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<h1>Primary and secondary prevention of cardiovascular diseases</h1>
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<p>Sa pangunahing (esensyal) na altapresyon, ito ay dahil sa impluwensya ng namamana, hilig sa mataas na presyon ng dugo sa konteksto ng hindi malusog na pamumuhay, masamang gawi, hindi malusog na pagkain, na nagdudulot ng labis na timbang. Dagdag pa ang stress, kalikasan, kakulangan sa tulog at aktibidad. Lahat ito ay negatibong nakakaapekto sa trabaho ng puso at sa tono ng mga daluyan ng dugo. Ang presyon ay unang tumataas nang hindi napapansin at pagkatapos ay mas nagiging malinaw.</p>
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Mortality associated with hypertension: Epidemiological aspects and prevention strategies

Hypertension medical arterial hypertension, is a major health Problem and is considered to be one of the most important risk factors for cardiovascular disease. According to recent epidemiological studies, approximately one billion people worldwide suffer from this disease, and its prevalence is increasing in particular in developing countries continuously.

Epidemiology of mortality

The mortality rates associated with high blood pressure vary according to Region, age and socio-economic factors. In industrial countries such as Germany, hypertension contributes significantly to the development of heart attacks, strokes, diseases of the seizures, and kidney. Statistics of the German hypertension League show that over 50% of deaths from cardiovascular diseases are directly or indirectly due to untreated high blood pressure.

Especially people affected are over 60 years old: At this age group, the proportion of hypertension-related deaths is estimated to be 65%. Younger adults are not protected completely — the number of diagnoses in people between 30 and 40 years old is increasing, according to the Robert Koch Institute.

Pathophysiological Mechanisms

The chronically elevated blood pressure leads to damage of the blood vessels and organs:

Heart: Left Ventricular Hypertrophy, Congestive Heart Failure

Vessels: Atherosclerosis, Vascular Calcification

Renal: renal impairment, up to and including end-stage renal failure

Brain: Increased risk for ischemic and hemorrhagic strokes

This is the result of the main diseases are, in turn, causes of avoidable mortality.

Prevention and therapy

Early diagnosis and continuous treatment can reduce the mortality significantly. Recommended measures include:

Regular measurement of blood pressure from the age of 40. Years of age, or earlier if family history.

Lifestyle changes:

Reduction of salt intake (&lt;5 g per day)

A balanced diet with lots of vegetables and fruit (DASH diet)

Regular physical activity (150 minutes of moderate endurance training per week)

Waiver of Smoking and excessive alcohol consumption

Drug therapy in persistently elevated blood pressure:

ACE‑inhibitors

AT1‑receptor blocker

Calcium antagonists

Diuretics

Conclusion

Hypertension is a preventable cause of mortality, if it is detected in a timely manner, and systematically treated. A combined strategy of health education, early diagnosis and individual risk management can reduce the mortality significantly, and the quality of life of the Affected sustainably improve.

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<h2>BewertungenPrimary and secondary prevention of cardiovascular diseases</h2>
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<h3>The Sanatorium for cardiovascular disease</h3>
<p>Primary and secondary prevention of cardiovascular diseases

Cardiovascular diseases (CVD) are one of the leading causes of death worldwide. Its prevention is therefore a key challenge for the health system. A distinction between primary and secondary prevention, which include different target groups and strategies.

Primary Prevention

Primary prevention aims cardiovascular disease is to prevent persons who have no clinical symptoms. It focuses on the modification of risk factors known to be associated with an increased risk of the disease are associated. Among the most important risk factors:

arterial hypertension;

Hyperlipidemia;

Diabetes mellitus;

Tobacco consumption;

physical inactivity;

unhealthy diet;

Overweight and obesity;

chronic Stress.

Measures of primary prevention include:

Health education and training: raising people's awareness of healthy lifestyles, prevention campaigns for Smoking abstinence and reduction of salt consumption.

Behavior modification: the promotion of regular physical activity (at least 150 minutes of moderate activity per week), recommendations for a balanced diet (e.g., the DASH diet or Mediterranean diet).

Drug interventions in high-risk patients: if necessary, administration of Lipid-lowering agents (statins) or antihypertensives in the case of individually balanced Benefit‑risk assessment.

Secondary Prevention

Secondary prevention concerns patients who have already had a cardiovascular disease (e.g., myocardial infarction, stroke, peripheral arterial disease). Your goal is the prevention of relapses and complications as well as improving the quality of life and life expectancy.

Essential elements of secondary prevention are:

Drug Therapy:

Platelet aggregation inhibitors (e.g., acetylsalicylic acid);

Beta-blockers after myocardial infarction;

ACE inhibitors or AT1‑receptor blockers in heart failure or after myocardial infarction;

Statins for lipid-lowering;

Antihypertensive drugs to control blood pressure.

