{"id":46723,"date":"2024-03-05T15:33:40","date_gmt":"2024-03-05T14:33:40","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=46723"},"modified":"2024-03-05T15:33:41","modified_gmt":"2024-03-05T14:33:41","slug":"kardiologove-chteji-vice-ambulanci-srdecniho-selhani","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=46723","title":{"rendered":"Kardiologov\u00e9 cht\u011bj\u00ed v\u00edce ambulanc\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed"},"content":{"rendered":"\n

Pomohly by s p\u00e9\u010d\u00ed o pacienty, kter\u00fdch ka\u017ed\u00fdm rokem rapidn\u011b p\u0159ib\u00fdv\u00e1<\/em><\/p>\n\n\n\n

Kardiologov\u00e9 usiluj\u00ed o vznik specializovan\u00fdch ambulanc\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed. Ty zat\u00edm funguj\u00ed p\u0159edev\u0161\u00edm p\u0159i velk\u00fdch nemocnic\u00edch s kardiocentry. Vzhledem k\u00a0tomu, \u017ee se o v\u00fdskytu srde\u010dn\u00edho selh\u00e1n\u00ed hovo\u0159\u00ed u\u017e jako o pandemii, bude jich t\u0159eba otev\u0159\u00edt mnohem v\u00edc. O kardiaky toti\u017e nen\u00ed po ukon\u010den\u00ed hospitalizace v\u017edy kvalitn\u011b postar\u00e1no. Odborn\u00edci na srdce budou nejenom o tomto probl\u00e9mu diskutovat 6. b\u0159ezna, na akci Den I. intern\u00ed kardioangiologick\u00e9 kliniky Fakultn\u00ed nemocnice u sv. Anny (FNUSA) a LF MU.<\/strong><\/p>\n\n\n\n

\u201ePodle na\u0161ich zku\u0161enost\u00ed do roku po odchodu z\u00a0nemocnice, kam byli p\u0159evezeni se srde\u010dn\u00edm selh\u00e1n\u00edm, zem\u0159e p\u0159ibli\u017en\u011b 20 % pacient\u016f. Dal\u0161\u00edch asi 25 % se mus\u00ed do nemocnice vr\u00e1tit kv\u016fli pot\u00ed\u017e\u00edm u\u017e po jednom m\u011bs\u00edci,\u201c<\/em>\u0159\u00edk\u00e1prof. MUDr. Jan Krej\u010d\u00ed, Ph.D., p\u0159ednosta I. intern\u00ed kardioangiologick\u00e9 kliniky FNUSA a z\u00e1rove\u0148 p\u0159edseda \u010cesk\u00e9 asociace srde\u010dn\u00edho selh\u00e1n\u00ed \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti.<\/p>\n\n\n\n

Tato \u010d\u00edsla by mohla b\u00fdt dle l\u00e9ka\u0159\u016f v\u00fdrazn\u011b ni\u017e\u0161\u00ed,\u00a0kdyby pacienta okam\u017eit\u011b po propu\u0161t\u011bn\u00ed z\u00a0nemocnice p\u0159evzal do p\u00e9\u010de ambulantn\u00ed kardiolog, kter\u00fd m\u00e1 zku\u0161enosti s\u00a0l\u00e9\u010dbou srde\u010dn\u00edho selh\u00e1n\u00ed. A hned se postaral o lad\u011bn\u00ed l\u00e9\u010dby.<\/p>\n\n\n\n

