{"id":44213,"date":"2023-12-07T18:55:35","date_gmt":"2023-12-07T17:55:35","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=44213"},"modified":"2023-12-07T18:55:35","modified_gmt":"2023-12-07T17:55:35","slug":"cesti-kardiologove-rukuji-do-bitvy-za-zdrave-srdce","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=44213","title":{"rendered":"\u010ce\u0161t\u00ed kardiologov\u00e9 rukuj\u00ed do bitvy za zdrav\u00e9 srdce"},"content":{"rendered":"\n<p><em>Probl\u00e9my se srdcem m\u00e1 v&nbsp;\u010cesku u\u017e ka\u017ed\u00fd t\u0159et\u00ed<\/em><\/p>\n\n\n\n<p><strong>V\u00e1no\u010dn\u00ed nez\u0159\u00edzen\u00e9 hodov\u00e1n\u00ed, kter\u00e9 ov\u0161em se sv\u00e1tky nekon\u010d\u00ed, zap\u00e1len\u00e1 cigareta prolo\u017een\u00e1 \u0161tamprli\u010dkou na vytr\u00e1ven\u00ed nebo sklenic\u00ed p\u011bniv\u00e9ho moku \u2013 to jsou jen n\u011bkter\u00e9 z\u00a0typicky \u010desk\u00fdch zvyk\u016f, kter\u00e9 d\u00e1vaj\u00ed srdci po\u0159\u00e1dn\u011b zabrat. Nezdrav\u00e9 \u017eit\u00ed p\u0159in\u00e1\u0161\u00ed ve sv\u00e9m d\u016fsledku explozi nejr\u016fzn\u011bj\u0161\u00edch srde\u010dn\u00edch chorob, kter\u00e9 se sna\u017e\u00ed \u010de\u0161t\u00ed kardiologov\u00e9 zvl\u00e1dat. A jak sami \u0159\u00edkaj\u00ed \u2013 pom\u00e1haj\u00ed l\u00e9ky, modern\u00ed p\u0159\u00edstroje, nov\u00e9 znalosti, ale pokud se nevzpamatuj\u00ed sami pacienti, nem\u00e1me v\u00a0t\u00e9to spole\u010dn\u00e9 bitv\u011b \u0161anci.<\/strong><\/p>\n\n\n\n<p>\u201e<em>Slova jako zdrav\u00fd \u017eivotn\u00ed styl n\u00e1m zcela zev\u0161edn\u011bla, lid\u00e9 je sly\u0161\u00ed ale nevn\u00edmaj\u00ed. Zat\u00edmco p\u0159ed \u010dty\u0159mi lety tady \u017eilo 360\u00a0000 pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm, v\u00a0roce 2040 jich m\u016f\u017ee b\u00fdt a\u017e 900\u00a0000. A to nepo\u010d\u00edt\u00e1me dal\u0161\u00ed nemoci spojen\u00e9 se srdcem a ob\u011bhem. Loni l\u00e9ka\u0159i o\u0161et\u0159ili pro n\u011bkterou z\u00a0mnoha kardiologick\u00fdch diagn\u00f3z p\u0159ibli\u017en\u011b t\u0159i miliony lid\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Ale\u0161 Linhart, p\u0159ednosta II. intern\u00ed kliniky kardiologie a angiologie VFN v\u00a0Praze. Prevence je \u00faheln\u00fd k\u00e1men, na n\u011bm\u017e kardiologov\u00e9 stav\u00ed hr\u00e1z proti tsunami srde\u010dn\u00edch chorob, je\u017e \u010ceskou republiku zaplavuj\u00ed. Podle p\u0159edsedy \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti prof. MUDr. Petra O\u0161\u0165\u00e1dala, jsou nemoci ob\u011bhov\u00e9 soustavy dlouhodob\u011b hlavn\u00ed p\u0159\u00ed\u010dinou \u00famrt\u00ed v\u00a0\u010cesku. N\u00e1klady, spojen\u00e9 s\u00a0nemocemi srdce odborn\u00edci odhaduj\u00ed na miliardy korun.<em> \u201eV\u00fdznamn\u00e1 \u010d\u00e1st \u00famrt\u00ed je p\u0159itom p\u0159ed\u010dasn\u00e1 a lze j\u00ed p\u0159edej\u00edt,\u201c <\/em>dopl\u0148uje prof. O\u0161\u0165\u00e1dal.