Evaluation of the elderly patient with acute chest pain.

Abstract:

:Chest pain is one of the most common and serious chief complaints. Geriatricians must be well versed in evaluating elderly patients who have chest pain. This article discusses the initial diagnostic evaluation of elderly patients with chest pain. Specific emphasis is placed on identifying acute coronary syndromes, aortic dissection, pulmonary embolism, and pericarditis with cardiac tamponade. By understanding the different presentations of these potentially life-threatening emergencies, the geriatrician will be better prepared to distinguish them from less dire conditions and to initiate prompt treatment.

journal_name

Clin Geriatr Med

authors

Kelly BS

doi

10.1016/j.cger.2007.01.005

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

327-49, vi

issue

2

eissn

0749-0690

issn

1879-8853

pii

S0749-0690(07)00006-7

journal_volume

23

pub_type

杂志文章,评审
  • Prostate Cancer in Elderly Men: Screening, Active Surveillance, and Definitive Therapy.

    abstract::Prostate cancer (PCa) is a common medical condition in the United States, with an estimated 16% of men receiving a diagnosis during their lifetime. Although it is the second leading cause of cancer-specific deaths among men, PCa will not be the cause of death for most men who are diagnosed with it. Although there are ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2015.07.004

    authors: Roussel B,Ouellet GM,Mohile SG,Dale W

    更新日期:2015-11-01 00:00:00

  • Cognitive Reserve from the Perspective of Preclinical Alzheimer Disease: 2020 Update.

    abstract::The concept of cognitive reserve (CR) was proposed to account for the discrepancy between levels of brain pathologic process or damage and clinical and cognitive function. We provide a detailed review of prospective longitudinal studies that have investigated the interaction between CR and Alzheimer disease (AD) bioma...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2019.11.006

    authors: Soldan A,Pettigrew C,Albert M

    更新日期:2020-05-01 00:00:00

  • Lewy Body Dementia.

    abstract::Dementia with Lewy bodies (DLB) is the second most common neurodegenerative dementia following Alzheimer disease. It stems from the formation of Lewy bodies, which contain aggregates of the misfolded protein, α-synuclein. These deposit in areas of the nervous system and brain, leading to neuronal cell death and causin...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2018.06.007

    authors: Sanford AM

    更新日期:2018-11-01 00:00:00

  • Diagnosis and treatment of alcohol dependence in older alcoholics.

    abstract::Treatment of alcohol dependence among older alcoholic patients should be multidimensional to address as many potential relapse factors as possible. As the literature suggests, alcohol-related disorders often are under diagnosed and under treated. More efforts are needed to identify and improve diagnosis of these disor...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0690(03)00045-4

    authors: Sattar SP,Petty F,Burke WJ

    更新日期:2003-11-01 00:00:00

  • Radioisotopes and their use in the diagnosis and management of thyroid disease.

    abstract::The use of radioactive isotopes in thyroid evaluation and therapy gives important information in the endocrine assessment of the aged. Thyroid uptake imaging can be used to establish a hypothyroid or hyperthyroid state and can determine the functional status of a palpable nodule. Investigational agents, such as T1 201...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Freeman SJ,Girolamo RF

    更新日期:1995-05-01 00:00:00

  • Pain and terminal delirium research in the elderly.

    abstract::This article highlights new developments in assessment and management of pain and delirium. ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2004.09.002

    authors: Yennurajalingam S,Braiteh F,Bruera E

    更新日期:2005-02-01 00:00:00

  • Immunological aspects of aging and malnutrition: consequences and intervention with nutritional immunomodulators.

    abstract::As knowledge of molecular and cellular mechanisms of development and aging is elucidated, the need to understand the relationships among tissues, organ systems, health habits, nutrition, physical activity, and environmental factors on successful aging becomes more explicit. Progress in our understanding of how the imm...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Heuser MD,Adler WH

    更新日期:1997-11-01 00:00:00

  • Prophylactic aspirin and the elderly population.

    abstract::A wide array of clinical trials over the past two decades has established that aspirin is indicated to prevent myocardial infarction in patients with clinically evident coronary artery disease, and to prevent stroke in patients with a history of stroke or TIAs. The most likely mechanism by which aspirin decreases the ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Dalen JE,Goldberg RJ

    更新日期:1992-02-01 00:00:00

  • Benefits of exercise in old age.

    abstract::Although exercise capacity declines with age, the decline appears to be slight when measured in healthy, physically active subjects. There is growing evidence that exercise has a positive influence on increasing healthy function and decreasing the impact of diseases common in the elderly. While the dose-response relat...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Gorman KM,Posner JD

