Fehldiagnosen
Bluthochdruck und
Herz-Kreislauferkrankungen
Die Diagnose
Bluthochdruck ist häufig eine Fehldiagnose und
zieht bei vielen zehntausend Patienten überflüssige,
nebenwirkungsbelastete und teure
Arzneimitteltherapien nach sich.
Jüngste Forschungsergebnisse zeigten, dass die mit schweren
Nebenwirkungen behaftete medikamentöse Therapie bei leichtem bis
mittelgradigem Bluthochdruck das
Herz-Kreislauf-Risiko nicht positiv beeinflusst
und daher überflüssig ist (siehe
hier).
Hinzu
kommt, dass die Diagnose Bluthochdruck häufig ausschließlich
aufgrund von wenigen Messungen gestellt wird, die ausschließlich in
der Arztpraxis durchgeführt wurden. Doch dort wird insbesondere bei
sensiblen Menschen lediglich ein sog. "Weißkittel-Bluthochdruck" festgestellt - ein
Blutdruck also, der aufgrund von psychischem Stress kurzfristig
erhöht war und keinerlei negative Folgen hat.
Dieser kurzfristig
erhöhte Blutdruck kann dann bei Messungen im normalen
Umfeld des jeweiligen Patienten - meist durch diesen selbst
durchgeführt - nicht bestätigt werden.
Bereits im Jahr 2011
konnten spanische Wissenschaftler zeigen, dass diese
verhängnisvollen
Fehldiagnosen alles andere als selten sind. Eine
Arbeitsgruppe um Professor de
la
Sierra,
Department
of Internal Medicine, Hospital Mutua Terrassa, University of
Barcelona, wies nach, dass unter mehr als 68.000
Hochdruckpatienten 8.295 unter einer
therapieresistenten Hypertonie litten. Von diesen hatten wiederum
37,5% lediglich eine "Weißkittel-Hypertonie" hatten und somit keine
blutdrucksenkende Behandlung benötigten. Die Therapieresistenz wurde
dokumentiert, wenn der in der Arztpraxis gemessene Blutdruck - trotz
der Gabe von mindestens drei blutdrucksenkenden Medikamenten - nicht
unter über 140/90 mm Hg abgesenkt werden konnte.
Wie hoch
der Anteil der
Weißkittel-Pseudo-Hypertonien bei den rund
60.000 Hypertonikern war, die auf die verabreichten Medikamente mit
der gewünschten
Blutdrucksenkung reagierten, blieb in der Studie
ungeklärt.
Ambulatory monitoring reveals many patients have 'white coat'
hypertension March 28, 2011 A third of patients thought to have
resistant hypertension had "white coat" hypertension during
24-hour ambulatory monitoring, in a large study reported in
Hypertension: Journal of the American Heart Association. Ads by
Google Brain Training Games - Improve memory and attention with
scientific brain games. - www.lumosity.com In ambulatory blood
pressure monitoring, the patient's blood pressure is checked at
regular intervals under normal living and working conditions.
Resistant hypertension occurs when a patient's blood pressure
remains above treatment goals, despite using three different
types of drugs at the same time. In "white coat" hypertension, a
patient's blood pressure is high at the doctor's office but
normal in everyday life. "Ambulatory monitoring showed that many
of these patients' blood pressures were in the normal range when
they were at home or participating in their usual activities,"
said Alejandro de la Sierra, M.D., lead author of the study and
director of internal medicine at Hospital Mutua Terrassa,
University of Barcelona in Spain. "While those who actually had
'white coat' hypertension are not risk free, their
cardiovascular outcomes are much better." The study included
69,045 patients with hypertension — defined as systolic blood
pressure of 140 millimeters of mercury (mm Hg) or above and
diastolic blood pressure of 90 mm Hg or above — in the Spanish
Ambulatory Blood Pressure registry. Fifty-one percent were men
and their average age was 64 years. Thirty-seven percent of
8,295 patients determined to have resistant hypertension had "white
coat" hypertension after being tested with ambulatory blood
pressure monitoring for 24 hours. Close to 63 percent had true
resistant hypertension. Researchers based blood pressure
estimates on two readings. They took ambulatory blood pressure
every 20 minutes during the day and night and assessed age,
gender, weight, height, body mass index, duration of
hypertension and known cardiovascular risk factors such as
smoking, diabetes, lipid profile, creatinine levels,
electrocardiograms and clinical cardiovascular disease. The
researchers found: More women (42 percent) had "white coat"
hypertension with ambulatory blood pressure monitoring than men
(34 percent). Those with true resistant hypertension appeared
slightly younger, were more likely male, had a longer duration
of hypertension and a worse cardiovascular risk profile. Those
with true resistant hypertension included a higher number of
smokers, diabetics, and patients with left ventricular
hypertrophy and previous cardiovascular disease. "Those with
true resistant hypertension showed high blood pressure at work,
during the day and at night," de la Sierra said. "The true
