MATĚJOVSKÁ KUBEŠOVÁ, Hana, Pavel WEBER, Hana MELUZÍNOVÁ and Jan MATĚJOVSKÝ. The elderly and cardiovascular medication. Kuprevich Gerontological Journal. 2012, 3/2012, 4-5, p. 25-31. ISSN 1990-5327.
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Basic information
Original name The elderly and cardiovascular medication
Authors MATĚJOVSKÁ KUBEŠOVÁ, Hana (203 Czech Republic, guarantor, belonging to the institution), Pavel WEBER (203 Czech Republic, belonging to the institution), Hana MELUZÍNOVÁ (203 Czech Republic, belonging to the institution) and Jan MATĚJOVSKÝ (203 Czech Republic).
Edition Kuprevich Gerontological Journal, 2012, 1990-5327.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher Russian Federation
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/12:00062650
Organization unit Faculty of Medicine
Keywords in English angiotensin converting enzyme inhibitors – antiaggregants – beta-blockers – statins – calcium blockers – diuretics – digoxin – pharmacotherapy in the elderly – unwanted side effects – medical interactions
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 22/3/2013 15:52.
Abstract
Authors analyze actual situation in treatment of cardiovascular diseases in older patients. Different groups of recommended drugs are discussed separately, possible risks for elderly patients are stressed. Angiotensin converting enzyme inhibitors – this group is widely used in older patients because of their hypotensive effect, positive influence on cardiac failure and positive modulation of endothelial dysfunction. The risk of hyperkalemia must be considered. Antiaggregants and anticoagulants are proved as potent prophylactic treatment, but the associated risk of gastrointestinal bleeding must be weighed very carefully. Bradycardia related to beta-blockers, especially in combination with other medications lowering the heart rate must be taken into account, otherwise this group brings the highest profit in cardiovascular diseases as for morbidity and mortality. Attention is paid to calcium channel blockers, statines, diuretics, nitrates and digoxin. A table listing the possible side effects and clinical symptoms of overdose by medications most frequently used in the elderly concludes the article.
Links
MUNI/A/0814/2011, interní kód MUName: Prevence syndromů stáří (Acronym: PRESYST)
Investor: Masaryk University, Category A
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