    更新日期:1988-02-01 00:00:00

  • Educational assessment and teaching of older clients with pressure ulcers.

    abstract::The importance of education in preventing and treating patients with pressure ulcers is evident by the inclusion of recommendations for educational objectives in the clinical guidelines by the Agency for Health Care Policy and Research. Both caregiver and client should be assessed for knowledge of pressure ulcers. Phy...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ayello EA,Mezey M,Amella EJ

    更新日期:1997-08-01 00:00:00

  • Can Older Adults Benefit from Smart Devices, Wearables, and Other Digital Health Options to Enhance Cardiac Rehabilitation?

    abstract::Cardiovascular disease (CVD) is the leading cause of death and disease burden globally. Improving reach, access, and effectiveness of postdischarge care through cardiac rehabilitation and secondary prevention strategies is an international priority. The current proliferation of mobile technology has resulted in widesp...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2019.07.004

    authors: Redfern J

    更新日期:2019-11-01 00:00:00

  • Nonpharmacologic interventions. Exercise, fall prevention, and role of physical medicine.

    abstract::Musculoskeletal changes that are related to osteoporosis can be prevented, challenged, or reduced with implementation of proper rehabilitation programs. The nonpharmacologic interventions recommended here are evidence-based and have resulted from controlled trials and studies. ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0690(02)00111-8

    authors: Sinaki M

    更新日期:2003-05-01 00:00:00

  • Pain in cognitively impaired older persons.

    abstract::To summarize, there has been shamefully little empirical research directly examining the prevalence and correlates of pain among cognitively impaired older people. Even less is known about techniques for assessing and managing pain in this group. Existing evidence suggests that cognitively impaired older persons may v...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Parmelee PA

    更新日期:1996-08-01 00:00:00

  • Carotid endarterectomy for stroke prevention in older people.

    abstract::The efficacy of endarterectomy for patients with symptomatic high-grade stenosis of the extracranial carotid artery has been firmly established. Those with asymptomatic carotid disease may also be candidates for the operation. A thorough understanding of the benefits and risks of the operation for the individual patie...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Goldstein LB

    更新日期:1999-11-01 00:00:00

  • Cutaneous fungal infections in the elderly.

    abstract::This article summarizes the common, superficial, cutaneous, fungal infections that are found in older adults. The epidemiology, classic appearance, and current treatments of these fungal infections are discussed. These common skin pathogens occur in many older adults. ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:10.1016/j.cger.2013.01.001

    authors: Varade RS,Burkemper NM

    更新日期:2013-05-01 00:00:00

  • The older homosexual: current concepts of lesbian, gay, bisexual, and transgender older Americans.

    abstract::Lesbian, gay, bisexual, and transgender older adults require a comprehensive medical, behavioral, mental health, and social support evaluation as do all elders. Open communication and minimizing barriers in both the patient-provider relationship and throughout the continuum of care settings offer a safe environment fo...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0690(02)00108-8

    authors: McMahon E

    更新日期:2003-08-01 00:00:00

  • The future of subacute care.

    abstract::Subacute care is a program of care for individuals with recent or current illness or injury. Currently, the services received by patients in subacute care vary considerably among sites, partly because these sites may specialize in certain treatments and partly because providers often define subacute care according to ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:10.1016/s0749-0690(05)70038-0

    authors: Levenson S

    更新日期:2000-11-01 00:00:00

  • Independence at home: community-based care for older adults with severe chronic illness.

    abstract::By most clinical and economic measures, our health care system is not providing effective or affordable care to Medicare beneficiaries with severe chronic illness. Two million elders, constituting most of the 5% who account for nearly half of Medicare costs, have multiple chronic conditions, functional disability, and...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:10.1016/j.cger.2008.11.004

    authors: DeJonge KE,Taler G,Boling PA

    更新日期:2009-02-01 00:00:00

  • Malignant skeletal neoplasms in the geriatric patient.

    abstract::Malignant neoplasms of the geriatric skeleton are either primary or metastatic in nature. The vast majority are metastatic to the skeleton from carcinomas. Rarely, a primary skeletal malignancy, usually a chondrosarcoma or a malignant fibrous histiocytoma, develops in the geriatric patient. This article discusses the ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章

    doi:

    authors: McGuire DJ,McGuire MH

    更新日期:1994-11-01 00:00:00

  • Nonpain symptom management in terminal care.

