V\u00a0dob\u00e1ch u n\u00e1s panuj\u00edc\u00edho socialismu jsme se v\u00a0\u017eeb\u0159\u00ed\u010dc\u00edch \u00famrtnosti na srde\u010dn\u011b c\u00e9vn\u00ed onemocn\u011bn\u00ed umis\u0165ovali pravideln\u011b hned za seversk\u00fdmi st\u00e1ty, jako je Finsko \u010di Norsko. Tyto n\u00e1rody ov\u0161em maj\u00ed vzhledem k\u00a0tomu, jak a v\u00a0jak\u00fdch klimatick\u00fdch podm\u00ednk\u00e1ch v\u017edy \u017eily, geneticky dan\u00e9 vy\u0161\u0161\u00ed hladiny cholesterolu v\u00a0krvi. Vysok\u00e1 \u00famrtnost u n\u00e1s, stejn\u011b jako v\u00a0dal\u0161\u00edch, dnes u\u017e postkomunistick\u00fdch st\u00e1tech, byla p\u0159ed rokem 1990 d\u00e1na \u017eivotn\u00edm stylem, kter\u00fd se u v\u011bt\u0161iny lid\u00ed ur\u010dit\u011b nedal naz\u00fdvat zdrav\u00fdm.<\/p>\n Je zaj\u00edmav\u00e9, jak se poukazuje zejm\u00e9na na to, \u017ee se na na\u0161em zdrav\u00ed odr\u00e1\u017e\u00ed zhor\u0161uj\u00edc\u00ed se \u017eivotn\u00ed prost\u0159ed\u00ed. P\u0159esto\u017ee \u017eijeme v\u00a0mnohem v\u011bt\u0161\u00edm stresu a v\u00edc za sebe mus\u00edme bojovat, na\u0161e zdravotn\u00ed situace se sp\u00ed\u0161e zlep\u0161uje, tedy alespo\u0148 co se kardiovaskul\u00e1rn\u00edch chorob t\u00fd\u010de. \u00a0Zd\u00e1 se tedy, \u017ee vliv stresu nelze p\u0159ece\u0148ovat a nebude a\u017e tak velk\u00fd. Trend zlep\u0161ov\u00e1n\u00ed zdrav\u00ed je o to zaj\u00edmav\u011bj\u0161\u00ed, \u017ee a\u010dkoliv se u n\u00e1s za posledn\u00edch dvacet let neuplatnila \u017e\u00e1dn\u00e1 masivn\u00ed kampa\u0148 podporuj\u00edc\u00ed prevenci kardiovaskul\u00e1rn\u00edch nemoc\u00ed, dramaticky se sn\u00ed\u017eil v\u00fdskyt ischemick\u00e9 choroby srde\u010dn\u00ed a s n\u00ed souvisej\u00edc\u00ed \u00famrtnost na kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed. \u010c\u00edm to je? Nejsp\u00ed\u0161e lid\u00e9 nenakupuj\u00ed zbyte\u010dn\u00e9 potraviny, kupuj\u00ed naopak j\u00eddlo kvalitn\u011bj\u0161\u00ed a tak\u00e9 se u\u017e tolik nep\u0159ej\u00eddaj\u00ed.<\/p>\n Srdci asi nejv\u00edc \u0161kod\u00ed kou\u0159en\u00ed\u2026<\/b><\/p>\n Kou\u0159en\u00ed jednozna\u010dn\u011b zvy\u0161uje nejen \u00famrtnost, ale i nemocnost lid\u00ed, a to znamen\u00e1, \u017ee se nesm\u00edrn\u011b zvy\u0161uj\u00ed finan\u010dn\u00ed n\u00e1roky na jejich l\u00e9\u010dbu. Ve Spojen\u00fdch st\u00e1tech p\u0159ed \u010dasem ud\u011blali velkou studii, zkoumali epidemiologick\u00e1 data mezi zdravotnick\u00fdmi pracovn\u00edky, a zjistili u nich masivn\u00ed omezen\u00ed d\u0159\u00edv\u011bj\u0161\u00edho kou\u0159en\u00ed. Nem\u011bla na to ale vliv \u017e\u00e1dn\u00e1 velk\u00e1 zdravotn\u00ed osv\u011bta, n\u00fdbr\u017e to, \u017ee Ameri\u010dan\u00e9 na vlastn\u00ed k\u016f\u017ei poc\u00edtili, \u017ee b\u00fdt ku\u0159\u00e1kem