Wenger N K, O'Rourke R A, Marcus F I
Emory University School of Medicine, Atlanta, Georgia.
Ann Intern Med. 1988 Sep 1;109(5):425-8. doi: 10.7326/0003-4819-109-5-425.
Cardiovascular disease is a major clinical problem in the elderly, with coronary heart disease the most frequent cause of death and with hypertension present in as many as 50% of these patients. The cardiovascular manifestations of aging must be differentiated from those due to disease. There are clinical manifestations and responses to therapy in the elderly that differ from those in younger patients. The extent of diagnostic and therapeutic procedures undertaken should be based on the patient's physiologic age, the presence and severity of concomitant diseases, mental status and cognitive ability, and the patient's expectations from medical care. Preventive approaches are also warranted.
心血管疾病是老年人的一个主要临床问题，冠心病是最常见的死亡原因，这些患者中多达50%患有高血压。衰老的心血管表现必须与疾病引起的表现区分开来。老年人的临床表现和对治疗的反应与年轻患者不同。所采取的诊断和治疗程序的程度应基于患者的生理年龄、伴随疾病的存在和严重程度、精神状态和认知能力以及患者对医疗护理的期望。预防措施也是必要的。
