Download Aging Issues in Cardiology by Irene D. Turpie MB, ChB, MSc, FRCPC (auth.), Irene D. PDF

By Irene D. Turpie MB, ChB, MSc, FRCPC (auth.), Irene D. Turpie, George A. Heckman (eds.)

Aging matters in Cardiology offers an summary of the sensible scientific components concerned with handling heart problems within the aged. This quantity should be invaluable to any health practitioner coping with the cardiovascular wellbeing and fitness of aged contributors.
Topics coated comprise:

-Delirium in aged Cardiac Patients,
- Pharmacologic matters,
- fundamental Prevention,
- Syncope,
- middle Failure,
- Coronary Revascularization.

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Sample text

20 likely to be problematic in elderly patients, particularly with short-term use . Benzodiazepines The sedative properties of benzodiazepines are often used to calm agitated patients, and regular administration is recommended in cardiology textbooks to prevent sympathetic overactivity due to anxiety . These agents are inferior to antipsychotics in the management of delirious patients because they can worsen confusion by further alteration of sensory perception.

Further research is needed to better differentiate HF symptoms from those of a depressive illness . All patients with HF and who have chronic physical symptoms should be screened for concomitant depression and treated accordingly . Depression and Cardiac Surgery The relationship between depression and cardiac surgery is also multifaceted and bi-directional. Depression status at angiography is associated with an increased need for revascularization and increased health care costs during the following year .

This was significantly related to the frequency of repeated defibrillation for malignant ventricular arrhythmias, suggesting that treatment incorporating cognitive therapy may be useful in this subset of patients. Depression and Heart Failure A complex and bi-directional relationship exists between depression and heart failure (HF) . Major depression has been reported in 14 to 36% of inpatients with HF, and minor depression in 34% . The prevalence of depression is greatest among HF patients with NYHA III or IV symptoms .

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