se\u00a0nevypl\u00e1c\u00ed. Pravidla jsou tam nastavena tak, \u017ee ku\u0159\u00e1ci maj\u00ed dra\u017e\u0161\u00ed \u017eivotn\u00ed i zdravotn\u00ed poji\u0161t\u011bn\u00ed. U n\u00e1s bohu\u017eel tahle zp\u011btn\u00e1 vazba v\u016fbec nefunguje. Je pom\u011brn\u011b b\u011b\u017en\u00e9, \u017ee se u n\u00e1s na odd\u011blen\u00ed star\u00e1me o pacienta, kter\u00fd permanentn\u011b kou\u0159\u00ed. My mu po infarktu ud\u011bl\u00e1me plastiku c\u00e9v, a on kou\u0159\u00ed d\u00e1l, a zanedlouho p\u0159ijede s\u00a0dal\u0161\u00edm infarktem. To se opakuje a zdravotn\u00ed poji\u0161\u0165ovna, do kter\u00e9 mi v\u0161ichni finan\u010dn\u011b p\u0159isp\u00edv\u00e1me, l\u00e9\u010dbu takov\u00e9ho nezodpov\u011bdn\u00e9ho nemocn\u00e9ho komplet financuje.<\/p>\n Bylo by tedy t\u0159eba si na ku\u0159\u00e1ky po\u0159\u00e1dn\u011b do\u0161l\u00e1pnout?<\/b><\/p>\n Jsem z\u00e1sadn\u011b proti militantn\u00edmu pou\u017e\u00edv\u00e1n\u00ed jak\u00e9koliv represe, to u\u017e tady bylo. Nejlep\u0161\u00ed prevenc\u00ed by byl finan\u010dn\u00ed tlak na ku\u0159\u00e1ky. A ten mus\u00ed zajistit st\u00e1t zm\u011bnou pr\u00e1vn\u00edch norem, k\u00a0\u010demu\u017e se zat\u00edm nem\u00e1. P\u0159\u00edstup ke ku\u0159\u00e1k\u016fm by m\u011bl vypadat takto: \u201eHul si klidn\u011b d\u00e1l, ale pla\u0165 si vy\u0161\u0161\u00ed pojistky, t\u0159eba dvakr\u00e1t, t\u0159ikr\u00e1t tolik jako neku\u0159\u00e1k, proto\u017ee zdravotn\u00ed p\u00e9\u010de o tebe je mnohem dra\u017e\u0161\u00ed.\u201c U n\u00e1s nap\u0159\u00edklad plat\u00ed vyhl\u00e1\u0161ka, kter\u00e1 n\u00e1m na\u0159izuje, \u017ee pacienta, jemu\u017e naimplantujeme defibril\u00e1tor, bychom m\u011bli ohl\u00e1sit na obvodn\u00ed \u00fa\u0159ad, aby tady mohli rozhodnout, zda si sm\u00ed ponechat \u0159idi\u010dsk\u00fd pr\u016fkaz. P\u0159itom \u010dlov\u011bk, kter\u00fd m\u00e1 implantabiln\u00ed defibril\u00e1tor, je mnohem v\u00edc chr\u00e1n\u011bn\u00fd ne\u017e ten, jeho\u017e srde\u010dn\u00ed choroba je\u0161t\u011b nebyla rozpozn\u00e1na.\u00a0 Na druhou stranu tu klidn\u011b nech\u00e1v\u00e1me kou\u0159it pacienta, kter\u00fd m\u00e1 \u010dty\u0159i c\u00e9vn\u00ed v\u00fdztu\u017ee a sp\u011bje k\u00a0dal\u0161\u00ed operaci. Ten ni\u010d\u00edm omezov\u00e1n nen\u00ed!<\/p>\n A co obezita? <\/b><\/p>\n Obecn\u011b je t\u0159eba na ob\u00e9zn\u00edho \u010dlov\u011bka pohl\u00ed\u017eet, jako na toho, kdo s\u00e1m sob\u011b v\u011bdom\u011b \u0161kod\u00ed, to je stejn\u00e9 jako s\u00a0kou\u0159en\u00edm. U vysok\u00fdch hladin cholesterolu u\u017e je to jin\u00e9, ty jsou geneticky determinovan\u00e9, proto\u017ee to jaksi vypl\u00fdv\u00e1 z\u00a0\u017eivotn\u00edch pot\u0159eb na\u0161ich p\u0159edk\u016f. Ti p\u0159ed n\u011bkolika tis\u00edci lety nem\u011bli pravideln\u00fd p\u0159\u00edsun