnormalities impair the body's ability to adapt to minor physiological stresses.

    Purpose of the Study:

    • To outline the diagnostic approach for syncope in the elderly.
    • To highlight common yet overlooked causes of syncope in this population.
    • To guide therapeutic strategies for preventing recurrent syncope.

    Main Methods:

    • Comprehensive patient history and physical examination are crucial.
    • Targeted evaluation for conditions like postural hypotension, aortic stenosis, and carotid hypersensitivity.
    • Selective use of laboratory studies based on clinical suspicion.

    Main Results:

    • Age-related abnormalities significantly contribute to syncope in the elderly.
    • Common conditions and physiological stresses can present atypically.
    • Laboratory tests often lack sensitivity and specificity in older adults.

    Conclusions:

    • Thorough clinical assessment is key to diagnosing syncope in the elderly.
    • Therapy should focus on preventing recurrence and managing underlying conditions.
    • Treatment must account for age-related changes in drug metabolism and response.