{"id":38612,"date":"2023-02-25T18:42:29","date_gmt":"2023-02-25T17:42:29","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=38612"},"modified":"2023-02-25T18:42:30","modified_gmt":"2023-02-25T17:42:30","slug":"kardiologove-zbroji-na-epidemii-srdecniho-selhani-krize-a-stres-mohou-zvednout-vyskyt-az-o-tretinu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=38612","title":{"rendered":"Kardiologov\u00e9 \u201ezbroj\u00ed\u201c na epidemii srde\u010dn\u00edho selh\u00e1n\u00ed. Krize a stres mohou zvednout v\u00fdskyt a\u017e o t\u0159etinu"},"content":{"rendered":"\n<p><strong>Kardiologov\u00e9 se ob\u00e1vaj\u00ed s\u00edl\u00edc\u00ed \u201eepidemie\u201c srde\u010dn\u00edho selh\u00e1n\u00ed. Nov\u00e1 data ukazuj\u00ed n\u00e1r\u016fst po\u010dtu lid\u00ed s&nbsp;nemocemi ob\u011bhov\u00e9 soustavy a tento trend bude podle expert\u016f na srdce kv\u016fli ekonomick\u00e9 krizi nad\u00e1le pokra\u010dovat. Konzumace levn\u00fdch, nekvalitn\u00edch potravin, siln\u00fd stres vyvolan\u00fd sou\u010dasnou situac\u00ed doma i ve sv\u011bt\u011b, pokusy zahnat jej alkoholem \u010di kou\u0159en\u00edm, snaha \u0161et\u0159it na \u201ezbytn\u00fdch\u201c v\u011bcech, mezi nimi i na sportovn\u00edch a rekrea\u010dn\u00edch aktivit\u00e1ch \u2013 to v\u0161e jsou faktory, je\u017e urychl\u00ed explozi p\u0159\u00edpad\u016f kardiovaskul\u00e1rn\u00edch chorob.<\/strong><\/p>\n\n\n\n<p>\u201e<em>Nejnov\u011bj\u0161\u00ed data z&nbsp;lo\u0148sk\u00e9ho roku ukazuj\u00ed, \u017ee zde m\u00e1me 2&nbsp;912&nbsp;942 kardiak\u016f, co\u017e je ve srovn\u00e1n\u00ed s&nbsp;dobou p\u0159ed 10 lety zhruba o 364&nbsp;000 v\u00edce. Zat\u00edmco \u00famrt\u00ed na akutn\u00ed infarkt ub\u00fdv\u00e1, naopak se zvy\u0161uj\u00ed po\u010dty p\u0159\u00edpad\u016f srde\u010dn\u00edho selh\u00e1n\u00ed \u2013 co\u017e jsou spojen\u00e9 n\u00e1doby,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Ale\u0161 Linhart, DrSc., p\u0159edseda \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti. V&nbsp;roce 2011 dostalo srde\u010dn\u00ed infarkt 32&nbsp;879 lid\u00ed, loni to bylo 28&nbsp;722 jedinc\u016f. <em>\u201eLze \u0159\u00edci, \u017ee jsme se stali \u201aob\u011b\u0165mi vlastn\u00edho \u00fasp\u011bchu\u2018, v&nbsp;l\u00e9\u010db\u011b akutn\u00edho infarktu myokardu jsme na \u0161pici,\u201c<\/em> komentuje l\u00e9ka\u0159. Okam\u017eit\u00e1 \u00famrtnost na infarkt myokardu se v&nbsp;\u010cesku pohybuje na \u00farovni 5,6 %, t\u0159icetidenn\u00ed \u010din\u00ed 8,7 %. To jsou ve sv\u011btov\u00e9m kontextu mimo\u0159\u00e1dn\u011b p\u0159\u00edzniv\u00e1 \u010d\u00edsla.