Management of chronic heart disease in the elderly

Abstract Introduction: Coronavirus disease (COVID-19) is a global infectious disease with a large burden of illness and high healthcare costs.Objectives: This study aimed to compare clinical features among adult COVID-19 patients in different age groups.Methods: Laboratory-confirmed adult COVID-19 infection cases between Dec 31, 2019 to March 8, 2020 obtained from Neighboring Cities. Patients were divided into five age groups: age༜30, 30–40, 40–50, 50–65, ≥ 65 y (elderly). Age, sex, history of chronic disease and epidemiology, symptoms, laboratory tests, and outcomes were compared among different age groups. Binary logistic regression analysis was conducted to evaluate associated factors for severe or critical type.Results: We studied 299 cases. Median (IQR) age was 44 (34,54) and 158 (53%) were male. Percent of bilateral involvement on chest radiographs was increased significantly with older age (p = 0.005). 53.3% of 30–40 years, 50% of 40–50 years, 36.6% of ༜30 years and 36.2% of 50–60 years were imported case, none of the elderly were imported case. Among all the observed symptoms, only symptom of dyspnea was significantly different between the elderly group and other groups (p < 0.001). Proportion of severe or critical type was 2.4%, 5.3%, 9.5%, 14.5%, and 35% in patients with age༜30, 30–40, 40–50, 50–65, ≥ 65 (p < 0.001), respectively. At this point, ICU admission rate, ARDS and shock rate and on medical treatment rate was increased especially in patients ≥ 65 years. 285 patients (95.3%) were cured and discharged, 12 patients (4.0%) were still on medical treatment in hospital. There were 2 (0.67%) deaths; these occurred among persons ≥ 65 y (p < 0.001). Old age, high HR on admission, high respiratory rate on admission, and history of chronic heart disease were independently associated with severe or critical .Conclusions: Proportion of severe or critical type increased with old age groups. Adults with old age and high HR, R rate in admission and history of chronic heart disease were associated with severe or critical type in COVID-19.

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Comparative clinical characteristics among different age group of adult COVID-19 Patients

10.21203/rs.3.rs-23684/v1 ◽

2020 ◽

Author(s):

Yating Peng ◽

Aiyuan Zhou ◽

Xin Liao ◽

Dingding Deng ◽

Peng Huang ◽

...

Keyword(s):

Heart Disease ◽

Medical Treatment ◽

Old Age ◽

Burden Of Illness ◽

Age Groups ◽

The Elderly ◽

Imported Case ◽

Chronic Heart Disease ◽

History Of ◽

Critical Type

Abstract Introduction: Coronavirus disease (COVID-19) is a global infectious disease with a large burden of illness and high healthcare costs.Objectives: This study aimed to compare clinical features among adult COVID-19 patients in different age groups.Methods: Laboratory-confirmed adult COVID-19 infection cases between Dec 31, 2019 to March 8, 2020 obtained from Neighboring Cities. Patients were divided into five age groups: age＜30, 30-40, 40-50, 50-65, ≥65 y (elderly). Age, sex, history of chronic disease and epidemiology, symptoms, laboratory tests, and outcomes were compared among different age groups. Binary logistic regression analysis was conducted to evaluate associated factors for severe or critical type.Results: We studied 299 cases. Median (IQR) age was 44 (34,54) and 158 (53%) were male. Percent of bilateral involvement on chest radiographs was increased significantly with older age (p = 0.005). 53.3% of 30-40 years, 50% of 40-50 years, 36.6% of ＜30 years and 36.2% of 50-60 years were imported case, none of the elderly were imported case. Among all the observed symptoms, only symptom of dyspnea was significantly different between the elderly group and other groups (p < 0.001). Proportion of severe or critical type was 2.4%, 5.3%, 9.5%, 14.5%, and 35% in patients with age＜30, 30-40, 40-50, 50-65, ≥65 (p < 0.001), respectively. At this point, ICU admission rate, ARDS and shock rate and on medical treatment rate was increased especially in patients ≥65 years. 285 patients (95.3%) were cured and discharged, 12 patients (4.0%) were still on medical treatment in hospital. There were 2 (0.67%) deaths; these occurred among persons ≥65 y (p < 0.001). Old age, high HR on admission, high respiratory rate on admission, and history of chronic heart disease were independently associated with severe or critical .Conclusions: Proportion of severe or critical type increased with old age groups. Adults with old age and high HR, R rate in admission and history of chronic heart disease were associated with severe or critical type in COVID-19.

