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Your Online Guide » Guide to Medical » Symptoms of Heart Problems

[D439]Disease In The Elderly
by Ng Peng Hock, Ng
When a person ages, his or her cardiovascular system will undergo some normal and expected changes. These can be age-associated changes in cardiac anatomy; age-associated changes in cardiovascular physiology; and age-associated changes in pharmacokinetics and pharmacodynamics.

The presentation of CHD may be altered by these changes together with other age-related changes in the kidneys, brain, and musculoskeletal systems. Ultimately, the diagnosis and hence the treatment of heart disease in elderly may become more complicated.

Various conventional risk factors for CHD among younger people such as smoking, hypertension, hyperlipidemia and diabetes mellitus remain important factors for elderly. Furthermore, age is a powerful and independent risk factor for CHD. The risk increases when men reach 55 years old and above and women reach 65 years old and above.

Females have a much lower risk of CHD compared to males, but this gender differential diminishes as age advances. For example, the event rate is 1:5 in favor of females at the age of 35, but by the age of 70, the ratio is almost 1:1.

Symptoms such as breathlessness, giddiness or palpitation are quite common for the CHD in the elderly. Sometimes, musculoskeletal problem in the elderly may prevent the patient from complaining of exercise related angina. Instead of complaining of chest pain during a heart attack, an elderly patient may develop difficulty in breathing or symptom of stroke. Silent heart attack is also common. As reported in the Cardiovascular Health Study and the Framingham Heart Study, some 40 percent of unrecognized heart attack was found in those aged between 75 and 84 years.

In the management of heart disease, some diagnostic procedures such as treadmill exercise may not be suitable because of the associated joint problems in the elderly. It is also more risky to perform coronary angiography and coronary angioplasty procedures for the elderly patients with the presence of diminished kidney function. Following a heart attack, the in-hospital mortality and risk of subsequent reinfarction or its complications are all increased in the elderly patients. The use of clot busting medication (thrombolytics) has an increased risk of cerebral hemorrhage in the very elderly. Some age-associated changes in kidney or gastrointestinal function may require reduction in the usual drug dosages when heart medications are used in older patients.

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Alzheimer's disease, Alzheimer's or as some refer to this malady with the sound alike, similar sounding term “Old Timers” affects many people in their later years. Whether it was around all the time, and the diagnosis or label was not readily available or testable or now, or whether it is just a catch phrase by health care providers to provide a label for the family no one can really ascertain or say for sure. One major point can be made however when it comes to Alzheimer's disease, its diagnosis and progress is that memory loss by itself, is not part and not necessarily part of healthy aging. Alzheimer's disease is something entirely different than ordinary standard aging as people grow older. Not all the elderly or will most people as they age “just get Alzheimer Disease”. It only happens to some as they age – it is not an eventuality that all the elderly and indeed ourselves will face with certainty in our later years.

The one catch phrase that covers the memory loss that occurs in people as they age – in the elderly component of our populations is the medical term “dementia”. Dementia is the larger catch phrase – the larger pool of patients who suffer from a variety and any number of illnesses that can result in memory loss. Dementia is not one disease – but a whole rainbow – a spectrum of a number of diseases of illnesses. Among the other illnesses that can be included in the larger overall group of dementia include - dementia as a result of strokes ( vascular dementia) , dementia as a result of physical problems in the brain ( fronto-temporal dementia), the group of brain disorders that most commonly serve as the model for mad cow disease “ Creutzfeld-Jakob disease”, among others. It can be said that Alzheimer's disease is only one illness in this whole mix of illnesses that can cause memory loss. All patients who are said to have dementia may have memory loss – it may be minor, it may be more major, it may progress with time. On the other side of the coin – patients who do have Alzheimer's disease will be said it have dementia.

What makes Alzheimer's disease different and so readily identifiable than the others is that actual changes can be seen inside the brains of people who suffer from this illness and malady. Inside the brains of Alzheimer's patient's accumulations known specifically as “plaque” and “plaques” build up and start to actually choke off what were once very healthy brain cells. It can be said that in Alzheimer's disease that the brain are actually choked off and killed by the blockage afforded within the brain itself by these plaques and plaque compounds. With time the brains of Alzheimer's patients can be actually said to wither away. What results from the occurrence and growth of these plaque and areas of plaques are both plaques and areas of tangle in the brain?

Alzheimer's disease is a progressive, accumulative degenerative disease. Alzheimer's disease seldom gets better, as time goes on the plaque and areas of plaques and tangles do their damage. The damages to the brain and specifically to memory are accumulative – that is they grow and increase with time. With an Alzheimer's disease patent it is unlikely that they will recover or “get better”. Rather the hope with medications and the especially the newer Alzheimer's Disease treatment medications is that the progress and advance of Alzheimer's will be slowed down and reduced greatly in patients.

Article Source : Cardio

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Both Ng Peng Hock & Maggie Z. Mathews are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.

Ng Peng Hock has sinced written about articles on various topics from Health, Heart Conditions and Health. Feel free to use this article on your website or ezine as long as the following information about author/website is included. Heart Disease Prevention - 8 Simple Ways You Can Do Immediately, Go to:. Ng Peng Hock's top article generates over 135000 views. to your Favourites.

Maggie Z. Mathews has sinced written about articles on various topics from Medical Tourism, About Branding and Diamonds. Unidrugs - We search best online pharmacy drug pricing internet online pharmacies. Maggie Z. Mathews's top article generates over 8100 views. to your Favourites.
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