{"id":48594,"date":"2024-05-02T03:53:24","date_gmt":"2024-05-02T01:53:24","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=48594"},"modified":"2024-05-02T03:53:27","modified_gmt":"2024-05-02T01:53:27","slug":"v-cesku-vzniknou-centra-pro-lecbu-chorob-srdecniho-svalu","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=48594","title":{"rendered":"V\u00a0\u010cesku vzniknou centra pro l\u00e9\u010dbu chorob srde\u010dn\u00edho svalu"},"content":{"rendered":"\n<p><em>Pomohou des\u00edtk\u00e1m tis\u00edc lid\u00ed<\/em><\/p>\n\n\n\n<p><strong>Srde\u010dn\u00ed selh\u00e1n\u00ed spojen\u00e9 s du\u0161nost\u00ed, kolaps a v\u00a0nejhor\u0161\u00edm p\u0159\u00edpad\u011b i n\u00e1hl\u00e1 smrt. To v\u0161echno mohou zp\u016fsobit tzv. kardiomyopatie \u2013 nemoci srde\u010dn\u00edho svalu. V\u00a0\u010cesku se t\u00fdkaj\u00ed des\u00edtek tis\u00edc lid\u00ed, \u0159ada z\u00a0nich ale v\u016fbec netu\u0161\u00ed, \u017ee je m\u00e1. Tato z\u00e1va\u017en\u00e1 onemocn\u011bn\u00ed, mnohdy genetick\u00e9ho p\u016fvodu, jsou toti\u017e \u010dasto dlouho bezp\u0159\u00edznakov\u00e1, a kdy\u017e se objev\u00ed, je to ne\u010dekan\u00e9. Podchytit nemocn\u00e9 v\u010das, nasadit jim l\u00e9\u010dbu a zabr\u00e1nit zbyte\u010dn\u00fdm \u00famrt\u00edm pom\u016f\u017ee 10 nov\u011b vznikaj\u00edc\u00edch center pro l\u00e9\u010dbu hypertrofick\u00e9 kardiomyopatie. <\/strong><\/p>\n\n\n\n<p><strong>Odborn\u00edci je p\u0159edstav\u00ed na <\/strong><strong>XXXII.<\/strong><strong>\u00a0v\u00fdro\u010dn\u00edm sjezdu \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti (\u010cKS), kter\u00fd startuje 4. kv\u011btna v Brn\u011b.<\/strong><\/p>\n\n\n\n<p>\u201e<em>Kardiomyopatie jsou onemocn\u011bn\u00ed srde\u010dn\u00edho svalu, kter\u00e1 jsou \u010dasto vrozen\u00e1. Maj\u00ed \u0159adu projev\u016f i\u00a0forem,\u201c <\/em>\u0159\u00edk\u00e1 p\u0159ednosta II. intern\u00ed kliniky \u2013 kliniky kardiologie a angiologie V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze prof. MUDr. Ale\u0161 Linhart. Kardiomyopatie l\u00e9ka\u0159i obvykle zachyt\u00ed n\u00e1hodn\u011b, nap\u0159\u00edklad na z\u00e1klad\u011b EKG proveden\u00e9ho v\u00a0r\u00e1mci preventivn\u00ed prohl\u00eddky u praktika. Pokud pacienti za\u010dnou m\u00edt pot\u00ed\u017ee, b\u00fdv\u00e1 n\u011bkdy na l\u00e9\u010dbu pozd\u011b.<\/p>\n\n\n\n<p> <em>\u201eMohou n\u00e1hle zem\u0159\u00edt nebo zkolabuj\u00ed a mus\u00edme je resuscitovat. To n\u00e1s stra\u0161\u00ed nejv\u00edc. Proto chceme tyto jedince podchytit v\u010das a\u00a0nebezpe\u010dn\u00fdm situac\u00edm p\u0159edej\u00edt. V\u00a0pozd\u011bj\u0161\u00edm v\u011bku pak mohou kardiomyopatie v\u00e9st k\u00a0srde\u010dn\u00edmu selh\u00e1n\u00ed. Pacienti jsou du\u0161n\u00ed a nev\u00fdkonn\u00ed a objevuj\u00ed se u nich nap\u0159\u00edklad poruchy srde\u010dn\u00edho rytmu,\u201c<\/em> vysv\u011btluje prof. Linhart.<\/p>\n\n\n\n<p>S\u00ed\u0165 nov\u011b vznikaj\u00edc\u00edch center je ur\u010dena pacient\u016fm s\u00a0tzv. hypertrofickou kardiomyopati\u00ed, p\u0159i n\u00ed\u017e doch\u00e1z\u00ed ke zbytn\u011bn\u00ed srde\u010dn\u00edho svalu. Centra pokryj\u00ed celou \u010ceskou republiku. <em>\u201eDiagnostika kardiomyopati\u00ed, kter\u00e9 jsou spojeny s\u00a0vysok\u00fdm rizikem n\u00e1hl\u00e9 srde\u010dn\u00ed smrti, nen\u00ed jednoduch\u00e1. Specializovat se na ni bude 10 nov\u00fdch center. Pacienti se d\u00edky diagnostick\u00fdm