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

Written by way of major specialists within the box, Cardiovascular illnesses and overall healthiness within the Older sufferer covers the epidemiology, pathophysiology and administration of heart problems within the older sufferer. in line with and improved from the cardiovascular part in Pathy's rules and perform of Geriatric Medicine, 5th version, this publication presents authoritative, sensible details on one of many significant ailments of previous age. a superb reference for medical and pre-clinical degrees, it is a must-have source for geriatricians, cardiologists, and GPs, in addition to cardiac expert nurses and complex perform nurses.

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

Sample text

Metabolic syndrome and all-cause and cardiovascular mortality in an Italian elderly population. Diabetes Care 2009;32:153–9. 18 Mozaffarian D, Kamineni A, Prineas RJ et al. Metabolic syndrome and mortality in older adults. The Cardiovascular Health Study. Arch Intern Med 2008;168:969–78. 19 Afilalo J, Karunananthan S, Eisenberg MJ et al. Role of frailty in patients with cardiovascular disease. Am J Cardiol 2009;103:1616–21. 20 Plichart M, Barberger-Gateau P, Tzourio C et al. Disability and incident coronary heart disease in older community-dwelling adults: The Three-City Study.

Symptoms may be masked by comorbidities that reduce exercise capacity, or cause other more clinically obvious symptoms. In addition ageing is associated with impaired perception of ischaemic cardiac pain; on exercise there is a delay from onset of myocardial ischaemia to symptoms of angina in older people. 23 Myocardial infarction may present as a confusional state or ‘collapse’, while myocardial ischaemia may provoke non-specific lethargy and reduced physical capacity. Therefore, ischaemic heart disease is a common cause of reduced cardiac homeostatic reserve in older people and in the event of a physiological stressor such as systemic illness, adverse clinical consequences such as myocardial ischaemia, heart failure or cardiac arrhythmias can readily occur.

29 Pressler SJ, Subramanian U, Kareken D et al. Cognitive deficits in chronic heart failure. Nurs Res 2010;59:127–39. 28 Cardiovascular Disease and Health in the Older Patient 30 Chaudhry SI, Wang Y, Gill TM et al. Geriatric conditions and subsequent mortality in older patients with heart failure. J Am Coll Cardiol 2010;55:309–16. 31 Daamen MAMJ, Schols JMGA, Jaarsma T et al. Prevalence of heart failure in nursing homes: a systematic literature review. Scand J Caring Sci 2010;24:202–8. 32 Durante-Mangoni E, Bradley S, Selton-Suty C et al.

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