Abstract
The factors associated with the development of heart failure and of atrial fibrillation in elderly patients were studied in a prospective clinico-pathological series of 171 cases. Multiple logistic analyses allowed the contributions of multiple factors to be assessed simultaneously. Senile cardiac amyloidosis, ischaemic heart disease and atrial fibrillation were significantly associated with heart failure and had additive effects. Senile cardiac amyloidosis, ischaemic heart disease, mitral valve ballooning and higher age were significantly associated with atrial fibrillation but their additive effects were modified by significant interactions between ischaemic heart disease and mitral valve ballooning (whose effects were multiplicative) and senile cardiac amyloidosis and age (the age effect being confined to those without amyloidosis).
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Davies M. J., Pomerance A. Quantitative study of ageing changes in the human sinoatrial node and internodal tracts. Br Heart J. 1972 Feb;34(2):150–152. doi: 10.1136/hrt.34.2.150. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Denham M. J., Pomerance A., Hodkinson H. M. Pathological validation of auscultation of the elderly heart. Postgrad Med J. 1977 Feb;53(616):66–68. doi: 10.1136/pgmj.53.616.66. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hodkinson H. M., Pomerance A. The clinical significance of senile cardiac amyloidosis: a prospective clinico-pathological study. Q J Med. 1977 Jul;46(183):381–387. [PubMed] [Google Scholar]
- Hodkinson I., Pomerance A., Hodkinson H. M. Heart size in the elderly: a clinicopathological study. J R Soc Med. 1979 Jan;72(1):13–16. doi: 10.1177/014107687907200105. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kannel W. B. Role of blood pressure in cardiovascular morbidity and mortality. Prog Cardiovasc Dis. 1974 Jul-Aug;17(1):5–24. doi: 10.1016/0033-0620(74)90034-6. [DOI] [PubMed] [Google Scholar]
- Miall W. E., Lovell H. G. Relation between change of blood pressure and age. Br Med J. 1967 Jun 10;2(5553):660–664. doi: 10.1136/bmj.2.5553.660. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pickering G. Hyperpiesis: high blood-pressure without evident cause: essential hypertension. Br Med J. 1965 Oct 30;2(5469):1021–concl. doi: 10.1136/bmj.2.5469.1021. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pomerance A. Pathology of the heart with and without cardiac failure in the aged. Br Heart J. 1965 Sep;27(5):697–710. doi: 10.1136/hrt.27.5.697. [DOI] [PMC free article] [PubMed] [Google Scholar]