{"id":39804,"date":"2023-05-25T09:36:51","date_gmt":"2023-05-25T07:36:51","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=39804"},"modified":"2023-05-25T09:36:51","modified_gmt":"2023-05-25T07:36:51","slug":"sportovci-se-srdecnimi-problemy-potrebuji-specializovanou-peci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=39804","title":{"rendered":"Sportovci se srde\u010dn\u00edmi probl\u00e9my pot\u0159ebuj\u00ed specializovanou p\u00e9\u010di"},"content":{"rendered":"\n

Zabr\u00e1nit n\u00e1hl\u00fdm \u00famrt\u00edm sportovc\u016f a z\u00e1rove\u0148 nebrzdit jejich kari\u00e9ru. I to jsou d\u016fvody, pro\u010d existuj\u00ed centra sportovn\u00ed kardiologie. Na rozd\u00edl od \u0159ady z\u00e1padn\u00edch zem\u00ed, kde m\u00e1 tato oblast medic\u00edny velmi dobr\u00e9 z\u00e1zem\u00ed, se ale v\u00a0\u010cR o sportovce se srde\u010dn\u00edmi probl\u00e9my staraj\u00ed jen \u010dty\u0159i specializovan\u00e1 centra. \u010ce\u0161t\u00ed kardiologov\u00e9 se t\u00edmto t\u00e9matem zab\u00fdvali na mezin\u00e1rodn\u00edm kongresu Heart Failure 2023 zam\u011b\u0159en\u00e9m na srde\u010dn\u00ed selh\u00e1n\u00ed, kter\u00fd v Praze od 20.\u00a0kv\u011btna po\u0159\u00e1dala Evropsk\u00e1 kardiologick\u00e1 spole\u010dnost. <\/strong><\/p>\n\n\n\n

Centra sportovn\u00ed kardiologie jsou ur\u010dena p\u0159edev\u0161\u00edm pro sportovce se zdravotn\u00edmi probl\u00e9my nebo ty, u nich\u017e se v\u00a0r\u00e1mci preventivn\u00edch prohl\u00eddek zjist\u00ed, \u017ee maj\u00ed podez\u0159el\u00fd srde\u010dn\u00ed n\u00e1lez.<\/p>\n\n\n\n

\u201eTato centra jsou specifick\u00e1 a \u00fazce zam\u011b\u0159en\u00e1 a v\u00a0\u010cesk\u00e9 republice jich je bohu\u017eel m\u00e1lo. Popt\u00e1vka po nich nav\u00edc nejsp\u00ed\u0161 poroste, proto\u017ee sportuj\u00edc\u00edch lid\u00ed p\u0159ib\u00fdv\u00e1,\u201c<\/em> \u0159\u00edk\u00e1 p\u0159edseda \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti prof. MUDr. Ale\u0161 Linhart. Podle n\u011bj se tak nav\u00fd\u0161\u00ed po\u010det sportovc\u016f, u kter\u00fdch maj\u00ed testy proveden\u00e9 p\u0159i preventivn\u00edch prohl\u00eddk\u00e1ch nejednozna\u010dn\u00fd v\u00fdsledek.<\/p>\n\n\n\n

Ve specializovan\u00fdch centrech tyto pacienty vy\u0161et\u0159\u00ed kardiolog se zku\u0161enostmi s\u00a0p\u00e9\u010d\u00ed o sportovce, odebere jim c\u00edlenou anamn\u00e9zu, nato\u010d\u00ed EKG a provede roz\u0161\u00ed\u0159en\u00e9 echokardiografick\u00e9 vy\u0161et\u0159en\u00ed. V\u00a0p\u0159\u00edpad\u011b pot\u0159eby zde sportovci podstoup\u00ed i magnetickou rezonanci, vy\u0161et\u0159en\u00ed v\u011bn\u010dit\u00fdch tepen nebo jin\u00e1 specializovan\u00e1 vy\u0161et\u0159en\u00ed. <\/p>\n\n\n\n

\u201ePochybnosti jsou v\u00a0\u0159ad\u011b p\u0159\u00edpad\u016f opr\u00e1vn\u011bn\u00e9 a d\u00edky d\u016fkladn\u011bj\u0161\u00edm vy\u0161et\u0159en\u00edm lze p\u0159edej\u00edt n\u00e1hl\u00fdm smrt\u00edm. M\u016f\u017ee to b\u00fdt ale i \u00fapln\u011b opa\u010dn\u011b, \u010dasto se toti\u017e sportovn\u00ed kari\u00e9ra zbyte\u010dn\u011b stopne n\u011bkomu, kdo m\u00e1 ne \u00fapln\u011b jednozna\u010dn\u011b interpretovan\u00fd n\u00e1lez na EKG. Proto jsou pro sportovce tato centra hodn\u011b d\u016fle\u017eit\u00e1,\u201c<\/em> vysv\u011btluje prof. Linhart. \u00a0<\/p>\n\n\n\n

