Praha, 7.10. 2020 \u2013 V\u011bk v ob\u010dance sice hl\u00e1s\u00ed \u010derstv\u00fdch 40 let, va\u0161im c\u00e9v\u00e1m ale m\u016f\u017ee \u201et\u00e1hnout\u201c na 60. Jak je to mo\u017en\u00e9? Podle l\u00e9ka\u0159\u016f m\u00e1 p\u0159ed\u010dasn\u00e9 st\u00e1rnut\u00ed tepen na sv\u011bdom\u00ed p\u0159edev\u0161\u00edm kou\u0159en\u00ed, diabetes, zv\u00fd\u0161en\u00e1 koncentrace cholesterolu v krvi a vysok\u00fd krevn\u00ed tlak. Ty pot\u00e9 mohou zp\u016fsobit mozkovou mrtvici nebo srde\u010dn\u00ed infarkt. Jak zlep\u0161it adherenci neboli ochotu pacienta spolupracovat s l\u00e9ka\u0159em a dodr\u017eovat pokyny vedouc\u00ed ke sn\u00ed\u017een\u00ed rizika kardiovaskul\u00e1rn\u00edch onemocn\u011bn\u00ed bylo jedn\u00edm z mnoha t\u00e9mat, o kter\u00fdch debatovali l\u00e9ka\u0159i na virtu\u00e1ln\u00edm V\u00fdro\u010dn\u00edm sjezdu \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti.<\/p>\n\n\n\n
\u201ePro sn\u00ed\u017een\u00ed rizika infarktu nebo mrtvice je z\u00e1sadn\u00ed to, do jak\u00e9 m\u00edry nemocn\u00fd na l\u00e9\u010db\u011b spolupracuje. Aktivn\u00ed ov\u0161em nem\u016f\u017ee b\u00fdt pouze pacient, ale tak\u00e9 samotn\u00fd l\u00e9ka\u0159. Kdy\u017e nebude s\u00e1m p\u0159esv\u011bd\u010den\u00fd o d\u016fle\u017eitosti dodr\u017eov\u00e1n\u00ed l\u00e9\u010dby, tak se mu jen st\u011b\u017e\u00ed poda\u0159\u00ed p\u0159im\u011bt k tomu pacienta,\u201c \u0159\u00edk\u00e1 prof. MUDr. Richard \u010ce\u0161ka, CSc., F.E.F.I.M., p\u0159edseda \u010cesk\u00e9 internistick\u00e9 spole\u010dnosti. <\/p>\n\n\n\n
Mnoz\u00ed pacienti ale i p\u0159es aktivitu l\u00e9ka\u0159e o l\u00e9\u010dbu z\u00e1jem nemaj\u00ed. St\u00e1rnut\u00ed tepen toti\u017e nebol\u00ed a zm\u011bny jako jejich tuhnut\u00ed nebo ucp\u00e1v\u00e1n\u00ed se, lid\u00e9 zprvu nezaznamenaj\u00ed. Podle p\u0159edsedy \u010cesk\u00e9 spole\u010dnosti pro ateroskler\u00f3zu prof. MUDr. Michala Vrabl\u00edka, Ph.D., je adherence neboli ochota pacienta spolupracovat s l\u00e9ka\u0159em a dodr\u017eovat pokyny problematick\u00e1 p\u0159edev\u0161\u00edm u mlad\u0161\u00edch pacient\u016f.\u00a0 \u201eNap\u0159\u00edklad lid\u00e9 do 40 let v\u016fbec neuva\u017euj\u00ed o tom, \u017ee by je p\u0159i nedodr\u017eov\u00e1n\u00ed l\u00e9\u010dby mohl postihnout infarkt. My se p\u0159itom s takov\u00fdmito p\u0159\u00edpady pravideln\u011b setk\u00e1v\u00e1me. Z pr\u016fzkumu u p\u0159\u00edle\u017eitosti T\u00fddne adherence, kter\u00fd organizovala spole\u010dnost Teva v lo\u0148sk\u00e9m roce v\u00edme, \u017ee pacient\u016fm obecn\u011b d\u011bl\u00e1 pot\u00ed\u017ee pravideln\u00e9 u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f. Konkr\u00e9tn\u011b \u017eeny maj\u00ed pot\u00e9 nejv\u011bt\u0161\u00ed probl\u00e9m s pohybem a redukc\u00ed v\u00e1hy, zat\u00edmco mu\u017ei nejv\u00edce bojuj\u00ed s abstinenc\u00ed, kou\u0159en\u00edm a dietou,\u201c popisuje prof. Vrabl\u00edk. <\/p>\n\n\n\n
Podle odborn\u00edk\u016f by lep\u0161\u00ed spolupr\u00e1ci pacienta s l\u00e9ka\u0159em mohl podpo\u0159it nap\u0159\u00edklad v\u00fdpo\u010det jejich c\u00e9vn\u00edho v\u011bku. To koneckonc\u016f potvrzuje zahrani\u010dn\u00ed studie, v n\u00ed\u017e bylo za\u0159azeno p\u0159es t\u0159i tis\u00edce lid\u00ed, kte\u0159\u00ed byli ohro\u017eeni kardiovaskul\u00e1rn\u00edmi onemocn\u011bn\u00edmi. Pacienty rozd\u011blili do t\u0159\u00ed skupin a ka\u017ed\u00e9 z nich sd\u011blili r\u016fzn\u00e9 mno\u017estv\u00ed informac\u00ed o mo\u017en\u00fdch kardiovaskul\u00e1rn\u00edch rizic\u00edch. Studie prok\u00e1zala, \u017ee pacienti, kte\u0159\u00ed byli o riziku a jejich individu\u00e1ln\u00edm vaskul\u00e1rn\u00edm v\u011bku informov\u00e1ni, nejl\u00e9pe dodr\u017eovali doporu\u010den\u00ed. <\/p>\n\n\n\n