<\/p>\n\n\n\n<p>Jednou z jednoduch\u00fdch metod, jak v\u00fdznamn\u011b zlep\u0161it stav srdce a c\u00e9v, je prost\u00e1 ch\u016fze. <em>\u201eStudie jasn\u011b prok\u00e1zaly, \u017ee ka\u017ed\u00e9mu des\u00e1t\u00e9mu p\u0159ed\u010dasn\u00e9mu \u00famrt\u00ed lze p\u0159edej\u00edt u\u017e 11 minutami rychl\u00e9 ch\u016fze denn\u011b. \u010c\u00edm v\u00edce krok\u016f ud\u011bl\u00e1me, t\u00edm v\u00edce se sni\u017euje nejen riziko v\u00fdskytu kardiovaskul\u00e1rn\u00edch nemoc\u00ed, ale tak\u00e9 \u0159ady druh\u016f rakoviny. Doporu\u010dujeme uj\u00edt minim\u00e1ln\u011b 6 000 krok\u016f denn\u011b, ale ka\u017ed\u00fd krok nav\u00edc se po\u010d\u00edt\u00e1. I kdy\u017e maj\u00ed lid\u00e9 probl\u00e9m s&nbsp;pohybem a \u201au\u0161lapat\u2018 6&nbsp;000 krok\u016f je nad jejich s\u00edly, a\u0165 zkus\u00ed k&nbsp;tomu, co ujdou, p\u0159idat 20\u201330 % nav\u00edc,\u201c<\/em> dod\u00e1v\u00e1 prof. Linhart a uv\u00e1d\u00ed na pravou m\u00edru ned\u00e1vno publikovan\u00e1 data, kter\u00e1 chybn\u011b stanovila jako \u201emagickou hranici\u201c zlep\u0161en\u00ed kardiovaskul\u00e1rn\u00edho rizika u\u017e 2 300 krok\u016f.<\/p>\n\n\n\n<p>Dal\u0161\u00ed preventivn\u00ed akc\u00ed, je\u017e ochr\u00e1n\u00ed sou\u010dasn\u00e9 pacienty, je o\u010dkov\u00e1n\u00ed proti ch\u0159ipce. <em>\u201eNed\u00e1vno vy\u0161la p\u0159elomov\u00e1 mezin\u00e1rodn\u00ed studie, proveden\u00e1 u <\/em><em>2 571 pacient\u016f se srde\u010dn\u00edm infarktem v&nbsp;osmi zem\u00edch sv\u011bta, <\/em><em>na n\u00ed\u017e se tak\u00e9 pod\u00edlelo n\u011bkolik \u010desk\u00fdch center. Ta jasn\u011b uk\u00e1zala, \u017ee o\u010dkov\u00e1n\u00ed proti ch\u0159ipce sni\u017euje riziko \u00famrt\u00ed o v\u00edce ne\u017e 40 %. To je opravdu z\u00e1sadn\u00ed rozd\u00edl. Vakcinaci proti ch\u0159ipce u kardiak\u016f doporu\u010dujeme ji\u017e del\u0161\u00ed dobu, ale tato studie p\u0159inesla naprosto jednozna\u010dn\u00e9 d\u016fkazy, \u017ee o\u010dkov\u00e1n\u00ed pom\u00e1h\u00e1. Proto apelujeme nejen na pacienty, aby se o\u010dkovali, ale tak\u00e9 na l\u00e9ka\u0159e, aby vysv\u011btlovali lidem, kte\u0159\u00ed maj\u00ed pot\u00ed\u017ee se srdcem, \u017ee je toto o\u010dkov\u00e1n\u00ed m\u016f\u017ee ochr\u00e1nit,\u201c <\/em>uv\u00e1d\u00ed prof. O\u0161\u0165\u00e1dal.<\/p>\n\n\n\n<p>Dal\u0161\u00ed, ne tak zn\u00e1mou p\u0159\u00ed\u010dinou srde\u010dn\u00edch pot\u00ed\u017e\u00ed je vlekl\u00fd chronick\u00fd z\u00e1n\u011bt v&nbsp;t\u011ble. <em>\u201eTento z\u00e1n\u011bt, zp\u016fsoben\u00fd nap\u0159\u00edklad zv\u00fd\u0161enou hladinou cukru, kou\u0159en\u00edm, vysok\u00fdm cholesterolem, obezitou atp., se nijak neprojevuje, nec\u00edt\u00edme ho. Vede ale mimo jin\u00e9 ke vzniku ateroskler\u00f3zy, a ta zase nap\u0159\u00edklad k infarktu a dal\u0161\u00edm srde\u010dn\u00edm chorob\u00e1m. M\u00e9n\u011b typick\u00fdm p\u016fvodcem chronick\u00e9ho z\u00e1n\u011btu je nel\u00e9\u010den\u00e9 zan\u00edcen\u00ed d\u00e1sn\u00ed \u2013 parodont\u00f3za a zka\u017een\u00fd chrup. Neo\u0161et\u0159en\u00fd z\u00e1n\u011bt zvy\u0161uje riziko infarktu myokardu. P\u00e9\u010de o zuby je tak sou\u010d\u00e1st\u00ed prevence nemoc\u00ed srdce a c\u00e9v,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Michal Vrabl\u00edk, Ph.D., p\u0159edseda \u010cesk\u00e9 asociace preventivn\u00ed kardiologie.