# Diseases of the circulatory System epidemiology #
**Tags:**
* Hereditary predisposition to cardiovascular disease
* Injections of high blood pressure
* Calculator risk of cardiovascular disease score
:::warning
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:::
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## Hereditary predisposition to cardiovascular disease ##
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Epidemiology:
Diseases of the cardiovascular system: epidemiology
Diseases of the circulatory system (HKS) is one of the main causes of morbidity and mortality. According to the data of the world health organization (WHO), cardiovascular diseases (KVE) for approximately 17.9 million deaths per year, equivalent to approximately 32% of all global deaths.
Global Spread
The incidence of cardiovascular disease varies between different regions of the world. In developing countries, the incidence of KVE is steadily increasing, mainly due to urbanization, change in Diet and life style changes. In contrast, the mortality rates in industrialized countries, such as Germany as a result of better prevention and treatment slightly decreased, but the prevalence remains high.
In Germany, cardiovascular disease remains the most common cause of death. According to the Robert Koch Institute (RKI) die annually more than 300000 people to the consequences of heart attacks, strokes or other cardiovascular events.
Risk factors
Among the main risk factors for diseases of the HKS:
arterial hypertension (≥140/90 mmHg),
Hyperlipidemia (elevated levels of LDL‑cholesterol values),
Diabetes mellitus type 2,
Tobacco,
Overweight and obesity (BMI ≥30 kg/m
2
),
lack of physical activity,
unhealthy diet,
chronic Stress.
Studies show that the combination of multiple risk factors increases the cardiovascular risk factor. So, for example, the simultaneous leads to the Presence of hypertension and Diabetes at a significantly higher risk for heart attack or stroke than the sum of the individual risks.
Demographic Aspects
With increasing age, the risk for cardiovascular diseases increases exponentially. Men are generally affected in younger age groups, more than women, which may, in part, to gender-specific differences in hormonal status and life style due. After Menopause, the risk in women approaching the men.
Socio-economic factors also play an important role: people with a lower socio-economic Status have a higher prevalence of risk factors and a lower quality of care, which has a negative impact on the prognosis.
Prevention and perspectives
An effective primary prevention includes the modification of lifestyle factors (Smoking cessation, healthy diet, regular physical activity), as well as the controlled treatment of hypertension, Diabetes and Dyslipidemia. Secondary preventive measures after a cardiovascular event (e.g. myocardial infarction) to reduce the risk of Rekurrenzen significantly.
Future epidemiological studies should examine the impact of new risk markers, digital health applications, and more precise risk stratification, in order to optimize prevention strategies.
Source Notes (Examples):
WHO's Global Health Estimates
The Robert Koch Institute: Federal health reporting
German heart Foundation: statistics for heart health
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## Injections of high blood pressure ##
Injections for hypertension: A new way in the fight against a silent threat
High blood pressure, known medically as hypertension referred to, is rightly considered to be one of the greatest health challenges of our time. Worldwide, hundreds of millions of people suffer from this disease, which often remains over a number of years, unnoticed, and yet heart attacks, strokes and kidney damage can trigger. Traditionally, hypertension is treated with tablets, which must be taken daily. But now a new therapy opened in the form of promising perspectives: injections against the blood pressure.
How do these injections?
The novel injections belong to the group of monoclonal antibody and a target in the Regulation of blood pressure. A major target molecule of the substance PCSK9 or related proteins that play a key function in the regulation of blood pressure is. The drug blocking these proteins, and thus leads to a sustainable reduction in blood pressure.
In contrast to conventional drugs, which often have to be taken daily, enough with this method, only one or two injections per year. The injection is injected under the skin (subcutaneously), and then acts over a period of months. This long duration of action is a key feature and advantage of this new therapy.
Why are they so important?
One of the main reasons for the enthusiasm of the physician, the solution of the ancient problem: the treatment adherence (Compliance). Many patients forget to take your tablets, or from the taking of health or psychological reasons. Due to the rare injections of this stress is omitted factor and the blood pressure values remain stable.
In addition, studies show that these injections can bring in patients in whom conventional drugs are inadequate, a significant improvement. They offer an Alternative for those who had previously difficult to be brought under control by the end of the blood pressure values.
Opportunities and challenges
The advantages are obvious:
long-lasting effect (one injection every six months) Anhalt;
increased adherence to Therapy;
good efficacy in difficult-to-treat cases;
potentially fewer side effects by targeted mode of action.
However, there are also challenges:
the high price of new medicines;
the need for medical appointments for the injection (in contrast to the self-employed, taking pills);
limited long-term data on efficacy and safety.
A look into the future
The development of injections against high blood pressure marks a significant step in modern medicine. It is an example of how precise biotechnology to save lives and the quality of life of millions of people, can significantly improve. If the cost is reduced and the accessibility increases, these injections in the future, to the standard treatment, and thus make an important contribution to combating the silent epidemic of high blood pressure make.
The hope: A world in which high blood pressure effectively and with minimal effort, can be controlled, getting closer to a piece.
