By R. D. Kennedy (auth.), Professor Dr. med. Dieter Platt (eds.)
In 1909 a brief contribution entitled "Geriatrics" used to be released within the ny scientific magazine. in response to this text, outdated age represents a unique interval oflife during which the physiologic alterations as a result of getting older are followed via more and more pathologic adjustments. We now recognize that the organs of the physique age neither on the comparable cost nor to an identical volume and that physiologic changes are certainly superimposed by way of pathologic alterations; because of the 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 a number of medications to strive against a variety of problems whereas neglecting the doubtless adversarial mixed results of those medicines. To obviate this probability, certain wisdom within the box of geriatrics, the clinical department of gerontology, is important. Geriatrics is consistently expanding in value due to the close to doubling of existence expectancy over the last one hundred thirty years and to the enhanced diagnostic and healing options made to be had by means of clinical professional gress. The fast contemporary improvement of experimental gerontology has performed an important function in permitting us to appreciate the certain beneficial properties of geriatrics. This development has, although, been followed through this kind of sizeable raise within the quantity of literature at the topic that experts within the box can scarcely preserve an total point of view of recent publications.
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Additional info for Geriatrics 1: Cardiology and Vascular System Central Nervous System
Beyond this site the artery appears either intact or only negligibly compromised and the blood supply is constant and abundant (KENNEL et al. 1973). This pattern does not vary considerably even in the presence of marked coronary arterioscleroSIS. In conclusion, ageing is not associated with an important reduction in the blood supply to the conduction system. References Anderson RH, Becker AE, Brechenmacher C, Davies MJ, Rossi L (1975) The human atrioventricular junctional area. Eur J Cardiol 3:11-25 Baldi N, Fonda F, Morgera T, Silvestri F, Camerini F (1977) La sind rome del seno malato.
For this purpose the structure and topography of the components of the conduction system will be briefly reviewed. I. Sinus Node The sinus node is situated in the conjunction point between the superior vena cava and the side edge of the right atrium. It has been shown (JAMES et al. 1966) that over 50% of the sinus node is composed of small pale scarcely striated cells, with well-colored nuclei, embedded in a network of elastic, collagenous, and reticular fibers. These cells, named P or pacemaking cells, are supposed to act as a pacemaker.
Br Heart J 37:420-425 Lev M (1954) Aging changes in the human sinoatrial node. J Gerontol 9:1-9 Lev M (1968) The conduction system. In: Gould SE (ed) Pathology of the heart and blood vessels, 3 rd ed. Thomas, Springfield, p 182 Morpurgo M (1961) II cuore senile. Minerva Medica, Torino, p 126 Okimoto T, Ueda K, Kamata C, Yoshida H, Ohkawa S, Hiraoka K, Kuwajima I, Sugiura M, Murakami M, Matsuo H (1976) Sinus node recovery time and abnormal post pacing phase in the aged patients with sick sinus syndrome.