| [A ten-year follow-up of a 109-year-old woman with myocardial infarction]. | |
| | |
MedLine Citation:
|
PMID: 21378469 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 109-year-old woman was hospitalized with myocardial infarction in the geriatric long-term care ward of our hospital. Her medical history was unknown, and she was receiving only peroral 20 mg/day furosemide. Her medical records at another hospital revealed that she had been given a previous diagnosis of myocardial infarction of the anteroseptal wall of the left ventricle by a cardiovascular specialist approximately 10 years previously. Although treatment with cardiovascular drugs such as an angiotensin II receptor blocker, aspirin, and spironolactone had been started, it was discontinued because of her hospital transfer and change in her attending physician. Because of aggravation of the symptoms of cardiac failure caused by infection, treatment with the angiotensin-converting enzyme inhibitor temocapril (1 mg/day), spironolactone (12.5 mg/day), aspirin (100 mg/day), and a beta-adrenoceptor blocker carvedilol (2 mg/day) was tentatively initiated. Consequently, her B-type natriuretic peptide (BNP) level improved and her condition stabilized. She finally died of old age. Both inappropriate sharing of patient information among medical facilities and restrictions on medical care in Japanese health care system for the elderly may lead to improper and/or inadequate medical treatment for elderly patients. Although little evidence is available to support medical care for centenarians, treatment which is based on a thorough understanding of their physiological characteristics enables us to improve their quality of life. |
| | |
Authors:
|
Hidetomo Maruyoshi; Takashi Baba; Jiro Ogata; Soichi Nagata |
Related Documents
:
|
21292029 - Modeling the acceptance of clinical information systems among hospital medical staff: a... 21160349 - Patient-centered medical homes in the united states. 21123409 - Medication adherence and hospitalization among patients with schizophrenia treated with... 21320239 - Development and psychometric evaluation of the german version of the medication regimen... 22516559 - The importance of physics to progress in medical treatment. 21208259 - Personality factors and medical training: a review of the literature. 17196029 - Notes on a plant parasite fungus in portugal: gymnosporangium cornutum. 1319429 - Pharmacology of benzodiazepine hypnotics. 8793149 - The current status of seizure duration in the practice of electroconvulsive therapy. |
Publication Detail:
|
Type: Case Reports; English Abstract; Journal Article |
Journal Detail:
|
Title: Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics Volume: 48 ISSN: 0300-9173 ISO Abbreviation: Nihon Ronen Igakkai Zasshi Publication Date: 2011 |
Date Detail:
|
Created Date: 2011-03-07 Completed Date: 2011-07-21 Revised Date: 2011-07-29 |
Medline Journal Info:
|
Nlm Unique ID: 7507332 Medline TA: Nihon Ronen Igakkai Zasshi Country: Japan |
Other Details:
|
Languages: jpn Pagination: 78-83 Citation Subset: IM |
Affiliation:
|
Department of Internal Medicine, Higashikumamoto-Daini Hospital. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged, 80 and over Female Follow-Up Studies Health Services for the Aged Humans Information Dissemination Myocardial Infarction / drug therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: [Comparison of the effect of abdominal obesity on new onset of type 2 diabetes in a general Japanese...
Next Document: Relationships between circulating adiponectin levels and fat distribution in obese subjects.