# Varicose veins is related to the cardiovascular diseases #
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## Screening Of Cardiovascular Diseases ##
Screening of cardiovascular diseases: early detection as the key to prevention
Cardiovascular diseases (HKK) is worldwide the leading cause of death and are associated with significant health and economic costs. An effective prevention strategy is therefore based on the early detection of risk factors and subclinical disease — the so-called Screening.
Objectives of the Screening
The main objective of the Screening of HKK is the identification of individuals with increased risk for cardiovascular events such as heart attack or stroke. Through early intervention, the individual risk is lower, and the development of overt disease to prevent or delay.
Recommended Screening Measures
According to current guidelines (e.g., the European society of cardiology, ESC) recommended the following tests for a wide range of Screening:
Blood pressure monitoring: Regular monitoring for early detection of hypertension (≥140/90 mmHg).
Lipid spectrum: determination of total cholesterol, LDL‑cholesterol, HDL‑cholesterol and triglycerides in the blood.
Measuring blood sugar: Fasting blood glucose and, if necessary, HbA1c for the detection of Diabetes mellitus or impaired glucose tolerance.
BMI and waist circumference: the assessment of Overweight and abdominal obesity as risk factors.
Risk calculation: use of validated models such as the SCORE System (Systematic COronary Risk Evaluation) to estimate the 10‑year risk of a fatal cardiovascular event.
Special Investigation Procedures
In individual cases, in particular in individuals with stress in the family or multiple risk factors may be an additional method useful:
ECG: For the detection of arrhythmias or signs of myocardial ischemia.
Coronary calcium Scoring (CT): A non‑invasive method for the quantification of coronary Calcification as a Marker of atherosclerotic burden.
Stress testing: stress ECG or imaging under load for the diagnosis of Ischemia.
The opportunities and limitations of Screening
A structured Screening offers numerous advantages:
Early detection and early treatment of risk factors;
Motivation of the patients to the change in life-style (diet, exercise, stop Smoking, this);
Reduction in the incidence of heart attacks and strokes.
However, there are also limits:
Possibility of falschel results (false‑positive or false‑negative results);
Überdiagnostik and Overtreatment;
Cost‑Benefit aspects of broad-based programs.
Conclusion
The Screening of cardiovascular diseases is an important tool of preventive medicine. An individualized approach based on evidence-based guidelines, and the ratio of the Benefit-risk balance, and allows for an effective reduction of cardiovascular risk in the population. Regular health checks and a Frank conversation between the doctor and the Patient are of Central importance.
Nililinis ang mga ugat na kailangang alagaan mula sa deposito at pinananatili ang kinakailangang lakas ng tibok ng puso!
> 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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Una sa lahat, ang mga Beta-blocker ay karaniwang ibinibigay sa mga pasyente na may heart failure, aortic aneurysm, pagkatapos ng myocardial infarction, at sa mga kababaihan na nasa edad ng pagbubuntis, lalo na sa mga kababaihang nagpaplano ng pagbubuntis. Madalas matanggap ng katawan ang Beta-blocker, pero maaari rin itong magdulot ng pantal sa balat at bradycardia – sobrang bagal ng tibok ng puso. <a href="http://gkzum.ru/userfiles/1754-reducing-the-risk-of-cardiovascular-diseases.xml">Presyong pang-promosyon</a>
Varicose veins, as the Manifestation of cardiovascular diseases
Varicose veins, medically as varicose veins or varicose veins, is a common disorder of the venous system and belong to the category of cardiovascular diseases (Cardiovascular disease). The pathology is characterized by an abnormal enlargement, elongation, and functional insufficiency of the surface veins, especially in the lower extremities.
Pathophysiology
The cause of varicose veins is located in injury or weakness of the venous valves, the flow normally, a Return of the blood to prevent it. In the case of a functional disturbance of this Flaps it comes to a backflow of blood (Venous stasis), which increases the venous pressure. This leads to a stretching of the vein walls, the cover deform and Verdi. In the long term characteristic thickened and twisted veins strands under the skin.
