Cardiovascular Disease and Health in the Older Patient

As improvements in living conditions and advances in modern medicine lead to increased life expectancy and the number of older adults world-wide continues to grow, so the number of older individuals with cardiac and cerebrovascular disease is rising. Over eighty per cent of all cardiovascular disease-related deaths now occur in patients aged sixty five or older. The high prevalence of co-morbidities, frailty and cognitive decline amongst older patients requires that a holistic approach to the management of cardiovascular disease is required. Written and edited by leading experts in the field, Cardiovascular diseases and health in the older patient provides scholarly evidence and data which explain why treating an older patient with cardiovascular disease is often different from treating a young or middle-aged patient with the same disease. The chapters have been updated and expanded from the cardiovascular section of the renowned Pathy s Principles and Practice of Geriatric Medicine , edited by Alan J. Sinclair, John E. Morley and Bruno Vellas. The revised chapters contain updated evidence and references to recent clinical practice guidelines in Europe and North America, this book provides complete, authoritative information on this major cause of death, poor health and disability in old age. Covering the epidemiology, pathophysiology and management of cardiovascular disease in the older patient, the book is an excellent reference at all clinical and pre-clinical levels and will appeal particularly to geriatricians, cardiologists, and GPs, as well as cardiac specialist nurses and practice nurses. With a Foreword by Stuart M. Cobbe.

As improvements in living conditions and advances in modernmedicine lead to increased life expectancy and the number of olderadults world-wide continues to grow, so the number of olderindividuals with cardiac and cerebrovascular disease is rising.Over eighty per cent of all cardiovascular disease-related deathsnow occur in patients aged sixty five or older. The highprevalence of co-morbidities, frailty and cognitive decline amongstolder patients requires that a holistic approach to the managementof cardiovascular disease is required.Written and edited by leading experts in the field'Cardiovascular diseases and health in the olderpatient' provides scholarly evidence and data whichexplain why treating an older patient with cardiovascular diseaseis often different from treating a young or middle-aged patientwith the same disease. The chapters have been updated andexpanded from the cardiovascular section of the renowned'Pathy's Principles and Practice of GeriatricMedicine', edited by Alan J. Sinclair, John E. Morley andBruno Vellas. The revised chapters contain updated evidenceand references to recent clinical practice guidelines in Europe andNorth America, this book provides complete, authoritativeinformation on this major cause of death, poor health anddisability in old age.Covering the epidemiology, pathophysiology and management ofcardiovascular disease in the older patient, the book is anexcellent reference at all clinical and pre-clinical levels andwill appeal particularly to geriatricians, cardiologists, and GPsas well as cardiac specialist nurses and practice nurses.With a Foreword by Stuart M. Cobbe.

List of Contributors, viiForeword, ixIntroduction, xi1 Epidemiology of Heart Disease, 1Ahmed H. Abdelhafiz2 Cardiac Ageing and Systemic Disorders, 29David J. Stott and Terence J. Quinn3 Hypertension, 44Anthony S. Wierzbicki and Adie Viljoen4 Lipid Management, 68Adie Viljoen and Anthony S. Wierzbicki5 Arrhythmias, 90Abhay Bajpai and A. John Camm6 Hypotension, 135Suraj Alakkassery7 Ischaemic Heart Disease, 152Wilbert S. Aronow8 Heart Failure, 172Michael W. Rich9 Cardiac Surgery, 202Ulrich O. von Oppell and Adam Szafranek10 Cardiac Rehabilitation, 234Niccol`o Marchionni, Francesco Fattirolli, Francesco Orso, MarcoBaccini, Lucio A. Rinaldi and Giulio Masotti11 Acute Stroke Care and Management of Carotid Artery Stenosis261David Doig and Martin M. Brown12 Stroke Rehabilitation, 299Lalit Kalra13 Communication Disorders and Dysphagia, 329Pamela M. Enderby14 Peripheral Arterial Disease, 345Leocadio Rodr´yguez-Ma ~ nas, Marta CastroRodr´yguez and Cristina Alonso Bouz´on15 Venous Thromboembolism, 366Gordon D.O. Lowe16 Planning Cardiovascular Investigations and Management ofOlder People, 376Jennifer K. Harrison, Terence J. Quinn and David J.StottIndex, 395