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Also critical are elevated cholesterol levels, especially if the proportion of bad LDL outweighs cholesterol. This promotes the formation of deposits in the arteries. Overweight and obesity are often associated with other risk factors, such as type 2 Diabetes mellitus, hypertension, and metabolic disorders. Each kilogram of the weight is above the normal, it increases the strain on the cardiovascular system. Another important aspect is the way of life. Lack of exercise leads to poor circulation, reduced cardiac output, and promotes Obesity. Regular physical activity strengthens the heart and lowers the overall risk. Not to be under the influence of Smoking is appreciated. Nicotine and other harmful substances to damage the inner vessel walls, increasing blood pressure, and promote the formation of blood clots. Also, excessive consumption of alcohol can damage the heart and cause arrhythmias, or hypertension. Stress and mental stress are also risk factors. Chronic Stress can increase blood pressure, hormone levels interfere and lead to unhealthy compensatory mechanisms, such as overeating or Smoking. Finally, the genetic predisposition also plays a role: Werniemand in a family has suffered from cardiovascular diseases, may increase the individual's risk. But even then, many factors in a healthy lifestyle to have a positive influence. Conclusion: Many risk factors are influenced. A balanced diet, regular exercise, and avoiding tobacco and alcohol, and stress management can reduce the risk significantly. Early detection through regular medical check-UPS is important, as well as the willingness to change one's own behaviour is active. Health begins in the mind and in the heart. 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According to the world health organization (WHO), every year approximately 17.9 million deaths, equivalent to approximately 32% of all deaths globally. In Germany, the main CVD is also cause for mortality and morbidity. What is cardiovascular disease? Heart disease refers to a group of diseases that affect the heart and blood vessels. Among the most important forms: Coronary heart disease (CHD): narrowing of the coronary arteries due to atherosclerosis, which can lead to Angina pectoris, or heart attack. High blood pressure (hypertension): Durable high blood pressure can damage (≥140/90 mmHg), of the heart and blood vessels. Stroke (apoplexy): interruption of the blood supply to the brain, often clots or bleeding caused by blood. Congestive heart failure: The heart loses its Capacity and is no longer able to provide the body with sufficient oxygen. Arrhythmias: disturbances of the heart rhythm, which can range from harmless to life-threatening. Risk factors The risk factors for CVD in modifiable and non-modifiable sub-parts: Non-modifiable: Age (the risk increases with age) Gender (men are up to 50. The age of affected more) Genetic Predisposition Modified: Smoking Overweight and obesity Lack of exercise Unbalanced diet (high, high-salt-, sugar -, and fat content) Chronic Stress Diabetes mellitus Hyperlipidemia (elevated blood fats) Symptoms Early signs of heart disease are often subtle and may be easily overlooked. Typical symptoms include: Chest pain or tight (especially under load) Shortness of breath Fatigue and a drop in performance Dizziness or loss of consciousness Swelling of the legs and feet Heart palpitations or irregular heartbeat Prevention A healthy lifestyle is the best prevention against heart disease: Regular physical activity (at least 150 minutes of moderate load per week) A balanced diet with lots of fruits, vegetables, whole grains and unsaturated fats Waiver of tobacco Smoking and excessive alcohol consumption Weight control and stress management Regular medical check-UPS for blood pressure, blood sugar and cholesterol control Diagnosis and treatment The diagnostics includes: History and physical examination ECG (electrocardiogram) Ultrasound of the heart (echocardiography) Stress tests Laboratory Tests (Lipid Spectrum Of Blood Sugar) Vascular studies (e.g. coronary angiography) The treatment depends on the disease, and can be medical (e.g., blood pressure-lowering, cholesterol-lowering drug) or surgically (e.g., Bypass, Stent). 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