\u201ePodle nejnov\u011bj\u0161\u00edch doporu\u010den\u00fdch postup\u016f mus\u00ed b\u00fdt pacient co nejl\u00e9pe zal\u00e9\u010den p\u0159i hospitalizaci a v\u00a0prvn\u00edch 6 t\u00fddnech po propu\u0161t\u011bn\u00ed z\u00a0nemocnice. To se v\u0161ak bohu\u017eel v\u017edy ned\u011bje kv\u016fli nedosta\u010duj\u00edc\u00ed kapacit\u011b specialist\u016f na srde\u010dn\u00ed selh\u00e1n\u00ed. Nen\u00ed bohu\u017eel v\u00fdjimkou, \u017ee kdy\u017e si pacient po propu\u0161t\u011bn\u00ed z\u00a0nemocnice zavol\u00e1 do ambulance kardiologa s\u00a0\u017e\u00e1dost\u00ed o term\u00edn kontroly, dostane jej za 3 m\u011bs\u00edce, nebo dokonce za p\u016fl roku. Prvn\u00ed dny jsou p\u0159itom nejd\u016fle\u017eit\u011bj\u0161\u00ed. Do 5 let po stanoven\u00ed diagn\u00f3zy zem\u0159e a\u017e 50 % nemocn\u00fdch se srde\u010dn\u00edm selh\u00e1n\u00edm. Po druh\u00e9 hospitalizaci pro srde\u010dn\u00ed selh\u00e1n\u00ed je medi\u00e1n p\u0159e\u017eit\u00ed jen m\u00e1lo p\u0159es 2 roky\u201c <\/em>vysv\u011btlujeprof. Krej\u010d\u00ed.<\/p>\n\n\n\n

\u201eStudie z roku 2022<\/em>1<\/em><\/sup> uk\u00e1zala, \u017ee intenzivn\u00ed monitoring pacienta spolu s \u00fapravou l\u00e9\u010dby dok\u00e1\u017ee ve 180 dnech sn\u00ed\u017eit \u00famrt\u00ed nebo hospitalizace pro srde\u010dn\u00ed selh\u00e1n\u00ed a\u017e o t\u0159etinu. Dnes u\u017e lze nejen m\u011b\u0159it krevn\u00ed tlak, puls a sledovat hmotnost nemocn\u00fdch, ale m\u016f\u017eeme tak\u00e9 pravideln\u011b monitorovat hladinu natriuretick\u00fdch peptid\u016f. Tyto informace n\u00e1m umo\u017e\u0148uj\u00ed zintenzivnit l\u00e9\u010dbu, pokud se stav nevyv\u00edj\u00ed p\u0159\u00edzniv\u011b, tak aby se nemocn\u00fd vyhnul hospitalizaci. Pr\u00e1v\u011b v obdob\u00ed kr\u00e1tce po propu\u0161t\u011bn\u00ed z nemocni\u010dn\u00ed p\u00e9\u010de je riziko komplikac\u00ed nejvy\u0161\u0161\u00ed. Abychom jim zabr\u00e1nili, je t\u0159eba z\u00e1sadn\u00edm zp\u016fsobem nav\u00fd\u0161it kapacitu ambulanc\u00ed pro l\u00e9\u010dbu srde\u010dn\u00edho selh\u00e1n\u00ed, kter\u00e9 by ide\u00e1ln\u011b m\u011bly b\u00fdt v ka\u017ed\u00e9 nemocnici \u010di p\u0159i v\u011bt\u0161in\u011b kardiologick\u00fdch ambulanc\u00ed,\u201c <\/em>pokra\u010duje prof. Krej\u010d\u00ed. C\u00edlem kardiolog\u016f tak je zajistit p\u00e9\u010di ve v\u0161ech regionech a men\u0161\u00edch m\u011bstech. \u010cesk\u00e1 kardiologick\u00e1 spole\u010dnost se tak\u00e9 sna\u017e\u00ed o zv\u00fd\u0161en\u00ed \u00farovn\u011b znalost\u00ed a pravomoc\u00ed zdravotn\u00edch sester, kter\u00e9 by mohly \u0159adu m\u011b\u0159en\u00ed a \u00fakon\u016f d\u011blat samy.<\/p>\n\n\n\n