<\/p>\n\n\n\n<p>P\u0159esto\u017ee drtiv\u00e1 v\u011bt\u0161ina pacient\u016f infarkt p\u0159e\u017eije, pozdn\u00edm p\u0159ivol\u00e1n\u00edm pomoci si mnohdy p\u0159ivod\u00ed srde\u010dn\u00ed selh\u00e1n\u00ed. <em>\u201eJakmile pacient poc\u00edt\u00ed bolest na hrudi, m\u016f\u017ee se jednat o srde\u010dn\u00ed infarkt a v&nbsp;tu chv\u00edli je d\u016fle\u017eit\u00e1 ka\u017ed\u00e1 minuta. Srde\u010dn\u00ed bu\u0148ky toti\u017e za\u010d\u00ednaj\u00ed ne\u00faprosn\u011b odum\u00edrat, a pokud nemocn\u00fd nekontaktuje co nejd\u0159\u00edve z\u00e1chrannou slu\u017ebu a sna\u017e\u00ed se bolest p\u0159echodit, m\u016f\u017ee se st\u00e1t, \u017ee odum\u0159e v\u00fdrazn\u00e1 \u010d\u00e1st srde\u010dn\u00ed svaloviny. \u010c\u00edm pozd\u011bji se za\u010dne infarkt l\u00e9\u010dit, t\u00edm m\u00e9n\u011b bun\u011bk se poda\u0159\u00ed zachr\u00e1nit a t\u00edm v\u011bt\u0161\u00ed je pravd\u011bpodobnost n\u00e1sledn\u00e9ho selh\u00e1v\u00e1n\u00ed srde\u010dn\u00ed pumpy,\u201c<\/em> \u0159\u00edk\u00e1 prof.&nbsp;MUDr. Petr O\u0161\u0165\u00e1dal, Ph.D., p\u0159edseda \u010cesk\u00e9 asociace akutn\u00ed kardiologie. <\/p>\n\n\n\n<p>Loni trp\u011blo srde\u010dn\u00edm selh\u00e1n\u00edm 122&nbsp;068 lid\u00ed, v&nbsp;roce 2011 to p\u0159itom bylo jen 96&nbsp;668 pacient\u016f. Do pokro\u010dil\u00e9 f\u00e1ze srde\u010dn\u00edho selh\u00e1n\u00ed se v \u010cesku dostane zhruba 10 % z nich, u t\u011bch pak l\u00e9ka\u0159i mus\u00ed posoudit, zda jsou ve vhodn\u00e9 kondici na mechanickou srde\u010dn\u00ed podporu nebo transplantaci srdce. <em>\u201eBohu\u017eel pouze mal\u00e1 \u010d\u00e1st pacient\u016f m\u016f\u017ee b\u00fdt indikov\u00e1na k mechanick\u00e9 podpo\u0159e srdce nebo srde\u010dn\u00ed transplantaci, v&nbsp;\u010cesku je to dohromady zhruba 200 lid\u00ed ro\u010dn\u011b. <\/em><\/p>\n\n\n\n<p><em>Hlavn\u00ed rozhoduj\u00edc\u00ed faktor je tzv.&nbsp;biologick\u00fd v\u011bk, kter\u00fd by nem\u011bl p\u0159es\u00e1hnout 65 let. U star\u0161\u00edch lid\u00ed, u kter\u00fdch se v\u011bt\u0161inou pokro\u010dil\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed objevuje, se sna\u017e\u00edme zajistit d\u016fstojn\u00e9 do\u017eit\u00ed pomoc\u00ed paliativn\u00ed p\u00e9\u010de,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Jan Krej\u010d\u00ed, Ph.D., z\u00e1stupce p\u0159ednosty a vedouc\u00ed l\u00e9ka\u0159 odd\u011blen\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed a&nbsp;transplanta\u010dn\u00ed p\u00e9\u010de I. intern\u00ed kardioangiologick\u00e9 kliniky Fakultn\u00ed nemocnice U svat\u00e9 Anny v&nbsp;Brn\u011b. Stoupaj\u00edc\u00ed po\u010dty t\u011bch, kter\u00fdm selh\u00e1v\u00e1 srdce, m\u00e1 na sv\u011bdom\u00ed v\u00edce faktor\u016f \u2013 