Advertisement

Geriatrics 1 pp 93-108 | Cite as

Valvular Disease of the Heart

  • F. I. Caird

Abstract

Classical cardiological teaching is that valvular heart disease, except aortic stenosis, is rare in old age. That this is not so was clearly shown by pathological investigations (Friedberg and Tartakower 1931), and by clinical studies reviewed by Bedford and Caird (1960).

Keywords

Mitral Valve Aortic Stenosis Infective Endocarditis Giant Cell Arteritis Mitral Stenosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Acheson RM, Acheson ED (1958) Coronary and other heart disease in a group of Irish males aged 65–85. Br J Prev Soc Med 12: 147–153PubMedGoogle Scholar
  2. Andersen JA, Hansen BF, Lyngborg K (1975) Isolated valvular aortic stenosis. Acta Med Scand 197: 61–64PubMedCrossRefGoogle Scholar
  3. Aravanis C, Luisada AA (1957) Obstructive and relative aortic stenosis: differential diagnosis by phonocardiography. Am Heart J 54: 32–41PubMedCrossRefGoogle Scholar
  4. Austen WG, De Sanctis RW, Buckley MJ, Mundth ED, Scannell JG (1970) Surgical management of aortic valve disease in the elderly. J Am Med Assoc 211: 624–626CrossRefGoogle Scholar
  5. Bedford PD, Caird FI (1960) Valvular disease of the heart in old age. Churchill LondonGoogle Scholar
  6. Bulkley BH, Roberts WC (1973) Ankylosing spondylitis and aortic regurgitation. Circulation 48: 1014–1027PubMedGoogle Scholar
  7. Caird FI (1976) Valvular heart disease. In: Caird FI, Dall JLC, Kennedy RD (eds) Cardiology in old age. Plenum Press, New York London, pp 231–247Google Scholar
  8. Caird FI (1980) Radionuclide studies of the circulation in the elderly. J Clin Exp Gerontol 2: 23–40Google Scholar
  9. Caird FI, Dall JLC (1979) Cardiovascular system. In: Brocklehurst JC (ed) Textbook of geriatric medicine and gerontology, 2nd edn. Churchill Livingstone, Edinburgh London, pp 125–127Google Scholar
  10. Caird FI, Kennedy RD, Kelly JCC (1973) Combined apexcardiography and phonocardiography in investigation of heart disease in old age. Gerontol Clin 15: 366–377CrossRefGoogle Scholar
  11. Clark WS, Kulka JP, Bauer W (1957) Rheumatoid aortitis with aortic regurgitation. Am J Med 22: 580–592PubMedCrossRefGoogle Scholar
  12. Cooke WT, White PD (1941) Tricuspid stenosis. Br Heart J 3: 147–165PubMedCrossRefGoogle Scholar
  13. Currens JH (1967) Rheumatic heart disease from ages 71 to 98. JAMA 199: 849–851PubMedCrossRefGoogle Scholar
  14. de Bono AHB, English TAH, Milstein BB (1978) Heart valve replacement in the elderly. Br Med J 2: 917–919PubMedCrossRefGoogle Scholar
  15. de Pasquale NP, Burch GE (1966) The necropsy incidence of gross scars or acute infarction of the papillary muscles of the left ventricle. Am J Cardiol 17: 169CrossRefGoogle Scholar
  16. Dillon JC, Haine CL, Chang S, Feigenbaum H (1971) Use of echocardiography in patients with prolapsed mitral valve. Circulation 43: 503–507PubMedGoogle Scholar
  17. Droller H, Pemberton J (1953) Cardiovascular disease in a random sample of elderly people. Br Heart J 15: 199–204PubMedCrossRefGoogle Scholar
