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
Mihalick MJ and Fisch C. Electrocardiographic findings in the aged. Am Heart J 87: 117, 1974.
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.
Winkle RA. Ambulatory electrocardiography. Mod Conc of Cardiovasc Dis. 49: 7, 1980.
Gordon T and Kannel WB. Premature mortality from coronary heart disease. JAMA 215: 1617, 1971.
Lev M and Bharati S. Age-related changes in the cardiac conduction system. IM 6: 19, 1981.
Bachman S, Sparrow D, and Smith K. Effect of aging on the electrocardiogram. Am) Cardiol 48: 513, 1981.
Holter NJ. Radioelectrocardiography: A new technique for cardiovascular studies. Ann NY Acad Sci 65: 913, 1957.
Zeldis SM, Levine BA, Michelson EL, et al. Cardiovascular complaints, correlation with cardiac arrhythmias on 24-hour electrocardiographic monitoring. Chest 78: 456, 1980.
Camm AJ, Evans KE, Ward DE, et al. The rhythm of the heart in active elderly subjects. Amer Heart J 99: 598, 1980.
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.
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.
Friedman G. Sinus bradycardia in the aged. J of Am Geriatric Soc 26: 289, 1978.
Bixler EO, Kales A, Soldatos CR, et al. Prevalence of sleep disorders in the Los Angeles metropolitan area. Am J Psychiatry 136: 1251, 1979.
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.
Goren C and Denes P. The role of Holter monitoring in detection of digitalis provoked arrhythmias. Chest 79: 555, 1981.
Bhat PK, Watanabe K, Rao DB, et al. Conduction defects in the aging heart. J of Am Geriatric Soc 22: 517, 1974.
Swiryn SP, Rosen KM, and Dhingra RC. How to evaluate conduction disease in the aged. Geriatrics 7: 63, 1980.
Aronson JK. The interpretation of bradycardia in digitalised patients. Practical Cardiology 7: 115, 1981.
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.
Kirk JE and Kvorning SA. Sinus bradycardia. A clinical study of 515 consecutive cases. Acta Med Scand Suppl 266: 625, 1952.
Gordon M. Occult cardiac arrhythmias associated with falls and dizziness in the elderly: Detection by Holter monitoring. J Am Geriatrics Soc 26: 418, 1978.
Jonas S, Klein I, and Dimant J. Importance of Holter monitoring in patients with periodic cerebral symptom. Ann Neurol 1: 470, 1977.
Wohl AJ, Laborde J, Atkins J, et al. Prognosis of patients permanently paced for sick sinus syndrome. Arch Intern Med 136: 406, 1976.
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.
Denes P, Dhingra RC, Wu D, et al. Sudden death in patients with bifascicular block. Arch Int Med 137: 1005, 1977.
Sanders S and Denes P. Clinical significance of paroxysmal AV block detected on Holzer monitoring. Clin Res 27: 620, 1979.
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.
Lown B. Sudden cardiac death: The major challenge confronting contemporary cardiology. Am J Cardiol 43: 313, 1979.
Sleight P. Beta-adrenergic blockade after myocardial infarction. N Engl J Med 304: 837, 1981.
Warnowicz MA and Denes P. Chronic ventricular arrhythmias: Comparative drug effectiveness and toxicity. Prog in Cardiovasc Disease 23: 225, 1980.
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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
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