Diseases of the circulatory System heart disease
Diseases of the circulatory System heart disease
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Diseases of the circulatory system: heart diseases The cardiovascular system is to supply the entire body with oxygen and nutrients is of Central importance. It consists of the heart as the Central Pumporgan, as well as an extensive network of blood vessels, including arteries, veins, and capillaries. Diseases of this system are worldwide one of the main causes of morbidity and mortality. Definition and classification Heart disease (cardiovascular disease) refers to a group of diseases that affect the vagina and the heart muscle, the valves of the heart, the coronary arteries or the Heart. The main forms include: Coronary heart disease (CHD): it is caused by a narrowing or occlusion of the coronary arteries, usually due to atherosclerosis. This leads to reduced blood flow to the heart muscle (myocardial ischemia), and can lead to Angina or a myocardial infarction. Heart failure: In this disease, the pumping function of the heart is reduced, so that it can no longer pump enough blood in the circulation. Symptoms are shortness of breath, among others, fatigue and Edema. Arrhythmias: heart rhythm disorders, which are characterized by too fast (tachycardia), too slow (bradycardia) or irregular beats. Causes may be electrical conduction disturbances, myocardial infarction, or metabolic disorders. Flap error: malfunction of the heart valves (e.g., stenosis or Insufficiency) to impede the normal flow of blood through the heart. Examples are aortic valve stenosis and mitral valve insufficiency. Cardio-myopathies: disorders of the heart muscle, to structural and functional changes. One distinguishes between dilated, hypertrophic and restrictive forms. Risk factors A number of modifiable and non-modifiable factors increases the risk for heart disease: Non-modifiable: age, gender (men are affected up to the menopause age, more likely), genetic Disposition. Modifiable: hypertension, hyperlipidemia, Diabetes mellitus, Smoking, Obesity, physical inactivity, unhealthy diet and chronic Stress. Diagnostics The diagnosis of heart diseases includes various methods: History and clinical examination (auscultation, blood pressure measurement) Electrocardiogram (ECG) for the assessment of the electrical rhythm of the heart Echocardiography (ultrasound of the heart) to evaluate the pumping function, and valvular structures Load tests (e.g., treadmill test) for the detection of Ischemia Coronary angiography for the direct visualization of vascular stenosis Laboratory parameters (e.g., Troponins in the case of suspected infarction) Therapy and prevention The therapy depends on the disease, and can be done with medication (e.g. beta‑blockers, ACE inhibitors, anticoagulants) or interventional (e.g., PTCA with stent implantation, Bypass surgery). Effective prevention is based on the modification of risk factors, regular physical activity, healthy diet, abstinence from Smoking, weight control, and adequate treatment of hypertension and Diabetes. Conclusion Heart diseases are a heterogeneous group of serious diseases with significant health and social consequences. Early diagnosis, adequate therapy and systematic prevention are essential to maintain the quality of life of those Affected, and to reduce the mortality.
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