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Clinicians have focused their attention on cardiovascular problems in the elderly since 1937, when Sir Thomas Lewis devoted a section of his Diseases of the Heart, Described for Practitioners and Student (London: Macmillan) to special problems in elderly patients. He recognized the syndrome of dyspnea, normal systolic function, and absence of histologic myocardial abnormalities at autopsy. The recent interest in the health care of elderly patients has stimulated the publication of at least four textbooks devoted to geriatric cardiology.
Practical clinical issues are driving this interest. Clinicians caring for the elderly are trying to apply existing therapeutic options rationally to
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