Cough in cardiovascular diseases
Cough in cardiovascular diseases
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Cough in cardiovascular disease: A Symptom of great importance Cough is often accompanied by colds or respiratory illnesses. However, not every cough is caused in the lungs. In some cases, it can be an important Signal for cardiovascular problems and should therefore be taken seriously. Why cough when heart disease? In cardiovascular‑no more disease and, in particular, in the case of a heart failure, the heart is sufficiently efficient. It's the blood pumping through the body, making it the veins in the Lungs to a backwater. This leads to an Overload of the pulmonary circulation and the accumulation of fluid in the alveoli (Edema). The body's response to it, a dry cough — dry and initially insignificant, but later steadily and stressful. Typical characteristics of such a cough are: Onset or exacerbation during physical exertion; Gain in lying Position (because of the return flow of Blood increases to the heart); possible release of foamy, hellrosem mucus in severe cases; Side effects, such as shortness of breath, swelling of the legs or fatigue. What is the cardiovascular‑may cause diseases cough? Not only the heart failure can lead to a cardiac cough. Other diseases are associated with this Symptom: Heart valve defects: Defective heart valves disrupt the normal flow of blood and can lead to pulmonary edema. High blood pressure (hypertension): Durable high blood pressure strains the heart and can lead over time to a Left heart failure. Coronary heart disease (CHD): A decreased blood flow to the heart muscle can interfere with heart function and lead to so indirectly, of congestion of the Lungs. When should you go to the doctor? A cough that lasts longer than two weeks, especially if it is accompanied by shortness of breath, chest pain or swelling, is a reason for a medical examination. The doctor can clarify by using various tests, whether the cough has a cardiac cause: physical examination and medical history; X-ray of the Thorax; ECG and echocardiography (ultrasound of the heart); Blood tests (e.g., the NT‑proBNP, a Marker for congestive heart failure). Treatment and lifestyle changes If the cough is due to a cardiovascular disease, the treatment according to the cause. Possible measures are: Drugs for lowering blood pressure, to the relief of the heart or to the removal of excess fluid (diuretics); Reduction of salt intake, fluid accumulations to prevent; regular dose of physical activity; Weight control and a healthy diet; Abstinence from Smoking and alcohol. Conclusion A persistent cough is not always harmless. Especially in people with existing cardiovascular disease or risk factors such as high blood pressure, it can be an early warning sign. Early diagnosis and targeted treatment can improve the quality of life significantly and prevent any possible complications. So listen to your body and talk to your symptoms with a physician.
Nililinis ang mga ugat na kailangang alagaan mula sa deposito at pinananatili ang kinakailangang lakas ng tibok ng puso! Cough in cardiovascular diseases.
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What are the medications for high blood pressure? High blood pressure, also called hypertension, is a chronic condition in which the blood pressure in the arterial system is the vessel permanently increased. According to the recommendations of the European society of cardiology (ESC) is a blood pressure of ≥140/90 mmHg as pathological. Without adequate treatment, hypertension can lead to serious complications, including heart attack, stroke, and kidney damage. Drug Therapy Options The treatment of high blood pressure usually includes lifestyle-related measures (e.g., weight reduction, salt reduction, physical activity), as well as the administration of antihypertensive agents. The most important groups of Drugs are: ACE inhibitors (Angiotensin‑converting enzyme inhibitors): Inhibit the formation of Angiotensin II, which leads to a dilation of the blood vessels. Examples: Enalapril, Ramipril. Mechanism of action: Blockade of the conversion of Angiotensin I to Angiotensin II → reduction of peripheral vascular resistance. AT1‑receptor blockers (Sartans): Similar effect as ACE inhibitors, however, by direct Blockade of the Angiotensin II receptors. Examples: Losartan, Valsartan. Advantage: Fewer side effects (e.g., less cough than ACE inhibitors). Calcium antagonists: Block the influx of Calcium into the smooth muscle of the vascular wall, which leads to vasodilation. Sub-groups: Dihydropyridines (e.g., amlodipine) Non‑dihydropyridines (e.g., Verapamil, Diltiazem). Beta-blockers: Reduce ejection and the heart rate and the Heart, by blocking the β‑adrenergic receptors. Examples: Metoprolol, Bisoprolol. Use in patients with heart failure or after myocardial infarction. Diuretics (Urine Driver): Increase the excretion of water and salt through the kidneys, which reduces the volume of blood. Types: Thiazides (eg, hydrochlorothiazide) Loop diuretics (e.g., furosemide) Potassium-saving (e.g., spironolactone). Aldosterone antagonists: For example, spironolactone and Eplerenone. Particularly effective in resistant hypertension and in congestive heart failure. Treatment strategy Often, a combination therapy of two or more groups of active substances is used, the blood pressure effectively. The ESC guidelines recommend, for example, as a first-line therapy: a combination of an ACE inhibitor or Sartan with a calcium antagonist or a thiazide diuretic. Side effects and customization Each class of drugs, has potential side effects: ACE‑inhibitors: cough, Hyperkalemia Calcium antagonists: Edema, redness of the face Beta-Blockers: Bradycardia, Fatigue Diuretics: Electrolyte Disorders, Uric Acid Increase The choice of drugs depends on: the individual risk profile (e.g., Diabetes, renal function) concomitant diseases (e.g., congestive heart failure, Asthma) Compatibility and cost. Conclusion The pharmacotherapy of hypertension is diverse and well studied. An individually tailored, evidence-based treatment provides an effective reduction in blood pressure and reduces the risk for cardiovascular events. Regular checks and patient education are crucial for the success of the therapy. Would you like me to make a certain section in greater detail or further Details about a specific group of drugs add?