resistant group also was more likely to have blood pressures
that abnormally rose during the night when they were sleeping."
It made no difference in target blood pressure goals if
antihypertensive medications were given either in the morning or
at night, researchers said. "Ambulatory blood pressure
monitoring should be mandatory in resistant hypertension
patients to define true and 'white coat' hypertension," de la
Sierra said. Limitations of the study included its
cross-sectional nature and the lack of information to determine
whether patients were taking medications correctly. However, the
high number of patients more closely matched the usual clinical
practice treated by primary care physicians and referral centers.
"Physicians should be encouraged to use ambulatory monitoring to
confirm resistant hypertension in their patients as it would
ensure the most effect treatment options are used," de la Sierra
said. "Patients benefit by knowing whether their blood pressure
is normal during daily activities or still needs the
reinforcement of dietary and drug measures to achieve the goal."
Provided by American Heart Association search and more info
website
Read more at:
http://phys.org/news/2011-03-ambulatory-reveals-patients-white-coat.html#jCp
Ambulatory monitoring reveals many patients have 'white coat'
hypertension March 28, 2011 A third of patients thought to have
resistant hypertension had "white coat" hypertension during
24-hour ambulatory monitoring, in a large study reported in
Hypertension: Journal of the American Heart Association. Ads by
Google Brain Training Games - Improve memory and attention with
scientific brain games. - www.lumosity.com In ambulatory blood
pressure monitoring, the patient's blood pressure is checked at
regular intervals under normal living and working conditions.
Resistant hypertension occurs when a patient's blood pressure
remains above treatment goals, despite using three different
types of drugs at the same time. In "white coat" hypertension, a
patient's blood pressure is high at the doctor's office but
normal in everyday life. "Ambulatory monitoring showed that many
of these patients' blood pressures were in the normal range when
they were at home or participating in their usual activities,"
said Alejandro de la Sierra, M.D., lead author of the study and
director of internal medicine at Hospital Mutua Terrassa,
University of Barcelona in Spain. "While those who actually had
'white coat' hypertension are not risk free, their
cardiovascular outcomes are much better." The study included
69,045 patients with hypertension — defined as systolic blood
pressure of 140 millimeters of mercury (mm Hg) or above and
diastolic blood pressure of 90 mm Hg or above — in the Spanish
Ambulatory Blood Pressure registry. Fifty-one percent were men
and their average age was 64 years. Thirty-seven percent of
8,295 patients determined to have resistant hypertension had "white
coat" hypertension after being tested with ambulatory blood
pressure monitoring for 24 hours. Close to 63 percent had true
resistant hypertension. Researchers based blood pressure
estimates on two readings. They took ambulatory blood pressure
every 20 minutes during the day and night and assessed age,
gender, weight, height, body mass index, duration of
hypertension and known cardiovascular risk factors such as
smoking, diabetes, lipid profile, creatinine levels,
electrocardiograms and clinical cardiovascular disease. The
researchers found: More women (42 percent) had "white coat"
hypertension with ambulatory blood pressure monitoring than men
(34 percent). Those with true resistant hypertension appeared
slightly younger, were more likely male, had a longer duration
of hypertension and a worse cardiovascular risk profile. Those
with true resistant hypertension included a higher number of
smokers, diabetics, and patients with left ventricular
hypertrophy and previous cardiovascular disease. "Those with
true resistant hypertension showed high blood pressure at work,
during the day and at night," de la Sierra said. "The true
resistant group also was more likely to have blood pressures
that abnormally rose during the night when they were sleeping."
It made no difference in target blood pressure goals if
antihypertensive medications were given either in the morning or
at night, researchers said. "Ambulatory blood pressure
monitoring should be mandatory in resistant hypertension
patients to define true and 'white coat' hypertension," de la
Sierra said. Limitations of the study included its
cross-sectional nature and the lack of information to determine
whether patients were taking medications correctly. However, the
high number of patients more closely matched the usual clinical