  18. Eisinger AJ (1971) Atrial fibrillation in bacterial endocarditis. Br Heart J 33: 739–741PubMedCrossRefGoogle Scholar
  19. Epstein EJ, Coulshed N (1973) Phonocardiogram and apex cardiogram in systolic click-late systolic murmur syndrome. Br Heart J 35: 260–275PubMedCrossRefGoogle Scholar
  20. Finegan RE, Gianelli RE, Harrison DC (1969) Aortic stenosis in the elderly. New Engl J Med 281: 1261–1264PubMedCrossRefGoogle Scholar
  21. Forker AD, McCallister BD, Giuliani ER, Osmundson PJ (1970) Atypical presentations of patients with calcific aortic stenosis. JAMA 212: 774–779PubMedCrossRefGoogle Scholar
  22. Friedberg CK, Tartakower T (1931) Über den günstigen Verlauf des endokarditischen Herzklappenfehlers. Z Klin Med 116: 759–803Google Scholar
  23. Glancy DL, Freed TA, O’Brien KP, Epstein SE (1969) Calcium in the aortic valve. Ann Intern Med 71: 245–250PubMedGoogle Scholar
  24. Gleckler WJ (1958) Diagnostic aspects of subacute bacterial endocarditis in the elderly. Arch Int Med 102: 761–765Google Scholar
  25. Goodwin JF (1963) Diagnosis of left atrial myxoma. Lancet 1: 464–468PubMedCrossRefGoogle Scholar
  26. Goodwin JF, Rab SM, Sinha MH, Zoob M (1957) Rheumatic tricuspid stenosis. Br Med J 2: 1383–1389PubMedCrossRefGoogle Scholar
  27. Harvey WP (1968) Clinical aspects of cardiac tumors. Am J Cardiol 21: 328–343PubMedCrossRefGoogle Scholar
  28. Hebbert FJ, Rankin J (1954) Mitral valve disease over the age of fifty. Acta Med Scand 150: 101–118PubMedCrossRefGoogle Scholar
  29. Heggtveit HA (1964) Syphilitic aortitis: a clinicopathological autopsy study of 100 cases 1950 to 1960. Circulation 29: 346–355PubMedGoogle Scholar
  30. Heikillä J (1967) Mitral incompetence complicating acute myocardial infarction. Br Heart J 29: 162–169CrossRefGoogle Scholar
  31. Kennedy RD, Andrews GR, Caird FI (1977) Ischaemic heart disease in the elderly. Br Heart J 39: 1121–1127PubMedCrossRefGoogle Scholar
  32. Kirk RS, Russell JGB (1969) Subvalvular calcification of the mitral valve. Br Heart J 31: 684–692PubMedCrossRefGoogle Scholar
  33. Kitchin A, Turner R (1964) Diagnosis and treatment of tricuspid stenosis. Br Heart J 26: 354–379PubMedCrossRefGoogle Scholar
  34. Korn D, de Sanctis RW, Sell S (1962) Massive calcification of the mitral annulus. New Engl J Med 267: 900–909PubMedCrossRefGoogle Scholar
  35. Korner P, Shillingford JP (1957) Tricuspid incompetence and right ventricular output in congestive heart failure. Br Heart J 19: 1–7PubMedCrossRefGoogle Scholar
  36. Krasnow N, Stein RA (1978) Hypertrophic cardiomyopathy in the aged. Am Heart J 96: 326–336PubMedCrossRefGoogle Scholar
  37. Kumpe CW, Bean WB (1948) Aortic stenosis. Medicine (Baltimore) 27: 139–185Google Scholar
  38. Levine E, Stein M, Gordon G, Mitchell N (1951) Chronic dissecting aneurysm of the aorta resembling chronic rheumatic heart disease. New Engl J Med 244: 902–906PubMedCrossRefGoogle Scholar
  39. McMillan JB, Lev M (1959) The aging heart. J Gerontol 14: 268–283Google Scholar
  40. Nasser WK, Davis RH, Dillon JC, Tavel ME, Helman CH, Feigenbaum H, Fisch C (1972) Atrial myxoma. Am Heart J 83: 810–824CrossRefGoogle Scholar
