# Cardiovascular diseases in children #
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If you have disturbed sleep, fatigue, disorientation, confusion, or nervousness, it's time to monitor your blood pressure. Either lack of sleep or too much sleeping might mean your blood pressure is high or low. If it’s left untreated, you will soon face an onslaught of multiple illnesses.
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## Disease of the cardiovascular System hypertension ##
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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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Cardiovascular disease in children: causes, symptoms, and treatment approaches
Cardiovascular disease (CVD) in children is a major challenge for the paediatric and include a variety of disorders that affect the heart and the vascular system. In contrast to adults, where there is often acquired diseases such as atherosclerosis, are in the foreground, in the case of children, in particular, congenital heart defects is of Central importance.
Causes and types of cardiovascular diseases
The most important group of CVD in children with congenital heart defects, which are present already at birth. Among the most common forms:
Atrial septal defect (ASD) — a hole in the wall between the two Atria of the heart;
Ventricular septal defect (VSD) — a hole in the wall between the right and left chambers of the heart;
open arterial duct (PDA) is a persistent connection between the pulmonary artery and the main artery;
Tetralogy of Fallot is a complex combination of four heart defects.
In addition to congenital malformations, inflammatory diseases can occur, such as rheumatic Fever or myocarditis, and cardiac rhythm disorders and heart muscle disease (cardiomyopathy) in children.
Symptoms
The clinical signs of CVD in children vary depending on the type and severity of the disease. Typical symptoms include:
Cyanosis (bluish discoloration of skin and mucous membranes), as a sign of insufficient oxygen supply;
Shortness of breath, especially during physical exertion, or when Feeding of infants;
reduced drinking quantity, and Growth retardation in infants;
Fatigue and low resilience in older children;
Heart sounds which can be detected on physical examination;
Edema (water retention), and in particular on the legs or face.
Diagnostics
The Diagnosis is made by a combination of different methods:
History and physical examination, including auscultation of the heart.
Electrocardiogram (ECG) to assess the electrical activity of the heart.
Echocardiography (ultrasound of the heart) as the most important imaging method for visualization of cardiac structures and function.
Chest x-ray to assess heart size and pulmonary circulation.
In special cases: cardiac catheterization or magnetic resonance imaging (MRI).
Treatment
The treatment approach depends on the specific disease and can include the following measures:
Drug therapy: diuretics to reduce Edema, cardiac glycosides to the strengthening of the cardiac output, antiarrhythmic drugs for rhythm disturbances.
Catheter-based procedures: closure of defects (e.g., ASD, or PDA) via an artery access.
Surgical interventions: correction of complex cardiac defects through open heart surgery, often in the first few months of life are carried out.
Long-term management: Regular follow-up, may be life cardiologists long medication and Monitoring by Children.
Forecast and prevention
The prognosis has improved due to advances in diagnosis and therapy considerably. Many children with congenital heart defects today a normal life and have a good quality of life. Early diagnosis and adequate treatment are crucial for success.
Preventive measures are limited because of a congenital abnormality due to the often genetically or due to random developmental disorders arise. A healthy life of the mother during the pregnancy (for example, giving up Smoking, alcohol and certain drugs), however, can reduce the risk.
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## Percentage of increase in the incidence of cardiovascular diseases ##
Percentage of increase in the incidence of cardiovascular diseases: analysis of current Trends and risk factors
In the last few decades, a disturbing increase in the incidence of cardiovascular diseases (HKK), it shows the world that is clearly visible. This contribution analyzes the percentage increase in the HKK‑incidence, identify key drivers, and discusses possible interventions.
Epidemiological data and Trends
According to statistics from the Robert Koch Institute (RKI) and the world health organization (WHO) is the percentage of increase in the incidence of HKK in Germany in the last 20 years, approximately 15-20%. Particularly striking is the development in the following disease groups:
Coronary heart disease (CHD) compared to an increase of about 18%;
Strokes: increase of approximately 12%;
Hypertension: increase of approximately 25%;
Heart failure: increase of approximately 22%.
When considering age groups, the percentage increase in persons over 65 years at the highest, but also in younger adults (35-50 years), an increase of about 8-10%.
The main reasons for the increase in
The increase can be attributed to several interacting factors:
Demographic change: ageing of the population leads to a higher prevalence of risk factors and chronic diseases.
Lifestyle factors:
Increasing obesity (increase in BMI in the population by an average of 1.5 kg/m
2
in 20 years);
Lack of physical activity (approximately 40% of adults do not achieve the minimum recommended amount of physical activity);
Unhealthy diet (high uric acid and salt content in ready-made meals);
Continued Smoking (about 23% of the population smoke regularly).
