By Niloo M. Edwards
Reports the simplest cures and surgical suggestions to be had to supply caliber take care of the aged cardiac sufferer and of these parts that require extra study. The authors element preventive treatments and the cardiovascular syndromes that disproportionately afflict the older person, together with arrhythmias (particularly atrial fibrillation), syncope, middle failure (particularly diastolic center failure), and ischemic center illness. additionally they delineate the surgical administration of the guts sufferer with discussions of postoperative administration and its problems and of particular surgeries akin to coronary artery skip grafting, valve surgical procedure, pacemaker and defibibrillators, and surgical administration of center failure.
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Additional info for Aging, Heart Disease, and Its Management: Facts and Controversies (Contemporary Cardiology)
Because many elderly people do take supplementation without consultation of a doctor, toxic levels of these antioxidants may occur (19). More studies need to be conducted to establish nutritional status, requirements, and needs of the elderly (18). SALT AND RELATED MINERALS The Baltimore Longitudinal Study of Aging showed that 40% of men and about 50% of women consumed less than two-thirds of the recommended daily allowance of vitamins and minerals. As a result, even healthy-appearing, well-educated individuals failed to consume adequate quantities of calcium, iron, magnesium, and zinc; this was demonstrated both in individuals relying strictly upon a dietary supply of nutrients and in those taking nutritional supplements (30).
Vitamin C is an antioxidant that may play a role in cataract prevention (25). Vitamin C intake, blood levels, and tissue levels can be low in the elderly, particular in those who either smoke or are subject to stress (26). Vitamin C deficiency often presents with lassitude and fatigue. Capillary hemorrhage, bleeding from the gums, and delayed wound healing are frequent complaints in elderly who are vitamin C deficient. Intake of vitamin B6 and folic acid in this age group is often less than two-thirds of the recommended amount for younger patients.
Cost controls were automatic in this system, and rationing was self-imposed. For much of the nation’s history, this system worked well. Doctors had little to offer in terms of effective (and expensive) therapy and patients’ expectations were generally low—a critical balance. This equilibrium began to falter by the first half of the 20th century. During the Great Depression, hospitals began to suffer from the patients’ inability to pay their bills, and it was the financially stressed hospitals that prompted state legislatures to implement the insurance schemes that became known as Blue Cross.
Aging, Heart Disease, and Its Management: Facts and Controversies (Contemporary Cardiology) by Niloo M. Edwards