{"id":48522,"date":"2024-04-30T06:11:58","date_gmt":"2024-04-30T04:11:58","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=48522"},"modified":"2024-04-30T06:12:03","modified_gmt":"2024-04-30T04:12:03","slug":"jarni-vykyvy-teplot-jsou-pro-sportovce-nejrizikovejsi","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=48522","title":{"rendered":"Jarn\u00ed v\u00fdkyvy teplot jsou pro sportovce nejrizikov\u011bj\u0161\u00ed"},"content":{"rendered":"\n

Kolaps hroz\u00ed u kardiak\u016f i rekrea\u010dn\u00edch sportovc\u016f<\/em><\/p>\n\n\n\n

V\u00fdkyvy teplot, kter\u00e9 jsou pro jarn\u00ed obdob\u00ed typick\u00e9, zat\u011b\u017euj\u00ed c\u00e9vy a srdce. P\u0159i sportu by tak m\u011bli b\u00fdt opatrn\u011bj\u0161\u00ed nejen kardiaci, ale i rekrea\u010dn\u00ed sportovci, kte\u0159\u00ed se po zimn\u00ed pauze vrac\u00ed k\u00a0b\u011bhu nebo cyklistice. P\u0159i p\u0159ece\u0148ov\u00e1n\u00ed vlastn\u00edch sil se m\u016f\u017ee objevit v\u00fdrazn\u00e1 du\u0161nost nebo tlak na hrudi. Za t\u011bmito pot\u00ed\u017eemi se mohou skr\u00fdvat v\u00e1\u017en\u00e1 onemocn\u011bn\u00ed srdce, kter\u00e1 se p\u0159i b\u011b\u017en\u00e9 z\u00e1t\u011b\u017ei nemus\u00ed projevit. Se srde\u010dn\u00edmi probl\u00e9my by sportovci m\u011bli ihned vyhledat specializovanou p\u00e9\u010di, nap\u0159\u00edklad v centrech sportovn\u00ed kardiologie.<\/strong><\/p>\n\n\n\n

Zku\u0161enosti z\u00a0oblasti sportovn\u00ed medic\u00edny si l\u00e9ka\u0159i vym\u011bn\u00ed na XXXII. v\u00fdro\u010dn\u00edm sjezdu \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti, kter\u00fd za\u010d\u00edn\u00e1 4. kv\u011btna v\u00a0Brn\u011b.<\/strong><\/p>\n\n\n\n

\u201eT\u011blu trv\u00e1 asi 14 dn\u016f, ne\u017e se na zm\u011bnu teplot adaptuje. Je proto d\u016fle\u017eit\u00e9 d\u00e1vat si p\u0159i sportu pozor, zvl\u00e1\u0161t\u011b kdy\u017e n\u00e1hle nastoup\u00ed vy\u0161\u0161\u00ed teploty<\/em>,\u201c p\u0159ibli\u017euje doc. MUDr.\u00a0Vladim\u00edr Tuka, Ph.D., vedouc\u00ed Centra z\u00e1t\u011b\u017eov\u00e9 kardiologie II.\u00a0intern\u00ed kliniky \u2013 kliniky kardiologie a angiologie VFN v\u00a0Praze.<\/p>\n\n\n\n

Prudk\u00e9 zm\u011bny teplot v\u00fdrazn\u011b zat\u011b\u017euj\u00ed ob\u011bhov\u00fd apar\u00e1t. Srdce se toti\u017e mus\u00ed krom\u011b p\u0159e\u010derp\u00e1v\u00e1n\u00ed krve v\u011bnovat i termoregulaci t\u011bla, a vznik\u00e1 tak v\u011bt\u0161\u00ed riziko, \u017ee \u010dlov\u011bk p\u0159i sportu zkolabuje. To hroz\u00ed i t\u011bm, kte\u0159\u00ed nejsou ve sportu dostate\u010dn\u011b zdatn\u00ed a sv\u00e9 s\u00edly hned zpo\u010d\u00e1tku sez\u00f3ny p\u0159ecen\u00ed. Zprvu mohou c\u00edtit bu\u0161en\u00ed srdce a tlak na hrudi. Varovn\u00fdm sign\u00e1lem, \u017ee se srdcem nen\u00ed v\u0161e v\u00a0po\u0159\u00e1dku, je i neobvykle \u010dast\u00e9 zad\u00fdch\u00e1v\u00e1n\u00ed.<\/p>\n\n\n\n

\u201eSportovci by m\u011bli ur\u010dit\u011b zbyst\u0159it, kdy\u017e za\u010dnou b\u00fdt du\u0161n\u00ed p\u0159i ni\u017e\u0161\u00edch stupn\u00edch z\u00e1t\u011b\u017ee. Nap\u0159\u00edklad kdy\u017e b\u011b\u017en\u011b vyb\u011bhli kopec a nebyli zad\u00fdchan\u00ed, a te\u010f jim to najednou nejde<\/em>,\u201c popisuje docent Tuka.<\/p>\n\n\n\n

