{"id":42429,"date":"2023-09-27T11:15:04","date_gmt":"2023-09-27T09:15:04","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=42429"},"modified":"2023-09-27T12:02:25","modified_gmt":"2023-09-27T10:02:25","slug":"nove-kardiostimulatory-vydrzi-i-vice-nez-10-let","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=42429","title":{"rendered":"Nov\u00e9 kardiostimul\u00e1tory vydr\u017e\u00ed i v\u00edce ne\u017e 10 let"},"content":{"rendered":"\n

V \u010cesk\u00e9 republice se podle odborn\u00edk\u016f ro\u010dn\u011b implantuje na 10 000 kardiostimul\u00e1tor\u016f a zhruba 5000 pacient\u016f pot\u0159ebuje zaveden\u00ed defibril\u00e1toru. Komplexn\u00ed kardiocentrum AGEL v na\u0161\u00ed nemocnici v T\u0159inci-Podles\u00ed je v r\u00e1mci republiky \u0161pi\u010dkou v p\u00e9\u010di o lidsk\u00e9 srdce a jeho choroby. Implantuj\u00ed zde nejmodern\u011bj\u0161\u00ed p\u0159\u00edstroje, kter\u00e9 z\u00e1sadn\u011b zvy\u0161uj\u00ed \u0161anci na plnohodnotn\u00fd \u017eivot s onemocn\u011bn\u00edm srdce.<\/strong><\/p>\n\n\n\n

Je\u0161t\u011b v 50. letech minul\u00e9ho stolet\u00ed se nemocn\u00fdm implantovaly kardiostimul\u00e1tory, kter\u00e9 byly velk\u00e9 jako hokejov\u00fd puk, a pacientovi se zav\u00e1d\u011bly b\u011bhem velk\u00e9 operace s otev\u0159en\u00edm hrudn\u00edku. Baterie vydr\u017eela jen kr\u00e1tkou dobu. Dnes toto za\u0159\u00edzen\u00ed v\u00e1\u017e\u00ed jen p\u00e1r des\u00edtek gram\u016f, do t\u011bla jej kardiologov\u00e9 zav\u00e1d\u011bj\u00ed \u017eilou (bez nutnosti otev\u0159\u00edt hrudn\u00ed ko\u0161) a \u0159\u00edd\u00ed je st\u00e1le modern\u011bj\u0161\u00ed softwarov\u00e9 vybaven\u00ed. Pacienti s kardiologick\u00fdmi implant\u00e1ty tak mohou ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f \u017e\u00edt tak, jako lid\u00e9 zdrav\u00ed, mohou pracovat i cestovat. <\/p>\n\n\n\n

\u201eKardiostimul\u00e1tory dnes vydr\u017e\u00ed v\u00fdrazn\u011b d\u00e9le, i v\u00edce ne\u017e deset let, dok\u00e1\u017e\u00ed stimulovat a \u010d\u00edst sign\u00e1l z v\u00edce srde\u010dn\u00edch odd\u00edl\u016f. U n\u00e1s implantujeme tak\u00e9 p\u0159\u00edstroje, kter\u00e9 um\u00ed krom\u011b stimulace srdce rozpoznat a ukon\u010dit rychl\u00e9, \u017eivot ohro\u017euj\u00edc\u00ed arytmie (implantabiln\u00ed kardioverter-defibril\u00e1tory). V posledn\u00ed dob\u011b lze implantovat i kardiostimul\u00e1tor bez stimula\u010dn\u00edch elektrod, kter\u00fd funguje jako jeden celek zaveden\u00fd do srdce. <\/em><\/strong>Rozv\u00edj\u00ed se tak\u00e9 tzv. fyziologick\u00e1 kardiostimulace, kdy jsou stimula\u010dn\u00ed elektrody umis\u0165ov\u00e1ny do oblasti p\u0159evodn\u00edho syst\u00e9mu srde\u010dn\u00edho, co\u017e jsou cesty v srdci, po kter\u00fdch se p\u0159irozen\u011b vede elektrick\u00e1 aktivita, n\u011bco jako \u201ekabely“. P\u0159i takov\u00e9 stimulaci pak z\u016fst\u00e1v\u00e1 aktivace srdce p\u0159irozen\u00e1, stejn\u00e1 jako u zdrav\u00e9ho srdce,“<\/em> \u0159\u00edk\u00e1 k nejnov\u011bj\u0161\u00edm trend\u016fm implantologie MUDr. Bogdan Szmek, l\u00e9ka\u0159 elektrofyziologie kardiologick\u00e9ho odd\u011blen\u00ed Nemocnice AGEL T\u0159inec-Podles\u00ed.<\/strong><\/p>\n\n\n\n

