Turkish Journal of Geriatrics
2010 , Vol 13 (Supplement)
CARDIOMYOPATHIES IN THE ELDERLY
Kocaeli Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, KOCAELİ
Cardiomyopathies are an important cause of heart disease in the elderly.
Clinical presentations and natural history of the cardiomyopathies in older and
younger patients may show some differences. Hypertrophic cardiomyopathy
is common and changes in left ventricular structure by aging often create diffi
culties in differentiating pathologic states from physiologic. The prognosis for
hypertrophic cardiomyopathy is more favorable in the elderly than in younger
patients. Dilated cardiomyopathy is also common and elderly patients have a
worse prognosis than younger patients with this disease. The medical management
of dilated cardiomyopathy is often more difficult in the elderly, Restrictive
cardiomyopathy with diastolic dysfunction is increasingly recognized as a cause
of congestive heart failure in elderly patients. Non-compaction of the ventricular
myocardium is a rare disorder. Although most cases are detected in infancy,
late clinical onset has been reported in some cases at an age >70 years in the
literature. In this review, clinical features of primary cardiomyopathies in the
elderly are summarized.
Keywords :
Cardiomyopathy; Aged