{"id":41898,"date":"2023-09-06T03:47:32","date_gmt":"2023-09-06T01:47:32","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=41898"},"modified":"2023-09-06T03:47:33","modified_gmt":"2023-09-06T01:47:33","slug":"infarkt-rocne-dostane-15-tisic-cechu-nekteri-jej-podceni","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=41898","title":{"rendered":"Infarkt ro\u010dn\u011b dostane 15 tis\u00edc \u010cech\u016f, n\u011bkte\u0159\u00ed jej podcen\u00ed"},"content":{"rendered":"\n<p><em>Asi 10 % z\u00a0nich jej do t\u0159\u00ed let prod\u011bl\u00e1 znovu<\/em>. <strong>Bolest\u00ed b\u0159icha, nevolnost\u00ed, pocitem tuh\u00e9 \u010delisti, p\u00e1len\u00edm na hrudi nebo bolest\u00ed kone\u010dk\u016f prst\u016f \u2013 i takto netypicky se m\u016f\u017ee podle kardiolog\u016f projevovat infarkt. Diagn\u00f3zu si ka\u017edoro\u010dn\u011b vyslechne p\u0159ibli\u017en\u011b 15 tis\u00edc \u010cech\u016f. Pro p\u0159e\u017eit\u00ed pacienta a minimalizaci n\u00e1sledk\u016f je nejd\u016fle\u017eit\u011bj\u0161\u00ed v\u010dasn\u00fd z\u00e1sah l\u00e9ka\u0159\u016f. Roli hraje ka\u017ed\u00e1 minuta. A\u017e polovina lid\u00ed p\u0159itom do nemocnice p\u0159ijede pozd\u011b, proto\u017ee p\u0159\u00edznaky infarktu podcen\u00ed.<\/strong><\/p>\n\n\n\n<p>Nej\u010dast\u011bj\u0161\u00edm p\u0159\u00edznakem akutn\u00edho infarktu je bolest na hrudi, kter\u00e1 je trval\u00e1, p\u00e1liv\u00e1 nebo tlakov\u00e1. M\u016f\u017ee vyst\u0159elovat mezi lopatky, do lev\u00e9 pa\u017ee \u010di ramene. <em>\u201eVz\u00e1cn\u011bji pacienty tak\u00e9 bol\u00ed prav\u00e1 ruka, z\u00e1da nebo t\u0159eba doln\u00ed \u010delist. M\u016f\u017ee se st\u00e1t, \u017ee bolest v\u00a0t\u011bchto lokalizac\u00edch je i siln\u011bj\u0161\u00ed ne\u017e za hrudn\u00ed kost\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Petr O\u0161\u0165\u00e1dal, Ph.D., FESC, p\u0159edseda \u010cesk\u00e9 asociace akutn\u00ed kardiologie \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti (\u010cKS), a dod\u00e1v\u00e1: <em>\u201eN\u011bkte\u0159\u00ed pacienti nemus\u00ed vn\u00edmat bolest jako nejsiln\u011bj\u0161\u00ed p\u0159\u00edznak. Mnohem v\u00edce je nap\u0159\u00edklad tr\u00e1p\u00ed du\u0161nost.\u201c <\/em>Akutn\u00ed srde\u010dn\u00ed infarkt je velmi z\u00e1va\u017en\u00fd stav a nemocn\u00ed s\u00a0v\u00fd\u0161e uveden\u00fdmi p\u0159\u00edznaky mohou b\u00fdt v\u00a0akutn\u00edm ohro\u017een\u00ed \u017eivota. M\u011bli by proto neodkladn\u011b volat rychlou z\u00e1chrannou slu\u017ebu. Ka\u017ed\u00e1 minuta toti\u017e m\u016f\u017ee podle l\u00e9ka\u0159\u016f rozhodnout o\u00a0\u017eivot\u011b, nebo smrti pacienta. Odborn\u00edci na srdce se v\u0161ak \u010dasto setk\u00e1vaj\u00ed s\u00a0t\u00edm, \u017ee si lid\u00e9 netypick\u00e9 p\u0159\u00edznaky s\u00a0infarktem nespoj\u00ed, a z\u00e1chranku tak nezavolaj\u00ed. Apeluj\u00ed proto na ve\u0159ejnost, aby se s\u00a0mo\u017en\u00fdmi projevy akutn\u00edho infarktu d\u016fkladn\u011b sezn\u00e1mila a volala v\u010das.