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Störungen der Blutdruckregulation

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Pathophysiologie

Part of the book series: Springer Lehrbuch ((SLB))

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Zusammenfassung

Fall 1. Bei einem 45 jährigen Bankkaufmann wird anläßlich einer Einstellungsuntersuchung eine Blutdruckerhöhung auf 158/106 mmHg festgestellt,die sich bei späterer Kontrolle bestätigt. Der Patient gibt an,daß auch sein Vater seit dem 50. Lebensjahr an Hypertonie leidet. Er selbst hatte keine Beschwerden. Als Risikofaktoren bestanden: Nikotinabusus, mäßiger Alkoholkonsum (3–5 Flaschen Bier pro Abend) und ein 20%iges Übergewicht. Der übrige physikalische Befund ist unauffällig. Bei der Basisdiagnostik wird eine Lipidstoffwechsel-störung (Cholesterin 260 mg%,Triglyzeride 380 mg%) und ein erhöhter Nüchtern-Blut-zucker (135 mg%) gemessen. Diagnose: Arterielle Hypertonie vermutlich essentieller Genese, metabolisches Syndrom — die häufigste Form der Hypertonie, die zunächst durch Allgemeinmaßnahmen wie Gewichtsnormalisierung, Reduktion des Alkohols, körperliche Aktivität, salzarme und cholesterinarme Ernährung therapiert werden sollte.

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© 2000 Springer-Verlag Berlin Heidelberg

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Philipp, T. (2000). Störungen der Blutdruckregulation. In: Pathophysiologie. Springer Lehrbuch. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57115-2_9

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  • DOI: https://doi.org/10.1007/978-3-642-57115-2_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63004-0

  • Online ISBN: 978-3-642-57115-2

  • eBook Packages: Springer Book Archive

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