cardiopulmonary system Flashcards
Physiological Changes Related To Aging
- Changes in autonomic functions and cell homeostasis → Temperature, blood volume, and endocrine changes
- Decrease in organ mass → Liver, brain kidney bones and muscles
- Decrease in functional reserve of organs →lungs, heart .
CARDIOVASCULAR CHANGES
DESCENDING PARAMETERS
* Rest and maximal cardiac output
* Rest and maximal filling volume
* Heart rate
* Venous circulation
* Synerrial node cells decrease by 10% after age 75 →
transmission decreases
* Myocardial flexibility
* Left ventricular contractility and
diastolic volume
* Baroreceptor sensitivity
* β receptor activity
ASCENDING PARAMETERS
* Rest and exercise blood pressure
* Amount of fat tissue around the
heart
* Peripheral vascular resistance
* Risk of developing arrhythmia
Cardiovascular Change and Diseases Caused by Aging
ARTERIAL CHANGES
Decreased elasticity.
Decreased compliance.
Atherosclerosis
CHANGES IN HEART
fibrosis
Mass increase
Calcification
DISEAS CAUSED BY CHANGES
Hypertension
Angina Pectoris
Myocardial Infarction
Heart failure
SYMPTOMS THAT INCREASE FREQUENCY WITH AGING
Fatigue
Palpitations
Chest pain
Dizziness
AT AN ADVANCED AGE
Typical angina is rarer
Heart attack can be spent silently
ECG findings are not clear
Aging and the Vasculature
The changes that occur with aging involve elastin fibers undergoing progressive disorientation, fragmentation, and degeneration, with subsequent collagen deposition, calcification, and cystic degeneration.
Atherosclerosis
- A narrowing of arterial passageways as a result of the development of plaques on their interior walls
- Reduces the size of the passageway
- A cause of ischemic heart tissue (tissue deprived of adequate blood supply)
Arteriosclerosis
- A generic term referring to the loss of elasticity of arterial walls
- Often referred to as “hardening of the arteries”
- Considered a general aging phenomenon
what causes elders to reach fatigue faster when exercising
due to decrease in VO2 max
Respiratory System Changes
- Calcification of kyphoscoliosis and costal cartilage, the muscular result of aging → Reduced lung compliance
- Breathing work increases
- Decrease in respiratory muscle strength → max expiratory & inspiratory pressure reduced
- Distal bronchial diameters decrease
Respiratory System Changes
- Increased chest wall rigidity
- Alveolar performance decreases
- Residuel volume increases
- Vital capacity decreases
- Ventilation is impaired, diffusion decreases
- Cilia’s movements slow down
- The cough reflex decreases.
- Increased risk of infection
Hematological Problems
- Anemia rate increases
- Blood loss due to intestinal carcinoma, polyps,
or peptic ulcers (GIS disorders) - Decreased blood production ?
Most causes of Anemia in Elderly
- Chronic disease
- Iron deficiency
- Vitamin B12 deficiency,
- Folate deficiency,
- Gastrointestinal bleeding,
- Myelodysplastic syndrome
Thermoregulation System Distortion
- Aging reduces sweat gland output, skin blood flow, cardiac output,peripheral vasoconstriction, and reduced muscle mass.