Pathophysiology of the Aging Heart and Its Impact on Interventions


Cardiac changes

Vascular changes

Heart weight

↑

Arterial wall thickness (intima-media)

↑

Cardiomyocyte dimensions

↑

Subendothelial collagen

↑

Cardiomyocyte number

↓

Elastin

↑

Collagen in cross-linking

↑

Elastin fragmentation

↑

Ejection fraction

=

Proteoglycans

↑

Stroke volume

=

MMP activity

↑

Cardiac output

=

Intimai migration/proliferation of VSMC

↑

Early diastolic filling

↓

Arterial distensibility

↓

End-diastolic filling

↑

Pulse wave velocity

↑

Chronotropic responsiveness to β-adrenergic stimuli/catecholamines

↓

Total peripheral resistance

↑

Inotropic responsiveness to β-adrenergic stimuli/catecholamines

↓

Endothelial permeability

↑

Inotropic response to digitalis glycosides

↓

Endothelial nitric oxide release

↓

Peak cardiac output to maximal effort

↓

Inflammatory markers/mediators

↑

Lusitropic function

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Apr 2, 2016 | Posted by in INTERVENTIONAL RADIOLOGY | Comments Off on Pathophysiology of the Aging Heart and Its Impact on Interventions

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