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The classification of aging is variable. Often, age 65 years is used as a cutpoint, as that is the beginning age for Medicare health insurance coverage in the U.S. Others often use age 75 as the beginning of old age, and 85 years as characteristic of very old age. Perhaps a reasonable approach to old age is the comment by Pascal that “old age is just a time that is farther from the beginning and nearer to the end.” Nonetheless, contemporary aging is a social phenomenon without historical precedent. Physicians and scientists have an inadequate information base to guide the care of the oldest old. Government and social institutions lack the knowledge as to how to respond to the burgeoning health needs of the oldest old; and information is lacking about the health care values of our oldest old citizens to guide their cardiovascular care. The contemporary U.S. population older than age 65 accounts for more than 85% of all cardiovascular disease deaths, 65% of cardiovascular disease hospitalizations, 62% of myocardial infarction hospitalizations, and 77% of heart failure hospitalizations. [2,3]

Science and the practice of cardiovascular medicine in the geriatric population