Vivantes ©Vivantes – Netzwerk für Gesundheit GmbH, Berlin


Vivantes Hospital Am Urban

Specialist field: Internal medicine

Prof. Dr. med. Dietrich Andresen

Dieffenbachstraße 1
10967 Berlin

International Office:
Am Nordgraben 2
13509 Berlin
M. Ozod-Hamad / Olga Pastushenko
Tel. +49 (0)30 1301216-64/-84/-85

Professor Dietrich Andresen

Medical Director of the Department for Internal Medicine Cardiology/Conservative Intensive Care at Vivantes Hospital Am Urban/im Friedrichshain, Berlin

Medical travel

Expert medical care at hospitals and rehabilitation clinics

Medical travel

Expert medical care at hospitals and rehabilitation clinics

Professor Dietrich Andresen: High blood pressure – the silent killer

High blood pressure isnʼt painful as such, but it does increase the risk of strokes and serious cardiovascular diseases. In Germany, it is a problem for around half of all people aged over 60, and occurs in younger people as well. We asked Professor Dietrich Andresen, Senior Cardiology Consultant at the Vivantes Hospital am Urban in Berlin, to tell us more about this subject.

The subject of high blood pressure is nothing new, of course. But what makes it so dangerous?

Professor Andresen: High blood pressure is a silent and insidious killer. If it didnʼt exist, we humans would live much longer and healthier lives. The high blood pressure itself is not a serious illness at all. We actually feel fit and able-bodied, we need little sleep and are easily able to work. But over the course of the years, high blood pressure results in damage to our cardiovascular system. This can result in complications such as heart attacks, strokes and diseases of the eyes and kidneys.

What can push up blood pressure?

Professor Andresen: We know for one thing that genetic determination – i.e. hereditary predisposition – is a factor. Itʼs not uncommon for the father or mother of a patient to have suffered a heart attack or stroke. But an unhealthy lifestyle also plays its part. Obesity, high salt intake, lack of exercise and sustained psychological and emotional stress are all risk factors that, together, push up blood pressure, which then leads to the organ damage in later life.

But salt is found in lots of different foods. How is it possible to curb our salt intake?

Professor Andresen: Youʼll go a long way to achieving this if you donʼt add any salt to your meal after cooking – get that salt shaker off the table!

What role does stress play?

Professor Andresen: Both mental and physical strain cause blood pressure to increase. This is a very normal adaptive process. Your blood pressure will begin to normalise again as soon as you calm down. If you are continually under stress, however, you may develop permanently raised blood pressure over time.

How then does high blood pressure affect our cardiovascular system and organs?

Professor Andresen: The walls of our arteries are actually very soft, very elastic; they give way. Raised blood pressure causes them to harden and stiffen. This is a process that unfolds over ten, twenty, thirty years. 50 per cent of all patients aged over 60 have problems related to arterial stiffness. Permanently high pressure causes the vascular walls to become porous, and deposits can form, e.g. of cholesterol or calcifications.

How do these deposits get there in the first place?

Professor Andresen: The high pressure damages the delicate inner lining of the arteries, which gradually begins to crack. Itʼs a bit like the inner tube of a tyre: if you inflate this from two bar to four bar, the high pressure will cause the tube to become porous and it could tear. The process is the same for your arteries.

Why are these tears so dangerous?

Professor Andresen: Even if the tears are only miniscule, the body detects that something is bleeding. The thrombocytes (blood platelets) then arrive on the scene and try to staunch the bleeding. They do this by closing the artery completely – they clog it up. This clogging is known as an infarction or a heart attack. Itʼs why we call a clogged coronary artery a cardiac infarction; a clogged blood vessel in the brain is known as a cerebral infarction or stroke. Both events are the catastrophic consequence of a high blood pressure condition that started out so harmlessly.

