As people age they are at increased risk of cardiovascular disease, the leading cause of mortality and morbidity worldwide. Understanding cardiovascular ageing is essential to preserving healthy ageing and preventing serious health outcomes. This collection of papers published in Age and Ageing since 2011 cover key themes in cardiovascular ageing, with a separate collection on stroke and atrial fibrillation planned. Treating high blood pressure remains important as people age and reduces strokes and heart attacks. That said, a more personalised approach to blood pressure may be even more important as people age to lower blood pressure to tight targets where appropriate but avoid overtreatment in vulnerable groups. As people age, more people experience blood pressure drops on standing (orthostatic hypotension), particularly as they become frail. This can predispose them to falls. The papers in this collection provide an insight into blood pressure and orthostatic hypotension. They highlight areas for further research to understand blood pressure changes and management in the ageing population. Inpatient clinical care of older people with heart attacks differs from younger people in UK national audit data. People aged over 80 had improved outcomes in survival after heart attack over time, but had lower rates of specialist input from cardiology compared with younger people. This may partly reflect different clinical presentations, with heart attacks occurring in the context of other health conditions, frailty and multimorbidity. The care and outcomes of acute and chronic cardiovascular disease are impacted by the frailty and health status of an individual at baseline. The research included in this collection reinforces the wide variations in the ageing population and the necessity to focus on the individual needs and priorities, and provide a person-centred multidisciplinary approach to care.

中文翻译：

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年龄与老化心血管合集：血压、冠心病与心力衰竭

随着人们年龄的增长，他们患心血管疾病的风险增加，心血管疾病是全球死亡率和发病率的主要原因。了解心血管衰老对于保持健康衰老和预防严重的健康后果至关重要。该论文集自 2011 年以来发表在《年龄与衰老》杂志上，涵盖了心血管衰老的关键主题，并计划单独出版一篇关于中风和心房颤动的论文集。随着人们年龄的增长和减少中风和心脏病发作，治疗高血压仍然很重要。也就是说，随着人们年龄的增长，在适当的情况下将血压降低到严格的目标但避免对弱势群体过度治疗，更个性化的血压方法可能更为重要。随着年龄的增长，越来越多的人在站立时会出现血压下降（体位性低血压），尤其是当他们变得虚弱时。这会使他们容易跌倒。该合集中的论文提供了对血压和体位性低血压的深入了解。他们强调了需要进一步研究的领域，以了解老龄化人群的血压变化和管理。在英国国家审计数据中，心脏病发作的老年人的住院临床护理与年轻人不同。随着时间的推移，80 岁以上的人在心脏病发作后的生存结果有所改善，但与年轻人相比，心脏病专家的投入率较低。这可能部分反映了不同的临床表现，心脏病发作是在其他健康状况、虚弱和多种疾病的背景下发生的。急性和慢性心血管疾病的护理和结果受到个体基线时的虚弱和健康状况的影响。