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Primary care

As a primary care practice, we are the first point of contact for your health. Whether acute symptoms, chronic illnesses, sick notes or preventive health care. If necessary, we refer you to specialists we trust. Sick notes, wound care or surgery preparation and follow-up - we take care of you from start to finish.

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Corona (COVID-19)

As general practitioners, we are here for you during this difficult time. We test, vaccinate and look after your long-term health in relation to Corona.

Important: Please let us know on the phone or when booking online if you are showing symptoms. In this case, we do not ask you to come directly to the practice - we will contact you after booking the appointment with further information.

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Treatment of chronic patients

As general practitioners, we see ourselves as long-term companions in dealing with chronic diseases. In combination with disease management programs (DMP), we will find the best therapy and solution approach for you.

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Precaution & check-ups

Prevention is the best medicine. We support you in avoiding the occurrence of future illnesses or in detecting and treating them as early as possible. This way you can assess where you stand in terms of health.

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Do you need a medical certificate? We can provide you with medical certificates for the following occasions:

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Laboratory, vitamins & Co

You don't always have to be sick to see your doctor - quite the opposite! In addition to treating acute symptoms, we offer a wide range of additional services to ensure that you feel healthy and well in the long term.  

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Other symptoms

Not all complaints are directly attributable to an underlying disease. We follow a holistic medical approach and take care that we find the best solution for your health complaints together.

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Services
Treatment of chronic patients

Hypertension

Hypertension

How Avi Medical helps you

High blood pressure causes no pain and often no other symptoms for a long time. That is why the high pressure is often not noticed by those affected, or only very late. Late detection carries serious risks, because permanent high blood pressure has a negative effect on the heart and blood vessels.
It is therefore very important that high blood pressure is detected early by one of our Avi Medical GPs and treated in the best possible way. This is the only way we can improve your life expectancy and quality of life.

Throughout your hypertension treatment, our doctors are your constant companions and always there for you.

What is high blood pressure?

High blood pressure is a cardiovascular disease. Blood pressure is caused by the activity of the heart. With every heartbeat, blood is pumped out of the heart into the blood vessels. In the long run, high blood pressure causes damage to the blood vessels, which can lead to secondary diseases such as heart attacks and strokes. It is estimated that more than 50% of the European population is affected.


At what point is it high blood pressure?

Blood pressure indicates the pressure at which the blood is pumped from the heart through the body to the smallest capillary vessels. This pumping process occurs when the heart contracts. At maximum contraction of the heart, the highest value of blood pressure is reached. This (upper) value is called the systolic blood pressure. After this, the heart relaxes and stops pumping blood into the arteries. As a result, the blood pressure drops back to the lowest value. This (lower) value is called diastolic blood pressure.
The unit of measurement for blood pressure is measured in mmHg (millimetres of mercury). Therefore, two values are always given when measuring blood pressure. For example: 120/80 mmHg.

120 mmHg = systolic blood pressure = upper value
80 mmHg = diastolic blood pressure = lower value

The optimum value for a healthy blood pressure is 120/80 mmHg - in other words: 120 to 80.
Fluctuations
during the course of the day are natural and serve the body's adaptation to the respective situation. Acute stress or exertion cause blood pressure to shoot up, while relaxation or sleep lower it again.

In healthy people, the blood pressure values always settle back into the normal range. Only when the blood pressure remains constantly high when measured continuously is it called high blood pressure . This is the case with values from 140/90 mmHg .

What are the triggers of high blood pressure?

The causes of high blood pressure are subject to several interactions between genes, environment and lifestyle. The more risks come together, the higher the probability of developing high blood pressure.
A distinction is made between two types of high blood pressure in terms of how they develop: primary and secondary hypertension.

Primary hypertension is the most common form of high blood pressure and is called essential hypertension. About 90% of hypertension patients suffer from this form. Essential hypertension occurs without a causally detectable underlying disease.Favourable factors for high blood pressure are: increased age (men from 55+ and women from 65+), lack of exercise, overweight, family history, smoking, high alcohol consumption or menopause.

Secondary hypertension occurs due to another disease. About 10% of hypertension patients are affected by secondary hypertension. Causing diseases can be: metabolic diseases, kidney diseases, thyroid dysfunction, vascular diseases, hormonal imbalance or due to medication.

