an interview with Dr. Peter Schott about heart disease

  1. Home page
  2. local
  3. Witzenhausen

Created by:

Out: Not far from Tobias


Since 2009, Dr Peter Schott has been the leading physician for cardiology and internal intensive medicine at the Werra-Meißner Clinic. © Florian Künemund/nh

Heart disease is one of the most common diseases in men. cardiologist Dr. Peter Schott talks about heart disease and prevention.

Werra-Meißner – Men are reluctant to take action. For example, a survey by the Robert Koch Institute shows that only 40 percent of men regularly use recommended cancer screening tests.

They are similarly carefree with their hearts. Ischemic heart disease is one of the most common diseases in men. The death rate is high. We spoke with cardiologist Dr. Peter Schott, head physician at the clinic in Eschwege.

To clarify in advance: What is actually meant by ischemic heart disease?

It is a narrowing of the coronary arteries that supply the heart muscle with blood. Contraction leads to a reduction in the supply of oxygen and nutrients to the muscle. If the narrowing progresses slowly over the years, there is pressure on the chest (angina pectoris) – initially under stress, later even at rest with significantly reduced physical performance.

What’s the worst that can happen?

If a coronary artery is acutely blocked, the heart muscle dies within the first six hours. Absolute mortal danger. Mortality in the first twelve hours is 30 percent.

How likely is it that I, as a man, will get coronary heart disease?

Every man and every woman can calculate their individual risk, for example using the Framingham risk score for coronary heart disease. Here are some online calculators available online: For example, a 55-year-old man with nicotine consumption and high cholesterol has a 10-year risk of an acute heart attack of 29 percent, and a 55-year-old woman with the same risk constellation has a 13 percent risk. .

Why are men particularly prone to heart attacks?

The key word here is genetically fixed disadvantage. But there are also heart diseases, such as a particular heart failure associated with high blood pressure, which occurs more often in women and has a less favorable prognosis. Also surprising is that men have more heart attacks, but women are more likely to be fatal.

To what extent does the individual’s lifestyle affect this issue?

Lifestyle is the most important risk factor that we can influence the most. So don’t smoke, watch your blood lipids, think about a healthy diet and aim for 20 to 30 minutes of endurance sports, such as walking, cycling or running, at least three times a week.

Is coronary artery disease hereditary? Should I watch out for at-risk patients in my family?

There is a so-called family disposition. Having a heart attack in one of your parents increases your own risk.

What are the acute symptoms that herald a heart attack?

When chest tightness or shortness of breath persists for more than 15 minutes, an emergency physician should be called if an acute heart attack is suspected.

Is it true that erectile dysfunction can be a harbinger of a heart attack?

No. However, it may appear as a symptom of later arteriosclerosis.

What can I do to prevent coronary artery disease?

All modifiable risk factors such as nicotine, blood lipids, high blood pressure, diabetes mellitus, lack of physical activity or obesity should be minimized.

Even if I feel fit: At what age should I go for a checkup?

There is no definition here. However, a cardiology check-up only makes sense from the age of 40.

Do health insurance companies cover the costs of preventive care?

Health insurance companies usually cover the costs of preventive care from the age of 35. Every two years, men have the chance to consult their family doctor about the possibility of early detection of cardiovascular diseases, diabetes and kidney disease.

Author: Tobias Piece

Matinee to care and hypochondria

On International Men’s Day on Saturday, November 19, the Werra-Meißner-Kreis Office for Equal Opportunities in cooperation with the men’s counseling center Awo invites you to a film matinee at the Cinemagic cinema in Eschweg. The French comedy “Super-hypochondriac” will be shown.

It starts next Saturday at 10:30am. Ralf Ruhl, a men’s consultant at the Awo consultancy, will give the audience an insight into the topic of men’s health with a special focus on “self-care”. The entrance fee is five euros.


Leave a Comment