✔ The identification of risk factors for cardiovascular diseases
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The identification of risk factors for cardiovascular diseases
Cardiovascular diseases (CVD) are one of the leading causes of death worldwide. The identification and analysis of risk factors plays a crucial role in the prevention and early Intervention to reduce the incidence and mortality of these diseases.
Primary Risk Factors
The primary modifiable risk factors include:
Arterial hypertension: A permanently elevated blood pressure (≥140/90 mmHg) charged to the vessels of the heart and the blood and increases the risk for heart attack and stroke significantly.
Dyslipidemia: An unhealthy lipid constellation, in particular, an elevated total cholesterol and LDL‑cholesterol and a low HDL‑cholesterol, promotes atherosclerosis development.
Tobacco use: cigarette Smoking leads to vasoconstriction, increased thrombus formation and accelerated atherosclerosis.
Diabetes mellitus: in Particular, type 2 Diabetes is associated with an increased risk for CVD, since it causes damage to the vascular wall, and metabolic disturbances caused.
Overweight and obesity: An increased Body Mass Index (BMI ≥25 kg/m
2
), and in particular the Central adipose tissue increase the load on the cardiovascular System.
Lack of exercise: A low physical activity promotes Obesity, hypertension and dyslipidemia and reduce cardiovascular Fitness.
Unhealthy diet: A high intake of saturated fatty acids, TRANS fats, sugar and salt, as well as a lack of fiber, fruits and vegetables, can promote the development of risk factors.
Non-modifiable risk factors
Some risk factors you can't control, but must be in the individual risk assessment takes into account:
Age: With age, the risk for CVD is increasing exponentially.
Gender: men generally have a higher risk of early cardiovascular events; after Menopause, the risk in women approaches that of men.
Genetic predisposition: A family history of early cardiovascular disease (in men before the age of 55. Age, and in women before the age of 65. Years of age), increases the individual's risk.
Other relevant factors
Increasingly, other aspects to be investigated as potential risk factors:
Psychosocial Stress: Chronic Stress, Depression, and social Isolation can increase the neuro-endocrine mechanisms of the risk.
Sleep disorders: in Particular, obstructive sleep apnea is associated with hypertension and arrhythmic events.
Air pollution: long-term pollution by fine particles (PM2.5) seems to increase the cardiovascular risk.
Methods of risk factor identification
The identification is done by:
A history of collection: collection of lifestyle factors, medical conditions and family medical history.
Physical examination: measurement of blood pressure, BMI, waist circumference.
Laboratory analyses: blood tests to determine cholesterol (LDL, HDL, triglycerides), blood sugar, HbA1c and inflammatory markers (e.g. C‑reactive Protein).
Instruments for risk assessment: use of Scores such as the SCORE algorithm (Systematic COronary Risk Evaluation) for the calculation of the 10‑year risk of a fatal cardiovascular event.
Conclusion
The systematic identification of risk factors allows for a targeted prevention of cardiovascular diseases. Through the modification of lifestyle factors, and medical control of hypertension, Diabetes and dyslipidemia, the individual and societal risk can be significantly reduced. Regular health examinations, and education of the population, are of Central importance.
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