Risk factors
Among the most important risk factors for the development of varicose veins:
Genetic Disposition: A family history increases the risk of the disease significantly.
Gender: women are more often affected than men, which is associated with hormonal changes (e.g., during pregnancy or hormone therapy) in combination.
Pregnancy: The increased hormone levels, and the additional pressure in the abdominal cavity by the growing child, the venous System.
Overweight and obesity: Increase the pressure on the veins of the legs.
Lack of exercise or prolonged Standing/Sitting: Leads to a lack of muscle pump mechanism that supports normally the return flow of Blood.
Age: With age, losing the veins walls of elasticity.
Symptoms and clinical picture
Initially, varicose veins can be asymptomatic. In the progression of the disease, the following symptoms occur:
Visible, thickened, twisted bluish veins on the legs.
Heavy and tired feeling in the legs, especially at the end of the day.
Itching and a feeling of tension under the skin.
Edema (swelling), especially in the area of the ankle.
In the night occurring in the calf cramps.
In the advanced stage, complications can occur, such as changes to the skin, pigmentation, eczema, and even ulcers and venous leg ulcers (open leg wounds).
Diagnostics
The diagnosis is made by physical examination and duplex ultrasonography (ultrasound investigation of the veins). This method allows the assessment of blood flow and the function of the venous valves, as well as the identification of possible thrombosis.
Approaches to therapy
Depending on the severity of the varicose veins various treatment options are available:
Conservative measures: compression therapy (Wearing compression stockings), promoting physical activity, weight reduction, and Hochtlagern of the legs.
Minimal invasive procedures: sclerotherapy (Veröhung of the affected veins), laser therapy (Endovenous laser ablation) or radio frequency ablation.
Surgery: In severe cases, surgical removal (Stripping) of the affected vein may be required.
Conclusion
Varicose veins are not a purely cosmetic issue, but a real cardiovascular disease with potentially serious consequences. Early diagnosis and adequate therapy are crucial to prevent complications and to maintain the quality of life of those Affected. Preventive measures such as regular physical activity and a healthy weight play an important role in the prevention of this disease.
## OMS cardiovascular diseases ##
OMS, and cardiovascular diseases: prevention instead of reaction
Cardiovascular diseases are among the leading causes of death worldwide and also in Germany, they represent a serious health challenge. The statutory health insurance (OMS health insurance Fund or, in General, as part of the German health care system) plays a Central role: it is not only for the treatment of consequences, but must also push for measures for the prevention and early detection forward.
Statistics show that every year thousands of people are dying of diseases such as heart attack, stroke, or high blood pressure — often preventable fates. Many are known risk factors: unhealthy diet, lack of physical activity, Smoking, Stress and Obesity. However, as the OMS System against control?
One of the most important starting points for the prevention of work. Periodic health examinations (Check‑up of 35) are covered by health insurance, and allow it to detect high blood pressure, elevated cholesterol, or Diabetes at an early stage. Early detection often means the possibility of life style-related action before the consequences comes to be serious.
In addition, many of the OMS‑health insurance health promoting responsible behaviour by means of special programs:
Prevention courses for lowering blood pressure, or stress management,
Sport deals with grants for club memberships,
Nutritional advice for people with Obesity, or a risk factor for Diabetes,
Smoking cessation programmes, subsidised by the health insurance Fund.
Another important aspect is the education of the population. Through information campaigns, brochures, and Online services make the OMS insurance on the dangers of cardiovascular diseases attentive. Older people in particular benefit from such initiatives, because with increasing age, the risk increases.
Despite this progress, much remains to be done. The number of people with Obesity and Diabetes continues to increase, and also the life-style factors, not only by health insurance subsidies change. Here, policy, education and society need to work on together — the OMS System can play a leading role.
Conclusion: cardiovascular diseases are not inevitable Fate, but often the result of long-term, changeable behaviors. The OMS System is already providing much in the way of prevention — to achieve, however, to be truly sustainable progress must be anchored to the culture of prevention in the society. Prevention instead of reaction: That was supposed to be the guiding principle.
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## Died for high blood pressure ##
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 (<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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