{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T05:50:41Z","timestamp":1648792241088},"reference-count":51,"publisher":"Hogrefe Publishing Group","issue":"16","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Praxis"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:p> Zusammenfassung. Das Wissen um kardiovaskul\u00e4re Ver\u00e4nderungen im Alter und deren therapeutische Optionen ist wichtig. Es kann zur Hypertrophie des linken Ventrikels, zur diastolischen Dysfunktion, Herzklappenver\u00e4nderungen und pulmonaler Hypertonie kommen. Im Alter entwickeln Patienten h\u00e4ufig eine arterielle Hypertonie. Bei \u00fcber 100-J\u00e4hrigen sind valvul\u00e4re Ver\u00e4nderungen h\u00e4ufig (Aortenstenose und Mitralinsuffizienz). Das Risiko einer koronaren Herzkrankheit betr\u00e4gt 35 % f\u00fcr M\u00e4nner und 24 % f\u00fcr Frauen. Im Alter sind Sinusknotendysfunktion und Vorhofflimmern geh\u00e4uft. 25 % aller Schlaganf\u00e4lle sind kardiale Embolien bei Vorhofflimmern. Kardiale Interventionen bei Betagten werden zunehmend h\u00e4ufiger durchgef\u00fchrt und beinhalten koronare kathetertechnische Revaskularisationen oder Klappeneingriffe (perkutaner Aortenklappenersatz oder MitraClip). 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