The heart of an elderly person functions well in ordinary circumstances but has lost much of its physiologic reserve. The effects of aging myocardium are difficult to spearate from those of coronary atherosclerosis. In addition to ischemic heart disease, a high index of suspicion must be maintained for the sick sinus syndrome, valvular heart disease, cardiomyopathies, congenital lesions, corpulmonale and thyroid disease. Management requires the judicious use of drugs and the prescription of appropriate physical activity.
老年人的心脏在正常情况下功能良好,但已失去大部分生理储备。衰老心肌的影响很难与冠状动脉粥样硬化的影响区分开来。除了缺血性心脏病外,对于病态窦房结综合征、心脏瓣膜病、心肌病、先天性病变、肺心病和甲状腺疾病,必须保持高度的怀疑指数。治疗需要明智地使用药物并开具适当的体育活动处方。