nap\u0159\u00edklad pandemie covidu, kdy se lid\u00e9 b\u00e1li jet do nemocnice, i kdy\u017e jim bylo \u0161patn\u011b, a p\u0159ech\u00e1zen\u00edm p\u0159\u00edznak\u016f si tak selh\u00e1v\u00e1n\u00ed p\u0159ivodili. Svou roli hraje tak\u00e9 obezita \u010cech\u016f a \u0161patn\u00e9 stravovac\u00ed n\u00e1vyky, je\u017e vedou k&nbsp;vy\u0161\u0161\u00edmu cholesterolu v&nbsp;krvi, postupn\u00e9mu zan\u00e1\u0161en\u00ed c\u00e9v, a tedy riziku vzniku kardiovaskul\u00e1rn\u00edch p\u0159\u00edhod. Nijak nepom\u00e1h\u00e1 zhor\u0161uj\u00edc\u00ed se ekonomick\u00e9 situace, kterou tradi\u010dn\u011b prov\u00e1z\u00ed zv\u00fd\u0161en\u00e1 nemocnost a \u00famrtnost na srde\u010dn\u011b c\u00e9vn\u00ed choroby<em>.<\/em> <\/p>\n\n\n\n<p>\u201e<em>Lid\u00e9 budou na zdra\u017eov\u00e1n\u00ed velmi pravd\u011bpodobn\u011b reagovat nakupov\u00e1n\u00edm nezdrav\u00fdch n\u00e1hra\u017eek, \u0161et\u0159it na kvalitn\u00edch potravin\u00e1ch, co\u017e povede ke zv\u00fd\u0161en\u00ed hmotnosti, a tedy z\u00e1t\u011b\u017ei ob\u011bhov\u00e9 soustavy. Ob\u00e1v\u00e1me se, \u017ee budou \u0161et\u0159it i na sportovn\u00edch a rekrea\u010dn\u00edch aktivit\u00e1ch. A lze \u010dekat i \u0161et\u0159en\u00ed na vzd\u011bl\u00e1v\u00e1n\u00ed \u2013 co\u017e s&nbsp;obezitou \u00fazce souvis\u00ed. Je prok\u00e1z\u00e1no, \u017ee vzd\u011blan\u00ed lid\u00e9 \u017eij\u00ed zdrav\u011bji,\u201c <\/em>vysv\u011btluje prof. Linhart. \u201e<em>Se stresem tak\u00e9 souvis\u00ed vy\u0161\u0161\u00ed spot\u0159eba alkoholu a cigaret, kter\u00fdmi se lid\u00e9 sna\u017e\u00ed tlaku \u010delit. P\u0159itom omezen\u00ed pit\u00ed a kou\u0159en\u00ed naopak v&nbsp;t\u011b\u017ek\u00fdch dob\u00e1ch m\u016f\u017ee p\u0159in\u00e9st tolik v\u00edtanou \u00fasporu. Odhadujeme v\u0161ak, \u017ee n\u00e1sledky krize sklid\u00edme v&nbsp;n\u00e1sleduj\u00edc\u00edch letech v&nbsp;podob\u011b a\u017e t\u0159etinov\u00e9ho n\u00e1r\u016fstu p\u0159\u00edpad\u016f srde\u010dn\u00edho selh\u00e1n\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 prof. MUDr. Filip M\u00e1lek, Ph.D., MBA, p\u0159edseda \u010cesk\u00e9 asociace srde\u010dn\u00edho selh\u00e1n\u00ed.<\/p>\n\n\n\n<p>I p\u0159es p\u0159ich\u00e1zej\u00edc\u00ed t\u011b\u017ek\u00e9 \u010dasy v\u0161ak necht\u011bj\u00ed experti opustit apel na prevenci, zdravotn\u00ed stav podle nich nen\u00ed radno zanedb\u00e1vat ani v&nbsp;dob\u00e1ch ekonomick\u00e9 krize. <em>\u201eU b\u011b\u017en\u00e9 populace je z\u00e1kladem pravideln\u011b doch\u00e1zet na preventivn\u00ed prohl\u00eddky. U pacient\u016f s ji\u017e p\u0159\u00edtomn\u00fdm srde\u010dn\u00edm onemocn\u011bn\u00edm jsou nutn\u00e9 pravideln\u00e9 