The aging heart

Vanessa Obas, Ramachandran S. Vasan

Producción científica: Review articlerevisión exhaustiva

85 Citas (Scopus)


As the elderly segment of the world population increases, it is critical to understand the changes in cardiac structure and function during the normal aging process. In this review, we outline the key molecular pathways and cellular processes that underlie the phenotypic changes in the heart and vasculature that accompany aging. Reduced autophagy, increased mitochondrial oxidative stress, telomere attrition, altered signaling in insulin-like growth factor, growth differentiation factor 11, and 5'- AMP-activated protein kinase pathways are among the key molecular mechanisms underlying cardiac aging. Aging promotes structural and functional changes in the atria, ventricles, valves, myocardium, pericardium, the cardiac conduction system, and the vasculature. We highlight the factors known to accelerate and attenuate the intrinsic aging of the heart and vessels in addition to potential preventive and therapeutic avenues. A greater understanding of the processes involved in cardiac aging may facilitate our ability to mitigate the escalating burden of CVD in older individuals and promote healthy cardiac aging.

Idioma originalEnglish (US)
Páginas (desde-hasta)1367-1382
Número de páginas16
PublicaciónClinical science
EstadoPublished - jul 1 2018
Publicado de forma externa

ASJC Scopus subject areas

  • General Medicine


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