    abstract::The treatment of nonpain symptoms is integral to good palliative care of the terminally ill elder. This article reviews the management of common physical symptoms observed during the dying process, including nausea and vomiting, dyspnea, cough, constipation, diarrhea, bowel obstruction, and xerostomia. Alleviation of ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Rousseau P

    更新日期:1996-05-01 00:00:00

  • Lower intestinal bleeding in the elderly.

    abstract::Lower intestinal bleeding in the elderly is a common problem with numerous and varied causes. Its diagnosis and treatment require a careful, systematic approach by physicians with special expertise. Under the proper circumstances, elderly patients with lower intestinal bleeding do well, even when surgery is required. ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Reinus JF,Brandt LJ

    更新日期:1991-05-01 00:00:00

  • In-vitro studies of aging.

    abstract::Research has conclusively established that normal diploid cells in culture have a limited replicative life span, and that cells from adult organisms have a shorter life span than cells from young organisms or embryos. Although it is unlikely that death of the organism is caused by failure in cellular proliferative cap...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Stanulis-Praeger B

    更新日期:1989-02-01 00:00:00

  • Maintaining posture and avoiding tripping. Optical information for detecting and controlling orientation and locomotion.

    abstract::In attempting to understand the role of visual perception in falls and their prevention, the relationship between the locomoting individual and the surrounding environment must be considered. Falls will occur when necessary properties of the environment and visual sources of information about them are inadequate, or w...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Owen DH

    更新日期:1985-08-01 00:00:00

  • Anticoagulant treatment of deep vein thrombosis and pulmonary embolism.

    abstract::Venous thrombosis is a common disease. As the mean age of the population increases, so does the incidence of venous thromboembolism. Anticoagulant therapy is equally effective in young and older patients, and can reduce substantially the associated morbidity and mortality. When considering long-term oral anticoagulant...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2005.09.004

    authors: Tran H,McRae S,Ginsberg J

    更新日期:2006-02-01 00:00:00

  • Syncope: evaluation and management in the geriatric patient.

    abstract::Syncope is a common clinical problem accounting for 3% of all emergency room visits and 1% to 6% of all hospital admissions. Both a sign and a symptom, syncope can be caused by a wide variety of conditions. Syncope in the geriatric patient can be a particularly challenging problem because of the coexistence of multipl...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2012.07.002

    authors: Grubb BP,Karabin B

    更新日期:2012-11-01 00:00:00

  • Conventional and implant oral prostheses.

    abstract::Despite advances in preventive dentistry, many elderly persons present with several missing teeth replaced by oral prostheses of various kinds. An increasing number of prostheses are retained and supported by oral implants. Maintaining a complete dentition with fixed, removable, or implant-retained prostheses improves...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Guckes AD,Cooper LF

    更新日期:1992-08-01 00:00:00

  • Psychomotor assessment of the older patient.

    abstract::Psychomotor assessment is a collaborative effort between the neurologic and the neuropsychologic evaluation. Changes associated with normal aging must be differentiated from signs and symptoms that indicate abnormal functioning. Recent developments in computer-based technology should add to the precision and accuracy ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Mahurin RK,Inbody SB

    更新日期:1989-08-01 00:00:00

  • Management of Early Parkinson Disease.

    abstract::Early Parkinson disease is the approximate time period between initial diagnosis and the onset of motor fluctuations. Treatment requires an integrative approach, including identification of motor and nonmotor symptoms, choice of pharmacologic treatment, and emphasis on exercise. Patients should be treated for motor sy...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.cger.2019.09.001

    authors: Zesiewicz TA,Bezchlibnyk Y,Dohse N,Ghanekar SD

    更新日期:2020-02-01 00:00:00

  • The doctor-patient relationship in the home.

    abstract::The rapid growth of the geriatric sector of the population has, in part, led to the explosion of the home care industry and the rebirth of the house call. Understanding the population being served is always the first step in providing excellent care. Older people who are frail and homebound have physical, social, and ...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:10.1016/s0749-0690(05)70010-0

    authors: LoFaso V

    更新日期:2000-02-01 00:00:00

  • Epidemiology of bone loss with aging.

    abstract::Lifespans worldwide continue to get progressively longer as we learn more about the science of aging, adopt more healthy lifestyles, and develop better technology to promote successful longevity. Unfortunately, with advanced age comes bone loss and an increased risk for skeletal fractures. Much is known about age-rela...

    journal_title:Clinics in geriatric medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Gunby MC,Morley JE

    更新日期:1994-11-01 00:00:00