Myocardium and Valves

  • A. Pomerance


If our standard for the normal in geriatric patients is accepted as the least degree of abnormality seen in this age group, then normal ageing itself causes relatively few changes in the heart. Even the almost universal coronary atherosclerosis is a disease and not an expression of normal ageing. Pathologists familiar with geriatric autopsies are well aware that the heart of a centenarian may be indistinguishable from that of a patient 50 years younger. However, in common with other organs the heart is increasingly likely to develop abnormalities with increasing age and any of the forms of cardiac pathology which occur in younger patients may also be seen in geriatric patients as well as several conditions which, for all practical purposes, are only found in patients over 70 years old (Fig. 1).


Mitral Valve Infective Endocarditis Hypertrophic Cardiomyopathy Mitral Valve Prolapse Cardiac Amyloidosis 
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  • A. Pomerance

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