scholarly journals PENDEKATAN DIAGNOSIS DAN TATALAKSANA GANGGUAN MOOD PADA USIA LANJUT

2021 ◽  
Vol 6 (2) ◽  
pp. 131
Author(s):  
Huwainan Nisa Nasution ◽  
Hadiq Firdausi

Gangguan mood rentan diderita para penderita berusia lanjut. Statistik menunjukkan, terjadi peningkatan presentasi gangguan ini terutama pada penduduk lanjut usia. Hal ini kemungkinan disebabkan oleh gejala post power syndrome yang menyebabkan para lansia menjadi stres dan depresi. Penyebab lainnya yang dapat mencetuskan adalah penyakit komorbid yang menyertai kemudian menimbulkan pergantian mood yang cepat. Penyakit diabetes, tekanan darah tinggi, dan jantung koroner misalnya, diduga menyebabkan penderita merasa hilang kekuatan, kesulitan menyesuaikan diri, hingga akhirnya depresi. Kejadian bunuh diri pada usia lanjut yang mengalami gangguan mood juga dapat terjadi hampir setiap hari. Pentingnya deteksi dan diagnosis sejak dini merupakan hal yang penting demi mendapatkan terapi lebih dini. Gangguan mood pada usia lanjut bukanlah hal yang natural terkait proses penuaan, melainkan suatu gangguan  patologis yang dapat diterapi.Kata kunci: gangguan mood, depresi, manik, usia lanjut, geriatri. ABSTRACTMood disorders are susceptible to elderly sufferers. Statistics show, there is an increase in the presentation of mood disorder, especially in the elderly population. This is probably caused by the symptoms of post power syndrome which causes the elderly to become stressed and depressed. Other causes that can trigger are comorbid diseases that accompany and then cause rapid mood changes. Diabetes, hypertension, and coronary heart disease, for example, are thought to cause lost of strength, difficulty adjusting, and depression. Suicides in the elderly with mood disorders can also occur almost every day. The importance of early detection and diagnosis is important in order to get early therapy. Mood disorders in elderly are not a natural thing related to the aging process, but a pathological disorder that can be treated.Key words: mood disorders, depression, manic, elderly, geriatrics.

1994 ◽  
Vol 109 (1-2) ◽  
pp. 15
Author(s):  
M.S. Cendoroglo ◽  
T.L.R. Martinez ◽  
L.E.S. Almeida Pinto ◽  
F.R. Gonçalves ◽  
T.E.C. Rosa ◽  
...  

2020 ◽  
Vol 2 (1) ◽  
pp. 35-46
Author(s):  
Feruz Turaev ◽  
◽  
Muzaffar Maksudov

The most important task of health care is early detection and diagnosis, management, improvement of the system of cardiological and cardiac surgery care, increasing its efficiency and availability, especially in patients with suspected coronary artery disease.Despite the constant improvement of technologies for the diagnosis and treatment of CVD, coronary heart disease (CHD) remains the main cause of premature death and disability worldwide


Vestnik ◽  
2021 ◽  
pp. 35-39
Author(s):  
А.А. Катимова ◽  
М.С. Куандык ◽  
Д.С. Науанова ◽  
Г.Т. Асилбекова

Ранее ИБС рассматривалась как “мужская” болезнь, однако данные, полученные при исследовании только мужской части популяции, не могут быть автоматически экстраполированы и на женщин, поскольку не все традиционные факторы риска сердечно-сосудистых заболеваний присущи полам в одинаковой степени. Это делает необходимым изучение особенностей ИБС в зависимости от пола. В нашей республике среди причин смертности населения пожилого возраста 15% составляет ИБС. С увеличением численности пожилого и старческого населения в нашем регионе изучение гемодинамических показателей и особенностей течения ИБС является интересным. Previously, CHD was considered as a disease of "men", however, the data obtained when studying only the male part of the population cannot be automatically extrapolated even to women, since not all traditional risk factors for cardiovascular diseases are typical for the same sex. This requires studying the features of CHD depending on gender. In our republic, CHD accounts for 15% of the causes of death of the elderly population. With an increase in the number of elderly and elderly people in our region, the study of hemodynamic indicators and features of coronary heart disease is becoming relevant.


