{"id":55419,"date":"2025-03-03T14:47:27","date_gmt":"2025-03-03T13:47:27","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=55419"},"modified":"2025-03-03T14:47:28","modified_gmt":"2025-03-03T13:47:28","slug":"zadychavate-se-mozna-vam-selhava-srdce","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=55419","title":{"rendered":"Zad\u00fdch\u00e1v\u00e1te se? Mo\u017en\u00e1 v\u00e1m selh\u00e1v\u00e1 srdce"},"content":{"rendered":"\n

Du\u0161nost nen\u00ed spojen\u00e1 pouze s onemocn\u011bn\u00edm plic, upozor\u0148uj\u00ed l\u00e9ka\u0159i<\/em><\/p>\n\n\n\n

Praha, 3. 3. 2025 \u2013 Lap\u00e1te po dechu p\u0159i b\u011b\u017en\u00e9m \u00faklidu nebo proch\u00e1zce se psem? Mo\u017en\u00e1 v\u00e1m selh\u00e1v\u00e1 srdce. Du\u0161nost je jedn\u00edm z hlavn\u00edch p\u0159\u00edznak\u016f z\u00e1va\u017en\u00e9ho srde\u010dn\u00edho onemocn\u011bn\u00ed, se kter\u00fdm v \u010cesku \u017eije v\u00edce ne\u017e 400 000 pacient\u016f P\u0159i selh\u00e1n\u00ed srdce se krev za\u010d\u00edn\u00e1 hromadit v plicn\u00edm \u0159e\u010di\u0161ti, co\u017e znemo\u017e\u0148uje spr\u00e1vn\u00e9 fungov\u00e1n\u00ed plic. Probl\u00e9my s d\u00fdch\u00e1n\u00edm tak nemusej\u00ed v\u017edy ukazovat pouze na nemocn\u00e9 pl\u00edce. Nejen o tom budou diskutovat odborn\u00edci 5. b\u0159ezna <\/strong>na akci Den I. intern\u00ed kardioangiologick\u00e9 kliniky Fakultn\u00ed nemocnice u sv. Anny (FNUSA) a L\u00e9ka\u0159sk\u00e9 fakulty Masarykovy univerzity (LF MU) v Brn\u011b.<\/strong><\/p>\n\n\n\n

\u201eSrde\u010dn\u00ed selh\u00e1n\u00ed je z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed, p\u0159i kter\u00e9m srdce nezvl\u00e1d\u00e1 dost\u00e1vat do t\u011bla dostate\u010dn\u00e9 mno\u017estv\u00ed krve, a ta se hromad\u00ed na nespr\u00e1vn\u00fdch m\u00edstech. Nejn\u00e1padn\u011bj\u0161\u00edm projevem nemoci je du\u0161nost, p\u0159i n\u00ed\u017e krev m\u011bstn\u00e1 v\u00a0plicn\u00edm \u0159e\u010di\u0161ti a znemo\u017e\u0148uje plic\u00edm spr\u00e1vn\u00e9 fungov\u00e1n\u00ed,\u201c <\/em>\u0159\u00edk\u00e1 prof.\u00a0MUDr. Jan Krej\u010d\u00ed, p\u0159ednosta I. intern\u00ed kardioangiologick\u00e9 kliniky FNUSA a LF MU v\u00a0Brn\u011b a p\u0159edseda \u010cesk\u00e9 asociace srde\u010dn\u00edho selh\u00e1n\u00ed \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti (\u010cKS).<\/p>\n\n\n\n

Odhalit, zda maj\u00ed pot\u00ed\u017ee s dechem p\u016fvod v onemocn\u011bn\u00ed srdce, nebo plic, nen\u00ed v\u017edy snadn\u00e9. Mal\u00fd rozd\u00edl ale podle l\u00e9ka\u0159\u016f existuje. \u201eU srde\u010dn\u00edho selh\u00e1n\u00ed se du\u0161nost objevuje \u010dasto v noci. Kdy\u017e pacient ulehne do postele, t\u0159eba po hodin\u011b se mu najednou zhor\u0161\u00ed d\u00fdch\u00e1n\u00ed. Mus\u00ed se posadit, a pot\u00e9 se mu ulev\u00ed,\u201c <\/em>popisuje prof. Krej\u010d\u00ed. Krom\u011b zad\u00fdch\u00e1v\u00e1n\u00ed jsou typick\u00fdm p\u0159\u00edznakem srde\u010dn\u00edho selh\u00e1n\u00ed tak\u00e9 otoky doln\u00edch kon\u010detin, p\u0159ib\u00edr\u00e1n\u00ed na v\u00e1ze nebo \u00fanava.<\/p>\n\n\n\n

Aktu\u00e1ln\u011b v \u010cesku se srde\u010dn\u00edm selh\u00e1n\u00edm \u017eije v\u00edce ne\u017e 400 000 lid\u00ed.Do budoucna o\u010dek\u00e1vaj\u00ed odborn\u00edci strm\u00fd n\u00e1r\u016fst po\u010dtu pacient\u016f \u2013 v roce 2030 jich podle odhad\u016f m\u016f\u017ee b\u00fdt 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 nezdrav\u00e9ho \u017eivotn\u00edho stylu \u010cech\u016f zejm\u00e9na st\u00e1rnut\u00ed populace. \u201eV\u011bk je jedn\u00edm z nejd\u016fle\u017eit\u011bj\u0161\u00edch rizikov\u00fdch faktor\u016f. Z dat \u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky \u010cR v\u00edme, \u017ee a\u017e 25 % lid\u00ed star\u0161\u00edch 75 let m\u016f\u017ee \u010delit srde\u010dn\u00edmu selh\u00e1n\u00ed<\/em>.<\/em><\/sup> Ohro\u017eeni jsou tak\u00e9 lid\u00e9, kte\u0159\u00ed jsou ob\u00e9zn\u00ed, maj\u00ed cukrovku, vysok\u00fd krevn\u00ed tlak, vysok\u00fd cholesterol, prod\u011blali infarkt myokardu nebo trp\u00ed onemocn\u011bn\u00edm ledvin,\u201c<\/em> p\u0159ibli\u017euje prof. Krej\u010d\u00ed.<\/p>\n\n\n\n

