A panel of clinicians, researchers, and leaders in the field review and discuss the latest findings on the pathophysiology, diagnosis, and management of cardiovascular disease in the older patient. The authors explain the physiological changes associated with the normal aging process that may lead to the development of disease, to adverse consequences once disease develops, and which alter the risk-benefit equation for medical and other interventions designed to diagnose, assess, and treat cardiovascular disease. The focus is on particularly common syndromes in the elderly, including cardiac failure with normal ejection fraction, isolated systolic hypertension, and atrial fibrillation. Wherever possible, the authors take an evidence-based approach to recommendations and rely heavily on prospective clinical trials.
Aging of the Heart and Arteries.- Frailty.- Cardiovascular Risk Factors in the Elderly.- Stable Coronary Artery Disease in the Elderly.- Age and Mortality and Morbidity in ST-Segment Elevation Myocardial Infarction.- Unstable Angina/Non-ST-Elevation Myocardial Infarction in the Elderly.- Percutaneous Coronary Intervention in the Elderly.- Cardiac Surgery in the Elderly.- Heart Failure in the Elderly.- Valvular Heart Disease in the Elderly.- Arrhythmia Management in the Elderly.- Peripheral Arterial Disease in the Elderly.- Cardiac Rehabilitation in Older Cardiac Patients.- Clinical Pharmacology.- Medical Treatment of the Cardiac Patient Approaching the End of Life.