The Silver Tsunami Quiz: CVD in the Elderly

Adam H. Skolnick, MD


August 21, 2014

The findings indicative of significant aortic stenosis differ in older and younger patients.[8] In older adults, the S4 gallop is less specific because hypertension is more common in this population. The vasculature of older adults is more often stiff resulting in more rapid transit time, and thus the parvus et tardus pulse may be absent. The systolic murmur is more often soft in older patients, and the A2 closure sound is more often absent (compared with a harsh murmur and soft A2 in younger patients.)

Heart Failure

Heart failure with preserved ejection fraction (HFpEF) is more common in older adults.


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