# The most important diseases of the circulatory System #
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## Cardiovascular Disease English ##
Nililinis ang mga ugat na kailangang alagaan mula sa deposito at pinananatili ang kinakailangang lakas ng tibok ng puso! Heart disease: A silent threat
Cardiovascular diseases are one of the most threatening health problems of our time. You are in the world, the most common cause of death and challenge every year, millions of lives. According to the world health organization (WHO) died in the year 2017 alone, the world 17.8 million people to the consequences of such diseases, which corresponds to approximately 32% of all deaths. Also in Germany and Europe, lead to the mortality statistics.
What lies behind the term cardiovascular disease? It is a variety of conditions that affect the heart and the vascular system. The most common include:
Coronary heart disease (CHD): narrowing of the coronary arteries, which can lead to circulatory disorders.
High blood pressure (hypertension): A permanently elevated blood pressure of more than 140/90 mmHg.
Congestive heart failure: The heart loses its pumping capacity and can no longer supply the body with sufficient blood.
Cardiac arrhythmias: Irregular heart beat too fast (tachycardia) or too slow (bradycardia) may be.
Atherosclerosis, calcification and narrowing of the arteries that can cause heart attack or stroke.
Risk factors: What makes us vulnerable?
Many risk factors can be due to a healthy life-style affect. The most important include:
Smoking Increases the risk for heart attack and stroke.
Unhealthy diet: Too much salt, saturated fat and sugar damage the circuit.
Lack of exercise: Regular physical activity (at least 150 minutes per week) reduces the risk by almost a third.
Overweight and obesity: a Burden on the heart and blood vessels, and promote Diabetes.
Stress and psychological distress: depression and Burnout syndromes worsen the prognosis in the case of existing heart diseases.
Genetic predisposition: family history plays in some of the forms of a role.
Symptoms: when should you go to the doctor?
Often, heart bleeding disease first complaint. However, the following signs should always be taken seriously:
Chest pain or tightness (especially under load)
Shortness of breath
Dizziness or fainting
Heart palpitations or irregular pulse
Swelling of the legs (signs of cardiac failure)
Particularly in women, acute events such as heart attacks are often atypical, Instead of the strongest chest pain, Nausea, abdominal discomfort, or General weakness occur. Therefore, education is important.
Prevention and treatment: What can you do?
The good news: Many cardiovascular diseases are preventable. The prevention is based on the following points:
Diet: More fruits, vegetables, whole grain products, fish and nuts; less salt, sugar and processed foods.
Regular exercise: walking, Cycling, Swimming or sports with a stamina character.
Smoke disclaimer: Immediate waiver reduces the risk quickly.
Stress management: relaxation techniques, Yoga, Meditation, or psychological support.
Regular checkups: measurement of blood pressure, blood sugar and cholesterol tests from the age of 35. Years old.
If a disease is already present, there are several treatment options: medication for blood pressure lowering, cholesterol-lowering drugs, Anticoagulation or, if necessary, surgical interventions, such as stent implantation or Bypass surgery.
Conclusion
Cardiovascular diseases are a serious challenge for the health systems in the world, but you do not need to be. By a conscious lifestyle, early diagnosis and targeted prevention measures, the individual risk can be reduced significantly. It is in our hands to protect our heart — before it's too late.
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> Diuretiko (Diuretika) ay nagpapataas ng pag-ihi ng katawan, na nagreresulta sa pagbaba ng presyon ng dugo. Simpleng paliwanag: Ang tuloy-tuloy na pag-ihi ng katawan ay nagdudulot ng pagbaba ng dami ng plasma sa dugo at sa gayon ay mas kaunting likido sa mga ugat — bumababa ang presyon sa mga pader ng ugat.
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Dasls one of the most sensitive and important systems in the human body, the cardiovascular System plays a Central role in maintaining our health. Unfortunately, diseases of this system are among the most common causes of death worldwide and also in Germany. What are the most important diseases that threaten our heart and blood vessels?
Coronary heart disease (CHD)
One of the most common diseases, coronary heart disease is. In this disease, the coronary arteries become narrow due to deposits (atherosclerosis), so that the heart is no longer sufficiently supplied with oxygen. Symptoms such as chest pain (Angina) or a heart attack can result. Risk factors are Smoking, hypertension, Diabetes, Obesity and lack of exercise.
High Blood Pressure (Hypertension)
Also, the high blood pressure is a silent threat: Many Sufferers feel for a long time, no complaints, although your blood pressure permanently. In the long term, the heart and the vessels loaded, this increases the risk for heart attacks, strokes and kidney damage. A healthy diet with low salt consumption, regular physical activity, and stress reduction can counteract.
Heart failure
In the case of heart failure, the heart loses its Capacity — it can no longer pump blood efficiently through the body. The effects are fatigue, shortness of breath, and Edema, especially of the legs. Causes of heart attacks, long-term high blood pressure or heart valves can be errors. The therapy depends on the cause and aims to improve the quality of life and slow the progression of the disease.
Stroke (Apoplexy)
A stroke occurs when the blood supply to the brain is interrupted, either by a blockage (ischemic stroke) or bleeding (hemorrhagic stroke). Cardiovascular diseases such as atherosclerosis, atrial fibrillation, or high blood pressure can increase the risk. Early detection and rapid medical help is crucial in order to minimize permanent damage.
Arrhythmias
Irregular heart rhythms (arrhythmias) can also lead to serious problems. Especially dangerous is the presence of atrial fibrillation, in which the upper heart compartment flickers messy. As a result, blood clots, which can lead to strokes to form more easily. Medication or catheter ablation can help.
