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Arrhythmias and Conduction Disturbances in the Elderly

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Cardiovascular Disease in the Elderly

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 31))

Abstract

Cardiac arrhythmias and conduction disturbances are frequent in the elderly population since there is a direct relationship between the presence of organic heart disease and the occurrence of cardiac arrhythmias [1, 2]. This observation may merely reflect an increased prevalence of heart disease in this aged population. Specifically, coronary artery disease, hypertension, and cardiomyopathies have been associated with an increased prevalence of arrhythmias and conduction disease [3]. There is also a well-recognized association of increased age with a higher prevalence of coronary artery disease [4]. In addition, primary disease of the conduction system related to the aging process has been well documented pathologically [5]. This degenerative process, described by Lev (Lev’s Disease), may involve the sinus node, atria, AV node, and the HisPurkinje system. Senile amyloidosis is also a frequent pathologic finding of the aging heart [5].

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References

  1. Mihalick MJ and Fisch C. Electrocardiographic findings in the aged. Am Heart J 87: 117, 1974.

    Article  PubMed  CAS  Google Scholar 

  2. Hinkle LE, Carver ST, and Steven M. The frequency of asymptomatic disturbances of cardiac rhythm and conduction in middle age men. Am J Cardiol 24: 629.

    Google Scholar 

  3. Winkle RA. Ambulatory electrocardiography. Mod Conc of Cardiovasc Dis. 49: 7, 1980.

    CAS  Google Scholar 

  4. Gordon T and Kannel WB. Premature mortality from coronary heart disease. JAMA 215: 1617, 1971.

    Article  PubMed  CAS  Google Scholar 

  5. Lev M and Bharati S. Age-related changes in the cardiac conduction system. IM 6: 19, 1981.

    Google Scholar 

  6. Bachman S, Sparrow D, and Smith K. Effect of aging on the electrocardiogram. Am) Cardiol 48: 513, 1981.

    Article  CAS  Google Scholar 

  7. Holter NJ. Radioelectrocardiography: A new technique for cardiovascular studies. Ann NY Acad Sci 65: 913, 1957.

    Article  PubMed  CAS  Google Scholar 

  8. Zeldis SM, Levine BA, Michelson EL, et al. Cardiovascular complaints, correlation with cardiac arrhythmias on 24-hour electrocardiographic monitoring. Chest 78: 456, 1980.

    Article  PubMed  CAS  Google Scholar 

  9. Camm AJ, Evans KE, Ward DE, et al. The rhythm of the heart in active elderly subjects. Amer Heart J 99: 598, 1980.

    Article  PubMed  CAS  Google Scholar 

  10. Uretz EF, Murphy T, Millar R, et al. The computer system for integration and analysis of cardiology patient information. In Proceedings: The Fifth Annual Symposium on Computer Applications in Medical Care, ed. by Heffernan HG. Los Angeles: Computer Society Press, 1981, pp 286.

    Google Scholar 

  11. Golden GS and Golden LH. The “nona” electrocardiogram: Findings in 100 patients of the 90+ age group. J of Am Geriatric Soc 22: 329, 1974.

    CAS  Google Scholar 

  12. Friedman G. Sinus bradycardia in the aged. J of Am Geriatric Soc 26: 289, 1978.

    CAS  Google Scholar 

  13. Bixler EO, Kales A, Soldatos CR, et al. Prevalence of sleep disorders in the Los Angeles metropolitan area. Am J Psychiatry 136: 1251, 1979.

    Google Scholar 

  14. Kostis JB, Moreyra AE, and Amendo MT. The effect of age on heart rate in subjects free of heart disease studies by ambulatory electrocardiography and maximal exercise stress test. Circulation 65: 141, 1982.

    Article  PubMed  CAS  Google Scholar 

  15. Goren C and Denes P. The role of Holter monitoring in detection of digitalis provoked arrhythmias. Chest 79: 555, 1981.

    Article  PubMed  CAS  Google Scholar 

  16. Bhat PK, Watanabe K, Rao DB, et al. Conduction defects in the aging heart. J of Am Geriatric Soc 22: 517, 1974.

    CAS  Google Scholar 

  17. Swiryn SP, Rosen KM, and Dhingra RC. How to evaluate conduction disease in the aged. Geriatrics 7: 63, 1980.

    Google Scholar 

  18. Aronson JK. The interpretation of bradycardia in digitalised patients. Practical Cardiology 7: 115, 1981.

    Google Scholar 

  19. Brodsky M, Wu D, Denes P, et al. Arrhythmias documented by 24-hour continuous electrocardiographic monitoring in 50 male medical students without apparent heart disease. Am J Cardiol 39: 390, 1977.

    Article  PubMed  CAS  Google Scholar 

  20. Kirk JE and Kvorning SA. Sinus bradycardia. A clinical study of 515 consecutive cases. Acta Med Scand Suppl 266: 625, 1952.

    PubMed  CAS  Google Scholar 

  21. Gordon M. Occult cardiac arrhythmias associated with falls and dizziness in the elderly: Detection by Holter monitoring. J Am Geriatrics Soc 26: 418, 1978.

    Google Scholar 

  22. Jonas S, Klein I, and Dimant J. Importance of Holter monitoring in patients with periodic cerebral symptom. Ann Neurol 1: 470, 1977.

    Article  PubMed  CAS  Google Scholar 

  23. Wohl AJ, Laborde J, Atkins J, et al. Prognosis of patients permanently paced for sick sinus syndrome. Arch Intern Med 136: 406, 1976.

    Article  PubMed  CAS  Google Scholar 

  24. Dhingra RC, Denes P, Wu D, et al. Incidence and site of AV block in a large prospectively followed group of patients with chronic bifascicular block. Circulation 56: 199, 1977.

    Article  Google Scholar 

  25. Denes P, Dhingra RC, Wu D, et al. Sudden death in patients with bifascicular block. Arch Int Med 137: 1005, 1977.

    Article  CAS  Google Scholar 

  26. Sanders S and Denes P. Clinical significance of paroxysmal AV block detected on Holzer monitoring. Clin Res 27: 620, 1979.

    Google Scholar 

  27. Dhingra R, Denes P, Wu D, et al. The significance of second-degree AV block and bundle branch block: Observation regarding site and type of block. Circulation 45: 638, 1974.

    Article  Google Scholar 

  28. Lown B. Sudden cardiac death: The major challenge confronting contemporary cardiology. Am J Cardiol 43: 313, 1979.

    Article  PubMed  CAS  Google Scholar 

  29. Sleight P. Beta-adrenergic blockade after myocardial infarction. N Engl J Med 304: 837, 1981.

    Article  PubMed  CAS  Google Scholar 

  30. Warnowicz MA and Denes P. Chronic ventricular arrhythmias: Comparative drug effectiveness and toxicity. Prog in Cardiovasc Disease 23: 225, 1980.

    Article  CAS  Google Scholar 

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© 1984 Springer Science+Business Media Dordrecht

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Nelson, R.D., Ezri, M.D., Denes, P. (1984). Arrhythmias and Conduction Disturbances in the Elderly. In: Messerli, F.H. (eds) Cardiovascular Disease in the Elderly. Developments in Cardiovascular Medicine, vol 31. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1815-7_5

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  • DOI: https://doi.org/10.1007/978-1-4757-1815-7_5

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-1817-1

  • Online ISBN: 978-1-4757-1815-7

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