Heart Transplants: Age is No Barrier to Successful Surgery

Journal of the American Geriatrics Society Research Summary

A new study published in the Journal of the American Geriatrics Society suggests that survival rates after heart transplant surgery are similar in adults ages 18 to 69 and adults ages 70 and older.

Researchers examined a large U.S. database of patients who were listed as candidates for surgery to replace their failing hearts with healthier donor hearts. The researchers found that:

  • Only 1 in 50 people who are considered for heart transplant surgery and 1 in 50 people who receive a heart transplant are ages 70 or older.
  • For older adults in the study, the likelihood of surviving one or five years after a heart transplant was about the same as for younger adults.
  • Having a stroke after heart transplant surgery was more common in older adults, but the risk in both age groups was low.
  • Older patients were more likely to receive hearts from higher-risk donors, who are older and more likely to have diabetes and high blood pressure.
  • Advanced age alone should not prevent people from being considered as candidates for heart transplants.

Why We May Need Heart Transplants as We Age Continue reading

New Wisdom about High Cholesterol Treatment for Adults Aged 80 and Older

Journal of the American Geriatrics Society Research Summary

Experts know that in adults younger than 65, having high cholesterol levels in your blood can raise your risk for heart attacks and strokes. However, in adults 80 years old and older, researchers have not—until now—thoroughly studied high cholesterol’s impact on heart disease, your ability to function well, or your risk for death.

In fact, some research shows that a higher level of total cholesterol and a lower level of so-called “bad” cholesterol (also known as “low-density lipoprotein” or LDL cholesterol) might be helpful in protecting your ability to perform daily activities and preserving your life for longer.

What’s more, it appears that having low cholesterol is linked to a higher risk of death from cancer, respiratory disease, and accidents in adults aged 80 and older. It also appears that the benefits of taking medications known as statins, which lower cholesterol, may lessen as people age. Researchers even have a phrase for this phenomenon. They call it the “risk factor paradox.” This describes the fact that for adults aged 80 and older, having some conditions that are considered health risks in younger adults predicts better survival. These conditions include having higher total cholesterol, higher blood pressure, and higher body mass index (BMI, a ratio of body weight to height that helps determine whether you are overweight or obese). Continue reading

Having Multiple Chronic Illnesses Plus Functional Limitations Increases Risk of Death among Older Adults with Heart Failure

Journal of the American Geriatrics Society Research Summary

Heart failure affects more than 6 million people in the U.S.—most of whom are older adults. Roughly half the older adults who have heart failure also live with five or more other chronic health conditions. This group of people may have difficulty performing daily activities, such as walking, bathing, and eating. And older adults who have multiple chronic illnesses plus heart failure generally require more frequent health care, including more visits to healthcare providers and hospitalizations.

Recently, researchers examined the impact of having multiple chronic conditions and having difficulty with daily activities on the health of older adults with heart failure. Until now, there’s been no research on the combined effects of having all three problems for older adults. The researchers published their findings in the Journal of the American Geriatrics Society.

The researchers sent questionnaires to 6,346 older adults who had been diagnosed with heart failure; 2,692 participants returned the questionnaires and were included in the study. Continue reading

For Adults Younger than 78, Higher Risk for Heart Disease Linked to Higher Risk for Problems Walking

JAGS graphicJournal of the American Geriatrics Society Research Summary

Problems with balance, walking speed, and muscle strength become more common as we age, and can lead to disability. In fact, studies show that for older adults, having a slower walking speed can help predict chronic illness, hospitalization, and even death.

A team of researchers from Sweden’s Karolinska Institutet in Stockholm examined the factors that put older adults at higher risk for developing physical limitations as they age. The team studied information from the Swedish National Study on Aging and Care-Kungsholmen (SNAC-K), and published their research in the Journal of the American Geriatrics Society.

The researchers studied participants aged 60 or older who lived in Stockholm and who did not have heart disease at the start of the study. When the study began, participants did not have problems with walking speed, balance, or chair standing exercises. All of these measure your risk for falls. Continue reading

For Older Adults, Keeping Your Heart Healthy May Protect Against Disability

JAGS graphicJournal of the American Geriatrics Society Research Summary

A healthy heart is important to the well-being of older adults. The American Heart Association (AHA) defines “ideal cardiovascular health” based on four health behaviors (current smoking, body mass index, physical activity, and healthy diet) and three health factors (total cholesterol, blood pressure, and fasting blood glucose level).

Recently, a team of researchers studied older Latin Americans to examine the relationship between the AHA guidelines and disability. Their study was published in the Journal of the American Geriatrics Association.

The relationship is an important one to consider, since heart disease (also known as “cardiovascular disease) can lead to several disabling problems for older adults. In fact, heart attacks and strokes are the first and third most common causes of disability in the US. The effect of a stroke on the brain is a leading cause of disability. Cardiovascular disease is the second leading cause of dementia and, for older adults, the disease also can make it difficult to function in daily life.

In their study, the researchers used information from the Chilean National Health Survey conducted between 2009-2010. 460 Chilean adults all over age 65 participated in the study. Continue reading