By F. I. Caird, R. D. Kennedy (auth.), F. I. Caird, J. L. C. Dall, R. D. Kennedy (eds.)
As toughness raises, the scope of cardiac problems extends extra generally within the 6th decade and onward into the 7th and subse quent many years. for instance, due to potent cardiac surgical procedure in early life, congential middle disorder is now came across with expanding frequency in adults and never awfully in folks over sixty five years of age. The frequency of aortic valve alternative for calcific congenital valve stenosis in matters round 70 years of age illustrates the intrusion of congenital center ailment into the older age variety. therefore, the publica tion of Cardiology in outdated Age can be specially welcome at the present. The Editors have assembled a powerful galaxy of specialists to offer the unique difficulties of epidemiology, pathology, cardiovascu lar body structure and serve as, and of particular cardiac problems within the aged. The bankruptcy on cardiac surgical procedure is very applicable to many present difficulties. the total topic needs to be of transforming into challenge to all clinicians and medical experts who've more and more to accommodate older sufferers who've cardiovascular problems. wisdom of the results of getting older at the cardiovascular method is for that reason of serious curiosity and the knowledge given during this ebook unquestionably may be of price to basic physicians and cardiologists, who could be anticipated sooner or later to paintings extra heavily with geriatricians within the care of the aged. carrying on with learn into the issues of getting older is obviously additionally of significant significance specifically within the box of cardiovascular medicine.
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1975). Rupture of the chordae tendinae (Figs. 21) is not uncommon, and death due to mucoid degeneration alone is usually attributable to this complication; this was the case in 8 of the 59 hearts personally examined. The exact mechanism is variable. Excessive tension resulting from the prolapse and loss of normal support from cusp apposition appears to be the only factor in some cases; in others, mucoid degeneration in the chordae is also present. The other compar- Pathology of the Myocardium and Valves 41 atively frequent complication of mucoid degeneration is infective endocarditis (Fig.
8) may occur in a large number of virus and rickettsial infections (Gore and Saphir 1947, Kline et al. 1962), of which Coxsackie B is probably the most frequently encountered in Western Europe and the North American continent (Br. Med. J. 1971). Small foci of myocardial inflammatory cells, which do not justify diagnosis as myocarditis, are also not uncommonly seen in patients dying with a wide range of noninfective diseases. osis and tuberculosis, as well as in the idiopathic form. Unsuspected tuberculosis remains a comparatively common condition in the elderly.
28), or on degenerative valve pathology (see Figs. 22), but most often no preceding abnormality is found (Pankey 1962, Uwaydah and Weinberg 1965, Burnside and De Sanctis Fig. 28. Staphylococcal endocarditis on chronic rheumatic heart disease. There is a perforation (P) through an aortic cusp, and an abscess (A) of the aortic ring. There is moderate thickening and contraction of aortic and mitral cusps. From a 72-year-old woman with rheumatic fever in childhood and typical clinical signs of infective endocarditis.