2002, Number S1
Cardiac arrhythmias in the elderly
Language: Spanish
References: 10
Page: 106-110
PDF size: 58.04 Kb.
ABSTRACT
Cardiac arrhythmias are a major problem in elderly persons, because of the high prevalence of underlying heart disease and hypertension, arrhythmias are associated with significant morbidity and mortality in this age group. Atrial fibrillation (AF) is the most common sustained arrhythmia encountered in clinical practice. Its incidence increases with age and the presence of structural heart disease. It is a major cause of stroke, especially in the elderly. Although the established principles of evaluation and management of cardiac arrhythmias apply to all age groups, management in the elderly patient is especially challenging because of increased risk of interventional and pharmacologic therapies, altered pharmacokinetics of drugs, and sometimes unclear long-term benefits in the older patient.REFERENCES
Deedwania PC, Singh BN, Ellenbogan K, Fisher S, Fletcher R, Singh SN: Spontaneous conversion and maintenance of sinus rhythm by amiodarone in patients with heart failure and atrial fibrillation: Observations from the Veterans Affairs Congestive Heart Failure-Survival Trial of Antiarrhythmic Therapy (CHF-STAT). Circulation 1998; 98: 2574-2579.
Gregoratos G, Cheitlin MD, Conill A, Epstein AE, Fellows C, Ferguson TB, Freedman RA, Hlatky MA, Naccarelli GV, et al: ACC/AHA guidelines for implantation of cardiac pacemakers and antiarrhythmia devices: A report of the American College of Cardiology/American Heart Association task force on practice guidelines (Committee on pacemaker implantation). J Am Coll Cardiol 1998; 31: 1175-1209.