\u201eVaskul\u00e1rn\u00ed v\u011bk lze jednodu\u0161e vypo\u010d\u00edtat tak, \u017ee vezmeme v potaz pacient\u016fv skute\u010dn\u00fd v\u011bk, \u017eivotn\u00ed styl, dal\u0161\u00ed \u00fadaje typu, jestli je ku\u0159\u00e1k, a jak\u00fdmi trp\u00ed nemocemi. Nap\u0159\u00edklad riziko infarktu nebo mrtvice u \u010dty\u0159icetilet\u00e9ho ku\u0159\u00e1ka s vysok\u00fdm krevn\u00edm tlakem a cholesterolem je stejn\u00e9 jako riziko zdrav\u00e9ho \u0161edes\u00e1tilet\u00e9ho neku\u0159\u00e1ka,\u201c \u0159\u00edk\u00e1 prof. Vrabl\u00edk. Vaskul\u00e1rn\u00ed v\u011bk mohou sv\u00fdm pacient\u016fm nov\u011b l\u00e9ka\u0159i vypo\u010d\u00edtat pomoc\u00ed aplikace v po\u010d\u00edta\u010di nebo chytr\u00e9m telefonu, kterou vyvinula spole\u010dnost Mediately a kter\u00e1 vznikla za podpory spole\u010dnosti TevaPharmaceuticals. Do datab\u00e1ze sta\u010d\u00ed zadat pohlav\u00ed a v\u011bk pacienta spole\u010dn\u011b s hodnotami jeho krevn\u00edho tlaku a cholesterolu a tak\u00e9 s informac\u00ed, jestli kou\u0159\u00ed, nebo ne. Aplikace okam\u017eit\u011b spo\u010d\u00edt\u00e1 vaskul\u00e1rn\u00ed v\u011bk pacienta a rizika, kter\u00e1 mu hroz\u00ed do budoucna. <\/p>\n\n\n\n
\u201eA\u017e 75 % diabetik\u016f um\u00edr\u00e1 na kardiovaskul\u00e1rn\u00ed p\u0159\u00edhody a sou\u010dasn\u011b o 6 let d\u0159\u00edv ne\u017e lid\u00e9 bez diabetu. Diabetici jsou br\u00e1ni jako pacienti s velmi vysok\u00fdm kardiovaskul\u00e1rn\u00edm rizikem, a proto je u nich adherence k l\u00e9\u010db\u011b kl\u00ed\u010dov\u00e1. Do l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy nemocn\u00e9mu v\u017edy p\u00ed\u0161u, \u017ee jsem ho informoval o kardiovaskul\u00e1rn\u00edm riziku, ale on s\u00e1m l\u00e9\u010dbu odm\u00edt\u00e1,\u201c vysv\u011btluje doc. MUDr. Branislav Vohnout, PhD., prezident Slovenskej asociacie aterosklerozy. <\/p>\n\n\n\n
Rady, jak udr\u017eet sv\u016fj vaskul\u00e1rn\u00ed v\u011bk stejn\u00fd jako kalend\u00e1\u0159n\u00ed najdou lid\u00e9 nap\u0159\u00edklad na webu www.kapitolyozdravi.cz. \u201eV\u017edy d\u016frazn\u011b nab\u00e1d\u00e1m pacienty, aby na internetu hledali informace pouze z ov\u011b\u0159iteln\u00fdch zdroj\u016f. P\u0159i vyhled\u00e1v\u00e1n\u00ed toti\u017e bohu\u017eel mohou objevit i zav\u00e1d\u011bj\u00edc\u00ed nebo dokonce myln\u00e9 informace. Doporu\u010duji jim proto p\u0159e\u010d\u00edst si nap\u0159\u00edklad kapitolyozdravi.cz, kde je v\u0161e pops\u00e1no p\u0159ehledn\u011b, a to nejen z oblasti kardiologie,\u201c vysv\u011btluje prof. \u010ce\u0161ka.<\/p>\n\n\n\n
Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"
Praha, 7.10. 2020 \u2013 V\u011bk v ob\u010dance sice hl\u00e1s\u00ed \u010derstv\u00fdch 40 let, va\u0161im c\u00e9v\u00e1m ale m\u016f\u017ee \u201et\u00e1hnout\u201c na 60. Jak je to mo\u017en\u00e9? Podle l\u00e9ka\u0159\u016f […]<\/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":[9],"tags":[],"class_list":["post-35120","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\/35120","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=35120"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/35120\/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=35120"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=35120"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=35120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}