<\/p>\n\n\n\n<p>Dal\u0161\u00ed zbran\u00ed v&nbsp;bitv\u011b za zdrav\u00e1 \u010desk\u00e1 srdce jsou podle prof. MUDr. Jana Krej\u010d\u00edho, Ph.D., FHFA, p\u0159edsedy \u010cesk\u00e9 asociace srde\u010dn\u00edho selh\u00e1n\u00ed \u010cKS, st\u00e1le nov\u00e9 a modern\u011bj\u0161\u00ed l\u00e9ky. Mezi ty ji\u017e osv\u011bd\u010den\u00e9 se v&nbsp;budoucnu p\u0159i\u0159ad\u00ed nov\u00e9 prepar\u00e1ty, kter\u00e9 pomohou pacient\u016fm sn\u00ed\u017eit v\u00e1hu nebo odvyknout kou\u0159en\u00ed. <em>\u201eZrovna tyto dva faktory maj\u00ed na vzniku srde\u010dn\u011b-c\u00e9vn\u00edch pot\u00ed\u017e\u00ed lv\u00ed pod\u00edl. A pokud existuj\u00ed farmaka, kter\u00e1 lidem pomohou bojovat s jejich z\u00e1vislost\u00ed a\u0165 u\u017e na j\u00eddle, nebo cigaret\u00e1ch, poj\u010fme je vyu\u017e\u00edt,\u201c<\/em> \u0159\u00edk\u00e1 prof. Krej\u010d\u00ed. Situaci by podle n\u011bj tak\u00e9 pomohlo v\u010dasn\u00e9 odhalen\u00ed nemocn\u00e9ho srdce. Nap\u0159\u00edklad s&nbsp;pomoc\u00ed testu hladiny natriuretick\u00fdch peptid\u016f v&nbsp;krevn\u00ed plazm\u011b. <em>\u201eS&nbsp;jeho pomoc\u00ed lze detekovat i po\u010d\u00e1te\u010dn\u00ed stadia srde\u010dn\u00edho selh\u00e1n\u00ed. Nemocn\u00fd se tak m\u016f\u017ee dostat k&nbsp;efektivn\u00ed l\u00e9\u010db\u011b v\u010das, co\u017e zlep\u0161uje jej\u00ed v\u00fdsledky. Test mohou nav\u00edc prov\u00e9st u\u017e prakti\u010dt\u00ed l\u00e9ka\u0159i,\u201c<\/em> p\u0159ipom\u00edn\u00e1 prof. Krej\u010d\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Probl\u00e9my se srdcem m\u00e1 v&nbsp;\u010cesku u\u017e ka\u017ed\u00fd t\u0159et\u00ed V\u00e1no\u010dn\u00ed nez\u0159\u00edzen\u00e9 hodov\u00e1n\u00ed, kter\u00e9 ov\u0161em se sv\u00e1tky nekon\u010d\u00ed, zap\u00e1len\u00e1 cigareta prolo\u017een\u00e1 \u0161tamprli\u010dkou na vytr\u00e1ven\u00ed nebo sklenic\u00ed p\u011bniv\u00e9ho <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=44213\" title=\"\u010ce\u0161t\u00ed kardiologov\u00e9 rukuj\u00ed do bitvy za zdrav\u00e9 srdce\">[&#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-44213","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\/44213","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=44213"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/44213\/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=44213"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=44213"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=44213"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}