How Aging Affects the Heart

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There is some truth to the perception that an aging heart may be slightly less capable to tolerate increased heart workloads, such as:

Illness: makes it important for your elderly parent to get flu and pneumonia vaccines. Another risk factor, as a result of serious illness, may be surgical procedures. Dr. John Crawford, a general practitioner physician in Charlotte, NC, says that surgery can be particularly hard on an aging heart.

Infection: can result from a number of causes, from post-surgery trauma to a wound that won't heal due to diabetes. Infection of the heart could result from valve malfunction and other heart timing issues or a viral or bacterial attack.

Emotional Stress: irregular heartbeat, increased pumping action, increased resting heat rate, and other issues all contribute to the heart's decreased ability to handle sudden or traumatic stress, and can cause pain (angina) or fainting in the older person.

Injuries:  broken bones, cuts, bruises, etc. can lead to surgery and slow healing, which may put an aging heart on overload.

Extreme Physical Exertion: during strenuous exercise, the older heart cannot squeeze down to the small size achieved by the younger heart at the end of the heartbeat. This may cause shortness of breath and angina. When angina occurs, according to Crawford, it is a sign that an area of the heart muscle is screaming for more blood supply. That blood supply could be blocked due to lifestyle choices we'll discuss later in this article.

Certain Medications: The management of prescription drugs is complicated by the fact that your aging parent may be receiving prescriptions from their family doctor, a cardiologist, an orthopedist or any variety of physicians who are treating any variety of ailments at one time. Some medications prescribed for heart disease and high blood pressure may cause fatigue, headache, low libido and other side effects.

Major Risk Factors for Heart Disease in the Elderly

Of the five major risk factors for heart disease as parent age, family history is the only one that cannot be controlled. An at-risk family history means that one's mother or father has suffered a heart attack before age 55.

However, by paying special attention to the other four factors that can be controlled, risk can be minimized even when family history factors in. Other risk factors for heart disease and heart attack are:

  • Smoking
  • High cholesterol caused by poor diet
  • Type II diabetes onset
  • High blood pressure
  • Weight gain and obesity
 
 

Comments

 
  •  Comments 1 to 10 of 12 
 
 

musiclover1

Give a Hug

Jul 25, 2010

I am living with the guilt of encouraging my mom at age 83 to have open heart surgery to replace her aortic valve due to severe aortic stenosis. My mom had two opinions from cardiologists. A renown cardiologist in Pittsburgh told us my mom has a 95% chance of a full recovery and suggested we not wait another two years for this to become an emergency. Well, my mom has not lost 14 months of her "life" as she has been in continual hospitals/chronic care facilities since the surgery and there is no end in sight. So I feel as though with my encouragement, my mom has lost her life already. She was living on her own, otherwise doing very well before the surgery. She still drove. Has a very sound mind. Was taking good care of herself and enjoying her life. Now, she is bedridden and will never be the same. Yes, I know that surgeries can have complications but honestly I did a ton of research and read a multitude of "success" stories from other elderly women who recuperated nicely from this surgery. At 83 my mom could not afford to lose what remained of her quality of life. My mom never once has blamed me for this encouragement. She always said no one would ever operate on her heart but in the year it took for her to make this decision, she was slowing down and getting shorter of breathe so she decided to have this surgery. Even the surgeon was encouraging. I will regret this heart surgery for the rest of my life. My mom has not been outside of a hospital room for 14 months. Her life as we knew it is over. At this point, despite my prayers and trying to stay strong, I don't see her ever returning home. So I want everyone to know if you ever are in this situation, think very hard about surgery for your loved one. I can't unring the bell. But if I could, I would rather have had my mom less time on this earth as she was, with us enjoying each other and spending quality time together, then visiting her everyday seeing her suffering from respiratory issues, being on a feeding tube, getting daily Heparin shots, being on a full ventilator with a trache. When we were told a 95% chance of full success, I was stupid. At age 83, I should have left that doctor's appointment with my dear mom and said forget it. We will take our chances. I am heartsick.

 
 

pamela6148

Give a Hug

Jul 26, 2010

Bonnieadams59 I love what you have said. Your sincerety comes through so loudly.

You did your research and what more could a person do. I think this is one of those cases where you're damned if you do, and you're damned if you don't.

I do know how you feel though I'm just wishing I could have just 1 more year with my mom before she had her stroke, and the Demensia/Alz set in.

We do what we can and that's all we can do.

 
 

oqt

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Jul 26, 2010

You did the best with the information given you. Do not beat up on yourself.

 
 

JoleenFirek

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Jul 26, 2010

I was shocked when my father with Alzheimer's whom I cared for recently died and his death certificate listed as the Primary Cause of death: Heart Disease. When I questioned the funeral home they said that in the process of dying typically the heart acquires the disease before stopping and it typical and legitimate for it to be listed on death certificates. Alzheimer's was listed as a Secondary Cause.

So, even though he was a marathon runner and in wonderful physical shape, he died in the end of Heart Disease which never was a problem during his thriving, functioning life. Hmph.

 
 

Jola

Give a Hug

May 25, 2011

I would bet that the last thing Bonnie's mom would want would be for her dear daughter to carry any guilt around as the result of simply having done what had appeared to be in her mom's best interest at the time, especially after having researched it and having talked with renowned specialists who were advising to have the surgery.

Thank you, Bonnie, for your post. I will keep in mind what happened in your mom's case, should my elderly parents be faced with a similar surgery decision. I am so sorry for your loss. God bless you for your love and caring for your dear mom.

 
 

Jola

Give a Hug

May 25, 2011

(Please forgive me above. I had misread the text where she had written 'has lost her life'; I meant to say 'for what happened in your mom's case', not 'for your loss'.)

 
 

musiclover1

Give a Hug

May 25, 2011

I understand but wanted to let you know. Thanks for your concern. I hope you are doing ok.

 
 

Jola

Give a Hug

May 26, 2011

Oh, thank you for that. Been doing pretty well lately. I hope that you are doing well, too.

 
 

crazypollack

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Aug 13, 2011

My now 90 yr old father fired his cardio doc when he was 89. He was told he was not a canidate for valve surgery. Daddy told him "I'm not going to waste your time or my money". My question has always been - what comes next? I can't get anyone to tell me so that I can prepare my 80 yr old mother? Any news is better than nothing. thanks

 
 

jeannegibbs

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Aug 13, 2011

It sounds like your father has some kind of heart disease/defect and it isn't going to be treated. Have I understood that correctly? I would think that what may happen next depends on the nature of the heart condition. Have you tried looking the specific heart condition up on reputable internet sites?

I don't suppose that anyone can tell you exactly what will happen, or the timeline, but by learning about the disease you may have some clues of what to expect.

 
  •  Comments 1 to 10 of 12 

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