Cardiology is a branch of medicine that deals with the study, diagnosis and treatment (pharmacological and/or invasive) of acquired or congenital cardiovascular diseases.Cardiology is a discipline that in recent years advanced a lot and have developed inside specialties such as hemodynamics and elektrophysiolology. Who’s involved in this branch of medicine as a medical specialist, is called a cardiologist. In addition to the treatment of cardiovascular disease, heart failure, rhythm abnormalities, the cardiologist takes care of cardiovascular prevention and rehabilitation of the patient undergoing cardiac revascularization surgery or percutaneous angioplasty.\nCardiovascular disease is still the leading cause of death worldwide (50% of all in developed countries and 25% in developing countries), among the most common heart disease we find stable and unstable angina and myocardial infarction, the hypertensive heart disease (lsecondary to high blood pressure), heart valve disease, diseases of the rhythm and in particularly atrial fibrillation.
CONSULTATIONS IN PREVENTIVE CARDIOLOGY
What is the visit of preventive cardiology?
Preventive cardiology is your regular cutting, to understand how high is the risk of illness in the coming year from diseases of the heart and circulation and leads to a careful, focused and personalized therapeutic fitting.
To whom is dedicated to the visit of preventive cardiology?
To all those who want to know and determine how to best state of health or wish to raise the profile of their care and treatment if they are not satisfied that the information provided by a traditional visit.
What are the diseases that we want to avoid with this approach?
Diseases of the heart and circulation, and therefore the leading cause of illness and death, frequent causes of disability, loss of autonomy and poor quality of life.Heart disease: angina, arrhythmias, heart failure, circulatory failure, heart attack, sudden death and the need for interventions to restore circulation, so-called myocardial revascularisation procedures such as bypass and angioplasty Diseases of the general circulation and the brain: the closure of areterys in general, in particular those of the legs and to the brain, stroke, various forms of dementia and Parkinson on the basis of vascular disorders, degenerative diseases of the large vessels e.g. the aneurysm, hypertension and its complications, diabetes and its complications
By what method we assessed the likelihood of ill with diseases of the circulation in the past?
For the risk assessment of vascular disease the patients generally undergo very simple requests that include the measurement of blood pressure, cholesterol, the collection of data related to the sex, age, smoking habits, and diseases of the relatives and the patient itself (especially diabetes and diseases of the heart and circulation already, hypertension)
Why not just what has been done so far?
The ‘classic’ visit with the collection of data above is a specific tool and thus who is at risk from the limited data collected is actually high-risk The ‘classic visit’, however, is an instrument which is sensitive many ‘high risk patients’ are not detected and so escape this evaluation. Therefore the assignment of a rating appropriate to the risk results deficient in this way of defining individual patients.
What can we say about the inability to assess the risk?
Only 14 of the males and less than 110 of the females who have had a heart attack can be considered high risk if your individual risk was assessed by in the classical way to visit. We believe that we can’t accept a tool that is not able to predict the likelihood of ill for 75% of males and over 90% of the females.
What should we do to improve the risk assessment?
The view must be the active pursuit of the first signs of distress of the heart and blood vessels, the first steps of the path to disease. The cardiologists names the finding of these tearly signs preclinical disease or organ damage. Much of the data can be derived from tests and procedures simple and safe to performe, with high ability to predict the likelihood of disease and that allow you to check the results of therapeutic measures you had taken. The visit of “preventive cardiology” applies the philosophy of cutting, we proceed with method pointing an ‘ideal list’ of things done and in such a way we sharp cut the knowledge of each patient we visit.
Are there signs that allow to find out what person is exposed to a higher risk more than others?
These are signs that emerge if you undergo a specialized visit in which you look for early signs of disease e.g at the heart if you are looking for signs of changes in the minimal phase and start with a focus on left ventricular hypertrophy, degeneration of the valves and aorta (sclerosis), of the arterial vessels of the neck, the lower limbs, the aorta where the signs of even minimal alteration of the anatomy of the arterial wall and arteriosclerosis, or dysfunction like increased stiffness (stiffness arterial) and endothelial dysfunction, renal glomerular filtration rate and the presence of proteinurie.