Cardiovascular Changes Among Healthy Elderly
(1) Fakultas Kedokteran Universitas Muhammadiyah Sumatera Utara, Medan, Nort Sumatera, Indonesia
(2) Departemen Ilmu Kesehatan Masyarkat, Fakultas Kedokteran Universitas Muhammadiyah Sumatera Utara, Medan, Nort Sumatera, Indonesia
(*) Corresponding Author
Abstract
Background: World Health Organization (WHO) defines health as a complete physical, mental, and social well-being and not merely the absence of disease or infirmity. Health is one of the important and valuable values among the elderly. Aging is a progress of life in each individual. Unlike pathological conditions, the aging process will occurs in each individual. Elderly tend to experience physical, mental, and spiritual deterioration. The health status of each individual can have an impact on changes in cardiovascular function in the elderly. After each individual reaches the age of 30, heart-lung fitness decreases by 1% for each age, which increases by one year. At the age of 60, heart-lung fitness will decrease until 35%.
Objective: To provide an understanding of the cardiovascular changes among healthy elderly.
Method: A literature review
Result: The main effects aging on the cardiovascular system are a changes in vascular structure, a decrease in vascular function, myocytes and atrial pacemaker cells, an increase in cardiac fibrous tissue, a decrease in the function of the ventricular, myocardial contraction, and cardiac output which results in impaired cardiovascular fitness among elderly.
Conclusion: The main effects of aging on the cardiovascular system are a decrease in vascular structure, changes in vascular function, a decrease in myocytes and atrial pacemaker cells, an increase in cardiac fibrous tissue, a decrease in ventricular wall function, a decrease in myocardial contraction function, and a decrease in cardiac output function which can ultimately lead to impaired cardiovascular fitness in the elderly.
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Definition of Health [Internet]. [Place Unknown]: World Health Organization; 1948 [cited 2020 Nov 17]. Available from: https://www.who.int/about/who-we-are/frequently-asked-questions
Peraturan Menteri Kesehatan Republik Indonesia Nomor 23 Tahun 2017 Tentang Pelayanan Kesehatan pada Jaminan Kesehatan Nasional [Internet]. [Indonesia]. Menteri Kesehatan Republik Indonesia; 2017 [Disitasi 17 November 2020]. Diakses: http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._23_ttg_Pelayanan_Kesehatan_Pada_JKN_.pdf
Huber M, J Andre, Lawrence G, et al. How should we define health?. BMJ. 2011;343:d4163. Diakses: 17 November 2020 https://www.researchgate.net/publication/51523299_How_should_we_define_health
Men Ageing and Health: Achieving health across the life span. [Internet]. [Geneva] World Health Organization; 2000 [Citated 2020 Nov 17]. Available from: https://apps.who.int/iris/bitstream/handle/10665/66941/WHO_NMH_NPH_01.2.pdf
Peraturan Menteri Kesehatan Republik Indonesia Nomor 13 Tahun 1998 Tentang Kesejahteraan Lanjut Usia [Internet]. [Indonesia]. Menteri Kesehatan Republik Indonesia; 1998 [Disitasi 17 November 2020]. Diakses: http://www.bphn.go.id/data/documents/98uu013.pdf
World Population Ageing: Higlights [Internet]. [New York]. United Nations; 2015 [Citated 2020 Nov 17]. Available from: https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2015_Highlights.pdf
Situasi Lanjut Usia di Indonesia [Internet]. [Indonesia]. Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia; 2016 [Disitasi 17 November 2020]. Diakses: https://www.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin%20lansia%202016.pdf
Statistik Penduduk Lanjut Usia Provinsi Sumatera Utara [Internet]. [Sumatera Utara]. Badan Pusat Statistik Provinsi Sumatera Utara; 2019 [Disitasi 17 November 2020]. Diunduh: https://sumut.bps.go.id/publication/2020/09/14/1529c68a348f19f81f31e1ff/statistik-penduduk-lanjut-usia-provinsi-sumatera-utara-2019.html
Gambaran Kesehatan Lanjut Usia di Indonesia [Internet]. [Indonesia]. Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia; 2013 [Disitasi 17 November 2020]. Diunduh: https://www.kemkes.go.id/download.php?file=download/pusdatin/buletin/buletin-lansia.pdf
Lengkong G, Sylvia RM, Herlina ISW. (2016). ‘Pengaruh senam bugar lansia terhadap kebugaran jantung paru di Panti Werdha Bethania Lembean’. Jurnal e-Biomedik.
Azwar A. (1995). ‘Pengantar pelayanan dokter keluarga’. Jakarta: Yayasan Penerbitan IDI
Undang-Undang Republik Indonesia Nomor 36 Tahun 2009 Tentang Kesehatan [Internet]. [Indonesia]. Presiden Republik Indonesia; 2009 [Disitasi 17 November 2020]. Diakses: https://www.hukumonline.com/pusatdata/detail/lt4af3c27570c04/undangundang-nomor-36-tahun-2009
Departemen Ilmu Kedokteran Komunitas FKUI. (2008). ‘Diagnostik Holistik pada pelayanan kesehatan primer – pendekatan multi aspek’. Jakarta: Departemen IKK FKUI.
Notoatmodjo, S. (2007). ‘Promosi kesehatan dan ilmu perilaku’. Jakarta: Rineka cipta.
Supraba N. (2015). ‘Hubungan aktivitas sosial, interaksi sosial, dan fungsi keluarga dengan kualitas hidup lanjut usia di wilayah kerja puskesmas I Denpasar Utara Kota Denpasar’. Universitas Udayana: Denpasar.
Khoiriyah N. (2011). ‘Faktor-faktor yang berhubungan dengan motivasi lansia berkunjung ke posyandu lansia di RW 11 Kelurahan Margorejo Kecamatan Cepiring Kabupaten Kendal’.
Hearn S. (2011). ‘Between Integrity and Despair’ Toward Construct Validation of Erikson’s Eight Stage. Springer.
World Population Ageing 2020 Highlights [Internet]. [Unknown Place]. United Nations Department of Economic and Social Affairs; 2020 [Citated 2020 Nov 17]. Available from: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Sep/un_pop_2020_pf_ageing_10_key_messages.pdf
Statistik Penduduk Lanjut Usia 2019 [Internet]. [Indonesia]. Badan Pusat Statistik Republik Indonesia; 2019 [Disitasi 17 November 2020]. Diunduh: https://www.bps.go.id/publication/2019/12/20/ab17e75dbe630e05110ae53b/statistik-penduduk-lanjut-usia-2019.html
Webb RC, Edward WI. (2005). ‘Age-Related Changes in the Cardiovascular System’ in Prisant, L.M. Hypertension in the Elderly. Humana Press.
Hazzard WR, Jeffrey BH. (2017). ‘Hazzard’s Geriatric Medicine and Gerontology’. Ed 7th. New York: McGraw-Hill.
Cheitlin, M.D. (2003). ‘Cardiovascular Physiology—Changes With Aging’. The American Journal of Geriatric Cardiology, 12.
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DOI: https://doi.org/10.26714/magnamed.7.2.2020.70-82
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