Life style modifications: ongoing support in the case of Smoking, weight reduction, physical activity and diet.

Cardiac Rehabilitation: a structured programs, the physical training sessions, psycho include social support and Patient education.

Regular follow-up blood pressure, cholesterol and blood sugar monitoring and, if necessary, exercise ECG or imaging procedures.

Conclusion

Effective prevention of cardiovascular diseases requires an integrated approach that combines primary and secondary measures. While primary prevention is aimed at risk prevention, and focuses the secondary prevention on the optimization of the therapy and the reduction of recurrence risk. A close cooperation between family doctors, cardiologists, physical therapists, and nutritionists, as well as the active participation of the patient to the success of these strategies is crucial.

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<h2>Chronic cardiovascular disease, which</h2>
<p>If you have disturbed sleep, fatigue, disorientation, confusion, or nervousness, it's time to monitor your blood pressure. Either lack of sleep or too much sleeping might mean your blood pressure is high or low. If it’s left untreated, you will soon face an onslaught of multiple illnesses.</p><p>

Cardiovascular disease in Pediatrics: An often underestimated challenge

When it comes to cardiovascular disease, most people think of older adults. However, even children and young people can be affected by such diseases, and in many different forms. Cardiovascular problems in childhood are not uncommon, but a serious medical challenge that requires special attention.

Among the most common heart diseases in children, congenital heart defects — so malformations, which are already present at birth. Every year, about 8 000 children with such heart failure in Germany. To acquired diseases such as inflammatory heart muscle disease (myocarditis), heart rhythm disorders, or high blood pressure in children and youth age.

The main reasons for the increase of hypertension in children, the emergence of Overweight and obesity. Studies show that obese children suffer significantly more likely to be under increased blood pressure. This development is worrying, because high blood pressure at a young age can take the emergence of cardiovascular diseases in adulthood, advance, and promote.

Another important issue is the early detection is. Many congenital heart defects are detected during pregnancy by ultrasound examinations. Others, however, later on by symptoms such as pallor, shortness of breath, fatigue, or Growth retardation. Early diagnosis and treatment can make the difference between life and death, or the quality of life of the child significantly improve.

Modern medicine offers a variety of treatment options Of medical therapy, minimally-invasive catheter procedures, to complex open-heart surgery. Many children with heart defects can now lead an almost normal life, provided that they receive adequate medical care for many years.

However, there is still much to do. Prevention plays an increasingly important role in a Healthy diet, plenty of exercise, and education of parents can contribute to the fight against risk factors such as Obesity or unhealthy life habits early on. Moreover, a close collaboration between pediatricians, cardiologists, and other specialists is essential to the best possible care of the young patient.

Cardiovascular disease in children is not a marginal issue, but an important part of modern Pediatrics are. By recognizing early, targeted treatment and sustainable preventive actions, we can allow the children to a healthier future.

</p>
<h2>Cardiologist for high blood pressure</h2>
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Cardiovascular diseases and the influence of blood donation: An analysis of the current state of research

In recent years, the question of whether, and the extent to which regular blood donations have a positive impact on the risk of cardiovascular disease (CVD), you can exercise more in the focus of medical research has moved on. Cardiovascular disease, including heart attacks, strokes, and arterial occlusive disease, is the leading cause of death.

A number of epidemiological studies suggests that blood donors have a lower risk of CVD than Non-donors. A possible explanation for this relationship lies in the reduction of iron levels in the body by regular blood donations. High concentrations of iron in the Serum are associated with oxidative Stress and damage to the blood associated vessels in connection. Through the removal of blood and iron — could reduce the risk of this damage.

Another aspect relates to the improvement of blood fluidity. After a blood donation, there is a temporary dilution of the blood, which lowers the viscosity and promoting blood circulation. This can be in particular in the case of persons with an increased risk profile for thrombosis of advantage. In addition, studies show that regular donors often have a lower blood pressure and lower values for Lipid parameters (such as LDL-cholesterol).

Despite these promising findings, the results are not clear. Some studies did not find any significant difference in CVD risk between donors and Non-donors. To look at critically that many of the studies are based on Self-reports and possible confounding factors (such as lifestyle, diet, physical activity) is not completely control it.

In summary, the current Evidence establishes a possible protective effect of regular blood donations to cardiovascular diseases, but further prospective, controlled studies are needed to establish causal relationships. Blood donations should not be regarded as the sole preventive measure against CVD, but as a complementary Element in the framework of a healthy lifestyle.

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