Socio-economic factors: people with a lower socio-economic Status have an average of 30-40% higher incidence of HKK.
Improved diagnosis: A partially higher incidence can also be improved recognition rate due to the.
Regional Differences
There are significant regional differences in the percentage increase are:
In rural regions of Eastern Germany, the increase amounts to an average of 22%, which is higher than in urban areas of Western Germany (16%).
These differences are on different health care, life styles and socio-led economic conditions.
Forecast and conclusions
On the Basis of the current Trends in epidemiological models predict a further increase in the incidence of HKK about 25-35% in the next 20 years if no effective action is taken.
To slow the rise in the percentage, the following measures are urgently needed:
Prevention programmes for the promotion of healthy lifestyle (diet, exercise);
Awareness campaigns against Smoking and excessive alcohol consumption;
Improving access to healthcare in disadvantaged regions;
Policy measures to reduce risk factors (e.g. salt reduction in foods).
The reduction of the percentage increase in the incidence of cardiovascular diseases requires an integrated approach that includes both changes in individual behavior as well as structural improvements to the health systems.
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<a href="https://pad.koeln.ccc.de/s/AWOMLZ-I6">Percentage of increase in the incidence of cardiovascular diseases</a> ** Cardiovascular diseases in children **.
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## Cervical gymnastics high blood pressure Video ##
Cervical Gymnastics to Schischonin for the treatment of hypertension: a scientific analysis
Introduction
High blood pressure (arterial hypertension) is one of the most common cardiovascular disease worldwide and represents a significant health risk. A number of studies shows that changes in the cervical area (e.g., cervical osteochondrosis) can lead to circulatory disorders in the brain and thus to an increase in blood pressure. An alternative method to support the conventional therapy of the cervical Gymnastics according to Dr. A. J. Schischonin is.
Theoretical foundations of the method
The method of Dr. Schischonin is based on an integrated approach, the elements of the Taoist medicine, Wushu and acupressure United. The core of the method is to relieve muscle tension in the neck area, the restore blood flow and to reduce the load on the blood vessels that supply the brain.
According to the theoretical assumptions of Schischonin a compression of the blood vessels and nerves in the cervical region leads to:
impaired blood circulation of the brain;
Activation of compensatory mechanisms, which increase the blood pressure;
chronic muscle tension and further deterioration of the circulation of the blood.
Mechanisms of action of the cervical Gymnastics
Regular execution of the proposed Exercises can cause the following positive effects:
Improve blood circulation: By stretching and movement of the blood to be relieved exercises vessels and blood circulation in the cervical and cerebral area normalized.
Reduction of muscle tension: Special Exercises to release tension in the neck and shoulder muscles, which reduces the vessels pressure on the blood.
Normalization of blood pressure: the restoration of normal blood circulation, the body can stabilize blood pressure without excessive pharmacological Intervention.
Increase in the mobility of the cervical spine: The Exercises promote flexibility and prevent degenerative changes.
Relief of accompanying symptoms: patients often report whizzing through a reduction of headaches, dizziness, and ears.
Example of a Practice (metronome)
A typical Practice from the Schischonin program is the so-called metronome Exercise:
Starting position: sitting or standing, back straight, shoulders relaxed.
Implementation:
To move the head slowly to the side, to tilt (without the back or shoulders).
In the final position for 10-15 seconds light voltage (in the neck can be felt).
Slowly return to the starting position.
Repeat 5 Times on each side.
Effect: expansion of the lateral neck muscles, improve blood circulation, reduction of tension.
Recommendations for the implementation
To ensure maximum effectiveness and safety, you should comply with the following rules:
all movements must be slow and controlled are performed;
there is no backpacks are allowed-like movements;
in the case of pain or discomfort, the Practice must be stopped immediately;
the Exercises should be regularly (ideally be done daily);
prior to the start of the Exercises, a medical consultation is advisable, especially in the Presence of diseases of the spine, or cardiovascular complaints.
Contraindications
The cervical Gymnastics to Schischonin is not suitable for all patients. Absolute contraindications include:
acute injuries of the cervical spine;
severe forms of osteochondrosis with nerve compression;
fresh strokes or heart attacks;
inflammatory diseases in the cervical area;
Tumors in the neck or brain area.
Conclusion
The cervical Gymnastics to Schischonin can serve as a complementary measure for the treatment of hypertension, particularly if this is associated with changes in the neck area. The method shows potential to improve the blood circulation and to the reduction of muscle tension, which in turn can contribute to the normalization of blood pressure. Nevertheless, an individual evaluation by a doctor is required to ensure the safety and appropriateness of the method for the individual patient.
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