# Alexander gymnastics from the pressure in hypertension #
**Tags:**
* In a group of drugs for high blood pressure
* Presentation of cardiovascular diseases, the treatment of decoding the ECG
* Scale calculator quickly cardiovascular diseases
:::warning
Ang pagkontrol sa presyon ay isang napakahalagang gawain, dahil ang pag-inom ng mga tableta na nakakatulong sa pagpapanatili ng normal na mga indikador ay maaaring magbigay ng araw-araw na komportableng buhay, upang maiwasan ang panganib ng hypertensive crisis, atake sa puso, at stroke. Ang mga gamot para sa kontrol ng presyon ay medyo malawakang makukuha sa mga botika, pero tanging ang doktor lang ang makakapili ng tamang gamot na angkop sa therapy. Lahat ng grupo ng gamot para pababain ang presyon ay may iba't ibang mekanismo ng epekto, side effects, at may kaunting posibilidad ng pagkadepende. Ang tamang pagpili ng gamot ay nagbibigay ng mabilis at tuloy-tuloy na resulta, at ang eksperimento sa sarili sa pag-inom ng gamot ay may mataas na posibilidad ng biglaang karamdaman, sakit sa puso at daluyan ng dugo, at sa matinding kaso, maaaring magdulot ng kamatayan.
:::
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## In a group of drugs for high blood pressure ##
<div class="alert alert-info" role="alert">
Minsan lang na biglaang pagtaas ng presyon o bahagyang mataas na resulta ay hindi palaging nangangailangan ng agarang pag-inom ng tableta. Lahat ng rekomendasyon ng mga espesyalista at ang mga magagamit na paraan ng pag-iwas ay mukhang simple lang, pero sa aktwal na buhay, ang maingat na pag-aalaga sa kalusugan ng dugo at sistema ng puso ay nakakaiwas sa biglaan at sobrang hindi kanais-nais na pagtaas ng presyon.
</div>
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> Minsan, dinadagdagan ng doktor ang base na therapy (mga gamot na kailangang inumin araw-araw) ng mga gamot na iniinom kapag may krisis, kapag ang presyon ay sobrang taas at biglang tumaas. At ang dosis ay pinipili rin nang napaka-indibidwal. Kaya imposible na sabihin kung alin ang pinakamahusay na gamot sa presyon, sa bawat kaso ay magkakaroon ng sariling kombinasyon na bagay sa iyo.

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## Presentation of cardiovascular diseases, the treatment of decoding the ECG ##
Lecture: cardiovascular diseases and their treatment — Interpretation of ECG Findings
Introduction
Cardiovascular disease (CVD) is the leading cause of death and require early diagnosis and effective therapy. One of the most important diagnostic methods for the detection of heart problems, the electrocardiogram (ECG) represents the electrical activity of the heart is graphically. In this talk, first of all, the most common cardiac cycle will be introduced to diseases, then the importance of ECG Interpretation for the diagnosis and treatment will be explained.
Frequent Cardiovascular Diseases
Among the most common CVD:
Coronary heart disease (CHD): Due to narrowing of the coronary arteries is decreased blood flow to the heart muscle, which can lead to Angina or a myocardial infarction.
Hypertension: A permanently elevated blood pressure is damaging in the long term, heart, kidneys and blood vessels and increases the risk for stroke and heart attack.
Heart rhythm disorders (arrhythmias): deviations from the normal sinus rhythm, such as atrial fibrillation, tachycardia or bradycardia, can lead to circulatory disorders.
Congestive heart failure: The heart loses its Capacity to shortness of breath, Edema, and limitation of physical efficiency.
Valve defect: Defects of the heart valves (e.g., aortic stenosis) can affect the blood flow and strain the heart.
ECG: principles and Interpretation
The ECG records the electrical impulses, the contraction of the heart is responsible. A normal ECG consists of the following waves and intervals:
P‑Wave: Atrial Depolarization
PQ‑interval: time from the beginning of the atrial until the beginning of the chamber of arousal
QRS complex: the comb of the earth polarization (discharge)
ST Segment: the time between the comb of the earth, polarization and repolarization
T‑Wave: Chamber Of Repolarization (Reverse Polarization)
Diagnostic clues in the ECG
Certain changes in the ECG indicate specific diseases:
Myocardial infarction: ST‑extension, pathological Q‑waves, inverted T waves
Ischemia: ST‑cut, flat or negative T‑waves
Atrial fibrillation: an Irregular rhythm, the lack of P‑waves, R‑waves instead of P‑waves
AV Block: prolongation of the PQ interval (1. Degree), failure of the QRS Complex (2. Degrees), the complete decoupling of the P‑waves and QRS (3. Degree)
Ventricular tachycardia: a wide QRS Complex, high heart rate
Treatment strategies in dependence of ECG Findings
The recommendations are in accordance with the ECG results:
In the case of an acute ST‑lifter infarction (STEMI) is an immediate Revascularization (PCI or thrombolysis) is required.
In the case of atrial fibrillation, anticoagulants (e.g., DOAKs) are used for the prevention of Stroke and, if necessary, rhythm‑ or rate-control.
At high AV‑blocks, a pacemaker may be necessary.
For ventricular arrhythmias, antiarrhythmic drugs, or an Implantable cardioverter‑Defibrillator (ICD) in question.
In the case of Ischemia, a coronary angiography to clarify the stenosis location is carried out.
Conclusion
The correct Interpretation of the ECG diseases is an indispensable tool in the diagnosis of cardiovascular disease. It provides a rapid and targeted treatment, which can improve the Survival and quality of life of patients significantly. Advances in technology and training of health professionals contribute to increase the accuracy and efficiency of the ECG diagnostics.
