{"id":52887,"date":"2024-11-05T11:55:50","date_gmt":"2024-11-05T10:55:50","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=52887"},"modified":"2024-11-05T11:56:01","modified_gmt":"2024-11-05T10:56:01","slug":"kdyz-je-srdce-v-soku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=52887","title":{"rendered":"Kdy\u017e je srdce v\u00a0\u0161oku"},"content":{"rendered":"\n

Stovky kardiolog\u016f sd\u00edl\u00ed novinky v l\u00e9\u010db\u011b a p\u0159elomovou studii<\/em><\/p>\n\n\n\n

Praha, 4. 11. 2024 \u2013 Rychl\u00fd a slab\u00fd puls, popelav\u00e1 ple\u0165, studen\u00e1 k\u016f\u017ee a mramorov\u00e9 kon\u010detiny \u2013 to jsou jen n\u011bkter\u00e9 z\u00a0p\u0159\u00edznak\u016f tzv. kardiogenn\u00edho \u0161oku. T\u00fdk\u00e1 se 5\u20138 % z asi 20\u00a0000 \u010cech\u016f, kte\u0159\u00ed ro\u010dn\u011b dostanou srde\u010dn\u00ed infarkt. V\u00edce ne\u017e polovina t\u011bch, jejich\u017e srdce tento \u0161ok utrp\u00ed, zem\u0159e. L\u00e9ka\u0159i neust\u00e1le zkoumaj\u00ed, jak by bylo mo\u017en\u00e9 \u00famrtnost sn\u00ed\u017eit. <\/strong><\/p>\n\n\n\n

Ned\u00e1vno vy\u0161la p\u0159elomov\u00e1 studie \u010desk\u00fdch kardiolog\u016f, kter\u00e1 porovn\u00e1vala dva uzn\u00e1van\u00e9 l\u00e9\u010debn\u00e9 p\u0159\u00edstupy v l\u00e9\u010db\u011b tohoto stavu. U\u017eitek z\u00a0jejich zji\u0161t\u011bn\u00ed budou m\u00edt specialist\u00e9 po cel\u00e9m sv\u011bt\u011b. \u010ce\u0161t\u00ed l\u00e9ka\u0159i byli prvn\u00ed, kdo s\u00a0anal\u00fdzami p\u0159i\u0161li. Auto\u0159i je p\u0159edstav\u00ed koleg\u016fm na leto\u0161n\u00ed XXVII. v\u00fdro\u010dn\u00ed konferenci \u010cesk\u00e9 asociace srde\u010dn\u00edho selh\u00e1n\u00ed \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti, kter\u00e1 se kon\u00e1 od p\u00e1tku 8. 11. do soboty v\u00a0Brn\u011b.<\/strong><\/p>\n\n\n\n

Kardiogenn\u00ed \u0161ok je stav, kdy srdce nen\u00ed schopn\u00e9 pumpovat dostatek krve, a doch\u00e1z\u00ed tak k postupn\u00e9mu selh\u00e1v\u00e1n\u00ed jednotliv\u00fdch org\u00e1n\u016f. \u201eI p\u0159es z\u00e1sadn\u00ed pokrok v diagnostick\u00fdch n\u00e1stroj\u00edch, l\u00e9c\u00edch a terapeutick\u00fdch z\u00e1kroc\u00edch m\u00e1 st\u00e1le vysokou \u00famrtnost,\u201c <\/em>\u0159\u00edk\u00e1 prof. MUDr. Petr O\u0161\u0165\u00e1dal, Ph.D., FESC., p\u0159edseda \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti. Pr\u00e1v\u011b on st\u00e1l v \u010dele studie, kter\u00e1 zkoumala dva typy l\u00e9\u010dby pacient\u016f a jejich efekt. C\u00edlem studie s n\u00e1zvem Extracorporeal Membrane Oxygenation in the Therapy of Cardiogenic Shock (ECMO-CS) bylo porovnat dva uzn\u00e1van\u00e9 terapeutick\u00e9 p\u0159\u00edstupy v l\u00e9\u010db\u011b t\u011b\u017ek\u00e9ho kardiogenn\u00edho \u0161oku. Prvn\u00edm byla \u010dasn\u00e1 konzervativn\u00ed l\u00e9\u010dba a druh\u00fdm okam\u017eit\u00e9 napojen\u00ed pacient\u016f na ECMO (extrakorpor\u00e1ln\u00ed membr\u00e1nov\u00e1 oxygenace do\u010dasn\u011b nahrad\u00ed funkci plic a srdce.) Pr\u00e1v\u011b ECMO se krom\u011b jin\u00fdch p\u0159\u00edstroj\u016f pou\u017e\u00edv\u00e1 v kritick\u00fdch p\u0159\u00edpadech proto, aby si, lidov\u011b \u0159e\u010deno, \u201esrdce odpo\u010dinulo\u201c.<\/p>\n\n\n\n

\u201eAnalyzovali jsme soubor 117 pacient\u016f, 58 z nich bylo ihned napojeno na ECMO a 59 zah\u00e1jilo po\u010d\u00e1te\u010dn\u00ed konzervativn\u00ed l\u00e9\u010dbu. Zjistili jsme, \u017ee u pacient\u016f s rychle se hor\u0161\u00edc\u00edm nebo t\u011b\u017ek\u00fdm kardiogenn\u00edm \u0161okem okam\u017eit\u00e9 zaveden\u00ed p\u0159\u00edstroje jejich stav v porovn\u00e1n\u00ed s druhou skupinou nezlep\u0161ilo. Nicm\u00e9n\u011b dal\u0161\u00ed anal\u00fdzy nazna\u010duj\u00ed, \u017ee ti, kte\u0159\u00ed m\u011bli na za\u010d\u00e1tku ni\u017e\u0161\u00ed krevn\u00ed tlak, z okam\u017eit\u00e9ho zaveden\u00ed ECMO profitovali,\u201c<\/em> popisuje prof. O\u0161\u0165\u00e1dal s t\u00edm, \u017ee tyto v\u00fdsledky mohou v\u00fdznamn\u011b ovlivnit sou\u010dasnou l\u00e9ka\u0159skou praxi. Pr\u00e1ce \u010desk\u00fdch l\u00e9ka\u0159\u016f ned\u00e1vno publikovalo n\u011bkolik sv\u011btov\u00fdch odborn\u00fdch \u010dasopis\u016f.<\/p>\n","protected":false},"excerpt":{"rendered":"

Stovky kardiolog\u016f sd\u00edl\u00ed novinky v l\u00e9\u010db\u011b a p\u0159elomovou studii Praha, 4. 11. 2024 \u2013 Rychl\u00fd a slab\u00fd puls, popelav\u00e1 ple\u0165, studen\u00e1 k\u016f\u017ee a mramorov\u00e9 kon\u010detiny \u2013 […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29445,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-52887","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\/52887","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=52887"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/52887\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/29445"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=52887"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=52887"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=52887"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}