Evaluation and management of cardiac arrhythmias in the elderly.

Abstract

Cardiac arrhythmias are common in elderly patients. Complete evaluation with detection of underlying structural heart disease and comorbidities is necessary. Prognosis is dependent on the presence of underlying heart disease, particularly the degree of ventricular dysfunction and the presence of comorbidities. Long-term prognosis is excellent in patients without underlying heart disease or severe comorbidities. Management and specific drug therapy in elderly patients with arrhythmias need to be individualized in reference to the underlying cardiac disorder, drug side effects, and the patient's comorbidities.