practice treated by primary care physicians and referral centers.
"Physicians should be encouraged to use ambulatory monitoring to
confirm resistant hypertension in their patients as it would
ensure the most effect treatment options are used," de la Sierra
said. "Patients benefit by knowing whether their blood pressure
is normal during daily activities or still needs the
reinforcement of dietary and drug measures to achieve the goal."
Provided by American Heart Association search and more info
website
Read more at:
http://phys.org/news/2011-03-ambulatory-reveals-patients-white-coat.html#jCp
Ambulatory monitoring reveals many patients have 'white coat'
hypertension March 28, 2011 A third of patients thought to have
resistant hypertension had "white coat" hypertension during
24-hour ambulatory monitoring, in a large study reported in
Hypertension: Journal of the American Heart Association. Ads by
Google Brain Training Games - Improve memory and attention with
scientific brain games. - www.lumosity.com In ambulatory blood
pressure monitoring, the patient's blood pressure is checked at
regular intervals under normal living and working conditions.
Resistant hypertension occurs when a patient's blood pressure
remains above treatment goals, despite using three different
types of drugs at the same time. In "white coat" hypertension, a
patient's blood pressure is high at the doctor's office but
normal in everyday life. "Ambulatory monitoring showed that many
of these patients' blood pressures were in the normal range when
they were at home or participating in their usual activities,"
said Alejandro de la Sierra, M.D., lead author of the study and
director of internal medicine at Hospital Mutua Terrassa,
University of Barcelona in Spain. "While those who actually had
'white coat' hypertension are not risk free, their
cardiovascular outcomes are much better." The study included
69,045 patients with hypertension — defined as systolic blood
pressure of 140 millimeters of mercury (mm Hg) or above and
diastolic blood pressure of 90 mm Hg or above — in the Spanish
Ambulatory Blood Pressure registry. Fifty-one percent were men
and their average age was 64 years. Thirty-seven percent of
8,295 patients determined to have resistant hypertension had "white
coat" hypertension after being tested with ambulatory blood
pressure monitoring for 24 hours. Close to 63 percent had true
resistant hypertension. Researchers based blood pressure
estimates on two readings. They took ambulatory blood pressure
every 20 minutes during the day and night and assessed age,
gender, weight, height, body mass index, duration of
hypertension and known cardiovascular risk factors such as
smoking, diabetes, lipid profile, creatinine levels,
electrocardiograms and clinical cardiovascular disease. The
researchers found: More women (42 percent) had "white coat"
hypertension with ambulatory blood pressure monitoring than men
(34 percent). Those with true resistant hypertension appeared
slightly younger, were more likely male, had a longer duration
of hypertension and a worse cardiovascular risk profile. Those
with true resistant hypertension included a higher number of
smokers, diabetics, and patients with left ventricular
hypertrophy and previous cardiovascular disease. "Those with
true resistant hypertension showed high blood pressure at work,
during the day and at night," de la Sierra said. "The true
resistant group also was more likely to have blood pressures
that abnormally rose during the night when they were sleeping."
It made no difference in target blood pressure goals if
antihypertensive medications were given either in the morning or
at night, researchers said. "Ambulatory blood pressure
monitoring should be mandatory in resistant hypertension
patients to define true and 'white coat' hypertension," de la
Sierra said. Limitations of the study included its
cross-sectional nature and the lack of information to determine
whether patients were taking medications correctly. However, the
high number of patients more closely matched the usual clinical
practice treated by primary care physicians and referral centers.
"Physicians should be encouraged to use ambulatory monitoring to
confirm resistant hypertension in their patients as it would
ensure the most effect treatment options are used," de la Sierra
said. "Patients benefit by knowing whether their blood pressure
is normal during daily activities or still needs the
reinforcement of dietary and drug measures to achieve the goal."
Provided by American Heart Association search and more info
website
Read more at:
http://phys.org/news/2011-03-ambulatory-reveals-patients-white-coat.html#jCp
Quelle: Hypertension,
Journal of the American Heart Association 2011
Zur Originalquelle
hier
(kostenloser Volltext in englischer Sprache)

