Praha, 14. 12. 2021 \u2013 Pokles teplot, vysok\u00e1 vlhkost vzduchu, p\u0159edv\u00e1no\u010dn\u00ed stres nebo h\u00e1dka s partnerem \u2013 to v\u0161e m\u016f\u017ee b\u00fdt posledn\u00ed kapkou vzniku infarktu, kter\u00e9mu zimn\u00ed obdob\u00ed \u201ep\u0159eje\u201c v\u00edce ne\u017e zbytek roku. Podle \u010desk\u00fdch kardiolog\u016f si v\u011bt\u0161ina lid\u00ed na infarkt \u201ezad\u011bl\u00e1v\u00e1\u201c cel\u00e1 l\u00e9ta sv\u00fdm \u017eivotn\u00edm stylem \u2013 zima probl\u00e9m \u201ejen\u201c umocn\u00ed. Mr\u00e1z zu\u017euje tepny, zvy\u0161uje tlak a riziko ucp\u00e1n\u00ed c\u00e9v, zp\u016fsobuje poruchy srde\u010dn\u00edho rytmu.<\/p>\n\n\n\n
\u201eV Evrop\u011b, \u010ceskou republiku nevyj\u00edmaje, ale i v drsn\u011bj\u0161\u00edch podm\u00ednk\u00e1ch Kanady \u010di naopak v n\u011bkter\u00fdch subtropick\u00fdch oblastech nach\u00e1z\u00edme souvislost s poklesem teplot a v\u00fdskytem infarkt\u016f \u010di \u00famrt\u00edmi na chronickou ischemickou chorobu srde\u010dn\u00ed. Teplotn\u00ed propad o p\u0159ibli\u017en\u011b 10 \u00b0C zved\u00e1 po\u010det srde\u010dn\u00edch p\u0159\u00edhod asi o 7 %,\u201c \u0159\u00edk\u00e1 prof. MUDr. Ale\u0161 Linhart, DrSc., p\u0159edseda \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti (\u010cKS). V roce 2020 nap\u0159\u00edklad v\u00e9vodil, co se po\u010dtu infarkt\u016f t\u00fd\u010de, leden. <\/p>\n\n\n\n
P\u0159edej\u00edt tomu, aby t\u0159eskut\u00e9 mrazy nebo stresy p\u0159ed sv\u00e1tky nem\u011bly na srdce sebemen\u0161\u00ed dopad, lze dle odborn\u00edk\u016f pouze dlouhodobou \u00fapravou \u017eivotn\u00edho stylu. Podle prof. MUDr. Milo\u0161e T\u00e1borsk\u00e9ho, CSc., MBA, p\u0159ednosty I. intern\u00ed kliniky \u2013 kardiologick\u00e9 FN Olomouc, nesta\u010d\u00ed zm\u011bnu odstartovat v prosinci. \u201ePokud se \u010dlov\u011bk rozhodne zapracovat na sn\u00ed\u017een\u00ed rizika, aby zabr\u00e1nil tomu, \u017ee na V\u00e1noce skon\u010d\u00ed v nemocnici s infarktem, m\u011bl by za\u010d\u00edt nejpozd\u011bji v l\u00e9t\u011b. Zm\u011bna \u017eivotn\u00edho stylu se projev\u00ed p\u0159i poctiv\u00e9m dodr\u017eov\u00e1n\u00ed a\u017e po m\u011bs\u00edc\u00edch, ale ka\u017ed\u00e9mu se ohromn\u011b vyplat\u00ed. Do\u017e\u00edv\u00e1me se sice vysok\u00e9ho v\u011bku, av\u0161ak posledn\u00edch dvacet let p\u0159e\u017e\u00edv\u00e1me s nemocemi. Po \u0161edes\u00e1tce se u v\u011bt\u0161iny lid\u00ed za\u010d\u00ednaj\u00ed objevovat vlekl\u00e9 choroby \u2013 na\u0161\u00edm c\u00edlem by m\u011blo b\u00fdt pro\u017e\u00edt co nejv\u011bt\u0161\u00ed \u010d\u00e1st \u017eivota ve zdrav\u00ed. A k tomu n\u00e1m pom\u016f\u017ee se h\u00fdbat, nekou\u0159it a j\u00edst rozumn\u011b,\u201c vysv\u011btluje prof. T\u00e1borsk\u00fd.<\/p>\n\n\n\n
