Cardiovascular diseases, such as cerebrovascular accident, ischemic cardiomyopathy, severe myocardial infarction, heart failure, peripheral venous insufficiency (aortic aneurysm and arteriopathy of the lower limbs) and kidney failure, still represent nowadays the main cause of death and/or impairment.
To prevent these diseases it is important to identify and treat the main risk factors, such as arterial hypertension, diabetes and dyslipidemia. The early identification of starting vascular deficiency, even if asymptomatic, is fundamental to assess cardiovascular and kidney risk and it is based on the diagnosis and treatment of alterations such as the carotid artery and aortic atherosclerosis, the hypertrophy of the left ventricle and early kidney failure. The treatment takes into account many different factors and it is based both on a lifestyle change as well as a rational pharmacological therapy.
The evaluation and treatment program of arterial hypertension and cardiovascular and kidney risk includes the following diagnostic and instrumental analysis:
- Hematochemical tests, including the evaluation of carbohydrates, lipids and kidney function
- Cardiac echocolordoppler
- Echo color doppler of the supraaortic vessels
- Abdominal echography and renal arteries echo color doppler, with complete internistic evaluation of:
- patient’s medical history
- clinostatic and orthostatic measuring of arterial pressure
- electrocardiography and examination of the back of the eye
- objective structured clinical examination
- integrated final report