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Using Modern Communications to Manage Chronic Heart Disease

The American Heart Hospital Journal ◽

10.15420/ahhj.2010.8.1.25 ◽

2010 ◽

Vol 8 (1) ◽

pp. 25 ◽

Cited By ~ 3

Author(s):

Alfred A Bove ◽

Keyword(s):

Heart Disease ◽

Chronic Heart Disease

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Faculty Opinions recommendation of Chronic heart disease and severe obstetric morbidity among hospitalisations for pregnancy in the USA: 1995-2006.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.8474956.8943054 ◽

2011 ◽

Author(s):

Stephen Pratt ◽

Anu Vasudevan

Keyword(s):

Heart Disease ◽

Chronic Heart Disease ◽

The Usa ◽

Obstetric Morbidity

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The Birthday-Deathday Effect: Fact or Artifact?

OMEGA - Journal of Death and Dying ◽

10.2190/hqj2-42ef-8f26-7pnc ◽

1987 ◽

Vol 17 (4) ◽

pp. 321-326 ◽

Cited By ~ 2

Author(s):

John B. Wood

Keyword(s):

Heart Disease ◽

Death Rate ◽

The Elderly ◽

Large Sample ◽

Married People ◽

The Relationship

The relationship between birthday and deathday has been called an artifact due to the continuous depletion of the population with age. However, while the population decreases with age, the death rate increases. These two influences cancel each other at ages seventy-five to eighty-four. The decreasing population dominates at older ages, but the situation is reversed at younger ages. The results account for no more than one-third of the size of the large-sample effects observed among the elderly. There is still a 33 percent excess of deaths resulting from heart disease among married people ages seventy-five and older in the three-day period centered at the birthday.

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Kronisk sygdom som biografisk hændelse - et studie af bypassopererede kronisk hjertesyge menneskers biografiske arbejde

Dansk Sociologi ◽

10.22439/dansoc.v12i3.657 ◽

1970 ◽

Vol 12 (3) ◽

pp. 85-98

Author(s):

Rasmus Antoft

Keyword(s):

Heart Disease ◽

Everyday Life ◽

Social Relations ◽

Social Action ◽

Chronically Ill ◽

Role Playing ◽

Self Presentation ◽

Self Identity ◽

Chronic Heart Disease ◽

Ability To Act

Chronic illness as biographical occurrence – a study on bypass operated individuals and their biographical work. The primary focus of this article is on bypass operated chronically ill peoples attempt to re-establish their biographical work, their everyday life. The everyday life experiences based on routines and obviousness are subjugated by the chronicle illness influence on the life narrative, its future character and the way in which it affects the shaping of identity, the biographical work. Two different themes are central in individual’s narratives about their everyday life with a chronic heart disease. These themes concern their self-presentation in inter-action with others and their anxiety directed at the future life with the illness, with the anxiety of death. This study shows that every bypass operated and chronically ill participant have experienced difficulties in reshaping their normal biographical work. Their ability to regain social action as part of the biographical work and their shaping of self-identity, has been altered significantly. In various situations this leads to potential stigmatisation, but also to a lack of acceptance in the role-playing of a chronic ill, be that in interaction with strangers or intimate social relations. This causes identity dilemmas, paradoxes in self-presentation and, as a consequence, self-deception in everyday life. The existential problem of anxiety and its subjugating character in the lifeplaning and biographical work is to be explained by the risk of reoccurrence of the heart disease, and by the latency of the possible terminal nature of the disease. The nature of the illness ruptures routines and the predictability of everyday life, thus manifesting itself in key situations of everyday life. In addition to this, the anxiety generates a lack of ability to act actively, that is, the individuals ability actively shape its lifeplaning and its biographical work.

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Causes of Death

10.1093/oso/9780198805830.003.0017 ◽

2018 ◽

Author(s):

Michael Anderson ◽

Corinne Roughley

Keyword(s):

Heart Disease ◽

Pulmonary Tuberculosis ◽

Western Europe ◽

Causes Of Death ◽

Whooping Cough ◽

The Elderly ◽

World War Two ◽

World War ◽

The Past ◽

Disease Mortality

The principal reported causes of death have changed dramatically since the 1860s, though changes in categorization of causes and improved diagnosis make it difficult to be precise about timings. Diseases particularly affecting children such as measles and whooping cough largely disappeared as killers by the 1950s. Deaths particularly linked to unclean environments and poor sanitary infrastructure also declined, though some can kill babies and the elderly even today. Pulmonary tuberculosis and bronchitis were eventually largely controlled. Reported cancer, stroke, and heart disease mortality showed upward trends well into the second half of the twentieth century, though some of this was linked to diagnostic improvement. Both fell in the last decades of our period, but Scotland still had among the highest rates in Western Europe. Deaths from accidents and drowning saw significant falls since World War Two but, especially in the past 25 years, suicide, and alcohol and drug-related deaths rose.

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