✔ The table of the assessment of the risk of cardiovascular diseases
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| Diseases of the circulatory System message | Ang presyon ng dugo ay isa sa mga pangunahing indikasyon ng kalusugan, na hindi lamang sumasalamin sa puso at sistema ng sirkulasyon, kundi pati na rin sa aktibidad ng mga bato, mga organo ng endokrin, paggawa ng dugo, at ng sistema ng nerbiyos. Kaya naman, walang isang unibersal na gamot laban sa mataas na presyon ng dugo. Hindi ka basta basta puwedeng pumunta sa botika at magtanong ng 'tableta para sa presyon,' kasi agad na tatanungin ng parmasyutiko – anong gamot ang nireseta sa iyo ng doktor? |
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Купить The table of the assessment of the risk of cardiovascular diseases
The table to the assessment of the risk of cardiovascular diseases
The assessment of individual risk for cardiovascular disease (CVD) represents a major component of preventive medicine. A standardized table for the risk assessment allows Physicians, the likelihood of a cardiovascular event (e.g. myocardial infarction or stroke) in the next 10 years for a patient to be assessed.
Fundamentals of risk table
A typical risk table is based on evidence-based data and integrates several modifiable and non-modifiable risk factors. Among the most important parameters:
Age (in years): A non-modifiable factor, in which the risk increases with age.
Gender (male/female): men in younger age groups are at increased risk; in women, the risk increases after Menopause significantly.
Serum cholesterol (total, in mmol/l or mg/dl): in Particular, the LDL‑cholesterol level is strongly correlated with CVD risk.
High-pressure (blood pressure) (in mmHg): Systolic and diastolic blood pressure are direct indicators of the load on the cardiovascular system.
Smoking (Yes/no): The Smoking of tobacco products increases the risk significantly by endothelial dysfunction and atherosclerosis.
Diabetes mellitus (a metabolic disorder): Diabetes is a strong independent risk factor for CVD.
Family history of early CVD (e.g., father or brother < 55 years, mother or sister < 65 years): Genetic predispositions play an important role.
The structure and application of the table
The table is usually organized as a Matrix, the different categories for each risk factor. The values are combined to calculate an overall risk score. For example:
The Parameter Category 1 Category 2 Category 3
Age 30-40 Years 41-50 Years 51-60 Years
Cholesterol < 4,0 mmol/l 4,1–5,0 mmol/l > 5.0 mmol/l
Blood pressure < 120/80 mmHg 121-139/81-89 mmHg ≥ 140/90 mmHg
Smoking No Yes Longtime Smokers
Each combination of the categories is associated with a numeric value, or a risk category (low, medium, high, very high).
Interpretation of the results
From the table the value determined in the probability (%) of a major is cardiovascular event in the next 10 years:
Low Risk: <5%
Medium Risk: 5-10%
High Risk: 10-20%
Very high risk: > 20%
Clinical relevance and limitations
The risk table is used as an aid to decision-making for preventive measures:
In the case of low-risk healthy lifestyle is recommended.
In more risk or high-risk intensive interventions are necessary, for example, medication (statins, antihypertensive agents) and close Monitoring.
Limitations of the chart:
They do not take into account all possible risk factors (e.g., chronic inflammation, psychosocial Stress).
The accuracy depends on the Population for which it was designed (e.g. EURO core, SCORE risk chart for Europe).
The time horizon (10 years) can appreciate the risk.
Conclusion
The standardized table for the evaluation of cardiovascular risk is an indispensable tool in clinical practice. It allows an objective, data-based, risk-stratification, and directs individual prevention strategies. Regular updates to the table on the Basis of new epidemiological studies are required, however, to ensure their validity.
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Sa pangunahing (esensyal) na altapresyon, ito ay dahil sa impluwensya ng namamana, hilig sa mataas na presyon ng dugo sa konteksto ng hindi malusog na pamumuhay, masamang gawi, hindi malusog na pagkain, na nagdudulot ng labis na timbang. Dagdag pa ang stress, kalikasan, kakulangan sa tulog at aktibidad. Lahat ito ay negatibong nakakaapekto sa trabaho ng puso at sa tono ng mga daluyan ng dugo. Ang presyon ay unang tumataas nang hindi napapansin at pagkatapos ay mas nagiging malinaw.
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