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In a group of drugs against hypertension: antihypertensive agents
High blood pressure, known medically as hypertension, is a worldwide health problem and is considered an important risk factor for cardiovascular diseases such as heart attack, stroke and kidney failure. For the treatment of hypertension various pharmacological substance groups, which are as antihypertensive agents known. Their mechanism of action aims to reduce the blood pressure to a healthy value of less than 140/90 mm Hg (or 130/80 mmHg in high-risk patients).
The main groups of antihypertensive agents
ACE inhibitors (Angiotensin‑converting enzyme inhibitor)
Active ingredients such as Enalapril, Ramipril, Lisinopril, inhibit the enzyme, ACE, that for the conversion of Angiotensin I in the blood pressure-increasing Angiotensin II is responsible. As a result, the vasoconstriction is reduced and the blood pressure is lowered. In addition, ACE inhibitors offer a protective effect for the heart and kidneys, particularly in patients with Diabetes mellitus.
AT1‑receptor blockers (Sartans)
To belong to this group, Losartan, Valsartan, and Candesartan. They block the Angiotensin II receptors type AT1, which is also a vasodilation and reduction in blood pressure is achieved. AT1 receptor blockers are often used as an Alternative in patients who are ACE inhibitor because of a disturbing cough is not tolerated.
Calcium antagonists
These drugs (e.g., amlodipine, nifedipine, Verapamil) inhibit the influx of calcium ions (Ca
2+
) in the smooth muscles of the blood vessels and the heart. Due to the Relaxation of the vascular walls, it comes to a vasodilation and thus to a decrease in peripheral vascular resistance and blood pressure.
Beta-blockers
Substances such as Metoprolol, Bisoprolol or Carvedilol act through the Blockade of β‑Adrenoceptors. You decrease the heart rate and cardiac output, which leads to a reduction of the systolic blood pressure. Beta-blockers are particularly recommended after a myocardial infarction or in heart failure.
Diuretics (Diuretics)
Thiazides (eg, hydrochlorothiazide) and loop diuretics (e.g., furosemide), promote the excretion of water and salt through the kidneys. As a result, the blood volume and the blood decreases, pressure decreases. Diuretics are considered to be a cornerstone of hypertension treatment, especially in elderly patients.
Aldosterone antagonists
Spironolactone and Eplerenone inhibit the mineralocorticoid receptor and thus the action of aldosterone. This leads to increased excretion of sodium and water, as well as a well-preserved potassium levels. They are mainly used in patients with heart failure and resistant hypertension.
Therapeutic Approach
The us, the individual risk profiles, and monitoring the treatment is started disorders, usually with a drug. In case of inadequate control of blood pressure with a combination therapy, often made up of two classes of substances (e.g., ACE inhibitor + calcium antagonist or the AT1‑receptor blocker + diuretic) follows.
Side effects and contraindications
Each group of antihypertensive agents has specific side-effect profiles:
ACE‑inhibitors: cough, Hyperkalemia, angioedema
AT1‑receptor blocker: Hyperkalemia (rare cough)
Calcium Antagonists: Edema, Redness Of The Face
Beta-blockers: bradycardia, bronchospasm (non‑selective)
Diuretics: Electrolyte Disturbances (Hypokalemia), Hyperuricemia
Before therapy contraindications (e.g. pregnancy at ACE are to be clarified inhibitors and Sartans), as well as interactions with other medications.
Conclusion
The us of the diversity of the antihypertensive agents can be adapted to the treatment individually. An early and effective lowering blood pressure reduces the risk of cardiovascular complications and improves the quality of life and expectation of the parties Concerned. Regular controls, and patient training is of Central importance.
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## Scale calculator quickly cardiovascular diseases ##
Scale for rapid risk assessment of cardiovascular diseases
The early identification of individuals with increased risk for cardiovascular disease (HKK) represents a Central task of preventive medicine. To allow a more efficient and standardized risk assessment in practice, there have been developed various scales, which allow for a quick evaluation.
One of the most widely used instruments, the QRISK3‑scale, which is used especially in the United Kingdom application. This scale predicts the 10‑year risk for a first cardiovascular event (such as heart attack or stroke), taking into account a variety of risk factors. Among the captured parameters:
Age and sex;
systolic blood pressure;
Total cholesterol and HDL‑cholesterol;
Diabetes mellitus (Available);
Smoking behaviour (active/ex‑smoker/never smoked);
family history of early heart attack;
BMI (Body Mass Index);
chronic kidney disease;
ethnicity and socio-economic factors.
Another well-known Instrument, the ESC/EAS‑risk scale (European society of cardiology / European society of atherosclerosis), which is based on the SCORE System (Systematic COronary Risk Evaluation) is. The SCORE scale is available in different versions for high and low risk areas available. It calculates the 10‑year risk of a fatal cardiovascular event, on the basis of the following parameters:
Age;
Gender;
systolic blood pressure;
Total Cholesterol;
Smoking status.
The advantages of a fast scale:
Efficiency: The calculation takes a few minutes, often supported by digital Tools, or Apps.
Standardization: A uniform method reduces subjective errors in the risk assessment.
Early detection: high-risk patients can be targeted for preventive care are identified.
Patient education: The quantified risk indication (for example, your risk is 15 % in the next 10 years) can serve as a Motivation for lifestyle changes.
Limitations:
Scales are prognostic and predict an event with security.
They do not take into account all possible risk factors (e.g., psychosocial Stress in full).
The accuracy depends on the quality of the data entered.
Regional differences in the prevalence of risk factors can limit the Transferability of scale to other populations.
Conclusion
Scales for the fast calculation of the risk for cardiovascular diseases are valuable tools in medical practice. They allow for an evidence-based, objective and time-saving risk classification. The combined application of such scales with individual clinical assessment provides the best possible approach to the primary prevention of cardiovascular disease.