l\u00e9ka\u0159sk\u00e9 kontroly a u\u017e\u00edv\u00e1n\u00ed l\u00e9k\u016f, dodr\u017eov\u00e1n\u00ed dietn\u00edch opat\u0159en\u00ed a fyzick\u00e1 aktivita doporu\u010den\u00e1 l\u00e9ka\u0159em. Opravdu nevhodn\u00e9 je pro pacienty se srde\u010dn\u00edm selh\u00e1n\u00edm \u0161et\u0159it na l\u00e9c\u00edch, proto\u017ee jsou z\u00e1kladem terapie a je nutn\u00e9 je u\u017e\u00edvat,\u201c <\/em>vysv\u011btluje prof.&nbsp;M\u00e1lek.<\/p>\n\n\n\n<p>Trend strm\u00e9ho n\u00e1r\u016fstu p\u0159\u00edpad\u016f srde\u010dn\u00edho selh\u00e1n\u00ed se net\u00fdk\u00e1 jen \u010cesk\u00e9 republiky, je celosv\u011btov\u00fd. V&nbsp;kv\u011btnu o n\u011bm bude v&nbsp;Praze v&nbsp;O2 Universum diskutovat p\u0159es 6 000 kardiologick\u00fdch \u0161pi\u010dek z&nbsp;cel\u00e9ho sv\u011bta v&nbsp;r\u00e1mci kongresu Heart Failure Association Evropsk\u00e9 kardiologick\u00e9 spole\u010dnosti. Nastupuj\u00edc\u00ed explozi srde\u010dn\u00edch selh\u00e1n\u00ed cht\u011bj\u00ed kardiologov\u00e9 \u010delit mimo jin\u00e9 nov\u00fdmi modern\u00edmi l\u00e9ky, mezi n\u011b\u017e pat\u0159\u00ed nap\u0159\u00edklad glifloziny, prohlouben\u00edm spolupr\u00e1ce s&nbsp;praktick\u00fdmi l\u00e9ka\u0159i, kte\u0159\u00ed by mohli hr\u00e1t v\u011bt\u0161\u00ed roli v p\u00e9\u010di o stabilizovan\u00e9, \u201ezal\u00e9\u010den\u00e9\u201c pacienty, a&nbsp;tak\u00e9 apelem na \u0161irokou ve\u0159ejnost, aby nepodce\u0148ovala p\u0159\u00edznaky srde\u010dn\u00edch probl\u00e9m\u016f a jela zav\u010das do nemocnice.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Kardiologov\u00e9 se ob\u00e1vaj\u00ed s\u00edl\u00edc\u00ed \u201eepidemie\u201c srde\u010dn\u00edho selh\u00e1n\u00ed. Nov\u00e1 data ukazuj\u00ed n\u00e1r\u016fst po\u010dtu lid\u00ed s&nbsp;nemocemi ob\u011bhov\u00e9 soustavy a tento trend bude podle expert\u016f na srdce kv\u016fli <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=38612\" title=\"Kardiologov\u00e9 \u201ezbroj\u00ed\u201c na epidemii srde\u010dn\u00edho selh\u00e1n\u00ed. Krize a stres mohou zvednout v\u00fdskyt a\u017e o t\u0159etinu\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":38614,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-38612","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\/38612","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=38612"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/38612\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/38614"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=38612"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=38612"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=38612"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}