Dal\u0161\u00ed \u00falevu syst\u00e9mu by m\u011bla p\u0159in\u00e9st telemedic\u00edna. V\u00a0\u0159ad\u011b nemocnic u\u017e r\u016fzn\u00e9 telemedic\u00ednsk\u00e9 syst\u00e9my pou\u017e\u00edvaj\u00ed, ale vznikaly \u017eiveln\u011b a neum\u00ed spolu komunikovat. Ve Fakultn\u00ed nemocnici u sv. Anny n\u011bkolik let funguje telemedic\u00ednsk\u00fd syst\u00e9m pro nemocn\u00e9, jeho\u017e v\u00fdvoj pro pot\u0159eby spole\u010dn\u00fdch program\u016f podpo\u0159ilo Centrum kardiovaskul\u00e1rn\u00ed a transplanta\u010dn\u00ed chirurgie. <\/p>\n\n\n\n

\u201eSta\u010d\u00ed kdy\u017e se pacient pod sv\u00fdm heslem p\u0159ihl\u00e1s\u00ed na port\u00e1l, a syst\u00e9m mu ka\u017ed\u00fd den vygeneruje dotazn\u00edk. Pacient vypln\u00ed nap\u0159\u00edklad kolik v\u00e1\u017e\u00ed, jak se c\u00edt\u00ed, jak\u00fd m\u00e1 tlak, zda je du\u0161n\u00fd, m\u00e1 otoky a pokud ano kde a jak velk\u00e9. Jakmile uvid\u00edme, \u017ee se zhor\u0161uje, okam\u017eit\u011b zas\u00e1hneme. Uprav\u00edme nap\u0159\u00edklad medikaci tak, aby se jeho stav stabilizoval,\u201c<\/em> vysv\u011btluje vrchn\u00ed sestra I. intern\u00ed kardioangiologick\u00e9 kliniky FNUSA Mgr. Monika \u010cern\u00e1.<\/p>\n\n\n\n

V sou\u010dasn\u00e9 dob\u011b takto sleduj\u00ed deset pacient\u016f s\u00a0mechanickou podporou srdce a dal\u0161\u00edch deset, kte\u0159\u00ed \u010dekaj\u00ed na transplantaci \u2013 v\u0161ichni kv\u016fli sv\u00e9 nemoci trp\u00ed pokro\u010dil\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm. \u201ePro pacienty je v\u00fdrazn\u011b lep\u0161\u00ed, kdy\u017e je monitorujeme pr\u016fb\u011b\u017en\u011b. M\u016f\u017ee se toti\u017e st\u00e1t, \u017ee p\u0159ijdou po p\u016fl roce na kontrolu s\u00a0osmi kily nav\u00edc, kv\u016fli zadr\u017een\u00fdm tekutin\u00e1m, a tento stav se pak upravuje t\u011b\u017ece,\u201c <\/em>dod\u00e1v\u00e1 Monika \u010cern\u00e1.<\/p>\n\n\n\n

Kardiologov\u00e9 odhaduj\u00ed, \u017ee do roku 2040 m\u016f\u017ee b\u00fdt v \u010cesk\u00e9 republice a\u017e 900 000 lid\u00ed se srde\u010dn\u00edm selh\u00e1n\u00edm. Podle p\u0159edsedy \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti prof. MUDr. Petra O\u0161\u0165\u00e1dala, Ph.D., FESC, jsou nemoci ob\u011bhov\u00e9 soustavy dlouhodob\u011b hlavn\u00ed p\u0159\u00ed\u010dinou \u00famrt\u00ed v \u010cesku.<\/p>\n","protected":false},"excerpt":{"rendered":"

Pomohly by s p\u00e9\u010d\u00ed o pacienty, kter\u00fdch ka\u017ed\u00fdm rokem rapidn\u011b p\u0159ib\u00fdv\u00e1 Kardiologov\u00e9 usiluj\u00ed o vznik specializovan\u00fdch ambulanc\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed. Ty zat\u00edm funguj\u00ed p\u0159edev\u0161\u00edm p\u0159i velk\u00fdch […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14888,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-46723","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\/46723","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=46723"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/46723\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14888"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=46723"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=46723"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=46723"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}