Vivantes
Vivantes ©Vivantes – Netzwerk für Gesundheit GmbH, Berlin

INTERNAL MEDICINE

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

www.vivantes-international.de

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

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

Kunsthofpassage

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

loe edasi »

martinha@viajoteca.com

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€

loe edasi »

martinha@viajoteca.com

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.

loe edasi »

martinha@viajoteca.com

Asisi Panometer

Deesden : 1945

Setenta anos depois do bombardeio de Dresden, na Segunda Guerra Mundial, um panorama de 360 ​​graus que mostra a cidade destruída foi revelado na cidade. O artista Yadegar Asisi criou uma imagem circular de 100 metros de largura e 30 metros de altura que mostra Dresden após os devastadores ataques aéreos dos aliados. Entre 13-15 fevereiro de 1945, apenas alguns meses antes do fim da guerra, os bombardeiros britânicos e norte-americanos destruíram mais de 90 por cento do centro histórico da cidade, matando cerca de 25.000 pessoas. Mais de 3.900 toneladas de bombas de alto poder explosivo e dispositivos incendiários dizimaram marcos importantes do barroco em uma cidade que é considerada "a Florença do Elba". O panorama, Dresden: 1945, fica aberto de 24 de Janeiro à 31 de maio de 2015, no gasômetro Panometer. http://www.asisi.de/en/panoramas/dresden-1945/photo-gallery.html

loe edasi »

martinha@viajoteca.com

Frauenkirche - Church of Our Lady

A Lady de Dresden

A Igreja da Nossa Senhora de Dresden é um espetáculo de linda. É a igreja que vai te impactar no primeiro minuto que você entrar e ver uma igreja branca, super luminada. Se há um lugar cuja história pode mover-lo às lágrimas, será n'a Igreja de Nossa Senhora. Durante a Segunda Guerra Mundial, a igreja foi bombardeada e ficou em escombros até 1994, quando um programa de restauração foi iniciado. Hoje, é um lembrete dos dias antes da guerra e um dos lugares que você vai ter uma história imparcial sobre a Segunda Guerra Mundial.

loe edasi »

martinha@viajoteca.com

Christmas Markets in Cologne

Christmas in Germany

Christmas may be over, but 11 months from now the season will be upon us and you should spend 2015 in Germany! Why? The Christmas season is in Germany is like no other. There is no other place in the world where you can experience countless, and famous, Christmas markets that will without a doubt, put you in the holiday spirit. While the markets are open all day, it’s best to visit at night. Many towns across Germany have decorated the streets and market squares with evergreen-lined stalls, twinkling lights and religious (and not so religious) statues to kick off the holiday season as festively as possible. If you are a foreigner in Germany at this time of year, it's difficult to miss home when Germany puts on an excellent show at Christmas time. No matter what German city you are in, you can find families and friends of all ages, walking around shopping for unique and traditional gifts, sipping on mulled wine and indulging in delicious German food. You will hear laughter amongst the Christmas carols that will make you forget about your toes and fingers tingling from the cold temperature at this time of year. It’s truly a traditional delight for all of the senses. No trip to the German Christmas markets is complete without trying a class of glühwein, which is a combinations of red wine, spices and sugar. This traditional drink will keep you cozy and happy. Hungry? No problem! There are many stalls that sell traditional German Christmas Market food and snacks for you to enjoy such as bratwurst, mutzen, schmachtlappen and reibekuchen. In a world where Christmas present shopping consists of the latest technology and thoughtless gift certificates, it’s nice to be able to find traditional hand carved gifts at several stalls. Not to mention, mountains of oranges and nuts, the original gift that St. Nicholas gave to people hundreds of years ago at this time of year. While many countries around the world celebrate Christmas, no other place does it like Germany. So, if you feel that this time of year has been lacking in holiday spirit, take a trip over to this European country and be reminded what Christmas time is all about.

loe edasi »

hopscotchtheglobe@gmail.com

Canadians First Time at a Traditional Co-ed Spa

Visiting a co-ed spa was a foreign concept to me, being born and raised in Canada. Nudity in my culture is reserved for your own home where some have issues looking at themselves in the mirror. The gym change room is another publicly acceptable nude room, many of us have mastered the art of undressing by using a towel without exposing our private parts. My wife, Kristen, and I walked into that spa and let go of our Canadian mentalities. I undressed in the co-ed change room next to a woman in her 60s. She had kind eyes, a warm smile and no knowledge of nude shame as she stripped down without embarrassment. Kristen and I entered the spa, dropped our towels and were liberated, free for all to gaze upon! There were adults of all ages and body type, casually conversing as if being nude was more comfortable than being clothed. I had to constantly remind myself that people are not judgemental of bodies here, something I have never experienced in North America. Nudity is very much a part of the culture here. This German spa was the first place I have experienced harmony and equality among class, age, sex. Nobody knows whether you walked in with an Armani suit or a ripped t-shirt, you are all equal, beautiful and free. I immediately felt unjudged and part of the community. The architecture and decor of the spa was heavenly. Stone tiles lead the way to a large open room with lounging chairs and a marble swimming pool. The ambiance is zen, with only the sound of calm conversations and light background music. Buddha heads, candles, bamboo designs and waterfalls decorate the many rooms with relaxation and beauty. The outdoor rooftop contained hot tubs and saunas to keep you warm and steamy as well as cold pools and a bucket of snow used to cool your body down before jumping back into the hot tub. I left with my body relaxed, my skin clean, and my mind at peace. I learned that the human body is a beautiful gift which should be appreciated and accepted. Nudity is our original state and should be more widely accepted.

loe edasi »

hopscotchtheglobe@gmail.com

Herrenhauser Gärten Grotto

Niki the St.-Phalle at her best

A couple of years ago a very wealthy friend of mine, who owns an work of art by French artist Niki de St.-Phalle, told me included Hannover in a trip to Europe just to see Nikki's art in town. I had totally forgotten this until I came to Hannover and found out that Niki's works are all over the place. There are three Nanas in the Sculpture Mile downtown and an ancient grotto at the Herrenhauser Gardens was redone by Niki, who filled with her Nanas, a colorful Ganesha and a myriad of kaleidoscopic mirrors. Before her death, she donated her private collection to Hannover's Sprengel Museum, and will appear in the new wing due to open late in 2016.

loe edasi »

xongas@gmail.com