<\/p>\n\n\n\n<p>V\u00a0\u010cesku infarkt ka\u017edoro\u010dn\u011b prod\u011bl\u00e1 p\u0159ibli\u017en\u011b 15 tis\u00edc lid\u00ed. \u00damrtnost se d\u00edky rozvoji kardiologie poda\u0159ilo za posledn\u00edch 60 let sn\u00ed\u017eit z\u00a030 % na 6 %, jestli\u017ee je pacient v nemocnici. \u0158ada lid\u00ed ale zem\u0159e d\u0159\u00edv, ne\u017e se do nemocnice v\u016fbec dostane. <em>\u201eP\u0159i infarktu se zpravidla ucpe koron\u00e1rn\u00ed tepna, kter\u00e1 z\u00e1sobuje srdce krv\u00ed. Bu\u0148ky nedost\u00e1vaj\u00ed kysl\u00edk a \u010d\u00edm d\u00e9le tento stav trv\u00e1, t\u00edm v\u00edce bun\u011bk odum\u00edr\u00e1. Z\u00e1sadn\u00ed je proto tepnu co nejd\u0159\u00edve znovu zpr\u016fchodnit, a doc\u00edlit tak co nejmen\u0161\u00edho po\u0161kozen\u00ed srde\u010dn\u00edho svalu,\u201c<\/em> vysv\u011btluje prof. MUDr. Ale\u0161 Linhart, DrSc., FESC, FCMA, p\u0159edseda \u010cKS. Ani pacienti, kter\u00fdm l\u00e9ka\u0159i dok\u00e1zali v\u010das pomoci, v\u0161ak nemaj\u00ed vyhr\u00e1no. A\u017e 10 % t\u011bch, kte\u0159\u00ed prod\u011blali infarkt, jej v\u00a0n\u00e1sleduj\u00edc\u00edch t\u0159ech letech dostane znovu a 5 % v\u00a0d\u016fsledku onemocn\u011bn\u00ed srdce a c\u00e9v zem\u0159e. <em>\u201eTi, kte\u0159\u00ed ji\u017e infarkt prod\u011blali, mus\u00ed ud\u011blat v\u0161e pro to, aby jej znovu nedostali. Krom\u011b \u00fapravy \u017eivotospr\u00e1vy, pohybu a nekou\u0159en\u00ed si mus\u00ed hl\u00eddat hladinu sv\u00e9ho cholesterolu. \u010c\u00edm vy\u0161\u0161\u00ed hladinu cholesterolu pacient m\u00e1, t\u00edm v\u011bt\u0161\u00ed je riziko op\u011btovn\u00e9ho infarktu,\u201c<\/em> \u0159\u00edk\u00e1 prof. O\u0161\u0165\u00e1dal. Pacient, kter\u00fd v\u00a0minulosti prod\u011blal infarkt, by m\u011bl m\u00edt hladinu LDL cholesterolu, co\u017e je nej\u0161kodliv\u011bj\u0161\u00ed slo\u017eka celkov\u00e9ho cholesterolu, ni\u017e\u0161\u00ed ne\u017e 1,4 milimol\u016f na litr.<\/p>\n\n\n\n<p><strong>\u00a0<\/strong><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Asi 10 % z\u00a0nich jej do t\u0159\u00ed let prod\u011bl\u00e1 znovu. Bolest\u00ed b\u0159icha, nevolnost\u00ed, pocitem tuh\u00e9 \u010delisti, p\u00e1len\u00edm na hrudi nebo bolest\u00ed kone\u010dk\u016f prst\u016f \u2013 i <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=41898\" title=\"Infarkt ro\u010dn\u011b dostane 15 tis\u00edc \u010cech\u016f, n\u011bkte\u0159\u00ed jej podcen\u00ed\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14228,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-41898","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\/41898","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=41898"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/41898\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14228"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41898"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41898"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41898"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}