{"id":29990,"date":"2018-01-12T13:38:22","date_gmt":"2018-01-12T12:38:22","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29990"},"modified":"2018-01-12T13:38:22","modified_gmt":"2018-01-12T12:38:22","slug":"vyzkum-srdecnich-chorob-se-letos-tyka-i-kromerizska-pomuzete-lekarum-i-vy","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29990","title":{"rendered":"V\u00fdzkum srde\u010dn\u00edch chorob se letos t\u00fdk\u00e1 i Krom\u011b\u0159\u00ed\u017eska. Pom\u016f\u017eete l\u00e9ka\u0159\u016fm i vy?"},"content":{"rendered":"

\u00damrtnost na srde\u010dn\u00ed a c\u00e9vn\u00ed onemocn\u011bn\u00ed v \u010cesku v posledn\u00edch letech kles\u00e1: to je ta dobr\u00e1 zpr\u00e1va. Hor\u0161\u00ed je ale fakt, \u017ee na n\u011b podle odborn\u00edk\u016f st\u00e1le um\u00edr\u00e1me nej\u010dast\u011bji.<\/strong> <\/p>\n

Krom\u011b\u0159\u00ed\u017esko \u2013 Sni\u017eov\u00e1n\u00edm rizika lze p\u0159itom t\u011bmto nemocem p\u0159edch\u00e1zet nebo je zastavit. A pr\u00e1v\u011b to je c\u00edlem studie nazvan\u00e9 Monica, kter\u00e1 byla zah\u00e1jena u\u017e v roce 1985 \u2013 a v posledn\u00edch letech se t\u00fdk\u00e1 tak\u00e9 krom\u011b\u0159\u00ed\u017esk\u00e9ho regionu.<\/p>\n

P\u016eVODN\u011a \u0160EST OKRES\u016e, PAK P\u0158IBYLY DAL\u0160\u00cd<\/p>\n

„Studie vznikla s c\u00edlem dokumentovat v\u00fdvoj nemocnosti kardiovaskul\u00e1rn\u00edmi chorobami a jej\u00ed vztah k rizikov\u00fdm faktor\u016fm, jako jsou kou\u0159en\u00ed, vysok\u00fd tlak, porucha metabolismu tuk\u016f a cukrovka. Sna\u017e\u00ed se zjistit, jak je v\u00fdskyt a pr\u016fb\u011bh onemocn\u011bn\u00ed ovliv\u0148ov\u00e1n jejich prevenc\u00ed a l\u00e9\u010dbou,“ vysv\u011btluje Jan Bruthans z Centra kardiovaskul\u00e1rn\u00ed prevence 1. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy v Praze.<\/p>\n

V pr\u016fzkumu jsou vy\u0161et\u0159ov\u00e1ny reprezentativn\u00ed vzorky populace a studie je v n\u011bkolikalet\u00fdch intervalech opakov\u00e1na. V \u010cesku se p\u016fvodn\u011b uskute\u010dnila v \u0161esti stejn\u00fdch okresech a pokra\u010duje roz\u0161\u00ed\u0159en\u00edm regionu na dev\u011bt, p\u0159i\u010dem\u017e nov\u011b u\u017e nechyb\u00ed pr\u00e1v\u011b Krom\u011b\u0159\u00ed\u017esko.<\/p>\n

„Vzorek obyvatel byl vy\u0161et\u0159en v letech 1997\/1998, 2000\/2001 a 2006\/2008 a poda\u0159ilo se tak z\u00edskat velmi cenn\u00e9 \u00fadaje pro obdob\u00ed, kdy se u n\u00e1s zm\u00edrnila n\u011bkter\u00e1 srde\u010dn\u011b-c\u00e9vn\u00ed rizika, nap\u0159\u00edklad d\u00edky pozitivn\u00edm zm\u011bn\u00e1m ve v\u00fd\u017eiv\u011b nebo omezen\u00ed kou\u0159en\u00ed,“ podotkl Jan Bruthans.<\/p>\n

Pokra\u010dov\u00e1n\u00ed studie u\u017e m\u00e1 za sebou vy\u0161et\u0159en\u00ed v osmi okresech a letos zb\u00fdv\u00e1 pr\u00e1v\u011b krom\u011b\u0159\u00ed\u017esk\u00fd. „Tady jsou vy\u0161et\u0159en\u00ed napl\u00e1nov\u00e1na od 5. do 28. b\u0159ezna, tedy p\u0159ed Velikonocemi. Vybran\u00ed pacienti budou ambulantn\u011b vy\u0161et\u0159ov\u00e1ni v budov\u011b b\u00fdval\u00e9 polikliniky na n\u00e1m\u011bst\u00ed M\u00edru v Krom\u011b\u0159\u00ed\u017ei t\u00fdmem odborn\u00edk\u016f z Centra kardiovaskul\u00e1rn\u00ed prevence 1. l\u00e9ka\u0159sk\u00e9 fakulty Univerzity Karlovy a Thomayerovy nemocnice v Praze,“ dodal l\u00e9ka\u0159 s t\u00edm, \u017ee z\u00edskan\u00e1 data z\u016fstanou p\u0159i zpracov\u00e1n\u00ed ve studii d\u016fsledn\u011b anonymn\u00ed.<\/p>\n

