Physiology
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Boundless Anatomy and Physiology
APPENDIX B: Development and Aging of the Organ Systems
Development of the Heart
Physiology Textbooks Boundless Anatomy and Physiology APPENDIX B: Development and Aging of the Organ Systems Development of the Heart
Physiology Textbooks Boundless Anatomy and Physiology APPENDIX B: Development and Aging of the Organ Systems
Physiology Textbooks Boundless Anatomy and Physiology
Physiology Textbooks
Physiology
Concept Version 8
Created by Boundless

Aging and the Heart

As a person ages, the walls of the heart thicken, the heart becomes heavier, valves stiffen and leak, and the aorta becomes larger.

Learning Objective

  • Describe the effects of aging on the heart


Key Points

    • The heart muscle becomes less efficient with age, and there is a decrease in both maximum cardiac output and heart rate.
    • As a person ages, heart valves may become thickened by fibrosis or calcification, leading to heart murmurs and less efficient pumping.
    • The health of the myocardium depends on its blood supply, and with age there is greater likelihood that atherosclerosis will narrow the coronary arteries.
    • Atherosclerosis is the deposition of cholesterol on and in the walls of the arteries, which decreases blood flow and forms rough surfaces that may cause intravascular clot formation.

Terms

  • cardiac output

    Cardiac output (Q or CO) is the volume of blood pumped by the heart each minute calculated as heart rate (HR) X (times) stroke volume (SV).

  • arrhythmia

    An irregular heartbeat.

  • atherosclerosis

    The clogging or hardening of arteries or blood vessels caused by plaques (accumulations of fatty deposits, usually cholesterol).


Full Text

Effects of Aging on Cardiovascular System

After age 30, there are changes in the blood vessels that serve the brain tissue that reduce nourishment to the brain, resulting in the malfunction and death of brain cells. By the age 80, cerebral blood flow is 20% less, and renal blood flow is 50% less than at age 30. As a person ages, the heart goes through certain structural changes: the walls of the heart thicken and the heart becomes heavier, heart valves stiffen and are more likely to calcify, and the aorta, the major vessel carrying blood out of the heart, becomes larger.

Effects of Aging on the Heart

The heart muscle becomes less efficient with age, and there is a decrease in both maximum cardiac output and heart rate, although resting levels may be more than adequate. The health of the myocardium depends on its blood supply, and with age there is greater likelihood that arthrosclerosis will narrow the coronary arteries. Atherosclerosis is the deposition of cholesterol on and in the walls of the arteries, which decreases blood flow and forms rough surfaces that may cause intravascular clot formation . High blood pressure (hypertension) causes the left ventricle to work harder. It may enlarge and outgrow its blood supply, thus becoming weaker. A weak ventricle is not an efficient pump, and may progress to congestive heart failure. This process may be slow or rapid. The heart valves may become thickened by fibrosis or calcification, leading to heart murmurs and less efficient pumping. Arrhythmias are also more common with age, as the cells of the conduction pathway become less efficient.

Cross-section of a Artery with Atherosclerosis

Deposition of fatty plaques in the lumen of the arteries can lead to blockages and clots.

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