<a href="http://propiedadesrya.com/archivos/cardiovascular-disease-fighters.xml">Calculator risk of cardiovascular disease score</a> ** Diseases of the circulatory System epidemiology **.
Hereditary predisposition to cardiovascular disease
Cardiovascular disease causes are one of the leading death in the world. An important role in the pathogenesis of these diseases not only to environmental factors and life style, the hereditary predisposition. Genetic factors may influence the risk for disease development significantly, whether by direct mutations in key genes or by complex interactions of multiple genes with external influences.
Genetic Basis
A number of studies have shown that certain genetic variants associated with an increased risk for cardiovascular-associated diseases. These include, in particular:
Familial hypercholesterolemia is caused by mutations in the LDL Receptor Gene (LDLR), APOB or PCSK9 Gene and leads to a greatly increased level of cholesterol.
Cardiomyopathies, including hypertrophic and dilated forms, which are often caused by mutations in the genes for cardiac muscle proteins (e.g., MYH7, TNNT2).
Arrhythmias, such as Long QT syndrome that can be caused by mutations in ion channel genes (KCNQ1, KCNH2, SCN5A).
Polygenic Genetic Risk
In addition to monogenic disorders polygenic factors play a major role. Genome‑wide association studies (GWAS) have identified numerous Single‑Nucleotide polymorphisms (SNPs), with an increased risk for:
coronary heart disease,
High blood pressure,
Heart failure,
Atrial fibrillation
correlate. These SNPs regulatory processes, signaling pathways or metabolic processes that are important for the cardiac and vascular function are of importance often influence.
Interaction of genes and the environment
Dieuch the genetic predisposition is an important factor that decides not to you alone about the pathogenesis of the disease. Environmental factors such as Smoking, unhealthy diet, lack of exercise and chronic Stress can mitigate the genetically enhance-related risk, or — in the case of health-promoting behavior. For example, familial hypercholesterolemia can be treated by a cholesterol-lowering diet, and medications such as statins effectively.
Diagnosis and prevention
Dieufgrund the growing knowledge about the genetic causes of cardiovascular diseases wins the genetic diagnosis is becoming increasingly important. Genetic Tests allow you to:
early identification of at-risk subjects
personalized prevention strategies
targeted Monitoring and early initiation of Therapy,
Education of family members about possible inheritance.
Conclusion
Dieuerbliche predisposition to disease is an important factor in the development of cardiovascular disease. Through ongoing research and technological advances in the genetics of increasingly more accurate risk assessments and individualized treatment approaches are possible. A combination of genetic education and life style-related prevention offers the best protection against these often life-threatening diseases.
If you want, I can make a specific section in greater detail or further aspects!
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- [x] <a href="http://lijincnc.com/uploads/FCKeditor/project-cardiovascular-diseases.xml">Calculator risk of cardiovascular disease score</a>
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## Calculator risk of cardiovascular disease score ##
Calculator risk of cardiovascular disease: What the SCORE says a value on your health
Cardiovascular diseases are the most common causes of death. However, many people underestimate their personal risk. Helpful in this case, the SCORE (Systematic COronary Risk Evaluation)‑calculator is a scientifically based Tool, the 10‑year risk for a cardiovascular event (such as heart attack or stroke) estimates.
What exactly is the SCORE calculator measures?
The SCORE risk calculator takes into account five important parameters:
Age: With age, the risk for cardiovascular increasing problems.
Gender: men generally have a higher risk than women, however, may change this situation after the Menopause.
Blood pressure (systolic value): increased blood pressure, the vessels and the heart.
Cholesterol (total cholesterol): high levels of LDL‑cholesterol promotes atherosclerosis.
Smoking: Smoking damages the blood vessels and increases the risk significantly.
On the Basis of these data, the Tool calculates a percentage probability that a Person will suffer in the next 10 years to a deadly cardiovascular disease.
How is it classified the risk?
The results are divided into four risk categories:
Low risk: 1%
Medium risk: from 1% to under 5%
High-level risk: from 5% to under 10%
Very high degree of risk: 10% or more
A result in the high‑ or very high-grade area, a clear alarm signal, which requires a medical Act.
Why is the SCORE calculation so important?
The SCORE method allows early assessment of the risk before symptoms occur. It serves not only of the enlightenment, but also of prevention:
Your motivation for lifestyle change: a healthier diet, more exercise, stop Smoking.
It helps Doctors to develop individual prevention measures — for example, medication for elevated blood pressure or cholesterol.
It reduces the long-term burden of disease and improves quality of life.
Restrictions and other aspects
Although the SCORE calculator is a high‑quality tool, it has limitations: It does not account for factors such as Diabetes, Obesity, family history and psychosocial Stress. Therefore, the SCORE should be done‑evaluation always in conversation with a doctor, the more risk can be taken into consideration.
Conclusion
The SCORE risk calculator is a valuable tool for the early detection and prevention of cardiovascular diseases. He makes the individual risk of tangible and creates a Basis for concrete action for health. A SCORE calculation can afford — together with medical advice — a decisive contribution to the life extension and quality of life.