Comprehensive services of diagnosis, treatment and prevention of cardiovascular diseases. We assess risk factors and establish personalized therapeutic plans for hypertension, arrhythmias and heart failure.
Cardiology deals with the prevention, diagnosis and treatment of diseases of the heart and circulatory system. At CMIB, each patient receives a complete assessment of cardiovascular health, through modern investigations and personalized treatments.
If you feel palpitations, chest pain, severe fatigue or dizziness, it's time to see a cardiologist. Regular consultations are especially recommended for patients with hypertension, elevated cholesterol or a family history of heart disease.
Cardiovascular diseasesis one of the leading causes of suffering, incapacity for work and, unfortunately, often — unexpected death. However, these changes in the heart and vessels, which can lead to a shortening of life, are by no means inevitable or suddenly striking phenomena. They occur over years, as a result of the action of factors external to the body - nutritional, economic, social - on an inherited background, with a greater or lesser predisposition to these diseases.
The predisposition to the disease can be inherited, but the manifestation of the disease depends very much on what we add over the genetic configuration. Avoiding things that favor the disease constitutes prevention, and this is possible.
To prevent, we should follow a few mandatory steps:
1. From the very first stage a very important division of the population occurs between those who do not have any major risk factors and those with agglomeration of risk factors or with already installed cardiovascular disease. The latter will need more frequent reassessments, and the values of the analyzed parameters will have to be within the limits that ensure a minimal risk of disease progression.
2. The risk of developing a cardiovascular disease in the next 10 years is determined on the basis of scores resulting from the determination of risk factors and is different depending on age.
The risk factors on which we can act are:
It is worth mentioning that diabetes is considered a cardiovascular disease; as a result, people with diabetes have a very high risk initially, by the very existence of diabetes, and are not assessed by the usual risk scores.
Following discussion with the cardiologist and assessing the risk score, a person can be framed in:
3. As you progress in age, risk factors should be controlled as strictly as possible, as this adds additional risk to existing factors. Thus, if blood pressure values of 130—140 mmHg and LDL cholesterol below 100 mg/dl are recommended for patients between 50 and 70 years of age, if these factors are not corrected by lifestyle interventions and initial treatment, maintaining an increased risk requires reducing blood pressure values below 130 mmHg and/or LDL below 70 mg/dl or even 55 mg/dl, through more vigorous measures.
The values of biological parameters considered optimal for a person are discussed with the cardiologist.
4. The recommendations that apply to all people interested in assessing the risk of heart disease are:
Depending on age and the presence of other risk factors, indications of diet, more intense or reduced physical exertion, including the initiation of drug treatment, may be added to these recommendations.
Persons classified as having a high or very high risk of cardiovascular disease will need to apply progressive control and treatment measures to combat risk factors, with possible intensification in the event of an unsatisfactory response, depending on other associated diseases and, as far as possible, personal preferences.
As pathological changes do not settle instantly, their effects on the body do not disappear after a day or even a week of healthy life.
Eating fruits and vegetables, accompanied by reasonable amounts of fatty meat and fish, with the avoidance of processed foods and those with “empty calories”, without nutritional value, is a goal to pursue permanently. In the same vein, alcohol consumption should be limited.
An active life maintains the cardiovascular and respiratory apparatus, along with the musculature of the limbs, at a physiological level and contributes to the healthy metabolism of ingested food.
5. When do we ask ourselves the question of assessing the risk of cardiovascular disease?
For most subjects who do not know to have a cardiovascular impairment, after the age of 50. After this age, the impact on the cardiovascular apparatus and metabolism increases, imposing a change in lifestyle.
It would also be useful to dose lipoprotein (a), which is an individual constant, does not vary over time, but may indicate an increased genetic risk of atherosclerotic disease.
Assessment of cardiovascular risk — especially if it has been increased upon detection — is not done once. It should be carried out at intervals of 3—5 years, depending on the risk and life stage of the patient, after periodic investigations, looking at the change in the risk score following the applied interventions.
The effects of reducing the values of risk factors are not only seen “on paper”, by modifying the overall cardiovascular risk, but also felt in daily life, by improving the ability to move, the possibility of doing the desired things and a much better mental and health state, confirming the idea that “we must not only give years to life, but also life to years”.
At CMIB, we protect your heart with professionalism and empathy.
Schedule nowfor a complete cardiological evaluation.
We recommend consulting if you feel palpitations, chest pain, dizziness or severe fatigue, as well as for regular screening after the age of 50.
We analyze blood pressure, cholesterol values (LDL/non-HDL), smoker status, overweight and family history.
