{"id":24332,"date":"2016-01-28T14:01:45","date_gmt":"2016-01-28T13:01:45","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=24332"},"modified":"2016-01-28T14:01:45","modified_gmt":"2016-01-28T13:01:45","slug":"lepsi-diagnostika-v-kardiologii","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=24332","title":{"rendered":"Lep\u0161\u00ed diagnostika v kardiologii"},"content":{"rendered":"<p><strong>Pacienti s kardiostimul\u00e1tory a defibril\u00e1tory mohou od konce lo\u0148sk\u00e9ho roku podstupovat celot\u011blov\u00e9 vy\u0161et\u0159en\u00ed magnetickou rezonanc\u00ed. Umo\u017e\u0148uje to nov\u00fd typ kardiostimul\u00e1tor\u016f a defibril\u00e1tor\u016f.<\/strong><!--more--><\/p>\n<p>Zlep\u0161uje se t\u00edm diagnostika i l\u00e9\u010dba. Dosud mohli nemocn\u00ed podstoupit toto vy\u0161et\u0159en\u00ed jen u n\u011bkter\u00fdch \u010d\u00e1st\u00ed t\u011bla, \u0159ekl novin\u00e1\u0159\u016fm p\u0159ednosta prvn\u00ed intern\u00ed kardiologick\u00e9 kliniky Fakultn\u00ed nemocnice Olomouc Milo\u0161 T\u00e1borsk\u00fd.<\/p>\n<p>Magnetick\u00e1 rezonance d\u00e1v\u00e1 vysoce kvalitn\u00ed obraz, pacient nen\u00ed vystaven ioniza\u010dn\u00edmu z\u00e1\u0159en\u00ed. Lid\u00ed s defibril\u00e1torem \u010di kardiostimul\u00e1torem p\u0159ib\u00fdv\u00e1, ro\u010dn\u011b se v \u010cR d\u00e1v\u00e1 12 tis\u00edc kardiostimul\u00e1tor\u016f a 3500 defibril\u00e1tor\u016f. A\u017e 70 procent pacient\u016f pot\u0159ebuje do deseti let vy\u0161et\u0159en\u00ed magnetickou rezonanc\u00ed.<\/p>\n<p>\u00bbJedn\u00e1 se o v\u00fdznamn\u00fd posun v diagnostice a l\u00e9\u010db\u011b pacient\u016f se srde\u010dn\u00edm onemocn\u011bn\u00edm, po infarktu myokardu a poz\u00e1n\u011btliv\u00e9m posti\u017een\u00ed srdce. Magnetick\u00e1 rezonance umo\u017en\u00ed popsat patologick\u00e9 zm\u011bny srdce na jeho struktur\u00e1ln\u00ed \u00farovni a tak\u00e9 poruchy jeho funkce,\u00ab uvedl T\u00e1borsk\u00fd s t\u00edm, \u017ee jin\u00e9 metody nezobraz\u00ed tyto procesy zcela spr\u00e1vn\u011b.<\/p>\n<p>Po\u010dty pacient\u016f s defibril\u00e1torem pro tzv. resynchroniza\u010dn\u00ed l\u00e9\u010dbu, kdy se sla\u010fuj\u00ed stahy obou srde\u010dn\u00edch komor, stoupaj\u00ed meziro\u010dn\u011b o deset procent. P\u0159\u00edstroj dost\u00e1vaj\u00ed lid\u00e9 se z\u00e1va\u017en\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm, \u010dasto po infarktu. \u00bbPoprv\u00e9 m\u00e1me nyn\u00ed mo\u017enost vyu\u017e\u00edt magnetick\u00e9 rezonance k opravdu d\u016fkladn\u00e9mu vy\u0161et\u0159en\u00ed toho, jak srdce na resynchroniza\u010dn\u00ed l\u00e9\u010dbu reaguje, a podle pot\u0159eby postup l\u00e9\u010dby upravit,\u00ab ocenil T\u00e1borsk\u00fd.<\/p>\n<p>Pacienti se srde\u010dn\u00edm selh\u00e1n\u00edm \u010dasto trp\u00ed i dal\u0161\u00edmi souvisej\u00edc\u00edmi nemocemi jako c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda, pro ni\u017e je hlavn\u011b v akutn\u00ed f\u00e1zi magnetick\u00e1 rezonance mozku nejvhodn\u011bj\u0161\u00edm diagnostick\u00fdm n\u00e1strojem.<\/p>\n<p>V sou\u010dasn\u00e9 dob\u011b je trend, aby v\u0161echny implantovan\u00e9 kardiostimul\u00e1tory a defibril\u00e1tory umo\u017e\u0148ovaly vy\u0161et\u0159en\u00ed magnetickou rezonanc\u00ed. Nov\u00fd typ kardiostimul\u00e1toru m\u00e1 u\u017e 3000 pacient\u016f a 1500 m\u00e1 nov\u00fd typ defibril\u00e1toru.<\/p>\n<p>P\u0159i l\u00e9\u010db\u011b musej\u00ed l\u00e9ka\u0159i zohlednit, zda pacient m\u00e1 nov\u00fd \u010di star\u0161\u00ed typ p\u0159\u00edstroje. Nemohou mu p\u0159i v\u00fdm\u011bn\u011b d\u00e1t p\u0159\u00edstroj umo\u017e\u0148uj\u00edc\u00ed vy\u0161et\u0159en\u00ed magnetickou rezonanc\u00ed, museli by m\u011bnit i elektrody v srdci. Ke ka\u017ed\u00e9mu pacientovi si ale mohou dohledat typ jeho p\u0159\u00edstroje a elektrod, podle toho volit typ vy\u0161et\u0159en\u00ed. U pacient\u016f se star\u0161\u00edm typem p\u0159\u00edstroje m\u016f\u017ee vyvolat magnetick\u00e1 rezonance v\u00e1\u017enou poruchu srde\u010dn\u00edho rytmu.<\/p>\n<p>Hal\u00f3 noviny<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Pacienti s kardiostimul\u00e1tory a defibril\u00e1tory mohou od konce lo\u0148sk\u00e9ho roku podstupovat celot\u011blov\u00e9 vy\u0161et\u0159en\u00ed magnetickou rezonanc\u00ed. Umo\u017e\u0148uje to nov\u00fd typ kardiostimul\u00e1tor\u016f a defibril\u00e1tor\u016f.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":15420,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-24332","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/24332","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=24332"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/24332\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15420"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24332"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24332"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24332"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}