By Prof. Dr. med. Ingomar-Werner Franz (auth.)
Within the sphere of normal drugs, the final twenty years have obvious the healing methods more and more supplemented by means of func tions that may be summed up less than the heading of "preventive overall healthiness care." there's a shut hyperlink among this improvement and the altering morbidity development. In hugely built nations the morbidity expense brought on by infectious ailments has been a lot decreased, whereas a number of the varieties of arteriosclerosis, a few tumorous stipulations, and so-called practical syndromes have attained sizeable occurrence charges. Systematic epidemiologic stories have yielded the idea that of threat components, i. e., yes exogenous and endogenous components whose removing, preferably, could give the chance to prevent the manifestation of an sickness or to make sure it didn't develop into mani fest until eventually later in lifestyles or in a milder shape. The socioeconomic and sociomedical value of those elements is substantial, as may be noticeable from the entire facts at the purposes for lack of ability and early retirement and at the relative contributions of other unwell nesses to overall mortality. potent avoidance of health problems by means of basic prophylaxis (elimi state of the reasons of ailment) 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 different types of therapy can be found, and none that experience any cu rative effect.
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Additional resources for Ergometry in Hypertensive Patients: Implications for Diagnosis and Treatment
Blood Pressure and Heart Rate Responses of Normal Individuals Because knowledge of normal values forms the basis for all diagnostic stress testing, we investigated the blood pressures of healthy, normotensive subjects of varying age and gender before, during and after ergometric exercise [123, 129]. 1. 1. Study Population A total of 231 men of varying occupations were recruited from the staffs of three large Berlin companies and their affiliates. The men responded voluntarily to posted notices which offered the opportunity for a preventive cardiac examination and also specified the conditions for participation in the study and the criteria for exclusion.
M. m. m. 05. 3 3. 1. 6 5. Recovery period (min) Table 13. Systolic (S. B. ) and diastolic (D. B. ) blood pressures and heart rates (H. ) (means ± SO) at rest and during and after work in 8 male borderline ~. p. 00 a. m. 00 a. m. 00 p. m. P. P. 80 60 I rest 50 60 90 80 ergometric work (watts) 70 100 l' 2' I 3' I 4' I 5' after work (min) Fig. 14. , 10:00-noon, 4:00-6:00 p. ). The shaded areas indicate the standard deviation of the initial reading ments is far smaller than the maximum mean difference of 10 mm Hg observed prior to ergometry.
In the emotional stress test, obvious signs of adaptation were apparent when the test was administered a second time ; hence the results of the test were not resproducible. Reproducibility, however, is an essential criterion for any diagnostic method. 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.
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