# Diseases of the circulatory System of the ICD #
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## Factors that increase the risk of cardiovascular diseases ##
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Cardiovascular disease causes are one of the leading death in the world. A variety of factors can increase the risk for these diseases significantly. These factors fall into modifiable and non-modifiable categories.
Non-modifiable risk factors
Among the non-modifiable factors:
Age: With age, increasing your risk for heart disease‑circulation. In men at increased risk from the 45. Age observed in women from the age of 55. Age or after Menopause.
Gender: men are generally at higher risk than women of the same age, especially in younger and middle years of life. After Menopause, the risk profiles of women approach those of men.
Genetic predisposition: A family history of early-onset cardiovascular disease (e.g., myocardial infarction in first-degree Relatives before the age of 55. Years of age for men and before 65. Age in women) increased the individual's risk.
Modifiable Risk Factors
The most important modifiable risk factors include:
High blood pressure (hypertension): A permanently elevated blood pressure (≥140/90 mmHg) charged to vessels of the heart and blood, and promotes atherosclerosis.
Elevated cholesterol levels: in Particular, increased levels of LDL cholesterol (bad cholesterol) and low HDL‑cholesterol (good cholesterol) can lead to the formation of hardening of the arteries.
Diabetes mellitus: Diabetes, the risk for cardiovascular disease is significantly increased, since the blood vessels due to high blood sugar levels damage.
Overweight and obesity: An increased Body Mass Index (BMI ≥25 kg/m
2
), and in particular, Central Fat (belly fat) is associated with an increased risk.
Lack of exercise: Regular physical activity strengthens the heart and circulatory System. A lack of exercise increases the risk.
Smoking: nicotine and other harmful substances in cigarette smoke can damage the blood vessel inner wall, increase the heart rate and blood pressure, and promote thrombus formation.
Excessive consumption of alcohol: Chronic and excessive alcohol consumption can lead to high blood pressure, heart rhythm disorders, and other damage to the heart.
Stress: Chronic Stress can smoke to increased blood pressure, unhealthy living habits (e.g., unhealthy diet) and thus contribute indirectly to an increased risk.
Conclusion
The risk of cardiovascular disease is influenced by a combination of factors. While non-modifiable factors such as age, gender, and genetic predisposition can not be influenced, to provide modifiable factors great possibilities for Prevention. Through a healthy lifestyle, regular medical check-UPS and possibly drug therapy to the individual risk can be significantly reduced.
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## Cardiovascular disorders in Parkinson's disease ##
Cardiovascular disorders in Parkinson's disease: A complex interaction
Parkinson's disease (PD), a neurodegenerative disorder that is mainly characterized by motor symptoms such as Rigidity, Bradykinese and resting tremor, not is often associated with a variety of motor symptoms. One of those aspects relevant to cardiovascular disorders, which occur in a significant proportion of patients and the quality of life, and the forecast can significantly affect the.
Pathophysiological Bases
The key to the understanding of the cardiovascular complications in Parkinson's disease is the Degeneration of autonomic neural structures. In Parkinson's disease is not only the dopaminergic neurons of the Substantia nigra, but also areas of the autonomic nervous system. This leads to a dysfunction of the autonomic nervous system (ANS), which controls the Regulation of heart rate, blood pressure and vascular tone.
Especially the Degeneration of neurons in the dorsal nucleus of the Vagus nerve (Nucleus dorsalis nervi vagi) and in the Central autonomic network plays a crucial role. These pathological changes result in a decreased heart rate variability (HRV) and orthostatic hypotension (OH), which occurs in up to 30% -50% of patients with advanced Parkinson's disease.
Frequent Cardiovascular Manifestations
Among the most common cardiovascular problems in Parkinson's patients:
Orthostatic hypotension (OH): A decrease in the systolic blood pressure of at least 20 mmHg or diastolic at least 10 mmHg within 3 minutes after getting Up. This can lead to dizziness, instability, and even loss of consciousness.
Changes in heart rate variability (HRV): A low HRV is considered to be a Marker for impaired autonomic Regulation and is associated with an increased risk for cardiovascular events.
Arrhythmias: atrial fibrillation and other supraventricular arrhythmias in patients with Parkinson's disease more often than in the General population.