j\u00eddla, museli si vytv\u00e1\u0159et z\u00e1soby tuk\u016f, a jeliko\u017e t\u011blo cholesterol pot\u0159ebuje, syntetizuje si ho i samo. Te\u010f jde o to, jakou my s\u00a0na\u0161\u00edm \u017eivotn\u00edm stylem pot\u0159ebujeme z\u00e1sob\u00e1rnu cholesterolu, kdy\u017e m\u00e1me k\u00a0dispozici potravu kdykoliv? A kdy\u017e se j\u00eddlo stalo i jakousi soci\u00e1ln\u00ed aktivitou, kter\u00e1 s\u00a0nutri\u010dn\u00edmi pot\u0159ebami organizmu m\u00e1 pram\u00e1lo spole\u010dn\u00e9ho? Fungov\u00e1n\u00ed na\u0161eho organismu je prost\u011b st\u00e1le nastaveno na zcela jin\u00e9 \u017eivotn\u00ed podm\u00ednky.<\/p>\n Tak\u017ee dne\u0161n\u00ed trend velk\u00e9 obliby p\u0159edepisov\u00e1n\u00ed l\u00e9k\u016f na sni\u017eov\u00e1n\u00ed cholesterolu \u2013 statin\u016f je v po\u0159\u00e1dku?<\/b><\/p>\n Objevuj\u00ed se hlasy, \u017ee u\u017e\u00edv\u00e1n\u00ed statin\u016f je pouh\u00e1 komer\u010dn\u00ed manipulace, \u017ee jde jen o vyd\u011bl\u00e1v\u00e1n\u00ed pen\u011bz farmaceutick\u00fdmi firmami, \u017ee tedy s\u00a0cholesterolem zbyte\u010dn\u011b \u0161\u00edl\u00edme. Ur\u010dit \u00fapln\u011b p\u0159esn\u011b, kdy je je\u0161t\u011b dobr\u00e9 tyto l\u00e9ky pacientovi d\u00e1vat, a kdy u\u017e je u\u017e\u00edv\u00e1 jen kv\u016fli tlaku farmakoloby, nen\u00ed v\u017edy \u00fapln\u011b mo\u017en\u00e9. Takzvan\u00e1 \u201etvrd\u00e1\u201c data \u0159ady studi\u00ed dokl\u00e1daj\u00ed, \u017ee v\u00a0sekund\u00e1rn\u00ed prevenci, kdy\u017e u\u017e m\u00e1 \u010dlov\u011bk prok\u00e1zanou ischemickou chorobu srde\u010dn\u00ed a prod\u011blal infarkt myokardu, pod\u00e1v\u00e1n\u00ed statin\u016f jednozna\u010dn\u011b zastav\u00ed rozvoj a postup choroby. Na druhou stranu mi nen\u00ed jasn\u00e9, zda kv\u016fli prim\u00e1rn\u00ed prevenci, kdy\u017e m\u00e1 pacient vy\u0161\u0161\u00ed hodnoty n\u011bkter\u00fdch krevn\u00edch tuk\u016f, je v\u017edy nutn\u00e9 p\u0159edepsat statiny. Nejsem si jist, kdy jde v\u00a0t\u011bchto p\u0159\u00edpadech o racion\u00e1ln\u00ed postup l\u00e9\u010dby nemocn\u00e9ho.<\/p>\n Jakou cestou by se podle V\u00e1s m\u011bla ub\u00edrat prevence kardiovaskul\u00e1rn\u00edch chorob?<\/b><\/p>\n Mysl\u00edm si, \u017ee zp\u016fsob stravov\u00e1n\u00ed a pohyb jsou v\u00a0prim\u00e1rn\u00ed prevenci nejd\u016fle\u017eit\u011bj\u0161\u00ed. Nicm\u00e9n\u011b racion\u00e1ln\u00ed pou\u017eit\u00ed l\u00e9k\u016f, u kter\u00fdch je nepopirateln\u00fd benefit pro pacienta, p\u0159ece tak\u00e9 nen\u00ed zanedbateln\u00fdm pokrokem! Jinak, jak u\u017e jsem \u0159ekl, st\u00e1t by m\u011bl zv\u00fdhodnit chov\u00e1n\u00ed lid\u00ed, kte\u0159\u00ed si nebudou v\u011bdom\u011b ni\u010dit zdrav\u00ed.