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| Computer assessment of cardiovascular disease score | Constant high levels of stress can disturb the blood flow and blood pressure and can damage vessels, and you may experience dizziness, extreme fatigue, or body aches with no wish to get out of bed. This stress-induced fatigue can make your blood pressure high and needs to be monitored. |
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The anamnesis of the disease of the cardiovascular System.
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Characteristic features of diseases of the cardiovascular system
He's diseases of the circulatory system (HKS) are one of the leading causes of death in the world and include a variety of diseases with different Pathomechanisms. Their early detection is based on the identification of characteristic clinical, laboratory and imaging parameters.
Among the most common diseases of the HKS:
coronary heart disease (CHD),
Heart failure,
arterial hypertension,
Arrhythmias,
Cardiomyopathies,
Vascular diseases (e.g., atherosclerosis, aneurysms).
Typical symptoms that indicate a disease of the HKS are:
Angina pectoris – typical chest pain or pressing, often by physical exertion triggered by rest or nitrates alleviated; characteristic of CHD.
Dyspnea – shortness of breath, especially during physical activity or in Ruhlage (orthopnea), a key feature of heart failure.
Palpitations heart palpitations or irregular heartbeat, typical for arrhythmias such as atrial fibrillation.
Edema, especially in the legs (peripheral Edema), or in the area of the lungs (pulmonary Edema), a character from the right — or left ventricular heart failure.
Fatigue and reduce the performance of General fatigue and decreased strength, often in the advanced stages of heart failure or valvular heart disease.
Syncope – momentary loss of awareness that can be caused by arrhythmic events or sudden drop in blood pressure.
Objective findings on physical examination may be the following:
increased blood pressure (hypertension),
abnormal heart sounds (Murmurs) in the case of valvular,
delayed pulse (aortic stenosis),
Signs of Fluid build-up (Edema, neck vein congestion, hepatomegaly) in heart failure,
uneven or weak pulse in the case of vascular disease.
Laboratory chemical markers play an important role in the diagnostics:
Troponins are specific markers for myocardial necrosis, is essential for the diagnosis of acute myocardial infarction.
Natriuretic peptides (BNP, NT‑proBNP) increases in heart failure as an indicator of increased ventricular pressure.
Lipid spectrum (LDL‑cholesterol, HDL‑cholesterol, triglycerides) – for the assessment of atherosclerosis risk.
Inflammatory markers (e.g. C‑reactive Protein) may be increased in the case of vasculitis or other inflammatory processes.
Instrumental studies provide crucial information:
Electrocardiogram (ECG) shows evidence of ischemia, arrhythmia, hypertension, or pre-loading.
Echocardiography (Echo) – visualization of the heart structure and function, flaps findings, chamber sizes, and ejection fraction.
Load tests (e.g., treadmill test) for the diagnosis of stress-dependent ischemia.
Coronary angiography – the gold standard for the diagnosis of coronary heart disease.
Ultrasound of the vessels for the assessment of atherosclerosis and stenosis.
In summary, diseases of the cardiovascular system, characterized by a broad spectrum of symptoms and Findings. The combination of anamnestic data, physical examination, laboratory values, and modern imaging techniques allow a precise diagnosis and targeted therapy, which can improve the food age, and the quality of life of patients significantly.
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