1970 ◽  
Vol 1 (1) ◽  
pp. 45-55
Author(s):  
Asif Manwar ◽  
Michael Y Henein ◽  
Md Nurul Amin ◽  
Khaled Mohsin

Background: The efficacy of statin therapy in preventing both primary and secondary coronary heart diseases in young and middle aged people is well known and well supported by numbers of landmark clinical trials. Literatures addressing reduction of cholesterol level in elderly (septogenarians & octogenarians) as primary prevention strategy for coronary heart diseases are scarce. The elderly population rarely suffer from primary heart attack and as such routine prescribing of statin to treat dyslipidaemia as primary prevention of coronary heart disease is controversial, particularly when there are reports that statin therapy in elderly population causes cancer, haemorrhagic stroke, dementia and so on. The present study was aimed at answering these questions in order to help formulating a separate guideline for statin therapy in elderly. Methods: The present study reviewed literatures of recent and recent past origin. A systematic literature search of MEDLINE, EMBASE, CINAHL, Web of Science, CANCERLIT and the Cochrane Systematic Review Database have been used to identify randomized clinical trials of statin use with the main focus on primary or secondary end point of CHD, acute coronary syndrome (ACS), cardiac death, overall death, stroke and cancer diagnosis or cancer death. To be included in this review, (1) the entire study subjects or a sub-group were of age 55 years or more (2) had a mean (or median) duration of patient follow-up of at least 1 year, (3) enrolled a minimum of 100 patients, and (4) reported data on the incidence of either cancer diagnosis or cancer death in the elderly population. Conclusions: The study concludes that statin therapy in elderly people may not provide additional benefit in the prevention of primary cardiovascular diseases or death due to primary cardiovascular events. Though most of the studies ruled out excess risk of cancer or other noncardiovascular events, their probability cannot be entirely ignored. However, there is report that addition of statin to the existing drug schedule of elderly subjects does not cause drug interaction. Large-scale, randomized trial on truly representative population with long term follow up will provide authentic data to answer the question whether statin therapy in elderly people with dyslipidaemia can prevent primary heart diseases. Key words: Statin; primary prevention; coronary heart disease; dyslipidemia; elderly people. Ibrahim Card Med J 2011; 1(1):45-55


Author(s):  
Harukuni Akita ◽  
Miyao Matsubara ◽  
Hitoshi Shibuya ◽  
Hirotoshi Fuda ◽  
Hitoshi Chiba

Background Lipoprotein(a) [Lp(a)] is a risk factor for atherosclerosis and increases with age. The purpose of this study was to determine the effect of ageing on Lp(a) for three different apo(a) phenotypes. Methods We measured plasma Lp(a) concentrations in 551 unrelated Japanese subjects (20-88 years of age). We performed statistical analyses separately for three apo(a) phenotypes: the low-molecular-weight (LMW) phenotype with the F, B or S1 isoform, the intermediate-molecular-weight (IMW) phenotype with the S2 isoform and the high-molecular-weight (HMW) phenotype with the S3 or S4 isoform. Results For each phenotype, the mean plasma Lp(a) concentration and the frequency of Lp(a) concentrations ≥ 250 mg/L increased with age. Further, a statistically significant difference was always found between the younger subjects (20-39 years of age) and the elderly (over 60 years). The frequency of coronary heart disease increased with age, particularly for the LMW and IMW phenotypes. Conclusions We conclude that ageing elevates plasma Lp(a) concentrations, which may have a role in the prevalence of coronary heart disease in the elderly, especially those with the LMW or IMW phenotypes.


Blood ◽  
1988 ◽  
Vol 71 (6) ◽  
pp. 1726-1730
Author(s):  
KA Melez ◽  
LF Fries ◽  
BS Bender ◽  
T Quinn ◽  
MM Frank

Decreased immune functions have been suggested as a cause for the increased incidence of autoimmunity, malignancy, and infection in the elderly population. To assess the possible role of changes in macrophage function in the aging process we studied the Fc receptor- mediated clearance of IgG-coated erythrocytes in 56 healthy normal volunteers by following the removal of radiolabeled autologous erythrocytes. An age-related decrease in Fc-mediated clearance rates in both female and male subjects was found, which suggests a physiological decline of this macrophage function in older individuals.


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