P\u0159edstavte si, \u017ee va\u0161e srdce za zhruba 4 minuty, p\u0159e\u010derp\u00e1 20 litr\u016f krve. A my jsme proto do vys\u00edl\u00e1n\u00ed Radio\u017eurn\u00e1lu pozvali p\u0159ednostu kardiocentra a kliniky kardiologie IKEM, prof. Josefa Kautznera. P\u0159eji v\u00e1m dobr\u00e9 r\u00e1no.<\/p>\n\n\n\n
Pane profesore, m\u00e1te za sebou dlouholetou praxi, spoustu zku\u0161enost\u00ed, a tak ur\u010dit\u011b dok\u00e1\u017eete srovnat l\u00e9\u010dbu srde\u010dn\u00edch nemoc\u00ed te\u010f a t\u0159eba p\u0159ed n\u011bkolika des\u00edtkami let. V \u010dem vid\u00edte ten nejv\u011bt\u0161\u00ed posun?<\/p>\n\n\n\n Josef KAUTZNER, p\u0159ednosta kardiocentra a kliniky kardiologie IKEM Vojt\u011bch BIDRMAN, moder\u00e1tor P\u0159edstavte si, \u017ee va\u0161e srdce za zhruba 4 minuty, p\u0159e\u010derp\u00e1 20 litr\u016f krve. A my jsme proto do vys\u00edl\u00e1n\u00ed Radio\u017eurn\u00e1lu pozvali p\u0159ednostu kardiocentra a kliniky […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29445,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-42557","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\/42557","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=42557"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/42557\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29445"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42557"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42557"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42557"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Radio\u017eurn\u00e1l – Rann\u00ed interview
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Pane profesore, \u0159ekn\u011bte n\u00e1m, pros\u00edm, hned na \u00favod, co na\u0161emu srdci nejv\u00edc \u0161kod\u00ed?
Josef KAUTZNER, p\u0159ednosta kardiocentra a kliniky kardiologie IKEM
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Ono je to pom\u011brn\u011b prost\u00e9, na\u0161emu srdci a cel\u00e9mu tomu kardiovaskul\u00e1rn\u00edmu syst\u00e9mu \u0161kod\u00ed nejv\u00edce nezdrav\u00fd \u017eivotn\u00ed styl, nedostatek pohybu, nadv\u00e1ha nebo dokonce obezita, kou\u0159en\u00ed, p\u0159em\u00edra alkoholu, nezdrav\u00e1 strava, jako je procesovan\u00e9 j\u00eddlo, takov\u00fd ten fast food, energy drink a podobn\u011b. Nap\u0159\u00edklad kou\u0159en\u00ed po\u0161kozuje v\u00fdstelku c\u00e9v a prakticky ka\u017ed\u00fd ku\u0159\u00e1k v\u011bt\u0161\u00edho mno\u017estv\u00ed cigaret rozvine p\u0159ed\u010dasn\u00e9 projevy ateroskler\u00f3zy, jako je infarkt myokardu, mozkov\u00e1 p\u0159\u00edhoda nebo posti\u017een\u00ed<\/strong> perifern\u00edch tepen. Ale pak u\u017e je v\u011bt\u0161inou pozd\u011b to \u0159e\u0161it.
Vojt\u011bch BIDRMAN, moder\u00e1tor
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Kdy\u017e to vezmeme z druh\u00e9 str\u00e1nky, co tedy ud\u011blat pro to, aby na\u0161e srdce bylo co nejd\u00e9le zdrav\u00e9. Je logick\u00e9, \u017ee u ku\u0159\u00e1ka je ta odpov\u011b\u010f p\u0159estat kou\u0159it, ale v obecn\u00e9 rovin\u011b, co dal\u0161\u00edho m\u016f\u017eeme ud\u011blat?
Josef KAUTZNER, p\u0159ednosta kardiocentra a kliniky kardiologie IKEM
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Kdy\u017e to oto\u010d\u00edme, tak dodr\u017eovat ty z\u00e1sady zdrav\u00e9ho \u017eivotn\u00edho stylu, pohybovat se pravideln\u011b, j\u00edst zdravou stravu, nekou\u0159it, nep\u00edt hodn\u011b alkoholu, odpo\u010d\u00edvat aktivn\u011b, prost\u011b neb\u00fdt ob\u00e9zn\u00ed, to jsou ty nejlep\u0161\u00ed recepty, a to je prok\u00e1z\u00e1no ve studi\u00edch, \u017ee si takto prok\u00e1\u017eeme nebo dok\u00e1\u017eeme prodlou\u017eit \u017eivot ve zdrav\u00ed a\u017e o 10 let.
