# Primary and secondary prevention of cardiovascular diseases #
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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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> Ang arteryal na hypertension o hypertension ay isang kondisyon ng patuloy na systolic at diastolic na presyon ng dugo, kung saan ang mga sukatan ay lumalagpas sa 140/90 mmHg. Ang mataas na presyon ay nagpapakita ng mga hindi komportableng sintomas.
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## Test risk of diseases of the cardiovascular System ##
Test: risk of diseases of the cardiovascular system
Heart disease causes are one of the leading death in the world. According to the world health organization (WHO), cases every year, millions of death and many of these cases could be due to early prevention to prevent it. An important tool in the risk assessment With special Tests, the individual risk for heart attack, stroke, and other diseases of the cardiovascular system even before the Occurrence of first symptoms to assess.
What such a Test measure?
A risk test for cardiovascular disease to take into account several factors. These include:
Blood pressure: A permanently elevated blood pressure (hypertension) charged to the vessels and the heart.
Cholesterol levels: in Particular, the LDL‑cholesterol (bad cholesterol) is an important Marker for atherosclerosis.
Blood sugar: Diabetes increases the risk for vascular damage.
Style: Smoking life, lack of physical activity and unhealthy diet have a negative impact.
Family history: with A history of cardiovascular disease in close Relatives suggests an increased genetic Disposition.
Age and gender: The risk increases with age; men are affected in the recent years, often more.
How is the investigation?
In General, the Risk assessment begins with a call to the family doctor. Then, blood samples are collected and blood pressure measured. If necessary, further tests such as an ECG recording, or an ultrasound of the heart (echocardiography) to follow. On the Basis of these data, the doctor will calculate the individual risk — often using standardized models such as the SCORE System (Systematic COronary Risk Evaluation), the 10‑year risk estimates for a cardiovascular event.
Why is such a Test makes sense?
The great advantage of an early risk assessment lies in their preventive effect. Even in the case of an increased risk of a specific life — style change, more exercise, healthier diet, and not Smoking — can reduce the risk significantly. If necessary, the doctor may prescribe additional medication to lower blood pressure or cholesterol levels. As a serious illness for a long time can often delay or even prevent.
Conclusion
A Test for the risk of cardiovascular disease is not a panacea, but a valuable tool for health care. It provides information on their own risk factors, and allows for a targeted prevention. Who you can regularly inspect and actively do something for his heart are doing, you can improve its quality of life and life expectation in a sustainable way. The investment in your own heart health is worth it — now and for the future.
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## The clinical symptoms of diseases of the cardiovascular System ##
The clinical symptoms of diseases of the cardiovascular system
Dasussehen and well-being depend largely on the functioning of the cardiovascular system. Unfortunately, diseases of this system are among the most common causes of death worldwide. In order to prevent serious consequences, it is important to recognize the typical clinical symptoms in a timely manner, and to arrange for medical check.
What was the first note?
Many heart and circulatory diseases begin with non-specific complaints that are often overlooked, or other causes attributed to it. Among the early warning signs:
Discomfort when Breathing: shortness of breath, especially during physical exertion or when Lying down (Orthopnea), may indicate a weak heart (heart failure).
Pain in the chest: A close, pressing pain behind the sternum (Angina pectoris) indicates a disruption of blood supply to the heart muscle (coronary heart disease).
Irregular heartbeat: heart palpitations, throbbing, or a feeling of exposing the heart can be due to heart rhythm disorders (arrhythmias).
Fatigue and lack of strength: A unusual tiredness, even in the case of low load can be a sign that the heart is not pumping enough blood in the body.
Dizziness and fainting: disorders of blood circulation in the brain, caused by low blood pressure (hypotension) or heart rhythm disorders that can cause dizziness or even short-term loss of consciousness seizures lead.
Edema: swelling of the legs, ankles or ankle, especially at the end of the day, it can point to an accumulation of fluid due to a heart failure.
Specific symptoms in various diseases
Different diseases show different Symptom combinations:
Coronary heart disease (CHD):
typical chest pain (Angina), can radiate to the Arm, the neck or the upper abdomen;
Shortness of breath;
Nausea and sweats (particularly in the case of a heart attack).
Heart failure:
progressive shortness of breath (at first load, and later also in a state of rest);
nocturnal awakening with shortness of breath (paroxysmal nocturnal dyspnea);
Edema of the legs;
increased excretion of urine at night (Nokturie).
High Blood Pressure (Hypertension):
often, for a long time asymptomatic (silent Killer);
Headaches (especially in the morning);
Dizziness;
Blurred vision;
Nosebleeds (in severe cases).
Heart Rhythm Disorders (Arrhythmias):
Heart palpitations;
Pounding in your neck or chest;
Dizziness or fainting;
sudden collapse (in the case of life-threatening arrhythmias).
Inflammation of the heart (myocarditis, pericarditis):
stabbing or dull chest pain, the breath, or Are strengthened;
Fever;
General fatigue.
Conclusion
Dieerkennung the clinical symptoms of cardiovascular disease is of crucial importance for early diagnosis and treatment. Many of these diseases through a healthy lifestyle — regular exercise, balanced diet, not Smoking and moderate alcohol consumption — preventive influence. In the case of Occurrence of symptoms should be immediately consulted a doctor: early detection saves lives.
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