Der nachfolgend dargestellte Text wurde
in der werbefreien online Enzyklopädie WIKIPEDIA der
Lizenz
„Creative Commons Attribution/Share
Alike“ für die freie
Weiterverbreitung publiziert. Nähere Angaben zu dieser Lizenz finden Sie
hier. Sollte Ihr Browser keine Frames darstellen,
so können Sie den zum Thema
Bluthochdruck
publizierten Text auch
hier
abrufen. Angaben zu früheren Versionen
dieses Textes und zu den Autoren des Beitrags finden Sie
hier.

[an error occurred while processing this directive]
Mittelteil News werbefrei
Werbung im
Info-Netzwerk Medizin 2000
Hier informieren unsere Kooperationspartner die Mitglieder ihrer jeweiligen Zielgruppen
über ihre Unternehmen, Produkte, Dienstleistungen und besonderen Kompetenzgebiete.
09.03.2018
Endlich ohne Schmerzen
leben

Die Hochton-Frequenz-Therapie ist eine sehr effektive, schon viele Jahre bekannte
Schmerz-Behandlung.Das sehr kleine
WeWoThom® Premium ist
die zur Selbstanwendung geeignete Form der
Hochton-Frequenz-Therapie durch die betroffenen Patienten. Das
Gerät wird erfolgreich angewandt bei
- Gelenk- und Skelettschmerzen
- Muskelschmerzen und –krämpfen
-
Schmerztherapie bei Arthrose und Arthritis
Direktbestellung bei
WeWoThom
hier
die Nutzer sind begeistert - mehr lesen
hier

Atemgas-Analysen helfen bei der Diagnostik und
dem Therapie-Management zahlreicher
Gesundheitsstörungen. Messdaten sind
schnell und kostengünstig zu erheben. Die Firma
Specialmed hat sich seit vielen Jahren auf
Atemgas-Analysen spezialisiert und
bietet zahlreiche
Atemgas-Analyse-Geräte an. Schwerpunkte des
Specialmed-Produkt-Spektrums sind:
FeNO-Atemtest
zur
Asthma-Diagnose und
Asthma-Management (mit
dem
NoBreath)
H2 Atemtest zur Diagnose
der
Laktose-Unverträglichkeit (mit
dem
Gastrolyzer)
CO-Atemtest zur
Unterstützung der
Rauchenentwöhnung
(mit dem Smokerlyzer)



Für die
Therapie einer Arthrose gibt es zahlreiche
Medikamente - doch diese haben zum Teil gefährliche Nebenwirkungen.Schon diese Tatsache rechtfertigt einen Therapieversuch
mit sanft wirkenden Heilmitteln der Erfahrungsheilkunde. Mehr erfahren Sie
hier
Seit Jahrzehnten ist die
Thymustherapie bei der Behandlung von Abwehrschwäche,
Infektionsneigung und begleitend zur
Krebs-Behandlung bei
Therapeuten und betroffenen Patienten sehr beliebt. Doch ist die
Thymus-Behandlung weiterhin legal möglich?
Sanorell informiert im Zusammenhang mit der
Thymustherapie über den Stand der
Rechtslage. Das Unternehmen selbst erfüllt alle gesetzlichen Voraussetzungen
für die Herstellung der Thymus-Extrakte und kann daher den kooperierenden Therapeuten
bei der vorgeschriebenen Eigenherstellung der Thymus-Heilmittel helfen.


Winterzeit ist
Grippe-Zeit:
Thymus-Peptide beugen Komplikationen vor.
Nach wie vor ist ein starkes körpereigenes
Immunsystem der beste
Infektionsschutz. Doch ist jedes körpereigenes
Abwehrsystem stark genug, um die Krankheitserreger einer
Virusgrippe abzuwehren?
Alternativmediziner
raten dazu, vor der
Impfung ein möglicherweise geschwächtes
Abwehrsystem
mit
Thymus-Peptiden zu stärken

Der
Sanorell
Vital-Test weist nach, dass viele
Frauen und Männer nicht optimal mit
Vitamine und Spurenelemente versorgt sind. Der
Vital-Test verdeutlicht, dass es
sinnvoll sein kann, Mangelzustände durch passende, rezeptfrei zu kaufende
Nahrungsergänzungsmittel auszugleichen. Über die Versandapotheke
Fixmedika können Sie sich die
Sanorell
Arzneimittel kostengünstig zusenden lassen.
und Sanorell-Medikamente in Ampullenform können Sie auch bei der Versandapotheke
Fixmedika bestellen
»Medizinischer Fortschritt ist wichtig -
Tierversuche sind der falsche Weg!« - Unter diesem
Motto setzen sich die Ärzte gegen Tierversuche e. V.
für eine tierversuchsfreie Medizin ein, bei der
Ursachenforschung und Vorbeugung von Krankheiten
sowie der Einsatz von modernen Forschungsmethoden,
z.B. mit menschlichen Zellkulturen, im Vordergrund
stehen.

Sie sympathisieren zwar mit der
vegetarischen Ernährung - können aber nicht
auf Wurst und Fleisch verzichten?. Schluß mit dem
schlechten Gewissen! Metzgermeister Claus Böbel liefert über seinen
online Shop aus dem fränkischen Rittersbach in alle Regionen Deutschlands Fleisch und Wurstwaren
in höchster handwerklicher Qualität - und auf Wunsch auch Fleisch aus artgerechter Tierhaltung.
mehr Informationen hier

>
zum Seitenanfang
> zurück zum Index