In The Chest

in the chest

According to data provided by the German Heart Foundation and the Institute for Heart Attack Research Ludwigshafen, an estimated six million German citizens are suffering from this coronary heart disease (KHK), which is also one of the most frequent hereditary diseases

With a health test – With an estimated six million sufferers, the coronary heart disease is the most common disease in Germany. Your most feared manifestation is the infarction. Cardiologists of the German Heart Foundation say what the medicine can do today.

Stuttgart – The stairs should not be a problem. Five, six steps up, that’s it. And yet one of their own bodies forces to stay halfway up. Too strong is the cutting pain. Only after a short pause does the ending feeling disappear – only to reappear at the next hurdle. Whenever the heart needs more oxygen than the vessels can deliver.

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Affected people say it feels like you’ve strapped a belt around your chest. Doctors need only two words for this symptom: Angina Pectoris. In the vast majority of cases caused by a circulation disorder in the blood vessels around the heart, the coronary vessels.

According to data provided by the German Heart Foundation and the Institute for Heart Attack Research Ludwigshafen, an estimated six million German citizens are suffering from this coronary heart disease (KHK), which is also one of the most frequent hereditary diseases worldwide. As in the case of water pipes, which gradually become clogged, deposits develop in the course of the disease in many arteries, so-called plaques, which narrow the veins.

High blood pressure damages the vessels

“The process often begins at a very young age,” says the cardiologist Udo Sechtem from Stuttgart, who is a member of the Scientific Advisory Board of the German Heart Foundation. As a result of damage to the vessel wall, more and more cholesterol gradually penetrates the bloodstream, plaques develop, and chronic inflammation is triggered. “It’s going to be like that for years,” says Sechtem. The arteries are permanently damaged if the inflammation persists longer and the plaques become calcified. “How exactly that happens, is not yet clear.”

Likewise, the  about exactly what is decisive for this process. Genetic predisposition plays a role here and also aging. “However, one’s own way of life is also decisive,” says Thomas Nordt, medical director of the Clinic for Heart and Vascular Diseases of the Katharinenhospital at the Klinikum Stuttgart. Anyone who smokes, moves too little, is overweight, or is suffering from stress, also has a higher risk of such vessel limescale. Likewise, people with chronic diseases such as diabetes and hypertension. “Especially a high blood pressure causes the deposits to tear more quickly and a vascular occlusion occurs,” says Nordt, also a member of the Scientific Advisory Board of the Heart Foundation. The result may be a fatal infarction.

Even doctors can underestimate the anguish of the angina pectoris

It is therefore all the more important to have the first signs of a breast cancer diagnosed with a cardiologist. But these signs are not always easy to see, as Sixth from Klinikalltag knows as chief physician of the Department of Cardiology at the Robert Bosch Hospital: “It does not have to be a great pain, but only a certain feeling.” A feeling as if one could Do not breathe properly. Or it presses in the upper abdomen, between the shoulder blades or the jaw, “depending on which vessels are affected and how the nerves are connected between the heart and the painful areas.”

Even doctors can not always recognize the anguish of an angina pectoris at first sight – for example, if a cardiac catheter examination shows no constriction at the coronary vessels. “We now know that arteriosclerosis can cause discomfort even in the smallest ramifications,” says Sechtem. However, these are not always visible in the usual investigations.

Ultimately, the cardiac cardiologist Udo Sechtem, however, prefers the narrowing in the small end branches of the coronary vessels: “This form can be well treated with vasodilative and blood thinning medications.” If the throat is located in larger arteries, cardiologists decide to undergo surgery , In order to use a vessel support, a so-called stent, which is intended to prevent the vessels from being closed from the inside. Or it comes to a bypass operation.

The number of heart attacks has declined in recent years

How successful early medical treatments are is shown in the statistics: Although the number of people suffering from CHD remains high. But you do not necessarily die. The German Society for Cardiology announced in the current German Heart Report that over the last 20 years the mortality rate for acute by 40 percent and coronary heart disease by 28 percent.

Just to rely on medicine, cardiologists consider it not a good idea. “What many patients would help is often the most difficult for them,” says Thomas Nordt. To change one’s own life, eat healthier, move more and reduce stress. Even the help massively, the to improve. “Modern heart medicine is already very advanced,” says Nordt. But not everyone would have to claim it.

The German Heart Foundation offers the guide “Heart in Danger – Coronary Heart Disease and Heart Attack”. The volume is available in stamps for three Euros: German Heart Foundation, Bockenheimer Landstraße 94-96, 60323 Frankfurt am Main, phone +49 (0) 9 9 55 12 84 00, E-Mail info@herzstiftung.de (keyword: “KHK-Beratung”) . What is my risk of myocardial infarction? The test reveals:

 

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