Prevention: The key to health
Many of the above diseases through a healthy lifestyle to significantly prevent. These include:
Regular physical activity (at least 150 minutes of moderate activity per week),
a balanced diet with lots of fruits, vegetables, whole grains, and unsaturated fatty acids,
Waiver of Smoking and excessive alcohol consumption,
Stress management and adequate sleep,
regular health examinations, and in particular the measurement of blood pressure and cholesterol determination.
Dieufmerksamkeit for the cardiovascular System can save lives. By eating consciously, moving, and risk factors reduce, we strengthen not only our hearts but also our future.
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## New for high blood pressure ##
New hope for high blood pressure: research progress
High blood pressure, known medically as hypertension referred to, is one of the world's most common health problems and is considered to be one of the main reasons for cardiovascular diseases. According to the estimates of several million people in Germany alone, this disease — and many of them go unnoticed, because high blood pressure is often a long time asymptomatic. But the dangers are serious: Increased blood pressure strains the heart, kidneys and blood vessels and can cause heart attacks, strokes, or kidney damage.
Previous Approaches To Treatment
So far, various medications are available to Doctors to lower blood pressure: ACE inhibitors, beta-blockers, diuretics and calcium antagonists are among the most commonly prescribed drug groups. Also, lifestyle changes — healthy diet with reduced salt consumption, regular physical activity, weight loss, and stress reduction — play a Central role in therapy. However, not all patients with the classical treatment leads to the desired success.
New avenues of research
In recent years, researchers have discovered a new perspective, the hope of innovative forms of therapy type. One of the promising research focus relates to the role of the immune system in the pathogenesis of hypertension. Studies show that inflammatory processes in the blood vessels may play an important role. On this finding, building and are currently developing drugs that specifically target inflammatory messenger substances inhibit.
Another interesting concept that Renal Denervation is. In this minimally invasive procedure, the nerve supply to the kidneys is reduced, which can lead to a drop in blood pressure. First clinical studies showed that treatment-resistant patients, with promising results: majority of the participants in the blood pressure to be reduced significantly — in some cases even without the use of additional medications.
In addition, modern genetic engineering approaches open up completely new perspectives. Experimental methods, such as RNA interference aim, certain genes selectively turn off for the Regulation of blood pressure is responsible. In animal models, this method works and has already successfully; clinical trials in humans are still pending.
Outlook and challenges
Although the new approaches raise high hopes still remain many open questions. The long-term effects and possible side effects must be carefully examined. In addition, the individual adjustment of the therapy is crucial: What helps for a patient, it can bring for the other little.
But one thing is certain: The research for high blood pressure is making significant progress. With each new insight, we move closer to a more effective and sustainable treatments and, consequently, to a life of healthy blood pressure, and improved quality of life.
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## Pregnancy and cardiovascular diseases recommendations ##
Pregnancy and cardiovascular disease: recommendations for a low-risk monitoring
Pregnancy poses for the human body has a significant physiological challenge, especially for the cardiovascular system. During this Phase, the blood volume increases by 30-50%, the heart rate increases by 10-20% and the systemic vascular resistance decreases. These changes can result in women with preexisting cardiovascular disease (CVD) is increased risk of complications.
Common cardiovascular diseases in pregnancy
Among the most relevant HKE that can occur during pregnancy or deteriorate:
congenital heart defect;
Heart valve defects (e.g., aortic stenosis, mitral stenosis);
cardiomyopathies (including peripartaler cardiomyopathy);
arterial hypertension;
arrhythmic diseases;
ischemic heart disease (rarely in young women, but is relevant in high-risk groups).
Risk assessment before pregnancy
A preconception counselling for women with known CVD is of crucial importance. The following aspects should be evaluated:
Cardiac function: echocardiography for the assessment of ventricular function, valvular morphology and function.
Load capacity: if necessary, exercise ECG or CPET (Cardiopulmonary Exercise Testing).
Drug therapy: a Review of current medication teratogenicity and, if necessary, conversion (e.g. ACE‑inhibitors and AT1‑receptor blockers are contraindicated in pregnancy).
Genetic risk For congenital heart defects advice as to the probability of inheritance.
Recommendations during pregnancy
Multidisciplinary Care
Close collaboration between gynecologists, cardiologists, and anesthesiologists.
Regular checks (echocardiography, ECG, blood pressure measurement), depending on the individual risk profile.
Blood pressure management
In the case of arterial hypertension, target blood pressure: <130/80 mmHg.
Preferred Drugs: Methyldopa, Labetalol, Nifedipine.
Thromboembolic Prophylaxis
In women with mechanical heart thromboembolism risk of heparin therapy (low molecular weight Heparin) flaps, or high.
Enoxaparin dose to adapt to the weight and pregnancy duration.
Symptom control in heart failure
Diuretics (e.g., furosemide) in the case of fluid retention.
Beta‑blockers (e.g., Metoprolol) with increased heart rate and reduced ventricular function.
Birth planning
Vaginal birth is when the majority of women with CVD possible and preferred.
Caesarean section only in the case of specific cardiac indications (e.g., severe aortic stenosis with a high gradient).
Peridual anesthesia to avoid blood pressure tips.
Postpartum Monitoring
Special attention in the first 48 hours after birth due to fluid shifts.
Control of cardiac function and, if necessary, adjustment of the medication.
Summary
Women with cardiovascular disease require a personalized, multidisciplinary care before, during, and after pregnancy. A careful risk assessment, regular Monitoring and close cooperation of the participating specialists are crucial to minimize the risk for the mother and the child, and to allow a successful pregnancy.
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