Vybran\u00ed pacienti, zhruba jedno procento populace ve v\u011bku 25\u201364 let, celkem \u0161est set lid\u00ed, tak v p\u0159\u00ed\u0161t\u00edch dnech obdr\u017e\u00ed dopis od sv\u00e9 zdravotn\u00ed poji\u0161\u0165ovny. „V dopise jim bude nab\u00eddnuta \u00fa\u010dast ve studii. Sv\u016fj souhlas vyj\u00e1d\u0159\u00ed odesl\u00e1n\u00edm koresponden\u010dn\u00edho l\u00edstku, kter\u00fd s dopisem obdr\u017e\u00ed,“ vysv\u011btlil Jan Bruthans. P\u0159ihl\u00e1\u0161en\u00ed lid\u00e9 pak budou kontaktov\u00e1ni zdravotnick\u00fdm t\u00fdmem prov\u00e1d\u011bj\u00edc\u00edm studii a dohodnou si datum a \u010das ambulantn\u00edho vy\u0161et\u0159en\u00ed. „Je t\u0159eba zd\u016fraznit, \u017ee vy\u0161et\u0159eni budou pouze n\u00e1mi vybran\u00ed a pozvan\u00ed tak, aby studie poskytla pravdiv\u00fd obraz o srde\u010dn\u011b c\u00e9vn\u00edch onemocn\u011bn\u00edch a o faktorech, kter\u00e9 je vyvol\u00e1vaj\u00ed. Pokud jsou toti\u017e vy\u0161et\u0159eny osoby vybran\u00e9 ne podle stanoven\u00e9ho kl\u00ed\u010de, ale k vy\u0161et\u0159en\u00ed spont\u00e1nn\u011b p\u0159ihl\u00e1\u0161en\u00e9, dojde ke zkreslen\u00ed v\u00fdsledn\u00fdch dat,“ upozornil odborn\u00edk.<\/p>\n

M\u016e\u017dETE DOSTAT V\u00ddZVU<\/p>\n

Dodal, \u017ee studie je p\u0159\u00ednosem hlavn\u011b pro vy\u0161et\u0159en\u00e9ho pacienta. „Na z\u00e1klad\u011b p\u011bta\u010dty\u0159icetiminutov\u00e9ho ambulantn\u00edho vy\u0161et\u0159en\u00ed sest\u00e1vaj\u00edc\u00edho z dotaz\u016f na dosavadn\u00ed zdravotn\u00ed stav a na expozici rizika srde\u010dn\u011b-c\u00e9vn\u00edch onemocn\u011bn\u00ed, ze zm\u011b\u0159en\u00ed n\u011bkter\u00fdch t\u011blesn\u00fdch parametr\u016f jako krevn\u00edho tlaku, v\u00fd\u0161ky, v\u00e1hy, obvodu pasu a vy\u0161et\u0159en\u00ed vzorku krve l\u00e9ka\u0159 posoud\u00ed zdravotn\u00ed stav a riziko vzniku a dal\u0161\u00edho pr\u016fb\u011bhu srde\u010dn\u011b c\u00e9vn\u00edch onemocn\u011bn\u00ed pacienta,“ vyjmenoval. Ka\u017ed\u00e9mu pacientovi bude tak\u00e9 ve spolupr\u00e1ci s jeho praktick\u00fdm a odborn\u00fdm l\u00e9ka\u0159em p\u0159\u00edpadn\u011b navr\u017eena dal\u0161\u00ed l\u00e9\u010dba.<\/p>\n

„Studie poskytne nov\u00e9 informace o v\u00fdskytu a z\u00e1va\u017enosti srde\u010dn\u011b-c\u00e9vn\u00edch onemocn\u011bn\u00ed. Aby ale splnila zad\u00e1n\u00ed, je nal\u00e9hav\u011b nutn\u00e1 \u00fa\u010dast ka\u017ed\u00e9ho pozvan\u00e9ho pacienta. Pom\u016f\u017ee t\u00edm hlavn\u011b sob\u011b, ale i \u010desk\u00e9mu zdravotnictv\u00ed, na kter\u00e9 se ka\u017ed\u00fd z n\u00e1s d\u0159\u00edve \u010di pozd\u011bji obrac\u00ed,“ uzav\u0159el Jan Bruthans.<\/p>\n

—<\/p>\n

Studie Monica<\/p>\n

Byla zah\u00e1jena v roce 1985 jako celosv\u011btov\u00e1 studie s c\u00edlem dokumentovat v\u00fdvoj nemocnosti kardiovaskul\u00e1rn\u00edmi chorobami a jej\u00ed vztah k rizikov\u00fdm faktor\u016fm, kter\u00fdmi jsou zejm\u00e9na kou\u0159en\u00ed, vysok\u00fd tlak, porucha metabolismu tuk\u016f a cukrovka. Prok\u00e1zala v\u00fdrazn\u00e9 rozd\u00edly v posti\u017een\u00ed populace srde\u010dn\u011b-c\u00e9vn\u00edmi onemocn\u011bn\u00edmi v jednotliv\u00fdch zem\u00edch, p\u0159\u00edzniv\u00fd v\u00fdvoj nemocnosti a \u00famrt\u00ed na kardiovaskul\u00e1rn\u00ed choroby zejm\u00e9na v z\u00e1padn\u00ed a severn\u00ed Evrop\u011b a v \u010cR za\u010d\u00e1tek p\u0159\u00edzniv\u00e9ho v\u00fdvoje nap\u0159\u00edklad ve sn\u00ed\u017een\u00ed hladiny cholesterolu nebo \u00fastup kou\u0159en\u00ed u mu\u017e\u016f.<\/p>\n

Krom\u011b\u0159\u00ed\u017esk\u00fd den\u00edk
\nhttp:\/\/kromerizsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\u00damrtnost na srde\u010dn\u00ed a c\u00e9vn\u00ed onemocn\u011bn\u00ed v \u010cesku v posledn\u00edch letech kles\u00e1: to je ta dobr\u00e1 zpr\u00e1va. Hor\u0161\u00ed je ale fakt, \u017ee na n\u011b podle […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-29990","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\/29990","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=29990"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29990\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15130"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29990"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29990"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29990"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}