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Increased lipid content in artery walls

Myocardial hypertrophy

Decreased baroreceptor sensitivity Thickening of SA node Decreased number of pacemaker cells Increased time of AV node conduction

Loss of vasomotor tone

Progressive thickening of arterial walls

Heart valve fibrosis and thickening

Increased incidence of atherosclerotic events

Increased prevalence of arrhythmias

Predisposed to orthostatic hypotension**

Prolonged PR interval

Haemodynamic alterations: Reduced cardiac output Increased BP Increased peripheral vascular resistance Decreased compliance of left ventricle Increased incidence of murmurs Extra heart sounds S3 and S4 *

Decreased ability to increase heart rate or BP in response to stressors