Introduction Prevalence of elderly worldwide is rapidly accelerating from 461 million people aged over 65 years in 2004 to an estimated 2 billion people by 2050 (1). The prevalence of SCH is relatively high and ranges from 4% to 20% in the adult population; mainly, women and elderly people, affected more (2) Thyroid hormones act on the heart and vasculature and, as a result, the impact of subclinical thyroid dysfunction on the CV system has been explored. SCH can lead to impaired systolic and diastolic cardiac function (3) and hypothyroidism patients often complain of reduced exercise tolerance during effort (4), also, this study observed that a slowed rate of left ventricular relaxation might critically impair ventricular filling during exercise and result in left ventricular systolic dysfunction (4). Older people with SCH and a high CV risk appear to be at an increased risk of incident heart failure (5) and SCH was found to affect left ventricular dysfunction, but this abnormality may be reversed by T4 substitutive therapy (5). Likewise, a recent cardiac magnetic resonance spectroscopic study demonstrated that early cardiac bio-energetic impairments in SCH patients are reversible with T4 therapy ( 6). Razvi et al. re-analyzed the Whickham data. …show more content…
(2005) a studied the association of SCH and cardiovascular risk, and in their 20-year follow-up evaluated the cardiovascular morbidity and mortality in the SCH subjects without CHD at baseline. They were able to demonstrate an increased prevalence and long-term cardiovascular risk associated with SCH. In the cross-sectional analysis, CHD was significantly more prevalent only in those individuals with SCH and TSH levels >10 mIU/L. In the longitudinal analysis, patients with SCH had an increased risk for both fatal and nonfatal CHD events. The longitudinal analysis, unlike the cross-sectional analysis, also demonstrated an increased risk in those patients with TSH levels <10 mIU/L (8
Congestive heart failure is an older name for heart failure. Congestive heart failure takes place when the heart is unable to maintain an adequate circulation of blood in the bodily tissues or to pump out the venous blood returned to it by the veins (Merriam-Webster). The heart is split into two distinct pumping structures, the right side of the heart and the left side of the heart. Appropriate cardiac performance involves each ventricle to extract even quantities of blood over intervals. If the volume of blood reimbursed to the heart develops more than both ventricles can manage, the heart can no longer be an efficient pump.
An dysrhythmia of the heart is an irregular heartbeat rhythm. Ventricular tachycardia is an dysrhythmia in which the lower chambers of the heart, the ventricles, beat unusually fast.
Situation: Two patients in their 70s present to the office at different times today, each with documented heart failure: one diastolic and the other systolic, and both are hypertensive. First, discuss the difference between systolic and diastolic heart failure, providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity and mortality in CHF. Be specific. Diuretics must be used very carefully in diastolic ventricular dysfunction. EXPLAIN this statement using appropriate physiology. Now considering all of the above, describe an appropriate comprehensive plan of
Suzman, R., Beard, J. R., Boerma, T., & Chatterji, S.Health in an ageing world—what do we know? The Lancet, 385(9967), 484-486. doi:10.1016/S0140-6736(14)61597-X
In the presence of excess T3 and T4, an increase in number as well as affinity of beta-adrenergic receptors in the heart is noted. These receptors facilitate the action of "fight, flight and fright" hormones ( epinephrine, norepinephrine) which are positively chronotropic ( beat faster) and inotropic ( pump harder) to the heart. This may then lead to cardiac failure in older patients.
Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability to fill is impaired. It is not a disease, but rather a complex clinical syndrome. The symptoms of heart failure come from pulmonary vascular congestion and inadequate perfusion of the systemic circulation. Individuals experience orthopnea,
Congestive Heart Failure, also known as "cardiac decompensation, cardiac insufficiency, and cardiac incompetence," (Basic Nursing 1111) is an imbalance in pump function in which the heart is failing and unable to do its work pumping enough blood to meet the needs of the body's other organs. To some people, heart failure is defined as a sudden and complete stoppage of heart activityi.e. that the heart just stops beating. This is an inaccuracy. Heart failure usually develops slowly, often over years, as the heart gradually loses its pumping ability and works less efficiently. CHF is a syndrome that affects individuals in different ways and to different degrees. It is usually a chronic disease. It gradually
Connie Clerici is a registered nurse who started out as a critical care nurse that specialized in pediatrics and the intensive care unit. Clerici left the hospital setting looking for a new career path, and was asked to help relocate children from The Christopher Robin Home for the Children, which was being closed for euthanasia allegations (Cavanaugh, 2012). So, her new role required her to help place children into a safe community setting which accommodated and cared for the children’s complex health needs. Clerici was also responsible for purchasing nursing services and in her opinion found below average nursing care (Cavanaugh, 2012). Throughout this time Clerici believed that she could be doing more for these children and after three
Unlike that of China, the decline of Rome was much more upsetting having a much larger impact on the surrounding world. The Decline and fall of the Mediterranean and Chinese civilizations was a result of population decrease, weak government, a frail economy, and invasion. The causes of the imperial collapse in Rome and Greece(The Mediterranean region)with the causes of imperial collapse in the East Asia during the period 600 BCE toward 600 CE has had an remarkable achievements but those same achievements have caused them into decline. A combination of these causes sparked the slow decline of these once great empires..
Aging is a universal phenomenon and humans are no exception. Gerontology deals with the psychological, social and biological aspects of aging process. A recent study shows that people aged 85 years and older are expected to augment from 5.3 million people to 21 million as the world reach 2050. In today’s world Gerontology has an enormous role to play so that the senior citizens could be analyzed and their needs may be addressed with compassion and empathy.
In year 2000 and 2010, an estimated 1 million hospitalizations for Congestive Heart Failure (CHF), of which most of these hospitalizations were for those aged 65 and over, the share of CHF hospitalizations for those under age 65 increased from 23% to 29% over this time period (Hall, Levant, & DeFrances, 2012). According to Held (2009), acute decompensated heart failure (ADHF) ensues when cardiac output fails to meet the demand of the body’s metabolic needs. The fluid volume overload makes the unstable condition necessitates instant treatment for the reason that it impairs perfusion to systemic organs, endangering their function.
“[...] 1 in every 100,000 children in the U.S. under the age of 18 is diagnosed with cardiomyopathy” (“Understand Pediatric” 1). This condition affects many children throughout the world. Some cases of cardiomyopathy are fatal, some allow the child to live with restrictions. Cardiomyopathy is the leading cause of death and heart transplants in children (“Understand Pediatric” 1). There are many different ways to help diagnose the numerous forms of this disorder, treatments to help stop other problems from occurring, and therapies to help the restrictions some may live with. Various medical fields have been looking into and studying what the leading causes could be for this disorder ("Progress to date" 1). There are many symptoms a child can show for a doctor to see in order for them
Drug addiction is something societies all over the world rarely tolerate. Although almost every culture has a tradition of consuming narcotic substances—alcohol, in the first turn—not all of them are seen as acceptable. A person saying, “A glass of beer after a long working day is my small weakness, you know” looks normal; but an almost similar phrase, “A shot of heroin after a long working day is my small weakness, you know” will sound suspicious, to say the least, will it not?
As the population continues to grow older age and life expectancy increases. As a result continued awareness, study and research concerning
Although there is evidence from many studies that disability rate is declining in the U.S.2, the rapid expansion of the oldest-old age group will continue to pose health care challenges for future generations. Disability prevalence rates are very high in the oldest-old3 and even reached 97% in