Arrhythmias in the elderly: modern management.

Le résumé fourni par la source

frequently in elderly people, even those without a history of cardiac or other diseases, as a result of the degenerative changes to which the ageing heart is subjected. However, most cardiac arrhythmias in the elderly are the consequence of hypertension or coronary artery disease. Problems of the cardiovascular system that are related to ageing, such as vascular stiffness, a reduced ‚-adrenergic cardiovascular response, an increased dependency on the atrial contribution to left ventricular diastolic filling, and a greater likelihood of coronary artery disease, are all factors that exacerbate the symptoms and worsen the prognosis when arrhythmias appear. In the elderly, arrhythmias are a significant cause of falls, physical disability, and frequent hospital admissions. Recent developments in the treatment of both supraventricular and ventricular arrhythmias can also find important application in elderly patients.

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