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Clin Geriatr Med. 2012 Nov;28(4):665-77. doi: 10.1016/j.cger.2012.07.006.

Ventricular arrhythmias in the elderly: evaluation and medical management.

Author information

1
Department of Medicine, University of Wisconsin, School of Medicine & Public Health, 600 Highland Avenue, Madison, WI 53792, USA. maleal@medicine.wisc.edu

Abstract

Ventricular arrhythmias constitute the main cause of sudden cardiac death. In the elderly, their presentation may be manifested by intermittent confusion or unexplained falls. In some cases, they may also be asymptomatic. The primary management goals are to identify and treat the underlying cause and prevent recurrence. With the exception of beta-blockers, none of the other antiarrhythmic drugs available reduce mortality associated with ventricular arrhythmias. In the elderly, these drugs are associated with a higher risk of adverse events. In this article, the authors review the data available regarding evaluation and management of ventricular arrhythmias in the elderly.

PMID:
23101576
DOI:
10.1016/j.cger.2012.07.006
[Indexed for MEDLINE]

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