<\/p>\n Va\u0161e odd\u011blen\u00ed pat\u0159\u00ed k\u00a0\u0161pi\u010dkov\u00fdm sv\u011btov\u00fdm pracovi\u0161t\u00edm, neust\u00e1le zav\u00e1d\u00edte nov\u00e9 l\u00e9\u010debn\u00e9 postupy, zachra\u0148ujete srdce, kter\u00e1 by d\u0159\u00edve nem\u011bla \u0161anci. Je ale je\u0161t\u011b n\u011bco nav\u00edc, co podle V\u00e1s m\u016f\u017ee \u010desk\u00e1 kardiologie nab\u00eddnout na rozd\u00edl od t\u011bch v\u00a0jin\u00fdch vysp\u011bl\u00fdch evropsk\u00fdch st\u00e1tech?<\/b><\/p>\n Velk\u00fdm bonusem \u010desk\u00e9 kardiologie je to, jak \u00fa\u017easn\u00e1 jsme skupina nad\u0161enc\u016f. A to plat\u00ed glob\u00e1ln\u011b nejenom pro kardiology ve specializovan\u00fdch kardiocentrech, ale tak\u00e9 pro kardiology v\u00a0soukrom\u00fdch prax\u00edch v\u00a0ter\u00e9nu, kte\u0159\u00ed jsou ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f vysoce erudovan\u00ed a aplikuj\u00ed princip \u201el\u00e9\u010dby zalo\u017een\u00e9 na d\u016fkazech\u201c. Br\u00e1t svoji profesi nikoliv jako byznys se malinko obrac\u00ed v\u00a0n\u00e1\u0161 neprosp\u011bch, proto\u017ee v\u00a0ur\u010dit\u00fdch p\u0159\u00edpadech se st\u00e1v\u00e1, \u017ee jsme p\u0159ipraveni, i bez n\u00e1roku na platbu za ni, \u00a0poskytnout \u0161pi\u010dkovou zdravotn\u00ed p\u00e9\u010di, kterou by na\u0161i kolegov\u00e9 v\u00a0jin\u00fdch evropsk\u00fdch zem\u00edch nebo v\u00a0USA absolutn\u011b striktn\u011b neposkytli.<\/p>\n tiskov\u00e1 zpr\u00e1va Nemocnice Na Homolce<\/b><\/p>\n i\u00edlustra\u010dn\u00ed foto: svilen001 sxc.hu<\/p>\n","protected":false},"excerpt":{"rendered":" P\u0159i p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne srdce, kter\u00fd letos p\u0159ipad\u00e1 na pond\u011bl\u00ed 29. z\u00e1\u0159\u00ed, se nad t\u00edm, jak sv\u00e1 srdce v\u00a0\u010cesku chr\u00e1n\u00edme, zam\u00fd\u0161lel prim\u00e1\u0159 Kardiologick\u00e9ho odd\u011blen\u00ed Nemocnice […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14228,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,11],"tags":[],"class_list":["post-17649","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rozhovory","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17649","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17649"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17649\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14228"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17649"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17649"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17649"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![\"prof.](\"https:\/\/www.invarena.cz\/wp-content\/uploads\/prof.-PETR-NEUZIL-220.jpg\")
<\/a>Jak je mo\u017en\u00e9, \u017ee se dnes \u010ce\u0161i do\u017e\u00edvaj\u00ed vy\u0161\u0161\u00edho v\u011bku a um\u00edraj\u00ed na srde\u010dn\u011b c\u00e9vn\u00ed choroby m\u00e9n\u011b ne\u017e p\u0159ed rokem 1990?<\/b><\/p>\n