<![CDATA[<B>I Diretrizes do Grupo de Estudos em Cardiogeriatria</B> <B>da Sociedade Brasileira de Cardiologia</B>]]>

Peculiaridades no tratamento da cardiopatia isquêmica no idoso

“…The world's population average age is increasing and those over the age of 80 are the fastest growing population worldwide [1][2][3]. In 1998, according to United Nations data, approximately 66 million people were 80 years of age or older.…”

“…From 1970 to 1998, whereas the world population growth rate grew 60% the population 80 years of age or older rose 174% (from 26.7 to 66 millions). By the approaching year 2050, the proportion of those over the age of 80 is expected to increase by as much as sixfold (370 million people) [2].…”

“…In Brazil, according to the Brazilian Institute of Geography and Statistics or IBGE (Portuguese: Instituto Brasileiro de Geografia e Estatística) 1991/2000 data, 1.6% out of approximately 146.8 million inhabitants were 75 years of age or older [5]. Brazil is expected to have the 6th elderly world's population by the year 2020 [2].…”

“…The number of aged patients referred to coronary artery bypass grafting surgery (CABG) due to severe atherosclerotic disease has been increasing over recent years owing to an increase in expectation of life in general population [1,4,6,7]. Thus, the practitioners need to be prepared to attend structural, functional, and hemodynamic alterations related to aging in order to provide better strategies to promote healthy aging based on published evidence [2].…”

“…The elderly is expected to have a postoperative higher morbidity rate than younger people, despite the recent technological, pharmacological, and perioperative management breakthroughs that improve postoperative outcomes [4] as a result of the great number of patients with systemic diseases. Furthermore, aging promotes increasing structural heart changes, such as a greater deposition of fatty cells in the tissues and decreased vascular wall elasticity [2].…”