{"id":23335,"date":"2015-11-03T11:16:00","date_gmt":"2015-11-03T10:16:00","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=23335"},"modified":"2015-11-03T11:16:00","modified_gmt":"2015-11-03T10:16:00","slug":"klienti-vzp-budou-zvani-na-vysetreni-kvuli-nemocem-srdce-a-cev-mozna-to-budete-i-vy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=23335","title":{"rendered":"Klienti VZP budou zv\u00e1ni na vy\u0161et\u0159en\u00ed kv\u016fli nemocem srdce a c\u00e9v. Mo\u017en\u00e1 to budete i Vy"},"content":{"rendered":"<p><strong>Od listopadu budou l\u00e9ka\u0159i postupn\u011b v dev\u00edti okresech \u010cesk\u00e9 republiky vy\u0161et\u0159ovat n\u00e1hodn\u011b vybran\u00e9 lidi. Zkontroluj\u00ed jejich zdravotn\u00ed stav a stanov\u00ed riziko vzniku a dal\u0161\u00edho pr\u016fb\u011bhu srde\u010dn\u011b-c\u00e9vn\u00edch onemocn\u011bn\u00ed.<\/strong><!--more--><\/p>\n<p>ilustra\u010dn\u00ed foto: stockimages-FreeDigitalPhotos<\/p>\n<p>Pos\u00edlit prevenci nemoc\u00ed srdce a c\u00e9v m\u00e1 za c\u00edl projekt Centra kardiovaskul\u00e1rn\u00ed prevence 1. L\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy a Thomayerovy nemocnice v Praze, na kter\u00e9m se pod\u00edl\u00ed i V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna. <\/p>\n<p>Od listopadu budou l\u00e9ka\u0159i postupn\u011b v dev\u00edti okresech \u010cesk\u00e9 republiky vy\u0161et\u0159ovat n\u00e1hodn\u011b vybran\u00e9 lidi. Zkontroluj\u00ed jejich zdravotn\u00ed stav a stanov\u00ed riziko vzniku a dal\u0161\u00edho pr\u016fb\u011bhu srde\u010dn\u011b-c\u00e9vn\u00edch onemocn\u011bn\u00ed. Projekt je sou\u010d\u00e1st\u00ed tzv. studie MONICA. V jej\u00edm r\u00e1mci odborn\u00edci sleduj\u00ed, kolik lid\u00ed postihuj\u00ed nemoci srdce a c\u00e9v, jak\u00e1 je \u00famrtnost a jak v\u00fdskyt t\u011bchto chorob souvis\u00ed s r\u016fzn\u00fdmi rizikov\u00fdmi faktory.<\/p>\n<p>\u201ePrvn\u00edm okresem, kde budou pozvan\u00ed lid\u00e9 vy\u0161et\u0159ov\u00e1ni, bude tradi\u010dn\u011b Litom\u011b\u0159icko. Studie tam prob\u011bhla u\u017e t\u0159ikr\u00e1t, naposledy od \u0159\u00edjna do prosince 2006. Letos budou pacienti ambulantn\u011b vy\u0161et\u0159ov\u00e1ni v litom\u011b\u0159ick\u00e9 nemocnici od za\u010d\u00e1tku listopadu do za\u010d\u00e1tku prosince 2015,\u201c uvedla Renata C\u00edfkov\u00e1, vedouc\u00ed Centra kardiovaskul\u00e1rn\u00ed prevence 1. LF UK a Thomayerovy nemocnice.<\/p>\n<p>N\u00e1hodn\u011b vybran\u00ed obyvatel\u00e9 litom\u011b\u0159ick\u00e9ho okresu byli nejprve osloveni vstupn\u00edm dopisem od zdravotn\u00ed poji\u0161\u0165ovny a po\u017e\u00e1d\u00e1ni o \u00fa\u010dast v projektu. Ti, kte\u0159\u00ed souhlasili, jsou n\u00e1sledn\u011b zv\u00e1ni na p\u016flhodinov\u00e9 ambulantn\u00ed vy\u0161et\u0159en\u00ed. Stejn\u00fd postup se bude opakovat i v dal\u0161\u00edch osmi vybran\u00fdch okresech. Celkem je vzorek tvo\u0159en 1 % populace dev\u00edti okres\u016f \u010cesk\u00e9 republiky ve v\u011bku 25\u201364 let. Z\u00edskan\u00e1 data z\u016fstanou p\u0159i zpracov\u00e1n\u00ed ve studii d\u016fsledn\u011b anonymn\u00ed.