By Prof. Dr. med. Ingomar-Werner Franz (auth.)
Within the sector of basic medication, the final 20 years have obvious the healing systems more and more supplemented through func tions that may be summed up below the heading of "preventive well-being care." there's a shut hyperlink among this improvement and the altering morbidity trend. In hugely built nations the morbidity fee because of infectious ailments has been a lot diminished, whereas a number of the varieties of arteriosclerosis, a few tumorous stipulations, and so-called practical syndromes have attained monstrous occurrence premiums. Systematic epidemiologic reviews have yielded the concept that of probability elements, i. e., definite exogenous and endogenous components whose removal, preferably, could give the chance to prevent the manifestation of an affliction or to make sure it didn't turn into mani fest until eventually later in existence or in a milder shape. The socioeconomic and sociomedical importance of those features is significant, as will be visible from all of the records at the purposes for inability and early retirement and at the relative contributions of other ailing nesses to overall mortality. potent avoidance of health problems by way of fundamental prophylaxis (elimi kingdom of the factors of ailment) or early detection of the symp toms of sickness (secondary prophylaxis) resulting in early deal with ment will be a very major breakthrough, in view that when it comes to lots of the stipulations pointed out above basically pallia tive kinds of therapy can be found, and none that experience any cu rative effect.
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Extra resources for Ergometry in Hypertensive Patients: Implications for Diagnosis and Treatment
Example text
6 4. 3 5. Table 12. Systolic (S. B. ), diastolic (D. B. ) blood pressures and heart rates (H. m. and 10:00 a. m. m. m. 05) 1:0 '" w ~ (1) ~. , (1) (1) en en ~ 0- 0 0' 40 Ergometry as an Aid to Diagnosis Blood pressure (mmHg) 220 H. R. 00 a. m. 00 a. m. 00 p. m. n = 20 d 200 lBO 160 140 120 100 80 60 Ergometric work (wattS) Alter work (min) Fig. 13. m. and 12:00-noon, 4:00-6:00 p. ). The shaded area indicates the standard deviation of the initial reading 9 mm Hg, respectively. , 175 ± 12 mm Hg, 170± 14mm Hg and 174± 11 mm Hg at the end of the 1st minute (Table 12, Fig.
Borderline Hypertensives Borderline hypertensives tend to have greater blood pressure fluctuations on repeat determinations [259]. We wished to learn whether this variability was also operative during and after ergometry. For our tests we selected eight borderline hypertensives who had exhibited marginal, labile blood pressure elevations during multiple readings at rest, and we subjected these patients to ergometric testing at three different times of day. All tests were done on work-free Saturdays, and the patients were advised to observe all conditions and restrictions pertaining to ergometric stress testing.
We therefore investigated whether similar adaptation phenomena were operative in blood pressure and heart rate responses during and after standardized ergometry, and also whether these responses were subject to diurnal variations. 1. 8 years whose blood pressures were mildly elevated (WHO Stage 1) were tested. m. m. and 12:00 noon, and 4 :00 p. m. and 6 :00 p. m. under otherwise identical conditions. It was found that both the systolic and diastolic blood pressures measured under standardized rest conditions were lower in the second and third tests than in the initial test.