\u201eTo, co by sportovce m\u011blo varovat, je tak\u00e9 nepravidelnost srde\u010dn\u00ed frekvence nebo pocit, \u017ee by mohli zkolabovat, \u010di kdy\u017e dokonce ztrat\u00ed v\u011bdom\u00ed,\u201c <\/em>dopl\u0148uje prof. MUDr. Ale\u0161 Linhart, DrSc., p\u0159ednosta II. intern\u00ed kliniky \u2013 kliniky kardiologie a angiologie VFN v Praze.<\/p>\n\n\n\n

Pokud se probl\u00e9my p\u0159i sportu objev\u00ed, je vhodn\u00e9, aby se \u010dlov\u011bk nechal zkontrolovat sv\u00fdm praktick\u00fdm l\u00e9ka\u0159em nebo kardiologem. Opakovan\u00e9 pot\u00ed\u017ee toti\u017e mohou poukazovat na hypertenzi, v\u00a0hor\u0161\u00edm p\u0159\u00edpad\u011b i na kardiomyopatii, selh\u00e1n\u00ed srdce nebo ischemickou chorobu srde\u010dn\u00ed. \u201eSportuj\u00edc\u00edch se srde\u010dn\u00edmi probl\u00e9my je hodn\u011b a \u0159ada z\u00a0nich pot\u00ed\u017ee podce\u0148uje, co\u017e nen\u00ed dob\u0159e, proto\u017ee mohou skon\u010dit fat\u00e1ln\u011b<\/em>,\u201c dod\u00e1v\u00e1 profesor Linhart.<\/p>\n\n\n\n

Ve v\u010dasn\u00e9m stanoven\u00ed diagn\u00f3zy a p\u0159\u00edpadn\u00e9m zah\u00e1jen\u00ed l\u00e9\u010dby pom\u00e1haj\u00ed centra sportovn\u00ed kardiologie, kter\u00e1 jsou v\u00a0Praze, v\u00a0Olomouci a T\u0159inci. Ta jsou ur\u010dena sportovc\u016fm se zdravotn\u00edmi probl\u00e9my nebo t\u011bm, u nich\u017e se na preventivn\u00edch prohl\u00eddk\u00e1ch zjist\u00ed, \u017ee maj\u00ed podez\u0159el\u00fd srde\u010dn\u00ed n\u00e1lez. Ve specializovan\u00fdch centrech pacienty kardiolog vy\u0161et\u0159\u00ed, nato\u010d\u00ed EKG a provede roz\u0161\u00ed\u0159en\u00e9 echokardiografick\u00e9 vy\u0161et\u0159en\u00ed. V\u00a0p\u0159\u00edpad\u011b pot\u0159eby zde sportovci podstoup\u00ed i dopl\u0148kov\u00e1 vy\u0161et\u0159en\u00ed, jako je magnetick\u00e1 rezonance nebo vy\u0161et\u0159en\u00ed v\u011bn\u010dit\u00fdch tepen.<\/p>\n\n\n\n

\u201e\u010cast\u011bji d\u011bl\u00e1me nap\u0159\u00edklad z\u00e1t\u011b\u017eov\u00e9 testy, u kter\u00fdch mus\u00edme volit pon\u011bkud jin\u00e9 protokoly ne\u017e u b\u011b\u017en\u00e9 populace, abychom sportovce vyt\u00ed\u017eili<\/em>,\u201c \u0159\u00edk\u00e1 doc. Tuka. V\u00a0centru pomohou nemocn\u00fdm sportovc\u016fm vhodn\u011b nastavit pohybovou aktivitu tak, aby se mohli ke sportu vr\u00e1tit.<\/p>\n\n\n\n

\u201eFyzick\u00e1 zdatnost je p\u0159edpokladem p\u0159\u00edzniv\u00e9 progn\u00f3zy jak u obecn\u00e9 populace, tak u pacient\u016f s onemocn\u011bn\u00edm srdce. Pravideln\u00e1 aktivita proto pat\u0159\u00ed k z\u00e1kladn\u00edm doporu\u010den\u00edm, p\u0159i\u010dem\u017e \u00farove\u0148 tr\u00e9ninku je t\u0159eba p\u0159izp\u016fsobit t\u00ed\u017ei srde\u010dn\u00edho onemocn\u011bn\u00ed,<\/em>\u201c dod\u00e1v\u00e1 prof. MUDr. Petr O\u0161\u0165\u00e1dal, Ph.D., p\u0159edseda \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti.<\/p>\n","protected":false},"excerpt":{"rendered":"

Kolaps hroz\u00ed u kardiak\u016f i rekrea\u010dn\u00edch sportovc\u016f V\u00fdkyvy teplot, kter\u00e9 jsou pro jarn\u00ed obdob\u00ed typick\u00e9, zat\u011b\u017euj\u00ed c\u00e9vy a srdce. P\u0159i sportu by tak m\u011bli b\u00fdt […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":22010,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-48522","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\/48522","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=48522"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/48522\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/22010"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=48522"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=48522"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=48522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}