Jak uv\u00e1d\u00ed doc. MUDr. Petr Kala, Ph.D., prezident \u010cesk\u00e9 asociace interven\u010dn\u00ed kardiologie \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti, typick\u00e9mu pacientovi s infarktem je nad \u0161edes\u00e1t let, m\u00e1 vysok\u00fd krevn\u00ed tlak, cholesterol, kou\u0159\u00ed, je ob\u00e9zn\u00ed a l\u00e9\u010d\u00ed se s dal\u0161\u00edmi chronick\u00fdmi nemocemi. \u201eKdy\u017e takov\u00fd \u010dlov\u011bk bezd\u016fvodn\u011b omdl\u00e9v\u00e1, \u0161patn\u011b d\u00fdch\u00e1 \u010di poci\u0165uje obrovskou \u00fanavu a za\u010dne ho prudce bolet na hrudi, je na \u010dase okam\u017eit\u011b volat z\u00e1chranku. Po\u010d\u00edt\u00e1 se ka\u017ed\u00e1 minuta. Pokud dojede do nemocnice s katetriza\u010dn\u00ed jednotkou do hodiny, m\u00e1 96% \u0161anci, \u017ee p\u0159e\u017eije ve velmi dobr\u00e9m stavu s jen malou jizvou na srdci. Ka\u017ed\u00e1 hodina zpo\u017ed\u011bn\u00ed znamen\u00e1 v\u011bt\u0161\u00ed a v\u011bt\u0161\u00ed po\u0161kozen\u00ed srde\u010dn\u00edho svalu, kter\u00fd bychom jinak dok\u00e1zali zachr\u00e1nit. Lid\u00e9 k n\u00e1m doraz\u00ed v rozmez\u00ed 2,5\u20133 hodin od prvn\u00edch p\u0159\u00edznak\u016f, mnoz\u00ed ale i daleko pozd\u011bji,\u201c dopl\u0148uje doc. Kala. <\/p>\n\n\n\n
V t\u00e9to souvislosti kardiologov\u00e9 bojuj\u00ed tak\u00e9 s aktu\u00e1ln\u00ed pandemickou vlnou. \u201ePodle dat \u010cesk\u00e9ho statistick\u00e9ho \u00fa\u0159adu zem\u0159elo v lo\u0148sk\u00e9m covidov\u00e9m roce o 17 000 osob v\u00edc ne\u017e v roce p\u0159edchoz\u00edm, za 3 100 \u00famrt\u00ed mohou pr\u00e1v\u011b choroby ob\u011bhov\u00e9ho syst\u00e9mu,\u201c uv\u00e1d\u00ed prof. Linhart. Lid\u00e9 ze strachu z n\u00e1kazy covidem nevolaj\u00ed z\u00e1chranku, do nemocnice nejedou a bu\u010f zem\u0159ou doma, nebo infarkt \u201ep\u0159echod\u00ed\u201c a p\u0159ivod\u00ed si srde\u010dn\u00ed selh\u00e1n\u00ed. \u201eKa\u017ed\u00e1 vlna covidu sn\u00ed\u017eila u n\u00e1s na odd\u011blen\u00ed p\u0159\u00edjem pacient\u016f odhadem o 20 % \u2013 tito lid\u00e9 se pochopiteln\u011b z\u00e1zra\u010dn\u011b neuzdravili. Infarkt jejich sval postihl a projevil se pozd\u011bji selh\u00e1n\u00edm srdce. Vid\u00edme to i letos, obvykle k n\u00e1m p\u0159ich\u00e1z\u00ed dvacet lid\u00ed s infarktem t\u00fddn\u011b, nyn\u00ed je to p\u011bt a\u017e \u0161est,\u201c popisuje prof. T\u00e1borsk\u00fd. Stejnou zku\u0161enost ze sv\u00e9ho odd\u011blen\u00ed m\u00e1 doc. Kala \u2013 i podle n\u011bj \u201ekles\u00e1\u201c v dob\u011b nejhor\u0161\u00ed koronavirov\u00e9 vlny po\u010det t\u011bch, kte\u0159\u00ed si zavolaj\u00ed z\u00e1chranku kv\u016fli infarktu, p\u0159ibli\u017en\u011b o 20 %. <\/p>\n\n\n\n