  41. Oh W, Hickman R, Emanuel R, McDonald L, Somerville J, Ross D, Ross K, Gonzalez-Lavin L (1973) Heart valve surgery in 114 patients over the age of 60. Br Heart J 35: 174–180PubMedCrossRefGoogle Scholar
  42. Pomerance A (1972) Pathogenesis of aortic stenosis and its relation to age. Br Heart J 34: 569–574PubMedCrossRefGoogle Scholar
  43. Pomerance A (1976) Pathology of the myocardium and valves. In: Caird FI, Dali JCL, Kennedy RD (eds) Cardiology in old age. Plenum Press, New York London, pp 11–55Google Scholar
  44. Pomerance A, Davies MJ (1975) Pathological features of hypertrophic obstructive cardio-myopathy in the aged. Brit Heart J 37: 305–312PubMedCrossRefGoogle Scholar
  45. Popp RL, Brown OW, Silverman JF, Harrison DC (1974) Echocardiographic abnormalities in the mitral valve prolapse syndrome. Circulation 49: 428–433PubMedGoogle Scholar
  46. Prewitt TA (1970) Syphilitic aortic insufficiency. J Amer Med Ass 211: 637–639CrossRefGoogle Scholar
  47. Roberts WC, Perloff JK, Constantino T (1971) Severe aortic valvular stenosis in patients aged over 65. Amer J Cardiol 27: 497–506PubMedCrossRefGoogle Scholar
  48. Rodstein M, Zeman FD (1967) Aortic stenosis in the aged. Clinical pathological correlations. Amer J Med Sci 254: 577–584PubMedCrossRefGoogle Scholar
  49. Romhilt DW, Bove KE, Norris RJ, Conyers E, Conradi S, Rowlands DT, Scott RC (1969) A critical appraisal of the electrocardiographic criteria for the diagnosis of left ventricular hypertrophy. Circulation 40: 185–195PubMedGoogle Scholar
  50. Rytand DA, Lipsitch LS (1946) Clinical aspects of calcification of the mitral annulus flbrosus. Arch Intern Med 78: 544–564Google Scholar
  51. Sell S, Scully RE (1965) Aging changes in the aortic and mitral valves. Am J Path 46: 345–365PubMedGoogle Scholar
  52. Sievers J, Hall P (1971) Incidence of acute rheumatic fever. Br Heart J 33: 833–836PubMedCrossRefGoogle Scholar
  53. Simon MA, Liu SF (1954) Calcification of the mitral valve annulus and its relation to functional valve disturbances. Am Heart J 48: 497–505PubMedCrossRefGoogle Scholar
  54. Starr A, Lawson R (1976) Cardiac surgery in the elderly. In: Caird FI, Dali JLC, Kennedy RD (eds) Cardiology in old age. Plenum Press, New York London, pp 369–396Google Scholar
  55. Suter F (1897) Über das Verhalten des Aortenumfanges unter physiologischen und pathologischen Bedingungen. Arch Exp Path Pharmakol 39: 289–332CrossRefGoogle Scholar
  56. Swan DA, Bell B, Oakley CM, Goodwin JF (1971) Analysis of symptomatic course and prognosis and treatment of hypertrophic obstructive cardiomyopathy. Br Heart J 33: 671–685PubMedCrossRefGoogle Scholar
  57. Wedgwood J (1976) Remediable heart disease. In: Caird FI, Dali JLC, Kennedy RD (eds) Cardiology in old age. Plenum Press, New York London, pp 249–265Google Scholar
  58. Whiting RB, Powell WJ, Dinsmore RE, Sanders CA (1971) Idiopathic hypertrophic subaortic stenosis in the elderly. New Engl J Med 285: 196–200PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1982

Authors and Affiliations

  • F. I. Caird

There are no affiliations available

Personalised recommendations