
Katie L. answered 12/05/22
PA-C and paramedic with 8+ yrs of experience
Hi Keanu,
I'd be happy to answer this question for you! The correct answer is: B.
B: Correct. As we are there is an increase in noradrenaline and a decrease in vessel compliance and overall function.
A: Incorrect. As we age, the elasticity of vessels decreases and they become more resistant to stress. The lumen of vessels tends to decrease, and the tunica intima begins to thicken.
C: Incorrect. In normotensive older individuals, PWV increases with age. Similar rationale to answer A.
D: Incorrect. The body is less able to adapt and overcome ischemic challenges and it is more difficult to treat older adults. There is no change in sensitivity with age.
E: Incorrect. As we age, cardiac function declines for a multitude of reasons, including decreased vessel compliance. Older folks are less likely to tolerate ischemia, especially cardiac ischemia, because they simply cannot increase cardiac output sufficiently to compensate.