A series of chapters are devoted to the unique geriatric aspects of aortic valve disease, mitral valve disease, endocarditis, cardiomyopathies, thyroid heart disease, heart failure, and supraventricular, ventricular, and bradyarrythmias. Cerebrovascular disease is nicely reviewed and incorporates an excellent algorithm for evaluating syncope. Special issues related to anticoagulation in elders are covered in a separate chapter. Peripheral vascular disease presents a significant medical and functional issue for many elders and is well covered. A chapter devoted to the perioperative cardiovascular evaluation presents both a review of the literature in this area and practical recommendations on how to properly accomplish this for elders. The final chapter specifically addresses the difficult ethical and quality-of-life issues that are essential to comprehend when caring for the geriatric population.