By Irene D. Turpie MB, ChB, MSc, FRCPC (auth.), Irene D. Turpie, George A. Heckman (eds.)

Aging concerns in Cardiology offers an summary of the sensible scientific components keen on coping with heart problems within the aged. This quantity may be priceless to any health professional dealing with the cardiovascular wellbeing and fitness of aged contributors.
Topics lined comprise:

-Delirium in aged Cardiac Patients,
- Pharmacologic concerns,
- basic Prevention,
- Syncope,
- middle Failure,
- Coronary Revascularization.

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Firstly, the acute phase begins when treatment with medication or psychotherapy is initiated. The goal of this phase is to elicit a treatment response. The interval to response is longer in elderly patients, and improvement may continue for up to twelve weeks . Therefore, if slow but definite initial improvement is noted, it is prudent to postpone switching antidepressants . Secondly, continuation therapy begins after a patient has achieved remission. The main goal is to prevent symptom relapse, the risk for which appears to be higher for older patients than for midlife patients .

8% of whom met criteria for MDE . 1 % met criteria for MDE. In a cohort of patients with angiographically proven coronary artery disease (CAD) but who had not sustained a major coronary event, the prevalence of major depression was approximately 18% . It has been suggested that depressive symptoms may be present prior to admission for AMI, rather than being a direct consequence thereof . 5% of post-AMI patients .

23. Inouye SK. , Goldman L, Bennett JC, eds. B. Saunders Company, 2000. 24. Inouye SK, Foreman MD, Mion LC, Katz KH, Cooney LM. Nurses' recognition of delirium and its symptoms: comparison of nurse and researcher ratings. Arch Intern Med 2001;161 :2467-2473. 25. Jacobi J, Fraser GL, Coursin DB, Riker RR, Fontaine D, Wittbrodt ET, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med 2002;30:I 19-141. 26. Kelly KG, Zisselman M, Cutillo-Schmitter T, Reichard R, Payne D, Denman S1.

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