{"id":23250,"date":"2015-10-27T07:29:25","date_gmt":"2015-10-27T06:29:25","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=23250"},"modified":"2015-10-27T07:30:07","modified_gmt":"2015-10-27T06:30:07","slug":"nepravidelny-srdecni-rytmus-muze-zpusobit-mrtvici-varuji-lekari","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=23250","title":{"rendered":"Nepravideln\u00fd srde\u010dn\u00ed rytmus m\u016f\u017ee zp\u016fsobit mrtvici, varuj\u00ed l\u00e9ka\u0159i"},"content":{"rendered":"<p><strong>Nepravideln\u00fd srde\u010dn\u00ed rytmus m\u016f\u017ee zp\u016fsobit mrtvici, kter\u00e1 je celosv\u011btov\u011b t\u0159et\u00ed nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou smrti. P\u0159i p\u0159\u00edle\u017eitosti \u010dtvrte\u010dn\u00edho Sv\u011btov\u00e9ho dne mrtvice l\u00e9ka\u0159i upozor\u0148uj\u00ed, aby se lid\u00e9, jim\u017e bije srdce nepravideln\u011b, dali vy\u0161et\u0159it. Bez l\u00e9\u010den\u00ed maj\u00ed a\u017e p\u011btin\u00e1sobn\u011b vy\u0161\u0161\u00ed riziko mrtvice.<\/strong> <!--more--><\/p>\n<p>foto: Flickr.com<\/p>\n<p>&#8222;P\u011btinu arytmi\u00ed m\u00e1 na sv\u011bdom\u00ed fibrilace s\u00edn\u00ed, co\u017e je vlastn\u011b m\u00edh\u00e1n\u00ed s\u00edn\u00ed, p\u0159i n\u011bm\u017e v srdci vznik\u00e1 krevn\u00ed sra\u017eenina. Proces je bohu\u017eel zcela bezp\u0159\u00edznakov\u00fd, pacient nic nec\u00edt\u00ed,&#8220; \u0159ekl dnes novin\u00e1\u0159\u016fm p\u0159edseda \u010cesk\u00e9 spole\u010dnosti pro ateroskler\u00f3zu Michal Vrabl\u00edk.<\/p>\n<p>&#8222;\u010clov\u011bk v\u011bt\u0161inou m\u016f\u017ee nepravidelnost poznat i s\u00e1m, proto\u017ee c\u00edt\u00ed ob\u010das nepravideln\u00e9 srde\u010dn\u00ed \u00fadery. Nebo si m\u016f\u017ee zm\u011b\u0159it s\u00e1m pulz na tepn\u011b na ruce, nebo m\u016f\u017ee zaj\u00edt ke sv\u00e9mu praktick\u00e9mu l\u00e9ka\u0159i. Tam se d\u00e1 zajistit vy\u0161et\u0159en\u00ed, jednak EKG, a kdy\u017e je to ob\u010dasn\u00e1 arytmie, d\u00e1 se za\u0159\u00eddit 24hodinov\u00e9 monitorov\u00e1n\u00ed,&#8220; up\u0159esnil m\u00edstop\u0159edseda \u010cesk\u00e9 neurologick\u00e9 spole\u010dnosti a prim\u00e1\u0159 neurologick\u00e9ho odd\u011blen\u00ed Nemocnice Jihlava Ond\u0159ej \u0160koda.<\/p>\n<p>Pokud se krevn\u00ed sra\u017eenina uvoln\u00ed ze srdce do krevn\u00edho \u0159e\u010di\u0161t\u011b, m\u016f\u017ee se dostat a\u017e do mozku a vytvo\u0159it tam p\u0159ek\u00e1\u017eku v z\u00e1soben\u00ed okysli\u010denou krv\u00ed, vznik\u00e1 mrtvice. &#8222;T\u011bmto tragick\u00fdm d\u016fsledk\u016fm je lep\u0161\u00ed p\u0159edch\u00e1zet. Sta\u010dilo by, aby lid\u00e9 chodili pravideln\u011b na preventivn\u00ed prohl\u00eddky. P\u0159i m\u011b\u0159en\u00ed tlaku jsme schopni zjistit nepravidelnost rytmu a potvrdit podez\u0159en\u00ed na fibrilaci,&#8220; dodal p\u0159edseda Rady Mlad\u00fdch praktik\u016f Norbert Kr\u00e1l.<\/p>\n<p>&#8222;Kdy\u017e je to v \u010dasn\u00e9 f\u00e1zi, d\u00e1 se pokusit navr\u00e1tit pravideln\u00fd rytmus tzv. kardioverz\u00ed, ale hlavn\u011b se d\u00e1 pod\u00e1vat l\u00e9k, kter\u00fd zaji\u0161\u0165uje prevenci tromb\u016f a jejich vmeten\u00ed do mozku, tedy p\u0159\u00edznak\u016f mozkov\u00e9 p\u0159\u00edhody,&#8220; doplnil \u0160koda.<\/p>\n<p>Pacienti se zji\u0161t\u011bnou fibrilac\u00ed musej\u00ed u\u017e\u00edvat l\u00e9ky na \u0159ed\u011bn\u00ed krve, kter\u00e9 p\u0159\u00edpadnou sra\u017eeninu rozpust\u00ed. Musej\u00ed je br\u00e1t celo\u017eivotn\u011b, riziko mozkov\u00e9 mrtvice je toti\u017e u nich trval\u00e9.<\/p>\n<p>V EU trp\u00ed fibrilac\u00ed s\u00edn\u00ed \u010dtvrtina lid\u00ed nad 40 let. V \u010cR je potvrzena tato diagn\u00f3za nanejv\u00fd\u0161 u 200.000 pacient\u016f, procentn\u00edmu pod\u00edlu evropsk\u00fdch zem\u00ed by odpov\u00eddalo p\u016fl milionu pacient\u016f. Fibrilaci l\u00e9\u010d\u00ed l\u00e9ka\u0159i r\u016fzn\u00fdch odbornost\u00ed, praktici, kardiologov\u00e9, internist\u00e9 a neurologov\u00e9, spole\u010dn\u00e1 data z\u00e1chytu a l\u00e9\u010dby tedy nejsou. &#8222;Pomohl by n\u00e1rodn\u00ed pl\u00e1n na prevenci mrtvice, kter\u00fd u\u017e maj\u00ed v Brit\u00e1nii a v Irsku,&#8220; doporu\u010dil p\u0159edseda pacientsk\u00e9ho sdru\u017een\u00ed ICTUS Jan Dohn\u00e1lek.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Nepravideln\u00fd srde\u010dn\u00ed rytmus m\u016f\u017ee zp\u016fsobit mrtvici, kter\u00e1 je celosv\u011btov\u011b t\u0159et\u00ed nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou smrti. P\u0159i p\u0159\u00edle\u017eitosti \u010dtvrte\u010dn\u00edho Sv\u011btov\u00e9ho dne mrtvice l\u00e9ka\u0159i upozor\u0148uj\u00ed, aby se lid\u00e9, jim\u017e <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=23250\" title=\"Nepravideln\u00fd srde\u010dn\u00ed rytmus m\u016f\u017ee zp\u016fsobit mrtvici, varuj\u00ed l\u00e9ka\u0159i\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":19818,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-23250","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/23250","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=23250"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/23250\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/19818"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23250"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23250"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23250"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}