{"id":5048,"date":"2023-10-18T11:37:07","date_gmt":"2023-10-18T11:37:07","guid":{"rendered":"https:\/\/epccheckup.com\/?page_id=5048"},"modified":"2024-02-15T20:54:43","modified_gmt":"2024-02-15T20:54:43","slug":"pathway-glossar","status":"publish","type":"page","link":"https:\/\/epccheckup.com\/en\/pathway-glossar\/","title":{"rendered":"Pathway \/ Glossary"},"content":{"rendered":"
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PATHWAY & GLOSSARY<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t
Download glossary as PDF<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Laboratory values<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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CBC<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tLeukocytes<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

White blood cells; increased numbers usually indicate bacterial infection; occasionally also indicate blood cancer.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Red blood cells; if too low, indicates bleeding or hematopoiesis problems.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Blood pigment, if decreased indicates anemia (anemia) due to bleeding or hematopoiesis problems.

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Ratio of solid to liquid components in the blood.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Cell volume of red blood cells; possible indication of the cause of anemia.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Blood pigment content of the individual red blood cells; also an indication of the cause of anemia.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Blood platelets; are responsible for clot formation due to platelet aggregation in the case of corresponding (injury) irritations (in addition to e.g. external body injuries also internal arterial wall changes).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Subgroup of white blood cells that, when elevated, indicate bacterial infection in particular.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Subgroup of white blood cells that, when elevated, indicate bacterial infection in particular.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Subgroup of white blood cells.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Subgroup of white blood cells, which in case of increase indicate allergy or also infection with protozoa, worms.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Subgroup of white blood cells that, when elevated, indicate mostly viral infections.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Subgroup of white blood cells which, when elevated, usually indicate certain viral infections (e.g. Epstein Barr virus; so-called Pfeiffer's glandular fever).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Blood glucose values<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Blood glucose, usually determined on fasting; elevation indicates diabetic metabolic state.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Glycosylated hemoglobin (blood pigment); \"long-term marker\" of blood glucose regulation over the past 3 months; important in diabetes diagnosis and monitoring.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Ratio of glucose (blood sugar) and insulin; elevated values indicate so-called insulin resistance (especially in so-called metabolic syndrome in obesity; without preventive measures, early stage of developing diabetes mellitus).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Cholesterol status<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Blood fatty substance needed for many hormone and cell walls.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\"Bad\" cholesterol that causes atherosclerosis (vessel wall thickening and injury as a cause of heart attack and stroke) in arterial vessel walls.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\"Good\" cholesterol, which prevents atherosclerosis in arterial vessel walls by moving LDL cholesterol out of the wall to the liver, where it can be excreted; may be increased by fitness training in a prognostically relevant manner.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Neutral fats, increased depending on diet and exercise, also risk to atherosclerosis development.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Liver \/ bile \/ pancreas values<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Transaminase; elevated in liver afflictions (especially alcohol, hepatitis, storage diseases, certain drug side effects, etc.).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Transaminase; elevated in liver afflictions (hepatitis, storage diseases, alcohol, certain drug side effects, etc.); also elevated in myocardial infarction.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Transaminase; elevated in liver afflictions (hepatitis, storage diseases, alcohol, certain drug side effects, etc.).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Treatment occasions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tUnclear heartbreak<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Various causes can facilitate the development of heartbreak. We will help you identify the cause.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Heart failure, i.e. usually shortness of breath with limited pumping power or filling problem of the left ventricle.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\u00a0Coronary artery perfusion disorders<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Chronic coronary syndrome (CCS) resp. coronary heart disease (CHD). CHD; i.e. often chest pain (angina pectoris) due to blockages of the coronary vessels with insufficient blood supply to the heart muscle.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tHeart valve defect<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Congenital or acquired vitiation.<\/p>

