Disorders of the Heart
Congestive cardiac failure is extremely common in old age, ankle oedema occurring in 22% of patients between 70 and 75 in general practice, and accounting for the fact that in those over 75, 18% are on diuretics, and 17% on digoxin (Currie et al. 1974; Law and Chalmers 1976). Treatment of the disorder does not differ qualitatively from that in younger individuals. However, changes in the renal function and in the electrolyte and metabolic status of old people modify their response to cardiac glycosides and diuretics, and increase the risk of side-effects.
KeywordsInfective Endocarditis Diuretic Therapy Cardiac Glycoside Isosorbide Dinitrate Congestive Cardiac Failure
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- Dall JLC (1981) Observations on the action of digoxin. In: Caird FI, Grimley Evans J (eds) Advanced Geriatric medicine, Pitman, London, pp 56–61Google Scholar
- Johnston GD, Kelly JG, McDevitt DG (1978) Do patients take digoxin? Br Med J 40: 1–7Google Scholar
- MacDonald A (1979) The management of infective endocarditis. Br J Hosp Med 21: 498–510Google Scholar