Human Cardiovascular Studies, Laboratory of Cardiovascular Science, Intramural Research Program, Clinical Research Branch, National Institute on Aging, National Institutes of Health, Harbor Hospital, NM-500, 3001 South Hanover Street, Baltimore, MD 21225, USA.
Heart Fail Clin. 2012 Jan;8(1):143-64. doi: 10.1016/j.hfc.2011.08.011.
Aging represents a convergence of declining cardioprotective systems and increasing disease processes that is fertile ground for the development of heart failure. Fifty percent of all heart failure diagnoses and 90% of all heart failure deaths occur in individuals older than 70. This article discusses the microscopic and macroscopic changes in cardiovascular structure, function, protective systems, and disease associated with aging. In addition to outlining important clinical considerations and conditions in older persons, the link between normal aging and the elevated risk for development of stage B heart failure is explained and potential therapeutic pathways are highlighted.
衰老是心脏保护性系统下降和疾病进程增加的交汇点,为心力衰竭的发展提供了肥沃的土壤。50%的心力衰竭诊断和 90%的心力衰竭死亡发生在 70 岁以上的人群中。本文讨论了与衰老相关的心血管结构、功能、保护系统和疾病的微观和宏观变化。除了概述老年人的重要临床注意事项和情况外,还解释了正常衰老与心力衰竭 B 期发展风险增加之间的联系,并强调了潜在的治疗途径。