Slabost, z\u00e1vrat\u011b, du\u0161nost, ale i poruchy v\u011bdom\u00ed p\u0159i pomal\u00e9m tepu \u010di rychl\u00e9 arytmie, na kter\u00e9 nelze bez kardiostimul\u00e1toru nasadit dostate\u010dnou d\u00e1vku l\u00e9k\u016f \u2013 to je v\u011bt\u0161inou profil typick\u00e9ho pacienta, se kter\u00fdm se specialista implantolog setk\u00e1v\u00e1. <\/p>\n\n\n\n

\u201eN\u011bkdy dostane p\u0159\u00edstroj pacient i s minimem pot\u00ed\u017e\u00ed, z d\u016fvodu ohro\u017een\u00ed \u017eivota (prognosticky). Pacient, kter\u00fd m\u00e1 d\u016fvod ke kardiostimulaci, bez ohledu na v\u011bk, kardiostimul\u00e1tor v\u011bt\u0161inou dost\u00e1v\u00e1, nicm\u00e9n\u011b velmi mlad\u00ed pacienti, kte\u0159\u00ed d\u0159\u00edve tradi\u010dn\u011b byli stimulov\u00e1n\u00ed a je u nich prok\u00e1z\u00e1na reflexn\u00ed (nervov\u011b zprost\u0159edkovan\u00e1) p\u0159\u00ed\u010dina pomal\u00e9ho rytmu, se maj\u00ed dnes mo\u017enost voperov\u00e1n\u00ed kardiostimul\u00e1toru \u00fapln\u011b vyhnout, podstoup\u00ed tzv. kardioneuroablaci, kdy pomoc\u00ed katetru odstra\u0148ujeme v srdci zakon\u010den\u00ed nerv\u016f, kter\u00e9 zodpov\u00eddaj\u00ed za tuto poruchu<\/strong>,“<\/em> vysv\u011btluje MUDr. Szmek.<\/strong><\/p>\n\n\n\n

T\u0159ine\u010dt\u00ed kardiologov\u00e9 maj\u00ed dnes mo\u017enost kontrolovat sv\u00e9 pacienty i na d\u00e1lku. <\/strong>D\u00edky telemedic\u00edn\u011b v\u011bd\u00ed p\u0159esn\u011b, jak na tom jsou. \u201eTakov\u00fd p\u0159\u00edstroj parametry s\u00e1m zm\u011b\u0159\u00ed a ode\u0161le ke kontrole, je n\u00e1m tak\u00e9 schopen odes\u00edlat upozorn\u011bn\u00ed na rychle se m\u011bn\u00edc\u00ed parametry, kter\u00e9 mohou p\u0159edznamen\u00e1vat zhor\u0161en\u00ed stavu pacienta nebo funkce p\u0159\u00edstroje a l\u00e9ka\u0159 tak na n\u011b m\u016f\u017ee reagovat rychleji,“<\/em> vyjmenov\u00e1v\u00e1 v\u00fdhody telemedic\u00edny doktor Szmek a p\u0159id\u00e1v\u00e1 i vizi sv\u00e9ho oboru do budoucna. \u201eVyv\u00edj\u00ed se nov\u011bj\u0161\u00ed typy bezelektrodov\u00fdch kardiostimul\u00e1tor\u016f (sou\u010dasn\u011b b\u011b\u017en\u011b implantovan\u00e9 typy p\u0159\u00edstroj\u016f um\u00ed stimulovat pouze komory a jsou tak vhodn\u00e9 pouze pro n\u011bkter\u00e9 pacienty). Slibn\u00e1 je i fyziologick\u00e1 kardiostimulace, v\u011b\u0159\u00edm, \u017ee do budoucna ji budeme v T\u0159inci-Podles\u00ed nab\u00edzet v\u011bt\u0161in\u011b na\u0161ich pacient\u016f,“<\/em><\/strong> \u0159\u00edk\u00e1 MUDr. Bogdan Szmek.<\/strong><\/p>\n\n\n\n

Tiskov\u00fd odbor skupiny AGEL<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

V \u010cesk\u00e9 republice se podle odborn\u00edk\u016f ro\u010dn\u011b implantuje na 10 000 kardiostimul\u00e1tor\u016f a zhruba 5000 pacient\u016f pot\u0159ebuje zaveden\u00ed defibril\u00e1toru. Komplexn\u00ed kardiocentrum AGEL v na\u0161\u00ed nemocnici v T\u0159inci-Podles\u00ed je v r\u00e1mci republiky \u0161pi\u010dkou v p\u00e9\u010di o […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":42432,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42429","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\/42429","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=42429"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42429\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/42432"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42429"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42429"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42429"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}