Which demographic is most likely to experience conduction system issues?

Older adults or patients with underlying heart disease are commonly recognized as the demographic most likely to experience conduction system issues. As individuals age, the electrical conduction system of the heart can undergo changes and is more susceptible to diseases that affect the heart's structure and function, such as coronary artery disease, hypertension, and valvular heart disease. These conditions can lead to disruptions in normal electrical activity, resulting in arrhythmias or conduction block.

Additionally, patients with a history of heart disease may develop conditions such as atrial fibrillation, bundle branch blocks, or other forms of heart block that directly impact the conduction system. The natural degeneration of electrical pathways, particularly from fibrosis or ischemic changes, further increases the risk of conduction system issues in this demographic. Thus, older adults and those with underlying heart conditions represent a group where the likelihood of encountering such problems is significantly heightened.