Vojt\u011bch BIDRMAN, moder\u00e1tor
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Jak\u00e1 jsou ta nej\u010dast\u011bj\u0161\u00ed onemocn\u011bn\u00ed srdce? Jsou to sp\u00ed\u0161 vrozen\u00e9 vady nebo ty z\u00edskan\u00e9?
Josef KAUTZNER, p\u0159ednosta kardiocentra a kliniky kardiologie IKEM
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No, jak to vezmeme. Nej\u010dast\u011bj\u0161\u00ed onemocn\u011bn\u00ed u n\u00e1s je ischemick\u00e1 choroba srde\u010dn\u00ed, co\u017e je pr\u00e1v\u011b \u010dasto d\u016fsledek toho, \u017ee \u017eijeme nezdrav\u00fdm stylem, samoz\u0159ejm\u011b je tam n\u011bjak\u00fd vrozen\u00fd z\u00e1klad, ale nen\u00ed to n\u011bjak\u00e1 jednoduch\u00e1 genetick\u00e1 porucha, kterou lze snadno identifikovat, je to mnoho p\u0159\u00ed\u010din, mnoho gen\u016f a klinicky se projevuje jako ang\u00edna pectoris nebo infarkt myokardu, p\u0159\u00edpadn\u011b jako n\u00e1hl\u00e1 smrt v d\u016fsledku malign\u00ed arytmie, d\u00e1le jsou to kardiomyopatie, \u010dasto na vrozen\u00e9m podkladu, p\u0159ib\u00fdv\u00e1 chlopenn\u00edch vad, tak, jak st\u00e1rne populace a lid\u00e9 se do\u017e\u00edvaj\u00ed vy\u0161\u0161\u00edho v\u011bku, ty vrozen\u00e9 vady, to je men\u0161ina, naprost\u00e1 men\u0161ina t\u011bch onemocn\u011bn\u00ed, s vrozen\u00fdmi vadami se rod\u00ed asi 1 % d\u011bt\u00ed a v\u011bt\u0161ina je z d\u011btstv\u00ed operov\u00e1na, ale t\u00edm p\u00e1dem zase p\u0159ib\u00fdv\u00e1 v dosp\u011blosti pacient\u016f, kte\u0159\u00ed m\u011bli tu operaci v d\u011btstv\u00ed a kte\u0159\u00ed maj\u00ed tak\u00e9 \u0159adu probl\u00e9m\u016f, proto\u017ee tou operac\u00ed se \u00fapln\u011b ten \u010dlov\u011bk neuzdrav\u00ed a m\u00e1 potom n\u011bjak\u00e9 pozdn\u00ed zase d\u016fsledky.
Vojt\u011bch BIDRMAN, moder\u00e1tor
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Existuj\u00ed n\u011bjak\u00e9 varovn\u00e9 sign\u00e1ly, \u017ee s na\u0161\u00edm srdcem n\u011bco nen\u00ed v po\u0159\u00e1dku? Jinak \u0159e\u010deno, m\u016f\u017eeme to sami na sob\u011b poznat samoz\u0159ejm\u011b v\u010das?