Vitia; i.e., either narrowing or leakage of heart valves that can lead to symptoms such as shortness of breath.\"<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tCardiac arrhythmias<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Arrhyhtmias; i.e., irregularities in the formation or conduction of excitation; either at the atrial or cardiac ridge level, possibly leading to symptoms such as dizziness and even unconsciousness.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tHypertension<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

\"Arterial hypertension; i.e., elevated blood pressure levels with various causes that are an important risk factor for atherosclerosis, arterial wall thickening and calcification, including myocardial infarction.\"<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tCardiomyopathy<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Myocarditis; i.e., internal cardiac muscle disease that can lead to pumping disorders of the left ventricle.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tBlood sugar disease<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Diabetes mellitus \/ insulin resistance, which pose a significant cardiovascular risk and therefore need to be adjusted.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tOverweight <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Obesity \/ with metabolic syndrome; i.e. currently the highest cardiovascular risk; so that here the measurement and intensive medical consultation is of great preventive importance.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tPsychomental stress <\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

In addition to organic causes, we deal with their psychosocial context and help you actively reduce stress in everyday life.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Research methods<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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As part of our check-ups, we perform various examinations depending on the package. In the Executive Check-Up, we offer additional, add-on services according to a points system. You can find these here:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tExecutive additional services<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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In addition, you have the option of receiving certain services in our affiliated private practice. Below you will find an explanation of the relevant parameters of the respective examinations.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tDifferentiated cardiovascular risk stratification.<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Collection of all causal risk factors and overall risk calculation with scoring systems<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tBioimpedance analysis (BIA)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

A low-threshold current passed unnoticed through the prone body measures its composition of fat, muscle and water content. Important information for the consultation is generated.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tDifferentiated laboratory analysis<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

In knowledge of the differentiated disease theory, laboratory values far beyond the usual are analyzed, partly in the practice with point-of-care (POC) devices, partly in different laboratories in D\u00fcsseldorf, Munich, Berlin. Important are specific inflammation parameters from the plaque, immune status, periodontitis biomarkers (as risk of myocardial infarction), hormone analyses, special tumor markers.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tElectrocardiogram (ECG) incl. Holter (long-term) ECG \/(1 - 3 days)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Current waveform registration for detection of myocardial problems and\/or arrhythmias<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tBlood pressure measurement incl. ambulatory blood pressure monitoring (ABDM) (long-term blood pressure measurement)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Safe diagnosis of hypertension with Riva-Rocci measurement on the upper arm based on European guidelines<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tDuplex sonography (vascular status)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Ultrasound method with detection of blood flow velocity with circulatory disturbance, if any.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tTransthoracic tissue Doppler echocardiography including stain rate analysis by speckle tracking (TTE).<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Ultrasound of the heart to detect or exclude structural heart disease using the latest high-end equipment (Epiq Elite\u00ae, Philips)<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tTransesophageal echocardiography (TEE; \"swallowing sound\")<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Ultrasound examination via a probe through the esophagus and stomach for special questions using the latest high-end equipment (Epiq Elite\u00ae, Philips)
<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tDynamic and pharmacological stress echocardiography.<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Highly sensitive and specific stress test to detect or exclude circulatory disorders of the heart (Epiq Elite\u00ae, Philips)<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tPulmonary function diagnostics<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Measurement of forced expiratory volume as well as vital capacity for the detection of bronchial and lung framework changes (spirometer, custo)
<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tMagnetic resonance imaging (MRI), computed tomography (MSCT) and scintigraphy<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Magnetic resonance imaging (MRI) (Magnetom Avanto\u00ae, Siemens), computed tomography (MSCT) (SOMATOM Definition AS\u00ae, Siemens); scintigraphy (D-SPECT Gamma Camera\u00ae, Spectrum Dynamics) (latest generations of equipment) as methodically different procedures for the generation of detailed sectional images of tissue in internal close \/ interdisciplinary cooperation with radios<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tErgospirometry<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Exercise testing with recording of inhaled and exhaled gases; measurement of the golden standards of cardiopulmonary function (fitness) based on maximal oxygen uptake and anaerobic threshold (cortex and custo).<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tTelemedicine funduscopy<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

