Turkish Journal of Geriatrics
2010 , Vol 13 (Supplement)
VENTRÄ°CULAR ARRHYTHMIAS IN ELDERLY
Eskişehir Osmangazi Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı, ESKİŞEHİR
Ventricular arrhythmias are seen more in the elderly than in the young,
and ranging from asymptomatic ventricular premature beats to ventricular fibrillation,
which can lead to sudden cardiac death. In patients who had underlying
structural heart disease, present of ventricular arrhythmias are associated
with an increased risk of sudden cardiac death. Ventricular premature beats
and non-sustained ventricular tachycardia produce few or no symptoms in the
vast majority of patients. Pharmacological treatment of asymptomatic and mild
symptomatic patients is not required. In patients with significant or disabling
symptoms, beta-blockers are usually adequate in patients with premature beats
and non-sustained ventricular tachycardia. Therapy for sustained ventricular
tachycardia and ventricular fibrillation involves acute termination and
long-term treatment to prevent sudden cardiac death. The majority of sudden
cardiac deaths are seen in elderly population, and the main reason of sudden
cardiac deaths is ventricular tachyarrhythmia. Patients with ventricular arrhythmia
should be treated aggressively for structural heart disease if they have.
In addition, patients with an increased risk of sudden cardiac death should be
treated with an implantable cardioverter defibrillator.
Keywords :
Elderly; Arrhythmia; Death; Sudden