Download Aging, Heart Disease, and Its Management: Facts and by Niloo M. Edwards PDF

By Niloo M. Edwards

Experiences the simplest remedies and surgical strategies to be had to supply caliber take care of the aged cardiac sufferer and of these components that require additional examine. The authors aspect preventive cures and the cardiovascular syndromes that disproportionately afflict the older person, together with arrhythmias (particularly atrial fibrillation), syncope, middle failure (particularly diastolic middle failure), and ischemic center disorder. in addition they delineate the surgical administration of the center sufferer with discussions of postoperative administration and its issues and of particular surgeries equivalent to coronary artery skip grafting, valve surgical procedure, pacemaker and defibibrillators, and surgical administration of middle failure.

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Additional resources for Aging, Heart Disease, and Its Management: Facts and Controversies (Contemporary Cardiology)

Sample text

The American health care system has long based its success, and rightfully so, on the introduction of new technology, but there has been increasing recognition of the potential of preventive activities to improve the health of the population. Impressive evidence supports the value of clinical preventive medicine (11). Preventive medicine is defined as the maintenance and promotion of health and the reduction of risk factors that result in injury and disease. There are three main types of preventive medicine: primary prevention aims to prevent a disease from occurring (smoking cessation, diet modification); secondary prevention is the detection and treatment of asymptomatic disease before symptoms occur (antihypertensives, antilipidemics); and tertiary prevention deals with the consequences of existing disease or reduction of recurrent disease (bypass).

The total average cost of surgery for the group they studied was $45,000. Assuming the cost of the procedure and postoperative course to be as high as $60,000, the cost per year of life saved would be roughly $5500. Because the benchmark for “cost-effectiveness” is $50,000 per year of life saved, the surgery seems to be an effective intervention (17). No one would argue that preventive efforts should focus on preventing surgeryrequiring conditions from developing, but with new data suggesting both efficiency and effectiveness as well as growing numbers and political influence among the older demographics, it will be increasingly more difficult to argue against surgical intervention in this age group when warranted.

The Medicare and Medicaid programs are barely 35 yr old, and managed care only became a significant force less than 10 yr ago. Given the brief history of the nation’s health care system, the constancy of change is not surprising. We have yet to devise a solution that will ease the struggle we have encountered with advancing technology, new health care management approaches, and the perception that no matter how the numbers are crunched, there does not seem to be enough to provide everyone with the highest level of care.

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