<\/p>\n<p>\u201eVy\u0161et\u0159en\u00ed sest\u00e1v\u00e1 jednak z dotaz\u016f na dosavadn\u00ed zdravotn\u00ed stav pacienta a na to, jak\u00fdm rizikov\u00fdm faktor\u016fm je vystaven. L\u00e9ka\u0159 mu d\u00e1le zm\u011b\u0159\u00ed krevn\u00ed tlak, v\u00fd\u0161ku, v\u00e1hu, obvod pasu a odebere krev na laboratorn\u00ed rozbor. Na z\u00e1klad\u011b v\u0161ech t\u011bchto \u00fadaj\u016f pak posoud\u00ed pacient\u016fv sou\u010dasn\u00fd zdravotn\u00ed stav a tak\u00e9 riziko vzniku a dal\u0161\u00edho pr\u016fb\u011bhu srde\u010dn\u011b-c\u00e9vn\u00edch onemocn\u011bn\u00ed,\u201c dodala C\u00edfkov\u00e1.<\/p>\n<p>Pacient tak dostane d\u016fle\u017eit\u00e9 informace o sv\u00e9m zdrav\u00ed a v p\u0159\u00edpad\u011b pot\u0159eby mu bude ve spolupr\u00e1ci s jeho praktick\u00fdm l\u00e9ka\u0159em navr\u017eena dal\u0161\u00ed l\u00e9\u010dba. \u00da\u010dinn\u00e1 prevence a v\u010dasn\u00e9 l\u00e9\u010dba jsou p\u0159itom pr\u00e1v\u011b u kardiovaskul\u00e1rn\u00edch chorob rozhoduj\u00edc\u00ed pro dal\u0161\u00ed osud nemocn\u00e9ho.<\/p>\n<p>Pro cel\u00fd zdravotn\u00ed syst\u00e9m je pak studie p\u0159\u00ednosn\u00e1 t\u00edm, \u017ee poskytne nov\u00e9 informace o aktu\u00e1ln\u00edm v\u00fdskytu a z\u00e1va\u017enosti srde\u010dn\u011b-c\u00e9vn\u00edch onemocn\u011bn\u00ed, o faktorech, kter\u00e9 je podmi\u0148uj\u00ed, i o sou\u010dasn\u00e9m stavu a \u00fa\u010dinnosti jejich l\u00e9\u010dby. Umo\u017en\u00ed tak d\u00e1le zlep\u0161ovat zdravotn\u00ed p\u00e9\u010di, mimo jin\u00e9 i \u00fa\u010deln\u011bj\u0161\u00edm vynakl\u00e1d\u00e1n\u00edm prost\u0159edk\u016f.<\/p>\n<p>Onemocn\u011bn\u00ed srdce a c\u00e9v jsou v \u010cesku ze v\u0161ech chorob st\u00e1le nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou \u00famrt\u00ed \u2013 um\u00edr\u00e1 na n\u011b 43 % mu\u017e\u016f a 47 % \u017een. N\u00e1klady na l\u00e9\u010dbu nemoc\u00ed srdce a c\u00e9v p\u0159edstavuj\u00ed v rozpo\u010dtech zdravotn\u00edch poji\u0161\u0165oven mnohamiliardov\u00e9 \u010d\u00e1stky.<\/p>\n<p>\u201eNap\u0159\u00edklad jen za p\u00e9\u010di o sv\u00e9 klienty s akutn\u00edm infarktem myokardu vyd\u00e1 VZP ro\u010dn\u011b kolem 1,5 miliardy korun. Zdravotn\u00ed slu\u017eby pro pacienty po mozkov\u00e9 mrtvici stoj\u00ed ro\u010dn\u011b skoro 2 miliardy. A takto by \u0161lo pokra\u010dovat,\u201c upozornil Petr Hon\u011bk, n\u00e1m\u011bstek \u0159editele VZP pro zdravotn\u00ed p\u00e9\u010di. Obecn\u011b p\u0159itom plat\u00ed, \u017ee prevence je v\u017edy ekonomicky v\u00fdhodn\u011bj\u0161\u00ed, ne\u017e n\u00e1sledn\u00e1 l\u00e9\u010dba ji\u017e rozvinut\u00e9 nemoci.