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What travellers from around the world are saying

Blutenfest des Rotes Moselweinbergpfirsich


We hebben éven moeten oefenen, maar na een tijdje rolde Rote Moselweinbergpfirsich vanzelf uit onze mond. Toch kan je in Cochem ook gewoon Rud Peesche zeggen, het plaatselijke dialect voor deze kleine perzik met haar robijnrode vruchtvlees die overal in de Moezelvallei groeit. Terwijl de wijngaarden er nog kaal bijliggen, zijn de roze bloemen van de Moezel-Wijnbergperzik al een fleurige voorbode van de lente. Goed nieuws voor de plaatselijke wijnboeren dus, maar ook voor al wie dol is op perziken, want dan wordt er in Cochem smakelijk gefeest.

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Voor de ene is het een stukje Frankrijk in Duitsland, voor de andere is het een stukje Duitsland dat ook in Frankrijk niet zou misstaan. Wij houden het bij typisch Duits met een stevige Franse twist: Saarland. De kleinste Duitse deelstaat ging een paar keer over en weer tussen beide landen, was tweemaal op zichzelf en werd in 1957 definitief bij Duitsland ingelijfd. Het resultaat is een grensoverschrijdende kruisbestuiving van savoir-vivre en savoir-faire die zich vooral in de lokale gastronomie laat gelden. Wij trokken in Saarland letterlijk van de ene rijk gedekte tafel naar de andere, gingen er tafeltoeren en lieten ons galant overtuigen van het feit dat je van 'een schone tafel' wél kan eten.

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Crazy SB Waschsalon

Crazy SB Waschsalon

Quando estamos viajando, nada como ter uma lavanderia perto para as horas de aperto. Não tem como não notar essa lavanderia toda "modernosa". Crazy SB Waschsalon chama a atenção por suas centenas de meias penduradas. Uma decoração perfeita para o ambiente. Eu não cheguei a lavar nenhuma roupa na minha estádia em Dresden, mas se ficasse mais uns dias, teria voltado lá de certeza. Fica na Louisenstraße 6, aberto todos os dias das 06h - 23h.

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Travel Bookshop

Travel Bookshop - para os apaixonados por viagem

As coisas mais legais, sem dúvidas eu encontrei em Neustadt. É a região mais alternativa e legal de Dresden. Foi lá que eu vi uma das Lojas de Livros de Viagem mais legais. É aquela loja/livraria/papelaria que você vai querer comprar tudo. Passei uma boa hora lá dentro, folheando (porque ler em alemão, nem em sonho!) todos os guias, livros. Comprei uns postais lindos. Bobeei por não ter comprado uns mapas antigos, eram lindos.

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Para ter uma vista incrível de Dresden, vale muito a pena pegar o monorail em Loschwitz. Além de ver a cidade, você ainda terá uma vista privilegiada da Ponte Azul - Blaueswunder.

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1000 e 1 passagem

Em Neustadt tem a Kunsthofphpassage, que é uma passagem incrível. Ela tem vários prédios "temáticos". O azul por exemplo quando chove, a água nos canos vira música. Fora os prédios, ainda tem várias lojas bacanas e cafés charmosos para você aproveitar. #youngDresden #mustsees #shopping #cafés

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Obras incríveis

Albertinum: um museu de arte moderna de 125 anos, que foi reaberto em 2010, após uma reforma de 51 milhões de euros. A coleção de retratos começa com um dos pintores alemães mais românticos, Caspar David Friedrich, e termina com seu artista vivo mais famoso, Gerhard Richter, sendo que ambos passaram a infância em Dresden. Você vai encontrar desde a Bailarina de Degas, a Monet, Manet, Rodin, Van Gogh. A entrada Vista 10€

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Zwinger Palace

O Chateau de Versailles de Dresden

O Zwinger Palace é um dos melhores exemplos da arquitetura barroca tardia na Alemanha. Construído entre 1710 e 1728 pelo arquiteto Pöppelmann, o Palácio Zwinger foi usado para grandes festas e torneios. Hoje, o complexo barroco de pavilhões, galerias e pátios interiores é a casa de grandes museus e obras. A Madonna Sistina de Rafael você encontrará lá. O acervo de Porcelana tambem é belíssimo. O Arsenal também é muito interessante se você curte trajes e armas. Se você não quiser entrar em nenhum museu, vá pelo menos para andar pelos jardins e admirar o "Kronentor", que é o portão com a coroa.

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