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Geriatric Cardiology and Blood Pressure

  • Chapter
Contemporary Geriatric Medicine

Part of the book series: Contemporary Geriatric Medicine ((COGM,volume 2))

Abstract

Degenerative disease of the cardiovascular system remains the leading cause of morbidity and mortality in the elderly patient. Coronary artery disease accounts for approximately 40% of all deaths beyond age 55 years.1 An impressive reduction in fatalities due to ischemic heart disease has been seen in the United States during the past 15 years. This favorable statistic applied to both sexes, whites and nonwhites, and patients over 65 years as well. For white males aged 65 to 74 years, the death rate from ischemic heart disease has fallen from 2119 per 100,000 in 1968 to 1642 per 100,000 in 1977.1 A comparable reduction in the incidence of coronary attacks was not seen initially,2 but more recent data suggest that they too are decreasing in number.3 Reduction in mortality most likely results from a change in smoking habits, awareness of diet, better physical fitness, newer pharmacologic agents, and interventions such as coronary bypass. Other therapeutic advances, particularly in the prevention and treatment of rheumatic fever and the surgical treatment of cardiac disease, have increased the life-span of cardiac patients. Degenerative disease superimposed on preexisting valvular heart disease has resulted in an increasing population of elderly patients with “hybrid” heart disease. Appropriate therapy depends on early recognition of the underlying disease process and an understanding of its pathology. This task is made more difficult because the clinical history is often atypical or the physical signs are masked by the effects of aging on the cardiovascular system.

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Authors and Affiliations

  1. Section of Geriatrics and Gerontology, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, 53226, USA

    Edmund H. Duthie Jr.

  2. Nursing Home Care Unit, Veterans Administration Medical Center, Milwaukee, Wisconsin, 53193, USA

    Edmund H. Duthie Jr.

  3. Section of Cardiology, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, 53226, USA

    Michael H. Keelan Jr.

  4. Milwaukee County Medical Center, Milwaukee, Wisconsin, 53226, USA

    Michael H. Keelan Jr.

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  1. Edmund H. Duthie Jr.
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  2. Michael H. Keelan Jr.
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Editors and Affiliations

  1. Division of Gerontology and Geriatric Medicine, New York Medical College, Valhalla, New York, USA

    Steven R. Gambert M.D., F.A.C.P. (Professor of Medicine, Director, Director of Geriatrics, Chief of Medical Services) (Professor of Medicine, Director, Director of Geriatrics, Chief of Medical Services)

  2. Department of Medicine, New York Medical College, Valhalla, New York, USA

    Steven R. Gambert M.D., F.A.C.P. (Professor of Medicine, Director, Director of Geriatrics, Chief of Medical Services) (Professor of Medicine, Director, Director of Geriatrics, Chief of Medical Services)

  3. Center for Aging and Adult Development, New York Medical College, Valhalla, New York, USA

    Steven R. Gambert M.D., F.A.C.P. (Professor of Medicine, Director, Director of Geriatrics, Chief of Medical Services) (Professor of Medicine, Director, Director of Geriatrics, Chief of Medical Services)

  4. Westchester County Medical Center, Valhalla, New York, USA

    Steven R. Gambert M.D., F.A.C.P. (Professor of Medicine, Director, Director of Geriatrics, Chief of Medical Services) (Professor of Medicine, Director, Director of Geriatrics, Chief of Medical Services)

  5. Ruth Taylor Geriatric and Rehabilitation Institute, Valhalla, New York, USA

    Steven R. Gambert M.D., F.A.C.P. (Professor of Medicine, Director, Director of Geriatrics, Chief of Medical Services) (Professor of Medicine, Director, Director of Geriatrics, Chief of Medical Services)

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© 1986 Plenum Publishing Corporation

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Duthie, E.H., Keelan, M.H. (1986). Geriatric Cardiology and Blood Pressure. In: Gambert, S.R. (eds) Contemporary Geriatric Medicine. Contemporary Geriatric Medicine, vol 2. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5000-2_1

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  • DOI: https://doi.org/10.1007/978-1-4684-5000-2_1

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