{"id":52864,"date":"2024-11-04T15:19:20","date_gmt":"2024-11-04T14:19:20","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=52864"},"modified":"2024-11-04T15:20:55","modified_gmt":"2024-11-04T14:20:55","slug":"propustene-pacienty-se-selhanim-srdce-musi-sledovat-kardiolog","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=52864","title":{"rendered":"Propu\u0161t\u011bn\u00e9 pacienty se selh\u00e1n\u00edm srdce mus\u00ed sledovat kardiolog"},"content":{"rendered":"\n

V \u010cesku vznik\u00e1 s\u00ed\u0165 odborn\u00fdch ambulanc\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed<\/em><\/p>\n\n\n\n

Praha, 4. 11. 2024 \u2013 Pacienti, kter\u00fdm selhalo srdce, by m\u011bli ide\u00e1ln\u011b do dvou t\u00fddn\u016f po propu\u0161t\u011bn\u00ed z nemocnice k ambulantn\u00edmu kardiologovi na kontrolu. Jen tak mohou sn\u00ed\u017eit riziko v\u00e1\u017en\u00fdch komplikac\u00ed v podob\u011b opakovan\u00e9 hospitalizace nebo op\u011btovn\u00e9ho zhor\u0161en\u00ed nemoci. To se ale na mnoha m\u00edstech \u010cR ned\u011bje. Do nemocnic se vrac\u00ed do 30 dn\u016f po propu\u0161t\u011bn\u00ed p\u0159ibli\u017en\u011b \u010dtvrtina pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm, do 6 m\u011bs\u00edc\u016f a\u017e polovina z nich. Situaci by m\u011bla zm\u011bnit nov\u011b budovan\u00e1 s\u00ed\u0165 specializovan\u00fdch ambulanc\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed. Kardiologov\u00e9 o n\u00ed budou mluvit tento v\u00edkend v Brn\u011b na XXVII. v\u00fdro\u010dn\u00ed konferenci \u010cesk\u00e9 asociace srde\u010dn\u00edho selh\u00e1n\u00ed \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti.<\/strong><\/p>\n\n\n\n

\u201ePacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm neust\u00e1le p\u0159ib\u00fdv\u00e1. D\u016fle\u017eit\u00e9 je, abychom jim nasadili l\u00e9\u010dbu v\u010das a pot\u00e9 jejich zdravotn\u00ed stav pravideln\u011b kontrolovali a l\u00e9\u010dbu pr\u016fb\u011b\u017en\u011b upravovali \u2013 optim\u00e1ln\u011b ve specializovan\u00fdch ambulanc\u00edch srde\u010dn\u00edho selh\u00e1n\u00ed. P\u00e9\u010de o n\u011b mus\u00ed b\u00fdt komplexn\u00ed a mus\u00ed za\u010d\u00edt co nejrychleji po propu\u0161t\u011bn\u00ed z nemocnice,\u201c <\/em>zd\u016fraz\u0148uje prof. 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

V \u010cesku \u017eije p\u0159ibli\u017en\u011b 400 000 lid\u00ed se srde\u010dn\u00edm selh\u00e1n\u00edm. Odborn\u00edci o\u010dek\u00e1vaj\u00ed strm\u00fd n\u00e1r\u016fst po\u010dtu pacient\u016f \u2013 v roce 2030 jich podle jejich odhad\u016f bude v\u00edce ne\u017e 600 000 a o deset let pozd\u011bji u\u017e t\u00e9m\u011b\u0159 900 000. D\u016fvodem je krom\u011b \u0161patn\u00e9ho zdravotn\u00edho stylu \u010cech\u016f zejm\u00e9na st\u00e1rnut\u00ed populace. Riziko srde\u010dn\u00edho selh\u00e1n\u00ed s p\u0159ib\u00fdvaj\u00edc\u00edm v\u011bkem roste, podle dat \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky \u010cR mu \u010del\u00ed p\u0159ibli\u017en\u011b 25 % lid\u00ed star\u0161\u00edch 75 let.<\/p>\n\n\n\n

