By Prof. Dr. med. Ingomar-Werner Franz (auth.)
Within the sphere of basic medication, the final twenty years have visible the healing tactics more and more supplemented by means of func tions that may be summed up below the heading of "preventive future health care." there's a shut hyperlink among this improvement and the altering morbidity development. In hugely built nations the morbidity price because of infectious illnesses has been a lot lowered, whereas a number of the different types of arteriosclerosis, a few tumorous stipulations, and so-called sensible syndromes have attained big prevalence premiums. Systematic epidemiologic reports have yielded the idea that of threat components, i. e., definite exogenous and endogenous elements whose removal, preferably, could give the chance to prevent the manifestation of an disease or to make sure it didn't turn into mani fest until eventually later in lifestyles or in a milder shape. The socioeconomic and sociomedical value of those facets is substantial, as should be visible from all of the data at the purposes for inability and early retirement and at the relative contributions of alternative unwell nesses to overall mortality. powerful avoidance of health problems by means of basic prophylaxis (elimi state of the factors of affliction) or early detection of the symp toms of sickness (secondary prophylaxis) resulting in early deal with ment will be a very major leap forward, for the reason that in relation to many of the stipulations pointed out above merely pallia tive types of remedy can be found, and none that experience any cu rative effect.
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Extra info for Ergometry in Hypertensive Patients: Implications for Diagnosis and Treatment
M. m. m. m. m. m. m. 5 1. 8 2. 5 3. 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.
Ergometric work (watts) n=50 Rest 9'" ~ ::l o Table 5. Systolic (S. B. ), diastolic (D. B. ) blood pressures and heart rates (H. 3 yrs . 4 yrs. P. 130 110 90 70 rest 60 70 80 ergometric work (watts) 90 100 I' 2' 3' 4' 5' after work (min) Fig. 9. 5 years) normotensive males. The shaded areas denote standard deviation in the younger subjects. 2. 5) than the 132/82 mm Hg recorded in the 40-49 age group (Table 5, Fig. 8, 9). 3. 1 mm Hg/ 10watts. 05) than in the 40- 50 age group (Fig. 9). The diastolic blood pressure also rose steadily at 1 mm Hg/10 watts in the range from 50 to 100 watts, and thus at a rate comparable to the normal population of younger men.
1:1. work (watts) Fig. 11. Blood pressure and heart rate responses of normotensive females aged 20-S0years, broken down by age range (20-30, 30-40, 40-S0) Table 9. p. 9 Blood Pressure and Heart Rate Responses of Normal Individuals 33 Table 9 continued. 8 at 80 watts and paralleling the rise of the systolic blood pressure. No differences were apparent within age groups, although values tended to diminish with age, as in the males (Table 9). The greatest fall of heart rate occurred at the end of the first minute ofrecovery.