The telemedical ophthalmology partner of the University Hospital Erlangen uses a standardized fundus camera to analyze the fundus of the eye (TalkingEye), which can be important in cases of hypertension and chronic coronary syndrome.<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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Registration of consecutive, variable heart action durations to determine the (dys)balance of sympathetic and parasympathetic nervous systems (autonomic nervous system), thus objective recording of stress vs. relaxation<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tPulse Wave Analysis (PWS)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Registration of the pulse wave course with measurement of pulse wave velocity and augmentation index as well as central blood pressure; thus recording of elasticity or stiffness of the arteries (Arteriograph\u00ae, Tensomed; Vicorder\u00ae, 80 Beats Medical); furthermore also measurement of flow mediated slowing (FMS) similar to flow mediated dilatation (FMD) for recording of endothelial dysfunction (earliest arterial change) Vicorder\u00ae, 80 Beats Medical)<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tAGE measurement<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Measurement of advanced glycation endproducts (AGE Reader\u00ae; 80 Beats Medical), i.e. saccharified proteins in tissue, which thus cause arterial vessel wall changes (atherosclerosis) as well as tissue aging (similar to the background of HbA1c measurements in blood)<\/em><\/p>

\u00a0<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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The functional and imaging methods are integrated into a practice information system (PIS; Medistar CGM\u00ae, CompuGroup Medical) at the most modern IT level, in which all medical data are also digitized (<\/span>paperless<\/em>). Radiological image documentation (radios) is linked to the practice via a PACS (<\/span>picture archiving and communication system<\/em>) networked; communication via QR codes also independent of location and time with patients and other physicians providing care.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Treatment procedure<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tHolistic \/ interdisciplinary (holistic) approach<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Differentiated pharmacotherapy based on state-of-the-art drugs (current phase III trials \/ European guidelines), pharmacogenetics if necessary<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tLifestyle advice<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Coaching of all 3 lifestyle pillars, i.e. exercise, nutrition, relaxation.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tCooperative interventional and surgical treatment<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Organization of interventional measures such as cardiac catheterization or surgical measures such as bypass or heart valve operations in the personal cardiological network with cardiac clinics after extensive and goal-oriented, non-invasive diagnostics; closest personal cooperation here

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tSecond opinion (second opinon)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

We will be happy to advise you on a specific medical or personal concern and provide you with an assessment<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

