Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0085580 (essential hypertension)
 14,686 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The most common causes of the heart failure syndrome are coronary heart disease, dilated cardiomyopathy, secondary decompensated hypertension and cardiac defects. Apart from the establishment of the diagnosis, essential diagnostic aims are the clarification of the etiology, the identification of reversible causes, the clarification of specific therapeutic options, assessment of severity and evaluation of the prognosis. A standardized diagnostic work-up based on current consensus recommendations, makes good sense. Symptoms and clinical findings have limited sensitivity and specificity. The leading diagnostic procedure is (Doppler) echocardiography. In the case of ischemic cardiomyopathy, the angiographic coronary status and myocardial vitality evaluation are necessary to clarify the revascularisation option. Further diagnostic examinations (invasive hemodynamics, myocardial biopsy, CT/MRI, ergospirometry, markers of neurohormonal activation) should be carried out as dictated by the individual situation. In patients with an increased risk of developing heart failure (e.g. post-myocardial infarction status, essential hypertension, diabetes mellitus) the aim should be the early detection of an asymptomatic ventricular dysfunction by means of echocardiography.
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PMID:[Diagnostic procedures in chronic heart failure. What is necessary, significant, contraindicated?]. 1253 41

The article presents estimated cost of ambulatory treatment of patients with cardiovascular diseases such as ischemic heart disease, essential hypertension at different stages and severity, dilated cardiomyopathy, neurocirculatory dystonic 457 patients (341 men and 116 women) were enrolled for the study group. Pharmacoeconomic calculations and estimated cost treatment assessment were carried out after ambulatory medical records of the patients and treatment recommendations had been carefully analyzed by experts. The amount of cost having been spent for one day, one month (30 days) and year (365 days) treatment on each nosologic unit separately for the men and the women was calculated.
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PMID:[Estimated cost of ambulatory treatment of patients with cardiovascular diseases]. 1560 34

After more than 15 years of intensive research in the field of functional autoantibodies (AAB) directed against G-protein-coupled receptors, there is growing evidence of a causal involvement of AAB in various cardiovascular diseases such as dilated cardiomyopathy, peripartum cardiomyopathy, malignant and essential hypertension, and preeclampsia. It has been indicated that AAB against beta-1 adrenergic receptor, alpha-1 adrenergic receptor, angiotensin-II receptor AT(1) and muscarinic M(2)-receptors undergo agonist-like actions on the corresponding receptor and induce a permanent stimulation of G-protein-coupled signal cascades, which may cause Ca(2+) overload and cardiomyocyte destruction.Furthermore, the present review describes how G-protein-coupled receptor AAB are able to activate transcription factor nuclear factor-kappa B, which may regulate the expression of genes involved in immune and inflammatory responses.
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PMID:Pathophysiological role of autoantibodies against G-protein-coupled receptors in the cardiovascular system. 1964 83


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