Epidemiology of Arrhythmias and Conduction Disorders in Older Adults

被引:115
作者
Chow, Grant V. [2 ]
Marine, Joseph E. [2 ]
Fleg, Jerome L. [1 ]
机构
[1] NHLBI, Div Cardiovasc Sci, Bethesda, MD 20892 USA
[2] Johns Hopkins Univ, Sch Med, Johns Hopkins Med Inst, Div Cardiol, Baltimore, MD 21287 USA
关键词
Aging; Arrhythmia; Atrial fibrillation; Atrial flutter; Conduction disorders; BUNDLE-BRANCH BLOCK; LONG-TERM PROGNOSIS; ATRIAL-FIBRILLATION; HEART-RATE; ATRIOVENTRICULAR-BLOCK; CARDIAC-ARRHYTHMIAS; ELECTROCARDIOGRAPHIC FINDINGS; SUPRAVENTRICULAR TACHYCARDIA; VENTRICULAR-TACHYCARDIA; NATURAL-HISTORY;
D O I
10.1016/j.cger.2012.07.003
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Normal aging is associated with a multitude of changes in the cardiovascular system, including decreased compliance of blood vessels, mild concentric left ventricular hypertrophy, an increased contribution of atrial contraction to left ventricular filling, and a higher incidence of many cardiac arrhythmias, both bradyarrhythmias and tachyarrhythmias. Conduction disorders also become more common with age, and may either be asymptomatic, or cause hemodynamic changes requiring treatment. The epidemiology of common arrhythmias and conduction disorders in the elderly is reviewed.
引用
收藏
页码:539 / +
页数:16
相关论文
共 66 条
[1]  
Adán V, 2003, AM FAM PHYSICIAN, V67, P1725
[2]   Older age is the strongest predictor of postoperative atrial fibrillation [J].
Amar, D ;
Zhang, H ;
Leung, DHY ;
Roistacher, N ;
Kadish, AH .
ANESTHESIOLOGY, 2002, 96 (02) :352-356
[3]   MYOCYTE CELL LOSS AND MYOCYTE CELLULAR HYPERPLASIA IN THE HYPERTROPHIED AGING RAT-HEART [J].
ANVERSA, P ;
PALACKAL, T ;
SONNENBLICK, EH ;
OLIVETTI, G ;
MEGGS, LG ;
CAPASSO, JM .
CIRCULATION RESEARCH, 1990, 67 (04) :871-885
[4]   USEFULNESS OF ECHOCARDIOGRAPHIC ABNORMAL LEFT-VENTRICULAR EJECTION FRACTION, PAROXYSMAL VENTRICULAR-TACHYCARDIA AND COMPLEX VENTRICULAR ARRHYTHMIAS IN PREDICTING NEW CORONARY EVENTS IN PATIENTS OVER 62 YEARS OF AGE [J].
ARONOW, WS ;
EPSTEIN, S ;
KOENIGSBERG, M ;
SCHWARTZ, KS .
AMERICAN JOURNAL OF CARDIOLOGY, 1988, 61 (15) :1349-1351
[5]   CHARACTERISTICS AND PROGNOSIS OF LONE ATRIAL-FIBRILLATION - 30-YEAR FOLLOW-UP IN THE FRAMINGHAM-STUDY [J].
BRAND, FN ;
ABBOTT, RD ;
KANNEL, WB ;
WOLF, PA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1985, 254 (24) :3449-3453
[6]  
BUSBY MJ, 1989, J AM COLL CARDIOL, V14, P1659
[7]   Role of aerobic capacity and body mass index in the age-associated decline in heart rate variability [J].
Byrne, EA ;
Fleg, JL ;
Vaitkevicius, PV ;
Wright, J ;
Porges, SW .
JOURNAL OF APPLIED PHYSIOLOGY, 1996, 81 (02) :743-750
[8]   THE RHYTHM OF THE HEART IN ACTIVE ELDERLY SUBJECTS [J].
CAMM, AJ ;
EVANS, KE ;
WARD, DE ;
MARTIN, A .
AMERICAN HEART JOURNAL, 1980, 99 (05) :598-603
[9]   Long-term Outcomes in Individuals With Prolonged PR Interval or First-Degree Atrioventricular Block [J].
Cheng, Susan ;
Keyes, Michelle J. ;
Larson, Martin G. ;
McCabe, Elizabeth L. ;
Newton-Cheh, Christopher ;
Levy, Daniel ;
Benjamin, Emelia J. ;
Vasan, Ramachandran S. ;
Wang, Thomas J. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 301 (24) :2571-2577
[10]   First-degree atrioventricular block is associated with heart failure and death in persons with stable coronary artery disease: data from the Heart and Soul Study [J].
Crisel, Ryan K. ;
Farzaneh-Far, Ramin ;
Na, Beeya ;
Whooley, Mary A. .
EUROPEAN HEART JOURNAL, 2011, 32 (15) :1875-1880