Herzkreislauf

Cardiovascular Prevention

Cardiovascular disease is the leading cause of death in industrialized countries. Also, cardiovascular diseases are becoming more common in the working population. The demographic development and longer working lives will make prevention in the workplace more and more important in the future.

Shifting the working age by three years increases the likelihood that an employee will suffer a heart attack or stroke by 30 percent. This applies in particular to the skilled workers, who will have to work longer in the future due to the lack of new blood.

Against this background, it will become more and more the task of companies to operate cardiovascular prevention, because the damage to the vessels happens slowly over years. And during this time, the employee becomes demonstrably less efficient for up to 6 hours per week until his failure. A stroke or heart attack leads to premature retirement for many employees - on average, one employee drops out for 21 days.

The KME has set itself the goal to relocate a cardiovascular examination in the center of human life, the operation. The advantages are apparent. Ultimately everyone uses the time savings and in the workplace people can be reached who would otherwise not go to the doctor.

Our cardiovascular program represents the complete process from analysis to evaluation. It consists of an initial medical analysis, in which the important cardiovascular parameters and the risk factors are determined. The investigation is supplemented by another innovative measuring technology.

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Diagnosis / Analysis

Our doctors ask the employee about possible risk factors such as smoking, family or own bias or known diseases. Thereafter, the most important cardiovascular parameters are determined. With the help of these values a risk profile of the employee can be created. These values are supplemented by an innovative measurement technology that can be freely selected by the company. Which technique is used should be decided on the basis of the employee structure. The technique also motivates the employees on a different level - you get an examination that you could not get the family doctor:

The pulse wave velocity (PWV) is a measure of the rigidity of the arteries. The stiffness indicates the biological age of the arteries and thus determines the risk of diseases such as heart attack and stroke.

The measurement of the intima-media thickness by means of a high-resolution ultrasound is a very suitable method for determining the risk of atherosclerosis. We explicitly determine only the IMT, we reject a total investigation of the carotid in the risk-neutral population on the basis of the current study situation, since this investigation does more harm than good.

The Cardio Neuro-Screening is based on a measuring technique used in the Space Station ISS. It runs completely free of risk and pain and delivers fast and accurate results. During the examination, an ECG (three leads) is written, the blood pressure curve and the continuous blood pressure and the autonomous regulation, so the interaction between heart rate and blood pressure recorded.

Arriba Consulting

With the help of the Arriba software, an individual risk prognosis for heart attack and stroke within the next ten years of life can be created for each person over the age of 35 years. The determined value (Arriba score) indicates the probability that the affected person will suffer a heart attack or stroke within the next 10 years. An easy-to-understand visualization makes the individual risk understandable. At the same time, the potential and relevance of certain lifestyle changes (exercise, nutrition, smoking cessation) are communicated and planned.

Intervention

If the Arriba score is between 5 and 15 percent, the employees will be transferred to KME's own intervention programs. If the employee clearly exceeds certain limits, we hand him over to primary care. Already in the first conversation, the employees are shown how they can reduce their risk through a lifestyle change. The interventions are varied and can be further specified or maintained by the programs.

Motivational Interviewing As part of this intervention, employees are motivated by specific techniques to actually make a lifestyle change. The medical interviews take place by phone and take an average of 30 minutes.

Health coaches will look after employees for about 18 weeks in a total of four to eight phone calls. The average call duration is 20 minutes. You will receive instructions on how to integrate a healthier lifestyle into your everyday life.

For both interventions the benefit is scientifically validated. Thus, the long-term blood sugar value (HbA1C) in diabetics by health coaches e.g. improved by 15%. The combination of the two interventions has proved particularly effective. First of all, a "roadmap" is drawn up in the doctor's talk, and the health coaches then look after the employees on this basis.

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Evaluation

In the evaluation phase, several questions arise: What effects did the measures have? Were the goals achieved? What can be optimized and how? Has the investment paid off? The effects of the action will be evaluated through a follow-up survey of those employees who participated in an intervention. It can also be contrasted with the specific success of the different interventions. Through an optional re-check, which documents the state of health before and after the intervention, it is possible to determine the benefit more precisely. A calculation of the reduction of the average risk of heart attack or stroke by the interventions specifically identifies avoided events and the cost-benefit ratio. By establishing a continuous process, it is possible to focus the activities more and more on the high-risk groups and thereby continuously increase the effectiveness of prevention.