Cardiovascular Disease in the Elderly, Fourth Edition

Overview

Individuals 65 years of age or older currently account for over eighty percent of all cardiovascular disease-related deaths. With advances and breakthroughs in modern medicine that are allowing people to live longer, the number of older adults in this country will continue to grow exponentially over the next several decades. Cardiologists, geriatricians, and other clinicians caring for the elderly will require—at the very least—a basic understanding of cardiovascular disorders that commonly affect the older ...

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Overview

Individuals 65 years of age or older currently account for over eighty percent of all cardiovascular disease-related deaths. With advances and breakthroughs in modern medicine that are allowing people to live longer, the number of older adults in this country will continue to grow exponentially over the next several decades. Cardiologists, geriatricians, and other clinicians caring for the elderly will require—at the very least—a basic understanding of cardiovascular disorders that commonly affect the older patient. In the Fourth Edition of this classic text, each chapter has been thoroughly updated to provide a comprehensive, yet readable overview of the epidemiology, pathophysiology, evaluation, and treatment of cardiovascular disorders in older adults.

Cardiovascular Disease in the Elderly:

  • provides an in-depth discussion of the elderly patient in the clinical setting
  • considers the impact of multiple coexisting conditions, frailty, polypharmacy, and patient preferences in optimizing disease management
  • each chapter written by recognized experts in the evaluation and management of older individuals with cardiovascular disease
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Editorial Reviews

From The Critics
Reviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This multiauthored textbook of geriatric cardiology thoroughly discusses all aspects of heart disease in older persons. This edition, part of the series Fundamental and Clinical Cardiology, updates the third edition published in 2004.
Purpose: Its purpose is to provide an up-to-date, in-depth overview of the epidemiology, pathophysiology, evaluation, and treatment of cardiovascular diseases in older persons that is also clinically relevant and readable. The authors meet these objectives in high style.
Audience: The audience is cardiologists as well as primary care physicians, geriatricians, surgeons, anesthesiologists, and nurse practitioners who treat older persons with heart disease. This is a broad audience, and an appropriate one. The authors are all experts in the field.
Features: The eight sections cover aging changes in the cardiovascular system, risk factors and epidemiology of coronary artery disease, coronary artery disease, valvular heart disease, cardiomyopathies and heart failure, arrhythmias and conduction disturbances, cerebrovascular disease, and miscellaneous topics (including preoperative management, frailty and ethical considerations). The chapters are well illustrated and have well annotated references that incorporate the burgeoning literature in geriatric cardiology.
Assessment: This first-rate book is wonderful edited with a consistent style from chapter to chapter. In the preface the editor sets the tone in a humble, truthful way when he states that there is a paucity of data in the over 85 age group, making evidence-based conclusions difficult to come by. In the same vein, the presence of comorbid diseases may overshadow the usual factors in decision-making. Hopefully, this book will stimulate the future generation of cardiologists to look at diastolic dysfunction in the way that the current group is looking deeply at heart failure. This excellent book deserves a wide readership.
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Product Details

  • ISBN-13: 9781420061703
  • Publisher: CRC Press
  • Publication date: 2/20/2008
  • Series: Fundamental and Clinical Cardiology Series
  • Edition description: REV
  • Edition number: 4
  • Pages: 888
  • Product dimensions: 6.90 (w) x 10.10 (h) x 2.00 (d)

Meet the Author

WILBERT S. ARONOW is Clinical Professor of Medicine, Attending Physician, Divisions of Cardiology, Geriatrics, and Pulmonary/Critical Care Medicine, and Director, Cardiology Clinic, Westchester Medical Center, New York Medical College, Valhalla, and Senior Associate Program Director, and Research Mentor for the Residency and Fellowship Programs, Department of Medicine, New York Medical College. Dr. Aronow received his M.D. from Harvard Medical School, has edited or co-edited eight books, and is author or co-author of 992 papers.

JEROME L. FLEG is Medical Officer, Division of Cardiovascular Diseases, National Heart, Lung, and Blood Institute, Bethesda, Maryland, Guest Researcher, Laboratory of Cardiovascular Science, Gerontology Research Center, National Institute on Aging, Baltimore, Maryland, and Attending Cardiologist, National Naval Medical Center, Bethesda, Maryland. Dr. Fleg received his M.D. from the University of Cincinnati College of Medicine, and has written more than 85 book chapters and reviews and over 135 peer-reviewed articles.

MICHAEL W. RICH is Associate Professor of Medicine, Washington University School of Medicine, and Director, Cardiac Rapid Evaluation Unit, Barnes-Jewish Hospital, St. Louis, Missouri. Dr. Rich received his M.D. from the University of Illinois College of Medicine, Chicago, and has written over 110 peer-reviewed articles and more than 45 books and book chapters.

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Table of Contents

Foreword. Part I. Aging Changes in the Cardiovascular System. Normal Aging Changes in the CV System. Echocardiographic Measurements. Morphological Features. CV Drug Therapy. Part II. Coronary Artery Disease: Risk Factors and Epidemiology. Systemic Hypertension. Disorders of Lipid Metabolism. Diabetes Mellitus. Epidemiology of Coronary Heart Disease. Part III. Coronary Artery Disease. Diagnosis of Coronary Artery. Angina. Therapy of Acute Mycoardial Infarction. Mgt of the Older Patient. Surgical Mgt of Coronary Artery Disease. Percutaneous Coronary Intervention. Exercise Training. Part IV. Valvular Heart Disease. Aortic Valve Disease. Mitral Regurgitation. Endocarditis. Part V. Cardiomyopathies and Heart Failure. Cardiomyopathies. Thyroid Heart Disease. Heart Failure. Part VI. Arrhythmias and Conduction Disorders. Supraventricular Tachyarrhythmias. Ventricular Arrhythmias. Bradyarrhythmias. Part VII. Cerebrovascular Disease in the Elderly Patient. Cerebrovascular Disease. Evaluation of Syncope. Part VIII. Miscellaneous Topics. Anticoagulation. Acute Pulmonary Embolism. Management of Peripheral Arterial Disease in the Elderly. Perioperative CV Evaluation and Treatment. Impact of Comorbid Conditions. Ethical Decisions.

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