By F. I. Caird, R. D. Kennedy (auth.), F. I. Caird, J. L. C. Dall, R. D. Kennedy (eds.)
As durability raises, the scope of cardiac issues extends extra broadly within the 6th decade and onward into the 7th and subse quent a long time. for instance, due to powerful cardiac surgical procedure in youth, congential center disorder is now discovered with expanding frequency in adults and never quite in individuals over sixty five years of age. The frequency of aortic valve substitute for calcific congenital valve stenosis in topics round 70 years of age illustrates the intrusion of congenital center affliction into the older age variety. hence, the publica tion of Cardiology in outdated Age can be particularly welcome at the present. The Editors have assembled an impressive galaxy of specialists to give the detailed difficulties of epidemiology, pathology, cardiovascu lar body structure and serve as, and of particular cardiac issues within the aged. The bankruptcy on cardiac surgical procedure is very applicable to many present difficulties. the complete topic needs to be of transforming into drawback to all clinicians and medical examiners who've more and more to house older sufferers who've cardiovascular problems. wisdom of the consequences of getting older at the cardiovascular method is hence of significant curiosity and the data given during this booklet surely can be of price to normal physicians and cardiologists, who should be anticipated sooner or later to paintings extra heavily with geriatricians within the care of the aged. carrying on with study into the issues of getting older is obviously additionally of serious value in particular within the box of cardiovascular medicine.
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Additional info for Cardiology in Old Age
Coxsackie B, ECHO, psittacosis, mycoplasma, and poliomyelitis are the most likely etiological agents (Lancet 1971, Burch et al. 1970), and all have been demonstrated in excised deformed valves (Ward and Ward 1974). Infective Endocarditis Following the introduction of antibiotics and the declining incidence of rheumatic fever, infective endocarditis has changed from a disease predominantly of young adults with rheumatic heart disease and is increasingly becoming a disease of elderly patients with no known previous valve pathology (Hughes and Gauld 1966, Lerner and Weinstein 1966, Lancet 1971, Applefeld and Hornick 1974, Thell et al.
20 Ariela Pomerance Fig. 5. Ventricular myocardium showing bands of dark-staining amyloid deposition surrounding myofibers. , X180) cases. Rosenthal and Franklin (1975), however, have recently reported an age-associated increase in a serum factor related to secondary and some familial forms of amyloidosis. It is clear that further studies of senile amyloidosis, using these sensitive techniques, are needed. Cardiomyopathies Both hypertrophic and congestive primary cardiomyopathies occur in the elderly.
These vary in size, color, and consistency, and are macroscopically indistinguishable from infective vegetations. Microscopically, they differ in that microorganisms and inflammatory reaction are absent. Vegetations are often endothelialized, and organization and calcification are occasionally seen. Minor postinflammatory scarring and rheumatic-type deformities are often present in the underlying valve; the reported incidence has ranged up to 85% (Eliakim and Pinchas 1966). In most elderly patients, NBTE is a clinically unimportant aspect 48 Ariela Pomerance Fig.