What are possible symptoms?

The signs of high blood pressure are difficult to clearly assign, because the disease often runs for a long time and goes undetected. However, the following symptoms are more common: Headaches, dizziness, severe palpitations, nervousness, shortness of breath on exertion and sleep disturbance. Often, however, no symptoms are noticed.

Treatment of high blood pressure at Avi Medical

To check if you have high blood pressure and if blood pressure treatment is necessary, it is important to first make an appointment for a consultation at one of our Avi Medical GP practices.
The first step in the examination process is to take a detailed history of your medical history, current medications and symptoms, if any. After this detailed discussion with your Avi Medical doctor and based on these findings, your blood pressure will be measured in the practice. Sometimes your blood pressure fluctuates, so it makes sense to take a long-term blood pressure measurement (LZ-RR). This is the best way to determine the actual blood pressure and has the advantage that it also takes into account the blood pressure values at night. You can take the long-term blood pressure device home with you for a few days - your Avi Medical doctor will then receive the values directly from the device and discuss them with you.
Depending on your medical history, the next step is to have laboratory tests carried out in one of our Avi Medical practices to determine the risks and consequences of high blood pressure. For example, kidney function values, minerals such as sodium, potassium and calcium, cholesterol, blood sugar, thyroid values and, if necessary, hormones of the adrenal cortex will be examined.
If necessary, we can determine with an ECG and stress ECG whether your heart rhythm is abnormally changed at rest or under stress.

Based on the results of your examinations, our doctors will discuss your individual therapy with you.
In order to treat high blood pressure correctly, the level of the blood pressure and the individual risk of secondary diseases - heart attack, stroke - are decisive.
Therefore, it is not only high blood pressure that needs to be treated, but also the risk factors that cause high blood pressure, e.g. high blood lipid levels. Therefore, it is important that you are also ready for self-therapy. This means changing to a healthy diet, getting enough exercise and giving up smoking and alcohol.
Based on the results of your examinations, a drug treatment can be the optimal support for self-therapy and thus send the blood pressure.
Sometimes it is sufficient to administer a single medication, but often the combination of several blood pressure-lowering drugs is necessary. The following groups of active agents are recommended by the German Hypertension League as drugs of first choice.

  • Diureticdrugs, such as diuretics, have a dehydrating effect. Water and common salt are excreted via the kidneys, which results in less renin (hormone from the kidneys that increases blood pressure) being released. The fluid reduction thus lowers the blood pressure.Beta-blockers inhibit the action of stress hormones, such as adrenaline, which increase blood pressure and pulse rate. Beta blockers prevent this by blocking the beta receptors. This relieves the heart and makes it beat a little more calmly.
  • ACE inhibitors and angiotensin receptor blockers inhibit a hormone that has a vasoconstrictor effect. In this way, they have an indirect vasodilatory effect and relieve the heart. ACE inhibitors block the protein ACE, which promotes the conversion of angiotensin l to angiotensin ll, which in turn causes the vessels to constrict and blood pressure to rise. By blocking ACE, the increased stress in the blood vessels decreases and blood pressure drops. The conversion of angiotensin l to angiotensin ll is blocked and with it the breakdown of the peptide hormone bradykinin. The result is a dry, irritating cough. Angiotensin receptor blockers are a more advanced stage of ACE inhibitors. They do not block the protein, but the receptors to which the protein would dock. The vasoconstrictive and thus blood pressure-increasing effect of angiotensin II is thus reduced. Bradykinin is broken down unhindered and thus dry irritating cough occurs significantly less than when taking ACE inhibitors.
  • Calcium antagonists lower the tension in the vessel walls. An increased calcium content in the muscle cells causes contraction. This causes a constriction of the vessels and causes higher blood pressure. Calcium antagonists make the muscles in the vessels slacken, which lowers the blood pressure and the heart has to work less strenuously. They also reduce the heart's need for oxygen.

Your Avi Medical doctor will determine and discuss with you which drug class best suits your treatment.

Regular measurement and monitoring of blood pressure is a preventive measure to detect long-term changes. For this reason, it is important that you come to one of our Avi Medical practices for regular check-ups. Only then can we work together to manage your high blood pressure and help you live a carefree, healthy life.

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