Aging, Heart Disease, and Its Management: Facts and - download pdf or read online

By Niloo M. Edwards

ISBN-10: 1588290565

ISBN-13: 9781588290564

ISBN-10: 1592593577

ISBN-13: 9781592593576

Experiences the easiest cures and surgical thoughts on hand to supply caliber take care of the aged cardiac sufferer and of these components that require extra learn. The authors aspect preventive remedies and the cardiovascular syndromes that disproportionately afflict the older person, together with arrhythmias (particularly atrial fibrillation), syncope, center failure (particularly diastolic center failure), and ischemic center affliction. in addition they delineate the surgical administration of the center sufferer with discussions of postoperative administration and its problems and of particular surgeries similar to coronary artery skip grafting, valve surgical procedure, pacemaker and defibibrillators, and surgical administration of middle failure.

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Additional info for Aging, Heart Disease, and Its Management: Facts and Controversies (Contemporary Cardiology)

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However, the implications of these two factors are inextricably woven together in the combined impact of health care and public health measures. The 20 Ridge and Cassel mortality from coronary heart disease has declined 50% in the past two decades (10). Certainly part of this decline is the result of improved treatments from coronary artery bypass graft procedures, coronary care units, and better emergency response services (11). On the other hand, a majority of this decline was the result of changes in lifestyle, specifically decreased smoking and serum total cholesterol levels in the general population (12).

Vitamin C deficiency often presents with lassitude and fatigue. Capillary hemorrhage, bleeding from the gums, and delayed wound healing are frequent complaints in elderly who are vitamin C deficient. Intake of vitamin B6 and folic acid in this age group is often less than two-thirds of the recommended amount for younger patients. A diet lacking in fresh, nutrient-dense foods is the most common cause of low folate levels in the non-alcoholic elderly (17,26). Moreover, inadequate vitamin D and calcium intake is associated with osteoporosis and osteomalacia (17).

Tertiary interventions, like coronary artery bypass grafting (CABG), represents a good value per QALY for younger patients, but the procedures are very costly, which warrants attention from policy-makers and economists with a special focus on whether these surgeries are cost-effective in the elderly population. The decision to provide tertiary intervention to this age group should be based on the same criteria used to make the determination in other age segments. In short, the decision that CABG should be performed in seniors depends primarily on three criteria: efficacy, effectiveness, and cost-effectiveness (16).

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Aging, Heart Disease, and Its Management: Facts and Controversies (Contemporary Cardiology) by Niloo M. Edwards


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