Vascular disease is a major cause of morbidity and mortality in older americans and one that has been largely ignored or treated as an orphan of mainstream cardiology this deficiency in the specialty of cardiovascular disease is beginning to be addressed by medical specialty boards and training programs. Contents the book is organized into 26 chapters that cover various aspects of the medical and surgical treatment of elderly patients with vascular disease the first chapters address physiologic changes in the blood vessels and risk factors for peripheral arterial occlusive disease and stroke chapters 7 through 10 discuss preoperative and postoperative care in patients undergoing vascular surgical procedures subsequent chapters are devoted to the medical and surgical treatment of . Inant forms of vascular insult to the kidneys seen with aging hypertensive nephrosclerosis arteriolar hyalinosis and ath erosclerotic renal artery stenosis microscopic vascular disease in the kidney with aging nephrosclerosis as systemic hypertension worsens an increase in renal vascu lar resistance and a progressive decrease in effective renal. In the last two decades the prevalence of stroke diabetes mellitus arthritis and heart disease has increased significantly as a tangible index of ageing in the population and these diseases have been accompanied by degenerating cognitive function and physical disability both of which are adding increasing stress to community healthcare and social services policy makers need to understand and monitor these trends in order to make informed and cogent decisions about the management of
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