By R. D. Kennedy (auth.), Professor Dr. med. Dieter Platt (eds.)

ISBN-10: 3642682146

ISBN-13: 9783642682148

ISBN-10: 3642682162

ISBN-13: 9783642682162

In 1909 a brief contribution entitled "Geriatrics" used to be released within the ny scientific magazine. in keeping with this text, outdated age represents a special interval oflife within which the physiologic adjustments as a result of getting older are observed by way of increasingly more pathologic alterations. We now be aware of that the organs of the physique age neither on the comparable fee nor to a similar volume and that physiologic adjustments are certainly superimposed through pathologic adjustments; as a result of latter phenomenon the origins and process health problems within the aged can current strange features. The frequency of concurrent problems within the aged includes the risk of polypragmatic pharmacotherapy, i. e. , using numerous medications to wrestle a number of issues whereas neglecting the doubtless antagonistic mixed results of those medicinal drugs. To obviate this probability, certain wisdom within the box of geriatrics, the scientific department of gerontology, is important. Geriatrics is continually expanding in significance due to the close to doubling of lifestyles expectancy during the last a hundred thirty years and to the enhanced diagnostic and healing thoughts made to be had through clinical professional­ gress. The swift contemporary improvement of experimental gerontology has performed an important position in allowing us to appreciate the specific good points of geriatrics. This growth has, in spite of the fact that, been observed through this sort of sizeable elevate within the quantity of literature at the topic that experts within the box can scarcely continue an total point of view of recent publications.

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1961, 1964; JULIUS et al. 1967), and no age change was recorded in the standing position (HANSSON et al. 1968). 0 liters/min, respectively (GRANATH et al. 1961, 1964; BEVEGaRD et al. 1960). B. Physical Exercise In the supine position, the increase in cardiac output with increasing work load and oxygen uptake has been found to be the same in old and young (Figs. 2 and 3). At a given oxygen uptake, the cardiac output was thus lower in the old men, both at 29 Cardiac Output Cardiac output 15 (liters/min) '" /' 10 5 500 1000 1500 2000 O2 uptake (lite rs Imin) Fig.

1965). It occurs more frequently in men than in women, and has a correspondingly higher mortality in men (McKEE et al. 1971). BEDFORD and CAIRD (1956) found that 14% of admissions to a geriatric unit had signs of congestive cardiac failure, although that condition was not necessarily the principal reason for admission. That appropriate management has much to offer the elderly is shown by their finding that only one-third of those admitted with congestive cardiac failure died from it, or with it present.

Physical Exercise In the supine position, the increase in cardiac output with increasing work load and oxygen uptake has been found to be the same in old and young (Figs. 2 and 3). At a given oxygen uptake, the cardiac output was thus lower in the old men, both at 29 Cardiac Output Cardiac output 15 (liters/min) '" /' 10 5 500 1000 1500 2000 O2 uptake (lite rs Imin) Fig. 2. Cardiac output at rest (open circles) and during exercise (solid circles) in supine position in relation to oxygen uptake in 16 men, 61-83 years old.

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Geriatrics 1: Cardiology and Vascular System Central Nervous System by R. D. Kennedy (auth.), Professor Dr. med. Dieter Platt (eds.)


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