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| THE
POLYCLINICAL AND/OR AMBULATORY APPROACH TO PRESSURE OVERLOAD
HEART DISEASE |
|
.D. Huml and M. Beus-Huml |
| PI HH -
Sarajevo, Bosnia and Herzegovina |
For an individual
approximation of the pressure overload heart disease in ambulatory
and/or polyclinical conditions probably the most important matter
is the normal values assessing of the noninvasive cardiologic
parameters in the left ventricular structure and function.Only
by that means one could escape the traps in sense of the real
disturbance (non)revealing or the artificial deviations in the
pump heart function.If one wish to follow up exactly the treatment
results then it is necessery to reveleal the indices of cascade
disturbances, the first of all - these in the diastolic lusitropy,
as those in the inotropic heart function.A hemodynamic type definition
of the pressure overload heart disease has the practical significance
in an individual approximation and a regular choice of the therapeutic
procedure.An arterial hypertension treatment by the certain drugs
could have the so called side or unwished effects without a respect
to the fact that a blood pressure decreases (SIC). An aim of antihypertensive
treatment must be an objective benefit in the lusitorpic as in
the inotropic heart function, and/or one could not alow the patient
income in a reduced compliance phase or in an extreme heart failure
with the chambers diastolic disturbance.On the other hand, it
is important a patient monitoring «in tractu» and a corretion
«in situ» of the risc factors for the heart and the blood vessels
by a diet and medicamentous procedures, including a plant therapy,
too, as the better living quality and the life style changing
if it is necessary and possoble, respectively. A clear conclusion
could be that it comes a time of «the standardised evaluation
in the pressure overload heart disease» according to an unic computer
program with a common consensus of the noninvasive cardiologists
and medical practitioners in "our" rooms
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