By Irene D. Turpie MB, ChB, MSc, FRCPC (auth.), Irene D. Turpie, George A. Heckman (eds.)
Aging concerns in Cardiology presents an summary of the sensible medical parts thinking about coping with heart problems within the aged. This quantity might be worthy to any medical professional handling the cardiovascular overall healthiness of aged contributors.
Topics coated comprise:
-Delirium in aged Cardiac Patients,
- Pharmacologic concerns,
- basic Prevention,
- center Failure,
- Coronary Revascularization.
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Extra info for Aging Issues in Cardiology
Malone ML, Rosen LB, Goodwin JS. Complications of acute myocardial infarction in patients 2:90 years of age. Am J CardioI1998;81:638-641. 31. Manos PJ. Wu R. The duration of delirium in medical and postoperative patients referred for psychiatric consultation . Ann Clin Psychiatry 1997;9:219-226. 32. Marcantonio ER, Flacker JM, Michaels M, Resnick NM. Delirium is independently associated with poor functional recovery after hip fracture. J Am Geriatr Soc 2000;48:618-624. 33. Marcantonio ER, Flacker 1M, Wright RJ, Resnick NM.
Introduction of the concept of depression by the primary physician may facilitate acceptance of the diagnosis and treatment of the depressive disorder. 42 Table 5. 'Flags ' suggestive ofa major depressive illness ill tire elderly cardiac patient, Symptoms Somatic complaints (pain, headaches, GI disturbance) Loss of self esteem with feelings of uselessnesslhopelessness Difficult ies with concentration and memory Fatigue , even without physical activity Feeling "burned out" Inabi lity to sleep Unintentional weight loss Irritabil ity, feeling anxiou s Suicidal ideation or wish to die Signs Apathy Soc ial withdrawal Lack of interest in personal care Agitation or slowed speech/movements Difficulties coping with recent losses or other stresses Inabil ity to derive pleasure from life (anhedonia) Inability to be cheered up Fearfulness Pessim ism/self-pity Medical Concerns Unexplained somatic complaints with frequent visits to physicians Functional impairment disproportionate to the severity of the medical illness Poor adherence to management recommendations Chronic anxiety Requests for prolongation of sick leave from work References: Niederehe, 1994; Luber, 1996 ; Lebow itz, 1997; Unutzer, 1997; Ryden et aI, 1998; Kane , 1999 ; Lesperance et ai, 2000b ; Ameri can Psychiatric Assoc iation , 2000 ; Piven , 2001 ; Lantz, 2002 .
Depressed patients are more likely to report stress and to have social difficulties in the first year following AMI than non-depressed counterparts, and are also less likely to resume previous sexual activity
Aging Issues in Cardiology by Irene D. Turpie MB, ChB, MSc, FRCPC (auth.), Irene D. Turpie, George A. Heckman (eds.)