By Irene D. Turpie MB, ChB, MSc, FRCPC (auth.), Irene D. Turpie, George A. Heckman (eds.)
Aging matters in Cardiology presents an outline of the sensible scientific parts concerned with dealing with heart problems within the aged. This quantity might be invaluable to any surgeon coping with the cardiovascular well-being of aged members.
Topics coated contain:
-Delirium in aged Cardiac Patients,
- Pharmacologic matters,
- basic Prevention,
- center Failure,
- Coronary Revascularization.
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Additional info for Aging Issues in Cardiology
The Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD) trial enrolled 2481 post-MI patients from seventy-three hospitals in the United States, and aimed to determine whether treatment of depression and low perceived social support would increase reinfarction-free survival after AMI. Three quarters of the study patients had depression. The intervention consisted of a 6-month course of weekly cognitive behaviour therapy (CBT) versus usual care. Patients in the intervention group who had significant depression were considered for treatment with sertraline.
Late-life depression is associated with cognitive impairment. Although depressed elderly patients with cognitive impairment may experience improvement in certain areas with antidepressant treatment, they may not reach normal levels of performance, especially in executive and memory functions. Patients who develop depression late in life are at increased risk for the development of progressive dementia and should be closely followed
New onset depressive symptoms after CABG are related to postoperative functional decline