PATHWAY & GLOSSARY Download glossary as PDF Laboratory values Complete blood count Leukocytes White blood cells; an increased number usually indicates a bacterial infection; occasionally also an indication of blood cancer. Erythrocytes Red blood cells; if the number is too low, an indication of bleeding or blood formation problems. Hemoglobin Blood pigment; if reduced, indicates anemia (anemia) due to bleeding or blood formation problems. Hematocrit Ratio of solid to liquid components in the blood. MCV (mean corpuscular volume) Cell volume of the red blood cells; possible indication of the cause of anemia. MCH (mean corpuscular haemoglobin) Blood pigment content of the individual red blood cells; also an indication of the cause of anaemia. Thrombocytes Platelets; are responsible for clot formation due to platelet clumping in the event of corresponding (injury) irritation (in addition to external body injuries, for example, also internal arterial wall changes). Neutrophil granulocytes, rod-nucleated subgroup of white blood cells which, when elevated, indicate bacterial infection in particular. Neutrophil granulocytes, segment-nucleated Subgroup of white blood cells which, when elevated, indicate bacterial infection in particular. Basophilic granulocytes Subgroup of white blood cells. Eosinophilic granulocytes Subgroup of white blood cells which, when elevated, indicate allergy or infection with protozoa, worms Lymphocytes Subgroup of white blood cells which, when elevated, indicate mostly viral infections. Monocytes Subgroup of white blood cells which, when elevated, usually indicate certain viral infections (e.g. Epstein Barr virus; so-called Pfeiffer's glandular fever). Blood sugar levels Gluocse (fasting) Blood sugar, usually determined on an empty stomach; if elevated, an indication of a diabetic metabolic condition. HbA1c Glycosylated haemoglobin (blood pigment); \"long-term marker\" of blood sugar regulation over the past 3 months; important in diabetes diagnostics and monitoring. HOMA index Ratio of glucose (blood sugar) and insulin; at elevated values, an indication of so-called insulin resistance (especially in so-called metabolic syndrome in obesity; without preventive measures, early stage of developing diabetes mellitus). Cholesterol status Total cholesterol Blood lipid that is required for many hormone and cell walls. LDL cholesterol \"Bad\" cholesterol that causes atherosclerosis in the arterial vessel walls (thickening and damage to vessel walls as a cause of heart attacks and strokes). HDL cholesterol \"Good\" cholesterol, which prevents atherosclerosis in the arterial vessel walls by transporting LDL cholesterol out of the wall to the liver, where it can be excreted; can be increased in a prognostically relevant way through fitness training. Triglycerides Neutral fats, increased depending on diet and exercise, also risk of developing atherosclerosis. Liver\/gall bladder\/pancreas values Gamma-GT (gamma-glutamyltransferase) transaminase; elevated in liver affections (especially alcohol, liver inflammation, storage diseases, certain drug side effects, etc.). GOT (glutamate oxaloacetate transaminase) Transaminase; elevated in liver affections (liver inflammation, storage diseases, alcohol, certain drug side effects, etc.); also elevated in heart attacks. GPT (glutamate pyruvate transaminase) Transaminase; elevated in liver affections (liver inflammation, storage diseases, alcohol, certain drug side effects, etc.). Causes of treatment Unclear heart pain Various causes can contribute to the development of heart pain. We will help you to identify the cause. Heart failure Heart failure, i.e. usually shortness of breath with limited pumping power or filling problems in the left ventricle. Coronary artery circulatory disorders Chronic coronary syndrome (CCS) or coronary heart disease (CHD). CHD; i.e. often chest pain (angina pectoris) due to blockages of the coronary arteries with insufficient blood flow to the heart muscle Heart valve defects Congenital or acquired vitia. Vitia, i.e. either narrowing or leakage of heart valves, which can lead to symptoms such as shortness of breath.\" Cardiac arrhythmias Arrhythmias; i.e. irregularities in the formation or conduction of excitation; either at the atrial or ventricular level, which may lead to symptoms such as dizziness or even unconsciousness High blood pressure \"Arterial hypertension; i.e. elevated blood pressure values with various causes, which represent an important risk factor for atherosclerosis, arterial wall thickening and calcification, including heart attack.