Josef KAUTZNER, p\u0159ednosta kardiocentra a kliniky kardiologie IKEM
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No, on je probl\u00e9m, \u017ee ty subjektivn\u00ed p\u0159\u00edznaky v\u016fbec neodr\u00e1\u017e\u00ed \u010dasto z\u00e1va\u017enost toho onemocn\u011bn\u00ed. Jsou lid\u00e9, kte\u0159\u00ed maj\u00ed pokro\u010dil\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed a prakticky si nest\u011b\u017euj\u00ed a p\u0159ijde se na to a\u017e potom, pokud se stane n\u011bjak\u00e1 z\u00e1va\u017en\u00e1 komplikace nebo ud\u00e1lost. A na druh\u00e9 stran\u011b jsou t\u0159eba i mlad\u0161\u00ed pacienti, kte\u0159\u00ed maj\u00ed n\u011bkolik t\u011bch mimo\u0159\u00e1dn\u00fdch stah\u016f, \/nesrozumiteln\u00e9\/, co\u017e je naprosto benign\u00ed v\u011bc, ale dok\u00e1\u017eou si zavolat z\u00e1chrannou slu\u017ebu a p\u0159ijedou ve dv\u011b r\u00e1no v noci do nemocnice, tak\u017ee ono je to velmi t\u011b\u017ek\u00fd, ale infarkt myokardu, co\u017e je ta nejz\u00e1va\u017en\u011bj\u0161\u00ed kardiovaskul\u00e1rn\u00ed p\u0159\u00edhoda nebo srde\u010dn\u00ed p\u0159\u00edhoda, se projev\u00ed v\u011bt\u0161inou bolest\u00ed na hrudi, kter\u00e1 je plo\u0161n\u00e1, tlakov\u00e1, pal\u010div\u00e1, vyza\u0159uje do krku, do ramene, je \u010dasto spojena s opocen\u00edm a pocitem nevolnosti. A pokud je ten pacient v rizikov\u00e9m v\u011bku, kolem t\u011bch 50, 60 let a je ku\u0159\u00e1k, t\u0159eba m\u00e1 v rodin\u011b takovou anamn\u00e9zu infarktu a mozkov\u00fdch p\u0159\u00edhod a podobn\u011b a ta bolest trv\u00e1 v\u00edc jak n\u011bkolik minut, tak by m\u011bl zavolat z\u00e1chrannou slu\u017ebu, ne jet s\u00e1m autem, proto\u017ee je tak\u00e9 ohro\u017een vznikem \u017eivot ohro\u017euj\u00edc\u00ed arytmie, a to nen\u00ed dobr\u00e9 tedy jet sv\u00fdm autem.
Vojt\u011bch BIDRMAN, moder\u00e1tor<\/p>\n\n\n\n
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Ve v\u0161em. J\u00e1 se v\u011bnuju teda kardiologii 40 let a za tu dobu se zm\u011bnilo v\u0161echno, zm\u011bnila se diagnostika, my jsme d\u0159\u00edv operovali pacienty jenom po p\u0159edchoz\u00ed katetrizaci, dneska m\u00e1me echokardiografii, CT vy\u0161et\u0159en\u00ed, magnetickou rezonanci, izotopov\u00e9 metody. Kdy\u017e jsem za\u010d\u00ednal, tak to v\u016fbec neexistovalo, nebo to v\u0161echno za\u010d\u00ednalo. Infarkt myokardu se l\u00e9\u010dil klidem na l\u016f\u017eku, pozd\u011bji l\u00e9ky, kter\u00e9 rozpou\u0161t\u011bj\u00ed sra\u017eeninu, dneska dok\u00e1\u017eeme otev\u0159\u00edt tu uzav\u0159enou tepnu, pokud ten pacient p\u0159ijde v\u010das a bohu\u017eel v\u011bt\u0161inou je to zpo\u017ed\u011bn\u00ed na stran\u011b pacienta. Pacienti maj\u00ed, jsou ochr\u00e1n\u011bni kardioverterem-defibril\u00e1torem, kdy\u017e maj\u00ed vysok\u00e9 riziko n\u00e1hl\u00e9 smrti, katetriza\u010dn\u00ed aplace neexistovaly tehdy a ty dnes umo\u017en\u00ed vyl\u00e9\u010dit mnoho pacient\u016f s arytmiemi. D\u00e1 se implantovat dnes chlopenn\u00ed n\u00e1hrada katetriza\u010dn\u011b bez operace, a tak bych mohl pokra\u010dovat. To je prost\u011b \u00fapln\u011b revolu\u010dn\u00ed zm\u011bna za t\u011bch posledn\u00edch 40 let, kter\u00e1 se ud\u00e1la.<\/p>\n\n\n\n
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Profesor Josef Kautzner, p\u0159ednosta kardiocentra a kliniky kardiologie IKEM, byl hostem Radio\u017eurn\u00e1lu. <\/p>\n","protected":false},"excerpt":{"rendered":"