In 2017, Cardiovascular Diseases, Heart

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Cardiovascular disease and heart health: the state of the research in the year 2017In 2017, cardiovascular diseases (KVE) remained the leading cause of death worldwide and in Germany. According to statistics from the Robert Koch Institute and the German heart Foundation KVE accounted for about 30% of all deaths, heart attacks, heart failure and stroke were the most common clinical manifestations.Epidemiological TrendsThe epidemiological data from 2017 showed a slight decrease in the incidence of acute heart attacks in persons over 65 years, which was due to the improvement of preventative measures and drug therapy. At the same time an increase in the number of heart failure cases, however, was observed in younger patients (under 55 years), and in particular in individuals with obesity, type 2 Diabetes mellitus and arterial hypertension.Risk factorsOf the modifiable risk factors included in the year 2017:arterial hypertension (blood pressure≥140/90 mmHg),Hyperlipidemia (elevated levels of LDL‑cholesterol >3.0 mmol/l),Tobacco,physical inactivity,unhealthy diet,Obesity (BMI ≥30 kg/m2),Diabetes mellitus.Non-modifiable risk factors included age, gender (male), and family history of early cardiovascular events.Diagnostic ProgressIn 2017, have been published new guidelines for the diagnosis of heart illnesses, especially on the following methods:ECG for the detection of arrhythmias and Ischemia,Echocardiography for the assessment of cardiac function and valve defects,Coronary computed tomography (CCTA) as a non‑invasive Alternative to conventional coronary angiography,Biomarkers such as high-sensitive Troponin and NT‑proBNP for the early detection of myocardial damage and heart failure.Therapeutic ApproachesThe treatment strategies in 2017 included:Drug Therapy:ACE inhibitor or ARB in heart failure,Beta-blockers to reduce heart rate and blood pressure monitoring,Statins for lipid-lowering,Anticoagulants (aspirin, Clopidogrel) after myocardial infarction.Interventional Procedures:Percutaneous coronary Intervention (PCI) with stent implantation,Ablation therapy for atrial fibrillation.Prevention:Regular physical activity (150 minutes/week of moderate stress),Change in diet (DASH diet, Mediterranean diet),Smoking abstinenceBlood pressure and blood sugar control.ConclusionThe year 2017 marked an important step in the development of prevention and treatment strategies for circuit-limiting diseases. The Integration of new diagnostic methods and evidence-based therapy concepts improved the prognosis of patients with cardiovascular diseases significantly. Nevertheless, the control of risk factors and the promotion of a healthy life style, a Central challenge for the future.

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