\" Heart muscle diseases Myocarditis; i.e. internal heart muscle diseases that can lead to pumping disorders of the left ventricle. Diabetes mellitus \/ insulin resistance, which represent a significant cardiovascular risk and must therefore be controlled. Overweight Obesity \/ with metabolic syndrome; i.e. currently the highest cardiovascular risk; so that measurement and intensive medical advice are of great preventive importance here Psychomental stress load In addition to organic causes, we also deal with your psychosocial context and actively help you to reduce stress in everyday life. Examination methods As part of our check-ups, we carry out various examinations depending on the package. In the Executive Check-Up, we offer additional services that can be booked according to a points system. You can find these here: Executive additional services You also have the opportunity to take advantage of certain services in our affiliated private practice. Below you will find an explanation of the relevant parameters of the respective examinations. Differentiated cardiovascular risk stratification Collection of all causal risk factors and overall risk calculation with scoring systems Bioimpedance analysis (BIA) The composition of fat, muscle and water content is measured using a low-threshold current that is passed unnoticed through the lying body. This provides important information for the consultation. Differentiated laboratory analysis In the knowledge of differentiated pathology, laboratory values that go far beyond the usual are analyzed, partly in the practice with point-of-care (POC) devices, partly in various laboratories in D\u00fcsseldorf, Munich and Berlin. Important are specific inflammation parameters from the plaque, immune status, periodontitis biomarkers (as heart attack risk), hormone analyses, special tumor markers. Electrocardiogram (ECG) incl. Holter (long-term) ECG \/(1 - 3 days) Registration of the current waveform to detect heart muscle problems and\/or cardiac arrhythmia Blood pressure measurement incl. ambulatory blood pressure monitoring (ABDM) (long-term blood pressure measurement) Reliable diagnosis of high blood pressure based on European guidelines with Riva-Rocci measurement on the upper arm Duplex sonography (vascular status) Ultrasound method with recording of blood flow velocity with possible circulatory disorder Transthoracic tissue Doppler echocardiography incl. stain rate analysis using speckle tracking (TTE) Ultrasound of the heart to detect or rule out structural heart disease using the latest high-end device (Epiq Elite\u00ae, Philips) Transesophageal echocardiography (TEE; \"Ultrasound examination via a probe through the esophagus and stomach for special questions with the latest high-end device (Epiq Elite\u00ae, Philips) Dynamic and pharmacological stress echocardiography Highly sensitive and specific stress examination to detect or rule out circulatory disorders of the heart (Epiq Elite\u00ae, Philips) Pulmonary function diagnostics Measurement of forced expiratory volume and vital capacity to detect changes in the bronchial and pulmonary framework (spirometer, custo) Magnetic resonance imaging (MRI), computed tomography (MSCT) and scintigraphy Magnetic resonance imaging (MRI) (Magnetom Avanto\u00ae, Siemens), computed tomography (MSCT) (SOMATOM Definition AS\u00ae, Siemens); Scintigraphy (D-SPECT Gammacamera\u00ae, Spectrum Dynamics) (latest generation of devices) as methodically different procedures for generating detailed cross-sectional images of the tissue in close intra-house \/ interdisciplinary cooperation with radios Ergospirometry Exercise testing with recording of inhaled and exhaled gases; Measurement of the golden standards of cardiopulmonary function (fitness) based on maximum oxygen uptake and anaerobic threshold (cortex and custo) Telemedical funduscopy The telemedical ophthalmology partner of the University Hospital Erlangen uses a standardized fundus camera to analyze the fundus (TalkingEye), which can be important in cases of high blood pressure and chronic coronary syndrome. Short- and long-term heart rate variability (HRV) Registration of consecutive, variable heart action durations to determine the (dys)balance of the sympathetic and parasympathetic nervous systems, thus providing an objective assessment of stress vs. relaxation. Pulse wave analysis (PWS) Registration of the pulse wave profile with measurement of pulse wave velocity and augmentation index as well as central blood pressure; thus recording elasticity or stiffness of the arteries (Arteriograph\u00ae, Tensomed; Vicorder\u00ae, 80 Beats Medical); also measurement of flow mediated slowing (FMS) similar to the<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-5048","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/epccheckup.com\/en\/wp-json\/wp\/v2\/pages\/5048","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/epccheckup.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/epccheckup.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/epccheckup.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/epccheckup.com\/en\/wp-json\/wp\/v2\/comments?post=5048"}],"version-history":[{"count":38,"href":"https:\/\/epccheckup.com\/en\/wp-json\/wp\/v2\/pages\/5048\/revisions"}],"predecessor-version":[{"id":5868,"href":"https:\/\/epccheckup.com\/en\/wp-json\/wp\/v2\/pages\/5048\/revisions\/5868"}],"wp:attachment":[{"href":"https:\/\/epccheckup.com\/en\/wp-json\/wp\/v2\/media?parent=5048"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}