V\u00a0sou\u010dasn\u00e9 dob\u011b v\u0161ak funguj\u00ed centra sportovn\u00ed kardiologie pouze ve t\u0159ech m\u011bstech \u010cesk\u00e9 republiky, a tak sportovci velk\u00fd v\u00fdb\u011br nemaj\u00ed a mus\u00ed do nich jezdit \u010dasto hodn\u011b daleko. Krom\u011b Prahy<\/strong>, kde existuj\u00ed dv\u011b samostatn\u00e1 centra pro d\u011bti a pro dosp\u011bl\u00e9, je mohou nav\u0161t\u00edvit u\u017e jenom v\u00a0Olomouci <\/strong>a T\u0159inci<\/strong>. <\/p>\n\n\n\n

\u201eNa\u0161\u00edm c\u00edlem je, aby tato centra byla dostupn\u00e1 v\u00a0ka\u017ed\u00e9m krajsk\u00e9m m\u011bst\u011b a\u00a0byla na n\u011b nav\u00e1zan\u00e1 s\u00ed\u0165 spolupracuj\u00edc\u00edch ambulantn\u00edch kardiolog\u016f. Nar\u00e1\u017e\u00ed to v\u0161ak na prostorov\u00e9 a finan\u010dn\u00ed limity,\u201c<\/em> popisuje doc. MUDr.\u00a0Vladim\u00edr Tuka, z Centra z\u00e1t\u011b\u017eov\u00e9 kardiologie II.\u00a0intern\u00ed kliniky kardiologie a angiologie 1. LF UK a VFN v\u00a0Praze. \u201eDiagnostick\u00e9 mo\u017enosti \u010desk\u00e9 kardiologie jsou dobr\u00e9, n\u00e1\u0161 handicap je ale v\u00a0sou\u010dasn\u00e9 dob\u011b sp\u00ed\u0161 v\u00a0tom, \u017ee v\u00a0\u010cesk\u00e9 republice v\u00a0t\u00e9to oblasti nem\u00e1me dostatek kvalifikovan\u00fdch lid\u00ed,\u201c<\/em> dopl\u0148uje prof. Ale\u0161 Linhart. <\/p>\n\n\n\n

Krom\u011b d\u016fkladn\u00e9ho vy\u0161et\u0159en\u00ed je pro sportovce se srde\u010dn\u00edmi probl\u00e9my d\u016fle\u017eit\u00e1 i c\u00edlen\u00e1 personalizovan\u00e1 preskripce pohybu, kter\u00e1 bere v\u00a0potaz nejen typ srde\u010dn\u00edho onemocn\u011bn\u00ed, ale tak\u00e9 preference sportovce. <\/p>\n\n\n\n

Pacienti z\u00a0\u0159ad sportovc\u016f i ostatn\u00ed pacienti, nap\u0159. se srde\u010dn\u00edm selh\u00e1n\u00edm, se nav\u00edc mohou zapojovat do program\u016f kardiovaskul\u00e1rn\u00ed rehabilitace. Pom\u00e1h\u00e1 jim nejenom k\u00a0tomu, aby se zlep\u0161ila jejich progn\u00f3za, pro \u0159adu z\u00a0nich je tak\u00e9 velice dobr\u00fdm antidepresivem. <\/p>\n\n\n\n

\u201ePohyb s\u00e1m o sob\u011b p\u016fsob\u00ed prost\u0159ednictv\u00edm endorfin\u016f a \u00fapravy neurotransmiter\u016f v mozku jako antidepresivum. Nav\u00edc plat\u00ed, \u017ee \u010dlov\u011bk, kter\u00fd m\u00e1 pocit kontroly nad sv\u00fdm \u017eivotem, m\u00e1 men\u0161\u00ed tendenci upadat do \u00fazkost\u00ed a depres\u00ed,\u201c<\/em> vysv\u011btluje docent Tuka. Aby byla kardiovaskul\u00e1rn\u00ed rehabilitace dostupn\u00e1 co nejv\u011bt\u0161\u00edmu po\u010dtu lid\u00ed, prov\u00e1d\u00ed se v\u00a0sou\u010dasn\u00e9 dob\u011b, zejm\u00e9na v\u00a0zahrani\u010d\u00ed, u\u017e i na d\u00e1lku. <\/p>\n\n\n\n

\u201ePacienti maj\u00ed na\u00a0chytr\u00fdch telefonech nainstalovan\u00e9 speci\u00e1ln\u00ed programy, v\u010detn\u011b v\u00fdukov\u00fdch, kter\u00e9 je nav\u00e1d\u00ed p\u0159i rehabilitaci. Telemedic\u00edna v\u00fdrazn\u011b \u0161et\u0159\u00ed \u010das, proto\u017ee nemocn\u00ed nemus\u00ed opakovan\u011b jezdit do mnohdy stovky kilometr\u016f vzd\u00e1len\u00fdch specializovan\u00fdch center,\u201c<\/em> p\u0159ibli\u017euje jeden z\u00a0nejnov\u011bj\u0161\u00edch trend\u016f kardiologie docent Tuka.\u00a0<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Zabr\u00e1nit n\u00e1hl\u00fdm \u00famrt\u00edm sportovc\u016f a z\u00e1rove\u0148 nebrzdit jejich kari\u00e9ru. I to jsou d\u016fvody, pro\u010d existuj\u00ed centra sportovn\u00ed kardiologie. Na rozd\u00edl od \u0159ady z\u00e1padn\u00edch zem\u00ed, kde […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":22010,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-39804","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\/39804","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=39804"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/39804\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/22010"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39804"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39804"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39804"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}