Aging, Heart Disease, and Its Management: Facts and by Niloo M. Edwards

By Niloo M. Edwards

Experiences the simplest treatments and surgical recommendations to be had to supply caliber deal with the aged cardiac sufferer and of these parts that require extra learn. The authors aspect preventive remedies and the cardiovascular syndromes that disproportionately afflict the older person, together with arrhythmias (particularly atrial fibrillation), syncope, center failure (particularly diastolic center failure), and ischemic middle disorder. in addition they delineate the surgical administration of the guts sufferer with discussions of postoperative administration and its issues and of particular surgeries comparable to coronary artery pass grafting, valve surgical procedure, pacemaker and defibibrillators, and surgical administration of middle failure.

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Extra info for Aging, Heart Disease, and Its Management: Facts and Controversies (Contemporary Cardiology)

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Most individuals (70%) have both 16 Ridge and Cassel Medicare and some other kind of private health insurance. Smaller but significant fractions have Medicare only (17%) or both Medicare and Medicaid (10%). Sadly, 3% of America’s elderly lack any coverage at all (4). In most cases, eligiblility for Medicare begins at 65 or if one has a disability (have been receiving SSI disability income for at least 24 mo or has end-stage renal disease), regardless of income. If one is eligible for Social Security (SS) retirement benefits, one can still receive Medicare benefits regardless of age.

The consequences can be dangerous or even deadly. Original Medicare does not cover the cost of prescription drugs outside of the hospital, which means that more than one-third of Medicare beneficiaries lack coverage for outpatient prescriptions. The coverage gap will only grow wider as drugs grow more expensive and more important in treating the ills of old age. Drugs are more expensive in the United States than they are in any other industrialized nation because we have fragmented our purchasers so extensively.

Some “life-saving” treatments are unpleasant, do not extend life much, and the time remaining is full of pain and discomfort; alternative treatments may not save lives but are not expen- Chapter 2 / Evolution of the American Health Care System 19 sive and may considerably improve the quality of life of the patient. An efficient allocation might shift resources from the first type of treatment to the second. QALY gives us a way to mathematically convert the amount of quality added to a person’s life into a life-year equivalent.

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