Ergometry in Hypertensive Patients Implications for Diagnosis and Tr

Within the field of general medicine, the last two decades have seen the curative procedures increasingly supplemented by func­ tions that can be summed up under the heading of "preventive health care." There is a close link between this development and t

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Ergometry in Hypertensive Patients Implications for Diagnosis and Treatment

Translated by TerryTelger Foreword by P. Scholmerich

With 78 Figures and 63 Tables

Springer-Verlag Berlin Heidelberg New York Tokyo

Prof. Dr. med. Ingomar-Werner Franz Institut fUr Leistungsmedizin und Kardiologische Abteilung, Klinikum Charlottenburg, Freie UniversiHit Berlin, ForckenbeckstraBe 20, 1000 Berlin 33, BRD Terry Telger 3429 Cloer Drive, Fort Worth Texas 76109, USA

ISBN-13: 978-3-642-70374-4 DOl: 10.1007/978-3-642-70372-0

e-ISBN-13: 978-3-642-70372-0

Library of Congress Cataloging in Publication Data Franz, J.-W. (Ingomar-Werner) Ergometry in hypertensive patients. Translation of: Ergometrie bei HochdruckIq'anken. Bibliography: p. Includes index. 1. Hypertension-Diagnosis. 2. Exercise tests. 3. Heart function tests. 4. Treadmill exercise tests. J. Title. [DNLM: 1. Blood Pressure Determinationinstrumentation. 2. Exertion. 3. Heart Function Testsmethods. 4. Hypertension-diagnosis. 5. Hypertensiontherapy. WG 340 F837e] RC685.H8F6313 1985 616.1'32'075 85-17313

This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Copyright Law where copies are made for other than private use a fee is payable to "Verwertungsgesellschaft Wort", Munich. © Springer-Verlag Berlin Heidelberg 1986 Softcover reprint ofthe hardcover 1st edition 1986 The use of general descriptive names, trade marks, etc. in this publication, even if the former are not especially identified, is not to be taken as a sign that such names, as understood by the Trade Marks and Merchandise Marks Act, may accordingly by used freely by anyone.

Dedicated to

Gaby, Thorid Goran, Ragna and my mother

Foreword

Within the field of general medicine, the last two decades have seen the curative procedures increasingly supplemented by functions that can be summed up under the heading of "preventive health care." There is a close link between this development and the changing morbidity pattern. In highly developed countries the morbidity rate attributable to infectious diseases has been much reduced, while the various types of arteriosclerosis, some tumorous conditions, and so-called functional syndromes have attained massive incidence rates. Systematic epidemiologic studies have yielded the concept of risk factors, i. e., certain exogenous and endogenous factors whose elimination, ideally, would make it possible to avoid the manifestation of an illness or to ensure it did not become manifest until later in life or in a milder form. The socioeconomic and sociomedical significance of these aspects is considerable, as can be seen from all the statistics on the reasons for incapacity and early retirement and on the relative contributions of different illnesses to total mortality. Effective avoidance of illnesses by primary prophylax