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The main forms include: Coronary heart disease (CHD): it is caused by a narrowing or occlusion of the coronary arteries, usually due to atherosclerosis. This leads to reduced blood flow to the heart muscle (myocardial ischemia), and can lead to Angina or a myocardial infarction. Heart failure: In this disease, the pumping function of the heart is reduced, so that it can no longer pump enough blood in the circulation. Symptoms are shortness of breath, among others, fatigue and Edema. Arrhythmias: heart rhythm disorders, which are characterized by too fast (tachycardia), too slow (bradycardia) or irregular beats. Causes may be electrical conduction disturbances, myocardial infarction, or metabolic disorders. Flap error: malfunction of the heart valves (e.g., stenosis or Insufficiency) to impede the normal flow of blood through the heart. Examples are aortic valve stenosis and mitral valve insufficiency. Cardio-myopathies: disorders of the heart muscle, to structural and functional changes. One distinguishes between dilated, hypertrophic and restrictive forms. Risk factors A number of modifiable and non-modifiable factors increases the risk for heart disease: Non-modifiable: age, gender (men are affected up to the menopause age, more likely), genetic Disposition. Modifiable: hypertension, hyperlipidemia, Diabetes mellitus, Smoking, Obesity, physical inactivity, unhealthy diet and chronic Stress. Diagnostics The diagnosis of heart diseases includes various methods: History and clinical examination (auscultation, blood pressure measurement) Electrocardiogram (ECG) for the assessment of the electrical rhythm of the heart Echocardiography (ultrasound of the heart) to evaluate the pumping function, and valvular structures Load tests (e.g., treadmill test) for the detection of Ischemia Coronary angiography for the direct visualization of vascular stenosis Laboratory parameters (e.g., Troponins in the case of suspected infarction) Therapy and prevention The therapy depends on the disease, and can be done with medication (e.g. beta‑blockers, ACE inhibitors, anticoagulants) or interventional (e.g., PTCA with stent implantation, Bypass surgery). Effective prevention is based on the modification of risk factors, regular physical activity, healthy diet, abstinence from Smoking, weight control, and adequate treatment of hypertension and Diabetes. Conclusion Heart diseases are a heterogeneous group of serious diseases with significant health and social consequences. 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The stroke, medically as a cerebrovascular accident or Cerebral stroke is one of the leading causes of death worldwide and a serious challenge for the health system. But he actually belongs to the cardiovascular diseases (HKK)? This question deserves a closer look because the answer is short, but the backgrounds are complex. The definition tional perspective Cardiovascular diseases are a group of diseases that affect the heart and blood vessel system. These include heart attack, high blood pressure, heart rhythm disorders, and atherosclerosis, for example. A stroke occurs when the blood is interrupted supply of a part of the brain, either by a blockage (ischemic stroke) or bleeding (hemorrhagic stroke). Formally, the stroke relates so directly to the heart, but the brain. Therefore, he is referred to in the medical classification often as cerebrovascular disease — a term within the large group of cardiovascular diseases. The close connection Although the stroke is primarily concerned with the brain, as it shares with other HKK common risk factors and pathophysiological mechanisms: Atherosclerosis: Calcified and narrowed blood vessels can lead to a heart attack, as well as to ischemic stroke. High blood pressure (hypertension): A permanently high blood pressure values can damage the blood vessels and increases the risk for heart attacks as well as strokes, particularly for hemorrhagic. Atrial fibrillation: This is a heart rhythm disorder, promotes the formation of blood clots in the heart, which can be detached and the circulation of the blood to the brain can get, which leads to an embolic stroke. Diabetes mellitus and Obesity, and Both factors contribute to the development of vascular changes and the risk for various cardiovascular events. Prevention and treatment: A common approach The strategies for the prevention of stroke are largely diseases are identical to those for the prevention of other cardiovascular: Blood pressure control Lower cholesterol a healthy diet (e.g., DASH diet) regular physical activity Waiver of Smoking and excess alcohol consumption Drug therapy for atrial fibrillation (anticoagulants) Also in the acute treatment cycle play a supportive measures an important role. The goal is, the blood supply to the brain as quickly as possible, to restore or to stop a progressive bleeding and to keep possible heart complications in the eye. Conclusion Strictly speaking, a stroke is not a heart disease, but a disease of the cerebral blood vessel system. However, it is inextricably linked to other cardiovascular diseases: they share common causes, risk factors, and prevention strategies. Therefore, it is reasonable to consider the stroke in a broad sense, as part of the cardiovascular diseases-as an isolated disease, but as an important and closely linked Element of the entire cardiovascular system. Prevention must therefore be holistic: Who is protection from a stroke at the same time is protective against heart attacks and other circulation — related diseases- and Vice versa.