Review of the cardiovascular diseases
Review of the cardiovascular diseases
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Review of cardiovascular disease: methods and clinical relevanceIntroductionCardiovascular diseases (CVD) are one of the leading causes of death worldwide, and require an early and precise diagnosis. A systematic Review of the CVD is a combination of anamnestic, clinical and instrumental examination methods, which allow for an adequate assessment of cardiovascular risk.Methods of diagnosisHistory and physical examinationThe medical history forms the basis of any cardiovascular diagnostics. Important aspects are:family history of heart attacks or strokes;Style factors (Smoking, alcohol consumption, physical inactivity) life;The presence of risk factors such as hypertension, Diabetes mellitus, and dyslipidemia;subjective complaints (chest pain, shortness of breath, palpitations, Edema).On physical examination, in particular, the blood will be evaluated pressure, heart rate, heart sounds, and signs of heart failure (e.g., cervical venous congestion, Edema).Laboratory analysesFor the evaluation of CVD, the following laboratory parameters will be investigated:Lipid spectrum (total cholesterol, LDL‑cholesterol, HDL‑cholesterol, triglycerides);Blood glucose and HbA1c for diagnosis of Diabetes mellitus;Renal function (creatinine, eGFR);High-sensitive Troponin for the detection of myocardial ischemia or Infarction;Natriuretic peptides (BNP or NT‑proBNP) in the case of suspected heart failure.EleInstrumente StudiesEleElektrokardiogramm (ECG): Enables the detection of arrhythmias, Ischemia, and infarction follow.Echocardiography (Echo): Represents the structure and function of the heart, including ventricular function, Valvular and pericardial diseases.Exercise ECG / Stress Echo: Serves for the diagnosis of coronary heart disease with unclear chest pain.Coronary computed tomography (CT): Visualize atherosclerosis of the coronary arteries, and Calcifications.Long‑term ECG and long‑term blood pressure measurement is Important for the detection of arrhythmic events and blood pressure over 24 hours.Invasive ProceduresIn case of uncertain diagnosis or a high suspicion of density, a heart catheterization may be performed. This allows you to:Measurement of the pressure in the chambers of the heart;Representation of the coronary arteries (coronary angiography);Assessment of ventricular function (Ventriculography).ConclusionThe Review of cardiovascular disease requires a gradual approach, ranging from the history to the more invasive procedures. Early identification of risk factors and diseases allows for the effective prevention and therapy, which can improve the quality of life and life expectancy of the patients significantly. Advances in imaging and laboratory diagnostics allow for increasingly precise and non‑invasive diagnostic methods, which are possible in the future for a more customized treatment.
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