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Cited by 68Cardiovascular Function and Risk FactorsCardiovascular Health and Risk FactorsHeart Failure Treatment and Management

Heart disease and aging

Aronow, Wilbert S.·2006·Medical Clinics of North America
DOI 10.1016/j.mcna.2006.05.009
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Abstract

CAD is the most common cause of death in older persons and was present in 43% of 1,160 men and in 41% of 2,464 women, mean age 81 years. Hypertension was present in 60% of these older women and in 57% of these older men. The prevalence of valvular aortic stenosis, aortic regurgitation, mitral regurgitation, and MAC increases with age in older men and in older women. The prevalence and incidence of CHF increase with age. CHF is the most common cause of hospitalization in persons aged 65 years and older. The prevalence of normal LV ejection fraction associated with CHF increases with age and is higher in older women than in older men. The prevalence of chronic atrial fibrillation increases with age and was present in 16% of 1,160 older men and in 13% of 2,464 older women. Atrial fibrillation is an independent predictor of new coronary events and thromboembolic stroke in older persons. Older persons who have unexplained syncope should have 24-hour ambulatory electrocardiograms to determine whether pauses of longer than 3 seconds are present that require permanent pacemaker implantation.

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  • Coincidental findings of cardiovascular diagnoses such as aortic stenosis or atrial fibrillation may not necessarily be the attributable cause of syncope events.

    “Conversely, coincidental findings of cardiovascular diagnoses such as aortic stenosis or atrial fibrillation 377 may not necessarily be the attributable cause of events. 378-380”

    From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [379]

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Authors
Aronow, W. S.
Affiliations
New York Medical College (US)
Corresponding author
Aronow, Wilbert S.
ORCID
Aronow, Wilbert S.
Venue
Medical Clinics of North America
Publisher
Elsevier BV
Published
2006-09
Volume
90
Issue
5
Pages
849-862
ISSN
0025-7125 (ISSN-L)
DOI
10.1016/j.mcna.2006.05.009
OpenAlex
W2084932194
Cited by
68
References
74
Citations by year
2025: 2 · 2024: 2 · 2023: 3 · 2022: 3 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 1 · 2014: 3 · 2013: 8 · 2012: 5
FWCI
0.94
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Medical Clinics of North America (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
Keywords
coronary artery disease, hypertension, valvular heart disease, congestive heart failure, atrial fibrillation, syncope, permanent pacemaker, thromboembolic stroke, sex differences
MeSH terms
Age Factors, Aged, Atrial Fibrillation, Coronary Artery Disease, Cross-Sectional Studies, Female, Heart Diseases, Heart Failure, Heart Valve Diseases, Humans, Male, Risk Factors, Sex Factors, Electrocardiography, Ambulatory, Incidence, Ventricular Dysfunction, Left

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