{"id":29674,"date":"2017-12-01T00:13:01","date_gmt":"2017-11-30T23:13:01","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29674"},"modified":"2017-12-01T10:26:52","modified_gmt":"2017-12-01T09:26:52","slug":"pet-let-od-prvniho-zavedeni-bezdratoveho-kardiostimulatoru","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29674","title":{"rendered":"P\u011bt let od prvn\u00edho zaveden\u00ed bezdr\u00e1tov\u00e9ho kardiostimul\u00e1toru"},"content":{"rendered":"<p><strong>P\u0159ed p\u011bti lety, 2. prosince 2012, byla v Nemocnici Na Homolce provedena prvn\u00ed implantace bezdr\u00e1tov\u00e9ho kardiostimul\u00e1toru na sv\u011bt\u011b.  P\u0159\u00edstroj velikosti mikrotu\u017ekov\u00e9 baterie se implantoval p\u0159\u00edmo do srdce, p\u0159i\u010dem\u017e technologii bezdr\u00e1tov\u00fdch kardiostimul\u00e1tor\u016f LCP (Leadless Cardiac Pacemaker) vyvinula americk\u00e1 firma Nanostim, Inc.<\/strong><!--more--><\/p>\n<p>Operaci provedl prim\u00e1\u0159 kardiologick\u00e9ho odd\u011blen\u00ed nemocnice profesor Petr Neu\u017eil. Zcela nov\u00fd typ p\u0159\u00edstroje na podporu zpomalen\u00e9ho srde\u010dn\u00edho rytmu obsahoval baterie i stimul\u00e1tor v jednom a implantoval se p\u0159\u00edmo do srdce. B\u011b\u017en\u00fd kardiostimul\u00e1tor se d\u00e1v\u00e1 pod k\u016f\u017ei pod kl\u00ed\u010dn\u00ed kost\u00ed a elektrody se vedou do srdce c\u00e9vami. Prim\u00e1\u0159 ocenil v\u00fdhody pro pacienty. T\u011blem nejsou vedeny \u017e\u00e1dn\u00e9 &#8222;dr\u00e1ty&#8220;, a tak kles\u00e1 riziko infekce i mechanick\u00e9 poruchy elektrod. Dal\u0161\u00edm p\u0159\u00ednosem je mo\u017enost v\u011bt\u0161\u00ed pohybov\u00e9 aktivity, pohodl\u00ed a p\u0159\u00edzniv\u00fd kosmetick\u00fd efekt.<\/p>\n<p>&#8222;B\u011bhem dvou let jsme tento p\u0159\u00edstroj zavedli 105 pacient\u016fm a \u017e\u00e1dn\u00fd z nich nem\u011bl sebemen\u0161\u00ed pot\u00ed\u017ee,&#8220; \u0159ekl LN v roce 2015 profesor Neu\u017eil.<\/p>\n<p>Bezdr\u00e1tov\u00fd kardiostimul\u00e1tor LCP se vkl\u00e1d\u00e1 do srdce z vpichu v t\u0159\u00edsle c\u00e9vn\u00edm syst\u00e9mem pomoc\u00ed tenk\u00e9ho vodi\u010de. Upevn\u00ed se v hrotu prav\u00e9 srde\u010dn\u00ed komory. Z\u00e1krok trv\u00e1 15 minut, pacient je p\u0159i v\u011bdom\u00ed. Znecitliv\u00ed se jen m\u00edsto vpichu. Baterie kardiostimul\u00e1toru LCP, kter\u00e1 je zhruba dvacetkr\u00e1t men\u0161\u00ed ne\u017e u b\u011b\u017en\u00e9ho p\u0159\u00edstroje, vydr\u017e\u00ed stejnou dobu &#8211; minim\u00e1ln\u011b \u0161est let. A\u017e p\u0159\u00edstroj doslou\u017e\u00ed, lze ho pomoc\u00ed tenk\u00e9ho vodi\u010de vyjmout a zav\u00e9st nov\u00fd.<\/p>\n<p>Prvn\u00ed kardiostimul\u00e1tor na sv\u011bt\u011b byl voperov\u00e1n v roce 1958, m\u011bl velikost hokejov\u00e9ho puku. O \u010dty\u0159i roky pozd\u011bji byl prvn\u00ed p\u0159\u00edstroj voperov\u00e1n v tehdej\u0161\u00edm \u010ceskoslovensku.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>P\u0159ed p\u011bti lety, 2. prosince 2012, byla v Nemocnici Na Homolce provedena prvn\u00ed implantace bezdr\u00e1tov\u00e9ho kardiostimul\u00e1toru na sv\u011bt\u011b. P\u0159\u00edstroj velikosti mikrotu\u017ekov\u00e9 baterie se implantoval p\u0159\u00edmo <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=29674\" title=\"P\u011bt let od prvn\u00edho zaveden\u00ed bezdr\u00e1tov\u00e9ho kardiostimul\u00e1toru\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29675,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-29674","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\/29674","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=29674"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29674\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29675"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29674"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29674"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}