\u201eNa tuto situaci mus\u00edme b\u00fdt p\u0159ipraveni v\u010das, i proto je jedn\u00edm z c\u00edl\u016f <\/em>N\u00e1rodn\u00edho kardiovaskul\u00e1rn\u00edho pl\u00e1nu<\/em><\/a> zaji\u0161t\u011bn\u00ed region\u00e1ln\u00ed dostupnosti specializovan\u00e9 ambulantn\u00ed p\u00e9\u010de,\u201c<\/em> vysv\u011btluje m\u00edstop\u0159edseda \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti a p\u0159ednosta II. intern\u00ed kliniky \u2013 kliniky kardiologie a angiologie V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze prof. MUDr. Ale\u0161 Linhart, DrSc. \u201eO pacienty se srde\u010dn\u00edm selh\u00e1n\u00edm by se m\u011bli po n\u00e1vratu z nemocnice starat ambulantn\u00ed kardiologov\u00e9, kte\u0159\u00ed maj\u00ed s l\u00e9\u010dbou nemoc\u00ed srdce zku\u0161enosti,\u201c<\/em> dod\u00e1v\u00e1. Pravideln\u011b podle n\u011bj nejenom kontroluj\u00ed nebo upravuj\u00ed l\u00e9\u010dbu nemocn\u00fdch. Monitoruj\u00ed tak\u00e9 jejich laboratorn\u00ed v\u00fdsledky, hl\u00eddaj\u00ed hmotnost nebo to, jestli maj\u00ed dostatek \u017eeleza. \u201eV mnoha velmi p\u0159et\u00ed\u017een\u00fdch ambulanc\u00edch na takovou p\u00e9\u010di chyb\u00ed zejm\u00e9na \u010das. Velkou pr\u00e1ci mohou zastat i vy\u0161kolen\u00e9 sestry, t\u011bch je ale mnohde nedostatek,\u201c <\/em>dopl\u0148uje prof. Linhart.<\/p>\n\n\n\n

Pokud pacienti po srde\u010dn\u00edm selh\u00e1n\u00ed na kontroly ke specialist\u016fm nechod\u00ed, hroz\u00ed jim v\u00e1\u017en\u00e9 zdravotn\u00ed komplikace. Asi \u010dtvrtina z nich se v takov\u00e9m p\u0159\u00edpad\u011b vrac\u00ed do nemocnic u\u017e do 30 dn\u016f po hospitalizaci a p\u0159ibli\u017en\u011b 50 % do 6 m\u011bs\u00edc\u016f po propu\u0161t\u011bn\u00ed. \u201eDoch\u00e1z\u00ed u nich k akutn\u00edmu zhor\u0161en\u00ed zdravotn\u00edho stavu, kter\u00e9 prov\u00e1z\u00ed typicky du\u0161nost nebo otoky. Rychle pak hledaj\u00ed l\u00e9ka\u0159skou pomoc. Ka\u017ed\u00fd pobyt v nemocnici kv\u016fli selh\u00e1n\u00ed srdce sni\u017euje dobu jejich p\u0159e\u017eit\u00ed. Po t\u0159et\u00ed hospitalizaci u\u017e to nejsou ani dva roky,\u201c<\/em> upozor\u0148uje prof. Krej\u010d\u00ed.<\/p>\n\n\n\n

Specializovan\u00e9 ambulance srde\u010dn\u00edho selh\u00e1n\u00ed ale v tuzemsku nejsou dostupn\u00e9 ve v\u0161ech regionech. Kardiologov\u00e9 se proto sna\u017e\u00ed vybudovat s\u00ed\u0165 odborn\u00fdch ambulanc\u00ed, kter\u00e1 by rovnom\u011brn\u011b pokryla cel\u00e9 \u010cesko. \u0158e\u0161it to budou na nadch\u00e1zej\u00edc\u00ed konferenci v Brn\u011b. \u201eZat\u00edm funguj\u00ed p\u0159edev\u0161\u00edm ve v\u011bt\u0161\u00edch nemocnic\u00edch s kardiocentry. Na\u0161\u00edm c\u00edlem je, aby pacienti ve v\u0161ech regionech \u010cR v\u011bd\u011bli, na kter\u00e9ho specialistu se po hospitalizaci mohou obr\u00e1tit, a nemuseli za n\u00edm jezdit daleko,\u201c<\/em> \u0159\u00edk\u00e1 prof. Krej\u010d\u00ed. \u201eJe to b\u011bh na del\u0161\u00ed tra\u0165. Seznam odborn\u00fdch ambulanc\u00ed bychom ale r\u00e1di zve\u0159ejnili co nejd\u0159\u00edve,\u201c <\/em>uzav\u00edr\u00e1 p\u0159edseda \u010cesk\u00e9 asociace srde\u010dn\u00edho selh\u00e1n\u00ed.<\/p>\n\n\n\n

V\u00edce informac\u00ed o srde\u010dn\u00edm selh\u00e1n\u00ed lze naj\u00edt na www.srdcedycha.cz<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

V \u010cesku vznik\u00e1 s\u00ed\u0165 odborn\u00fdch ambulanc\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed Praha, 4. 11. 2024 \u2013 Pacienti, kter\u00fdm selhalo srdce, by m\u011bli ide\u00e1ln\u011b do dvou t\u00fddn\u016f po propu\u0161t\u011bn\u00ed z nemocnice […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-52864","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\/52864","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=52864"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52864\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15130"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52864"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=52864"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=52864"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}