Geriatrics

Download Cardiovascular Disease and Health in the Older Patient: by David J. Stott, Gordon D. O. Lowe PDF

By David J. Stott, Gordon D. O. Lowe

Written through prime specialists within the box, Cardiovascular ailments and overall healthiness within the Older sufferer covers the epidemiology, pathophysiology and administration of heart problems within the older sufferer. according to and elevated from the cardiovascular part in Pathy's rules and perform of Geriatric Medicine, 5th variation, this e-book presents authoritative, sensible info on one of many significant ailments of outdated age. an outstanding reference for medical and pre-clinical degrees, it is a must-have source for geriatricians, cardiologists, and GPs, in addition to cardiac professional nurses and complex perform nurses.

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Extra resources for Cardiovascular Disease and Health in the Older Patient: Expanded from 'Pathy's Principles and Practice of Geriatric Medicine, Fifth Edition'

Sample text

Thromboembolic stroke is the most serious complication, risk of which is increased five times in patients with AF. AF is responsible for 15% of cases of strokes. 5% in those >80 years with a similar AF-related stroke mortality rate. AF also increases risk of heart failure by two- to sevenfold. As a result of increasing age and improved survival rates in patients with CHD, heart failure and hypertension, an increase in prevalence of AF is likely to be exponential and sustained in the foreseeable future.

Unconventional risk factors are emerging in older people such as frailty and disability, which have both a predictive and prognostic effect. In the very old and frail individuals there is reversal of the effect of traditional risk factors such as obesity, hypercholesterolaemia and hypertension. The mechanism of this reverse epidemiology is likely to be due to Cardiovascular Disease and Health in the Older Patient 26 inflammation and malnutrition. This will have clinical implications in treating malnutrition and avoiding weight loss in this group of patients with promotion of physical activity.

Am Heart J 2010;159:75–80. 25 Najafi F, Jamrozik K and Dobson AJ. Understanding the ‘epidemic of heart failure’: a systematic review of trends in determinants of heart failure. Eur J Heart Fail 2009;11:472–9. 26 Ntusi NB and Mayosi BM. Epidemiology of heart failure in sub-saharan Africa. Expert Rev Cardiovasc Ther 2009;7:169–80. 27 Kalogeropoulos A, Georgiopoulou V, Kritchevsky SB et al. Epidemiology of incident heart failure in a contemporary elderly cohort – The Health, Aging, and Body Composition Study.

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