zku\u0161enostem t\u00fdmu a l\u00e9\u010debn\u00fdm mo\u017enostem dostanou k\u00a0modern\u00ed l\u00e9\u010db\u011b, kter\u00e1 se nyn\u00ed dost\u00e1v\u00e1 nov\u011b do praxe, v\u010das. Spr\u00e1vn\u00e9 \u201avytipov\u00e1n\u00ed\u2018 pacient\u016f je d\u016fle\u017eit\u00e9 i proto, \u017ee se jedn\u00e1 o pom\u011brn\u011b n\u00e1kladnou terapii. Sledov\u00e1n\u00ed nemocn\u00fdch na t\u00e9to terapii tak\u00e9 nen\u00ed \u00fapln\u011b snadn\u00e9,\u201c<\/em> \u0159\u00edk\u00e1 prof. MUDr. Jan Krej\u010d\u00ed, 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<p> <em>\u201eKardiologov\u00e9 budou m\u00edt v\u00a0t\u011bchto centrech k\u00a0dispozici pokro\u010dil\u00e9 zobrazovac\u00ed metody. Krom\u011b z\u00e1kladn\u00edch, jako je echokardiografie a EKG, tak budou moci u rizikov\u00fdch pacient\u016f prov\u00e9st tak\u00e9 CT\u00a0vy\u0161et\u0159en\u00ed, magnetickou rezonanci srdce, p\u0159\u00edpadn\u011b endomyokardi\u00e1ln\u00ed biopsii. V\u00a0centrech se bude vyu\u017e\u00edvat spolupr\u00e1ce i s\u00a0l\u00e9ka\u0159i ostatn\u00edch specializac\u00ed, jak\u00fdmi jsou genetika, biochemie, radiologie a dal\u0161\u00ed,\u201c<\/em> dopl\u0148uje prof. MUDr. Radek Pudil, z\u00e1stupce p\u0159ednosty I. intern\u00ed kardioangiologick\u00e9 kliniky Fakultn\u00ed nemocnice Hradec Kr\u00e1lov\u00e9. <\/p>\n\n\n\n<p>Nov\u011b vznikl\u00e1 centra tak poskytnou pacient\u016fm komplexn\u00ed p\u00e9\u010di. Ta zahrne i genetick\u00e9 testov\u00e1n\u00ed rodinn\u00fdch p\u0159\u00edslu\u0161n\u00edk\u016f nemocn\u00fdch, aby se u nich p\u0159ede\u0161lo p\u0159\u00edpadn\u00fdm komplikac\u00edm a minimalizovalo riziko n\u00e1hl\u00e9ho \u00famrt\u00ed. Pomoci jim m\u016f\u017ee nap\u0159\u00edklad implantace defibril\u00e1toru, kter\u00fd dok\u00e1\u017ee zvr\u00e1tit t\u011b\u017ek\u00e9 poruchy srde\u010dn\u00edho rytmu. <em>\u201eL\u00e9\u010dba kardiomyopati\u00ed je u n\u00e1s dostupn\u00e1, zdaleka ne v\u0161ichni pacienti se k\u00a0n\u00ed ale dostanou. Nelze ji v\u017edy poskytnout v\u00a0ter\u00e9nu, proto usilujeme o to, aby byla centralizovan\u00e1. O vzniku nov\u00fdch center v\u00a0sou\u010dasn\u00e9 dob\u011b jedn\u00e1me se zdravotn\u00edmi poji\u0161\u0165ovnami,\u00a0Ministerstvem zdravotnictv\u00ed a fakultn\u00edmi nemocnicemi,\u201c<\/em> uzav\u00edr\u00e1 prof.\u00a0Linhart.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Pomohou des\u00edtk\u00e1m tis\u00edc lid\u00ed Srde\u010dn\u00ed selh\u00e1n\u00ed spojen\u00e9 s du\u0161nost\u00ed, kolaps a v\u00a0nejhor\u0161\u00edm p\u0159\u00edpad\u011b i n\u00e1hl\u00e1 smrt. To v\u0161echno mohou zp\u016fsobit tzv. kardiomyopatie \u2013 nemoci srde\u010dn\u00edho <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=48594\" title=\"V\u00a0\u010cesku vzniknou centra pro l\u00e9\u010dbu chorob srde\u010dn\u00edho svalu\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":48596,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-48594","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\/48594","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=48594"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/48594\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/48596"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=48594"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=48594"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=48594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}