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Disease Patterns

Hypertension, High Blood Pressure

High blood pressure usually goes unnoticed at first, but in the long run it puts a strain on the blood vessels and the heart in particular. A sudden sharp rise in blood pressure can lead to headaches, dizziness, impaired vision, dizziness and even neurological deficits. Treatment is important to prevent consequential damage such as heart attack and stroke. In case of additional risk factors (including smoking, high fat levels or diabetes), blood pressure must be reduced to values below 140/90 mmHg. In addition to blood pressure measurements in the practice, in pharmacies or at home, 24-hour long-term measurement has proven to be a proven method of diagnosing high blood pressure requiring treatment or monitoring the success of treatment. In addition, possible high pressure damage to the heart, kidneys, eyes and arteries should be clarified.
For the treatment of high blood pressure, sport, healthy, low-salt food, weight loss and not smoking can bring great success. Medication may then be necessary. In some cases there are special reasons for or against a certain group of drugs and often it is necessary to combine several in order to achieve a better effect without having to use high doses.

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Cardiac Insufficiency

Heart failure (cardiac insufficiency) is the lack of ability of the heart to pump enough blood through the body. It is caused by a variety of different diseases. For successful treatment it is therefore necessary to make a correct and early diagnosis. The drug therapy of a cardiac insufficiency is complex and varies from person to person. For some patients, the implantation of a pacemaker can be a sensible option. In cases of severe heart failure, the implantation of a defibrillator (ICD) must be considered, since the risk of sudden cardiac death increases with the severity of the disease. The multitude of diagnostic and therapeutic options in the treatment of heart failure often makes treatment by a specialist (cardiologist) necessary. Due to our many years of experience in dealing with all necessary and useful procedures, we are able to offer you competent care in the field of heart failure.

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Myocarditis

In many infectious diseases, the heart muscle can also be involved. Particularly in the case of viral diseases (gastrointestinal tract, flu), direct infection of the heart muscle can also occur. The symptoms are often unspecific (cardiac arrhythmia, heart complaints, weakness, shortness of breath) and can also occur weeks after the original infection has healed. A co-existing heart disease can then be detected with an ECG and echocardiography.

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Coronary Heart Disease

The coronary vessels supply the heart muscle with blood. They come directly from the aorta and run in a ring around the heart. Coronary heart disease is the narrowing of the vessel cross-section due to deposits. They usually develop slowly over the course of years, but their development can be favoured and accelerated by negative factors (smoking, diabetes, genetic predisposition, high blood lipid levels, high blood pressure). This process can be slowed down or even brought to a complete standstill by medication and lifestyle changes (diet, exercise).

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Angina Pectoris

Angina pectoris means "tightness in the chest", and is often associated with complaints in the left arm, with sensations in the neck region or with dull complaints in the pit of the stomach.
Angina pectoris is the cardinal symptom of narrowing of the coronary vessels and must therefore always be the occasion for very careful cardiological examinations (stress ECG, echocardiography, stress echocardiogreaphysis, cardiac catheterization), because timely treatment of narrowing of the coronary vessels can prevent a heart attack. If the examinations have not revealed any evidence of circulatory disorders of the heart, other organ systems can be examined as triggers for the complaints, such as the stomach by gastroscopy, or the spine by orthopaedic examination.

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Heart Attack

When a coronary artery suddenly closes, a part of the heart muscle dies and a heart attack occurs. A drop in cardiac output and cardiac arrhythmia are the result. Survival depends, among other things, on how large the affected area is. By means of an emergency and immediate cardiac catheterization, a vascular occlusion can often be removed and the blood supply to the heart muscle can be quickly restored. Therefore, any suspicion of a heart attack requires immediate and emergency transport to a hospital with a cardiac catheter laboratory in order to limit the damage to the heart as far as possible.

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Valvular Diseases

The heart valves represent the valves in the heart that control the flow of blood. Constriction (stenosis) or leakage (insufficiency) lead to an impairment of the heart's pumping function, even if the heart muscle is healthy. The ultrasound examination of the heart is the most important method for assessing the heart valves.
One speaks of a heart valve stenosis when the elastic parts of the valve (leaflets) become increasingly calcified and are no longer able to open sufficiently wide. This hinders the blood flow and can lead to the symptoms of cardiac insufficiency if they are more severely constricted.
Leakages (insufficiencies) of heart valves can also cause cardiac insufficiency, because part of the blood then only oscillates back and forth in the heart instead of flowing forward.
In the case of minor valve defects, the heart function can usually be stabilized by medication; for higher degrees, heart surgery is usually necessary.

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Endocarditis

The inflammation of a heart valve due to bacterial infection is always a serious and often life-threatening disease, as the bacteria threaten to destroy the heart valve. Common signs are deterioration of the general condition, unclear fever attacks and embolisms. The diagnosis can be made by means of an ultrasound examination of the heart (swallowing echo); treatment usually requires an inpatient stay in hospital.

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