Specialist\u00e9 na srdce tak apeluj\u00ed, aby se lid\u00e9 neb\u00e1li zavolat, kdy\u017e je bol\u00ed na hrudi, \u0161patn\u011b se jim d\u00fdch\u00e1, je jim na omdlen\u00ed \u2013 v\u010dasn\u00fd telefon\u00e1t m\u016f\u017ee zachr\u00e1nit \u017eivot. \u201eKatetrizujeme, tedy \u0159e\u0161\u00edme akutn\u00ed infarkt zaveden\u00edm c\u00e9vek do srde\u010dn\u00edch dutin a c\u00e9v, i covid-pozitivn\u00ed pacienty. M\u00e1me na to uzp\u016fsoben\u00e9 s\u00e1ly, person\u00e1l je vybaven\u00fd speci\u00e1ln\u00edmi overaly a respir\u00e1tory. S covidem a jeho dal\u0161\u00edmi mutacemi budeme \u017e\u00edt je\u0161t\u011b dlouh\u00e1 l\u00e9ta, a proto se mus\u00edme nau\u010dit na n\u011bj vyzr\u00e1t,\u201c dod\u00e1v\u00e1 prof. T\u00e1borsk\u00fd. Kardiologov\u00e9 p\u0159ipom\u00ednaj\u00ed, \u017ee v \u010cesku je 22 katetriza\u010dn\u00edch center, kter\u00e1 funguj\u00ed 24 hodin denn\u011b. Jakmile z\u00e1chran\u00e1\u0159i vyhodnot\u00ed, \u017ee se jedn\u00e1 o infarkt, jedou s pacientem p\u0159\u00edmo do jednoho z nich. Podle posledn\u00edch dat \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky \u010cR skon\u010dilo v roce 2020 v nemocnic\u00edch s infarktem 22 497 lid\u00ed.<\/p>\n\n\n\n
P\u0159edseda \u010desk\u00fdch kardiolog\u016f prof. Linhart p\u0159ipom\u00edn\u00e1, \u017ee v n\u00e1sleduj\u00edc\u00edch m\u011bs\u00edc\u00edch a letech lze \u010dekat prudk\u00fd vzestup lid\u00ed se srde\u010dn\u00edm selh\u00e1n\u00edm, mimo jin\u00e9 proto, \u017ee infarkt p\u0159echodili. Nyn\u00ed jich je p\u0159es 280 000, do roku 2030 by se jejich po\u010det mohl dostat na 450 000. <\/p>\n\n\n\n
Na za\u010d\u00e1tku pr\u00e1zdnin kardiologov\u00e9 vyhl\u00e1sili kampa\u0148 Nemocn\u00e9 \u010desk\u00e9 srdce a avizovali, \u017ee cht\u011bj\u00ed do deseti let sn\u00ed\u017eit \u00famrtnost na srde\u010dn\u00ed choroby o 5 % a po\u010det t\u011bch, kte\u0159\u00ed kv\u016fli nemocn\u00e9mu srdci opakovan\u011b kon\u010d\u00ed v nemocnici, o 10 %. \u00damrt\u00ed na nemoci srdce hraj\u00ed v \u010cesku mezi ostatn\u00edmi chorobami prim a covidov\u00e1 pandemie situaci d\u00e1le zhor\u0161ila.<\/p>\n\n\n\n
Tiskov\u00e1 zpr\u00e1va<\/p>\n","protected":false},"excerpt":{"rendered":"
Praha, 14. 12. 2021 \u2013 Pokles teplot, vysok\u00e1 vlhkost vzduchu, p\u0159edv\u00e1no\u010dn\u00ed stres nebo h\u00e1dka s partnerem \u2013 to v\u0161e m\u016f\u017ee b\u00fdt posledn\u00ed kapkou vzniku infarktu, […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14098,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-36968","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\/36968","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=36968"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/36968\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14098"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36968"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36968"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36968"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}