<\/p>\n<p>Studie MONICA byla poprv\u00e9 zah\u00e1jena v roce 1985 v 21 zem\u00edch 5 kontinent\u016f s c\u00edlem dokumentovat v\u00fdvoj nemocnosti a \u00famrtnosti na kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed a jejich vztah k rizikov\u00fdm faktor\u016fm (kou\u0159en\u00ed, vysok\u00fd krevn\u00ed tlak, porucha metabolismu tuk\u016f a cukrovka). Ve v\u011bt\u0161in\u011b zem\u00ed byla studie v polovin\u011b devades\u00e1t\u00fdch let ukon\u010dena. V \u010cesk\u00e9 republice, kde se rychle m\u011bnila \u017eivotospr\u00e1va a v\u00fdrazn\u011b klesala p\u0159edev\u0161\u00edm kardiovaskul\u00e1rn\u00ed \u00famrtnost, ov\u0161em d\u00e1l pokra\u010duje jako projekt podporovan\u00fd Agenturou pro zdravotnick\u00fd v\u00fdzkum \u010cR.<\/p>\n<p>Kde a kdy budou vybran\u00ed lid\u00e9 vy\u0161et\u0159ov\u00e1ni v r\u00e1mci studie MONICA<\/p>\n<p>Okres<\/p>\n<p>Term\u00edn<\/p>\n<p>Litom\u011b\u0159ice<\/p>\n<p>2. 11. \u2013 3. 12. 2015<\/p>\n<p>Bene\u0161ov<\/p>\n<p>29. 2. \u2013 8. 4. 2016<\/p>\n<p>Cheb<\/p>\n<p>kv\u011bten \u2013 \u010derven 2016<\/p>\n<p>Pardubice<\/p>\n<p>\u0159\u00edjen \u2013 listopad 2016<\/p>\n<p>Praha\u2013v\u00fdchod<\/p>\n<p>b\u0159ezen \u2013 duben 2017<\/p>\n<p>Chrudim<\/p>\n<p>duben \u2013 kv\u011bten 2017<\/p>\n<p>Jind\u0159ich\u016fv Hradec<\/p>\n<p>z\u00e1\u0159\u00ed \u2013 \u0159\u00edjen 2017<\/p>\n<p>Plze\u0148\u2013m\u011bsto<\/p>\n<p>\u0159\u00edjen \u2013 prosinec 2017<\/p>\n<p>Krom\u011b\u0159\u00ed\u017e<\/p>\n<p>\u00fanor \u2013 b\u0159ezen 2018<\/p>\n<p>Mgr. Old\u0159ich Tich\u00fd<\/p>\n<p>vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Od listopadu budou l\u00e9ka\u0159i postupn\u011b v dev\u00edti okresech \u010cesk\u00e9 republiky vy\u0161et\u0159ovat n\u00e1hodn\u011b vybran\u00e9 lidi. Zkontroluj\u00ed jejich zdravotn\u00ed stav a stanov\u00ed riziko vzniku a dal\u0161\u00edho pr\u016fb\u011bhu <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=23335\" title=\"Klienti VZP budou zv\u00e1ni na vy\u0161et\u0159en\u00ed kv\u016fli nemocem srdce a c\u00e9v. Mo\u017en\u00e1 to budete i Vy\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14888,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-23335","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\/23335","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=23335"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/23335\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14888"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23335"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23335"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23335"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}