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Can falls and fainting be a sign of heart problems? Doctor’s Explanations – Current Events

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According to the National Institute of Statistics, the number of older people (people over 65) has increased in Portugal, so that in 1993 there were 81 older people per 100 young people under the age of 15, and in 2013 it increased to 139 older people per the same 100 young people.

Falls, defined as “unintentional displacement of the body to a level below the original position with the inability to correct it in time and due to multifactorial circumstances that threaten stability”, are the most frequent domestic accidents among the elderly and are the main cause of accidents in this population and the seventh cause of death in the world.

The health consequences of falls place a heavy burden on individuals, families and communities. About half of falls cause injuries ranging from 5 to 6% severity. large and another 5% of fractures. In Portugal, between 2000 and 2013, out of every 100 hospitalizations of people over 65, three had a drop that lasted an average of 13 days.

It should be noted that many older adults do not report falling to others because they associate it with shame with the aging process and / or fear further restriction of their activities or even hospitalization, but someone who suffers from a fall has a risk of 60 up to 70%. return to fall next year.

A fall is facilitated by internal factors (decreased motor skills, vision changes, drug side effects, etc.), external factors (loose carpets, inappropriate shoes, architectural obstacles, etc.) and situational factors (running to the toilet, bus, etc.). Etc.), etc.). However, about 20% of falls in older adults do not have an obvious cause and are classified as unexplained or non-accidental, and often the treatment of the traumatic consequences of a fall is the main focus of immediate medical attention, and its cause. can be forgotten or left in the background.

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In older people, cardiovascular disease is an important cause of the etiology of unexplained falls due to syncope. Fainting, more commonly known as syncope, is short-term loss of consciousness and spontaneous and complete recovery. About 40% of falls in older adults may have knowledge-related amnesia, and about 60% of these events go unnoticed, which can lead to many episodes of fainting being misinterpreted as an accidental fall. Here, the most common diagnoses are orthostatic hypotension, vasovagal syncope, carotid sinus hypersensitivity syndrome, and cardiac arrhythmia.

In this context, implanted event recorders are very reliable tools for diagnosing or excluding arrhythmias as a cause of syncope, so the current European Society of Cardiology guidelines recommend their use in patients with syncope or recurrent unexplained falls.

These small implanted devices can account for up to 71% of new diagnoses in people with unexplained falls and a possible heart cause.

Remember, it is very important to see your doctor to determine the cause so that you can recommend the most effective treatment. Don’t “stumble” in your heart.

Article by physician Luis Ferreira dos Santos, coordinator of cardiology at the CUF Viseu hospital.

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Vladimir Putin has delayed the invasion of Ukraine at least three times.

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Putin has repeatedly consulted with Russian Chief of the General Staff Valery Gerasimov and Defense Minister Sergei Shoigu about the invasion, Europa Press told Ukraine’s chief intelligence director Vadim Skibitsky.

According to Skibitsky, it was the Russian Federal Security Service (FSB), which is responsible for counterintelligence and espionage work, that put pressure on Gerasimov and other military agencies to agree to launch an offensive. .

However, according to the Ukrainian intelligence services, the FSB considered that by the end of February sufficient preparations had already been made to guarantee the success of the Russian Armed Forces in a lightning invasion.

However, according to Kyiv, the Russian General Staff provided the Russian troops with supplies and ammunition for only three days, hoping that the offensive would be swift and immediately successful.

The head of Ukrainian intelligence also emphasized the cooperation of local residents, who always provided the Ukrainian authorities with up-to-date information about the Russian army, such as the number of soldiers or the exact location of troops.

The military offensive launched on February 24 by Russia in Ukraine caused at least 6.5 million internally displaced persons and more than 7.8 million refugees to European countries, which is why the UN classifies this migration crisis as the worst in Europe since World War II (1939-1945). gg.). ).

At the moment, 17.7 million Ukrainians are in need of humanitarian assistance, and 9.3 million are in need of food aid and housing.

The UN has presented as confirmed 6,755 civilian deaths and 10,607 wounded since the beginning of the war, stressing that these figures are much lower than the real ones.

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Life sentence for former Swedish official for spying for Russia

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A Stockholm court on Monday sentenced a former Swedish intelligence officer to life in prison for spying for Russia, and his brother to at least 12 years in prison. In what is considered one of the most serious cases in Swedish counterintelligence history, much of the trial took place behind closed doors in the name of national security.

According to the prosecution, it was Russian military intelligence, the GRU, who took advantage of the information provided by the two brothers between 2011 and their arrest at the end of 2021.

Peyman Kia, 42, has held many senior positions in the Swedish security apparatus, including the army and his country’s intelligence services (Säpo). His younger brother, Payam, 35, is accused of “participating in the planning” of the plot and of “managing contacts with Russia and the GRU, including passing on information and receiving financial rewards.”

Both men deny the charges, and their lawyers have demanded an acquittal on charges of “aggravated espionage,” according to the Swedish news agency TT.

The trial coincides with another case of alleged Russian espionage, with the arrest of the Russian-born couple in late November in a suburb of Stockholm by a police team arriving at dawn in a Blackhawk helicopter.

Research website Bellingcat identified them as Sergei Skvortsov and Elena Kulkova. The couple allegedly acted as sleeper agents for Moscow, having moved to Sweden in the late 1990s.

According to Swedish press reports, the couple ran companies specializing in the import and export of electronic components and industrial technology.

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The man was again detained at the end of November for “illegal intelligence activities.” His partner, suspected of being an accomplice, has been released but remains under investigation.

According to Swedish authorities, the arrests are not related to the trial of the Kia brothers.

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Ukraine admitted that Russia may announce a general mobilization

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“They can strengthen their positions. We understand that this can happen. At the same time, we do not rule out that they will announce a general mobilization,” Danilov said in an interview with the Ukrainska Pravda online publication.

Danilov believed that this mobilization would also be convened “to exterminate as many as possible” of Russian citizens, so that “they would no longer have any problems on their territory.”

In this sense, Danilov also reminded that Russia has not given up on securing control over Kyiv or the idea of ​​the complete “destruction” of Ukraine. “We have to be ready for anything,” he said.

“I want everyone to understand that [os russos] they have not given up on the idea of ​​destroying our nation. If they don’t have Kyiv in their hands, they won’t have anything in their hands, we must understand this,” continued Danilov, who also did not rule out that a new Russian offensive would come from “Belarus and other territories.” .

As such, Danilov praised the decision of many of its residents who chose to stay in the Ukrainian capital when the war broke out in order to defend the city.

“They expected that there would be panic, that people would run, that there would be nothing to protect Kyiv,” he added, referring to President Volodymyr Zelensky.

The military offensive launched on February 24 by Russia in Ukraine caused at least 6.5 million internally displaced persons and more than 7.8 million refugees to European countries, which is why the UN classifies this migration crisis as the worst in Europe since World War II (1939-1945). gg.). ).

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At the moment, 17.7 million Ukrainians are in need of humanitarian assistance, and 9.3 million are in need of food aid and housing.

The Russian invasion, justified by Russian President Vladimir Putin on the need to “denazify” and demilitarize Ukraine for Russia’s security, was condemned by the international community at large, which responded by sending weapons to Ukraine and imposing political and economic sanctions on Russia.

The UN has presented as confirmed 6,755 civilian deaths and 10,607 wounded since the beginning of the war, stressing that these figures are much lower than the real ones.

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