Fluctuations in blood pressure: in addition to orthostatic hypotension, it can also lead to paroxysmal hypertension, especially during the night.
Diagnostic Approaches
Early diagnosis of these disorders is of crucial importance. Among the common methods of investigation:
Tilt‑table Test for the objective diagnosis of orthostatic hypotension.
24‑hour blood pressure monitoring (ABPM) for the detection of fluctuations in blood pressure throughout the day and the night.
Long‑term ECG for the detection of arrhythmias and heart rate variability analysis.
Autonomic function tests the response of the blood pressure and heart rate to respiratory maneuvers and Valsalva investigate maneuvers.
Therapeutic Strategies
The treatment of cardiovascular disorders in Parkinson's disease requires a multi-modal approach:
Non-pharmacological measures: Increased salt and fluid intake, compression stockings, slowly getting Up and raising the head end of the bed.
Pharmacological therapy: Fludrocortisone to increase the blood volume, Midodrine as a vasokonstriktives agent and Pyridostigmine for the improvement of Autonomous Transfer.
Adaptation of the Parkinson's medication: Sometimes, the dose must be reduced by Levodopa or other dopaminergic drugs, as these can worsen orthostatic hypotension.
Treatment of concomitant diseases: control of hypertension, Diabetes and hyperlipidemia for the reduction of cardiovascular risk.
Conclusion
Cardiovascular diseases in patients with Parkinson's disease is a significant clinical Problem that results from the Degeneration of the autonomic nervous system. Early detection and adequate treatment of these disorders can improve the quality of life of the Affected significantly and the risk of serious lower cardiovascular events. Further research is necessary to clarify the exact pathophysiological mechanisms, and to develop innovative therapeutic approaches.
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## Exercise for high blood pressure Video ##
Exercise for high blood pressure: How movement can change the life
High blood pressure, medically called hypertension, affects millions of people worldwide — and many of them know nothing of their disease. The disease is considered to be a silent Killer, because it is often a long time asymptomatic, but can lead to serious consequences such as heart attack or stroke. But there is good news: Simple measures, in particular, regular physical activity, can lower blood pressure significantly, and the long-term health improve.
This is exactly what the new Video of the Exercise for high blood pressure: It shows practical, easy to implement Exercises that everyone — regardless of fitness level at home or Outdoors. The Best: you don't need any equipment and only need a few minutes of the day.
What the Video shows?
The high-intensity Workouts, sets the Video in a gentle, circular stabilizing Exercises. In the center are:
Stretched breathing exercises: Slow, deep Breathing activates the autonomic nervous system and promotes relaxation — an important factor in blood pressure regulation.
Gentle stretching: you muscles, improve blood circulation and relieve blood vessels.
Conscious movements: Slow Arm and leg movements Standing or Sitting promote the circulation activity without Overloading.
Relaxation sequences: Final Exercises for stress reduction prior to counteract the increase in blood pressure.
The faster success promises to be the Video no wonder, but shows a realistic way: regularity is the key here. After a few weeks you can feel positive changes — more energy, less Stress, and regulating blood pressure.
Why moves against high blood pressure?
Studies show that Regular exercise reduces systolic blood pressure by 5-10 mmHg and the diastolic to 3-8 mmHg. At first this may seem small, but makes a big difference — because every lowering blood pressure reduces the risk for cardiovascular diseases.
Movement:
the heart muscle strengthens,
improves the elasticity of blood vessels,
stimulates the metabolism and helps to reduce Weight,
lowers the Stress hormones (adrenaline, Cortisol),
increases well-being through the release of endorphins.
For whom the Video is suitable?
The place for serious athletes, it is especially for beginners, the elderly, and persons with a lack of exercise designed. Especially those that:
your blood want to reduce pressure, of course,
more movement into your daily life want to integrate,
Reduce Stress and learn relaxation,
a cost-effective and time-efficient method.
Important Note
In the case of existing hypertension or other medical conditions should be consulted before beginning any new exercise routine, a doctor. The Video offers no replacement for medications, but rather complements medical treatment is useful.
Conclusion
The Video of the Exercise for high blood pressure is more than only an exercise instructions — it is an invitation to take charge of your own health in the Hand. With simple, gentle movements and breathing techniques, it shows how to stabilize the blood pressure and the well-being may increase. Health often begins with a small step, so why not start today?
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