Masoli, Jane A H, Mensah, Ekow and Rajkumar, Chakravarthi (2022) Age and ageing cardiovascular collection: blood pressure, coronary heart disease and heart failure. Age and Ageing, 51 (8). afac179 1-4. ISSN 0002-0729

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Abstract

As people age they are at increased risk of cardiovascular disease, the leading cause of mortality and morbidity worldwide. Understanding cardiovascular ageing is essential to preserving healthy ageing and preventing serious health outcomes. This collection of papers published in Age and Ageing since 2011 cover key themes in cardiovascular ageing, with a separate collection on stroke and atrial fibrillation planned. Treating high blood pressure remains important as people age and reduces strokes and heart attacks. That said, a more personalised approach to blood pressure may be even more important as people age to lower blood pressure to tight targets where appropriate but avoid overtreatment in vulnerable groups. As people age, more people experience blood pressure drops on standing (orthostatic hypotension), particularly as they become frail. This can predispose them to falls. The papers in this collection provide an insight into blood pressure and orthostatic hypotension. They highlight areas for further research to understand blood pressure changes and management in the ageing population. Inpatient clinical care of older people with heart attacks differs from younger people in UK national audit data. People aged over 80 had improved outcomes in survival after heart attack over time, but had lower rates of specialist input from cardiology compared with younger people. This may partly reflect different clinical presentations, with heart attacks occurring in the context of other health conditions, frailty and multimorbidity. The care and outcomes of acute and chronic cardiovascular disease are impacted by the frailty and health status of an individual at baseline. The research included in this collection reinforces the wide variations in the ageing population and the necessity to focus on the individual needs and priorities, and provide a person-centred multidisciplinary approach to care.

Item Type:	Article
Keywords:	blood pressure, coronary heart disease, hypertension, hypotension, older people, orthostatic, Aged, Aged 80 and over, Blood Pressure, Coronary Disease, Frailty, Heart Failure, Humans, Hypotension, Orthostatic, Myocardial Infarction, Stroke
Schools and Departments:	Brighton and Sussex Medical School > Clinical and Experimental Medicine
SWORD Depositor:	Mx Elements Account
Depositing User:	Mx Elements Account
Date Deposited:	31 Aug 2022 12:40
Last Modified:	02 May 2023 14:56
URI:	http://sro.sussex.ac.uk/id/eprint/107622

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