Navzdory tomu, \u017ee senio\u0159i pat\u0159\u00ed do rizikov\u00e9 skupiny, nen\u00ed u nich srde\u010dn\u00ed selh\u00e1n\u00ed v\u017edy spr\u00e1vn\u011b diagnostikov\u00e1no. \u201ePacienti nebo jejich l\u00e9ka\u0159i mnohdy sv\u00e1d\u00ed zdravotn\u00ed probl\u00e9my na to, \u017ee jde o pot\u00ed\u017ee spojen\u00e9 s pokro\u010dil\u00fdm v\u011bkem, tak\u017ee jim d\u00e1le nev\u011bnuj\u00ed pozornost,\u201c<\/em> upozor\u0148uje prof. Krej\u010d\u00ed.<\/p>\n\n\n\n

Onemocn\u011bn\u00ed m\u016f\u017ee m\u00edt akutn\u00ed nebo chronickou podobu. \u201eN\u011bkdy se projevuje n\u00e1hle. Pacient z ni\u010deho nic dostane t\u011b\u017ek\u00fd z\u00e1chvat du\u0161nosti, kv\u016fli kter\u00e9mu mus\u00ed b\u00fdt velmi rychle p\u0159evezen do nemocnice. Obt\u00ed\u017ee se ale mohou zhor\u0161ovat i postupn\u011b, v pr\u016fb\u011bhu n\u011bkolika let,\u201c<\/em> \u0159\u00edk\u00e1 kardiolog. Podle odborn\u00edk\u016f je proto d\u016fle\u017eit\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed zav\u010das odhalit. \u201ePokud ho spr\u00e1vn\u011b a v\u010das diagnostikujeme, dok\u00e1\u017eeme pomoc\u00ed l\u00e9\u010dby omezit mno\u017estv\u00ed hospitalizac\u00ed, kter\u00e9 hroz\u00ed p\u0159i n\u00e1hl\u00e9m zhor\u0161en\u00ed nemoci. P\u0159edev\u0161\u00edm star\u0161\u00ed pacienti jsou \u010dasto p\u0159ekvapeni, v jak dobr\u00e9 kondici je\u0161t\u011b mohou b\u00fdt, kdy\u017e nemoc vhodn\u011b zal\u00e9\u010d\u00edme,\u201c <\/em>vysv\u011btluje prof. Krej\u010d\u00ed.<\/p>\n\n\n\n

D\u00edky l\u00e9\u010debn\u00fdm mo\u017enostem, kter\u00e9 maj\u00ed v sou\u010dasnosti k dispozici, dok\u00e1\u017eou l\u00e9ka\u0159i dostat v\u011bt\u0161inu pacient\u016f do stavu, v n\u011bm\u017e zvl\u00e1daj\u00ed norm\u00e1ln\u011b fungovat v ka\u017edodenn\u00edm \u017eivot\u011b. Je ale z\u00e1sadn\u00ed, aby prvn\u00edch n\u011bkolik t\u00fddn\u016f po hospitalizaci z\u016fstali v p\u00e9\u010di specialisty. \u201eV ambulanc\u00edch srde\u010dn\u00edho selh\u00e1n\u00ed pacient\u016fm pravideln\u011b kontrolujeme a upravujeme l\u00e9\u010dbu, nap\u0159\u00edklad modifikujeme l\u00e9ky na odvodn\u011bn\u00ed nebo vysok\u00fd krevn\u00ed tlak. T\u00edmto zp\u016fsobem jsme schopni jim v\u00fdrazn\u011b ulevit, a sn\u00ed\u017eit tak riziko op\u011btovn\u00e9 hospitalizace,\u201c <\/em>popisuje prof. Krej\u010d\u00ed. 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 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.<\/p>\n\n\n\n

Pokud \u010dlov\u011bka za\u010dne tr\u00e1pit du\u0161nost, m\u011bl by nejprve vyhledat praktick\u00e9ho l\u00e9ka\u0159e. \u201eTen provede test natriuretick\u00fdch peptid\u016f, co\u017e je velmi senzitivn\u00ed ukazatel pro odhalen\u00ed p\u0159\u00ed\u010diny du\u0161nosti. Pokud bude jejich hladina n\u00edzk\u00e1, probl\u00e9my s d\u00fdch\u00e1n\u00edm maj\u00ed pravd\u011bpodobn\u011b jinou p\u0159\u00ed\u010dinu, nap\u0159\u00edklad plicn\u00ed onemocn\u011bn\u00ed. Vysok\u00e1 hladina naopak sv\u011bd\u010d\u00ed pro mo\u017en\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed. V t\u011bchto p\u0159\u00edpadech by praktick\u00fd l\u00e9ka\u0159 m\u011bl pacienta odeslat ke kardiologovi, kter\u00fd provede dal\u0161\u00ed vy\u0161et\u0159en\u00ed a p\u0159\u00edpadn\u011b zah\u00e1j\u00ed l\u00e9\u010dbu,\u201c<\/em> dod\u00e1v\u00e1 prof. Krej\u010d\u00ed.<\/p>\n\n\n\n

V\u00edce informac\u00ed a jednoduch\u00fd test p\u0159\u00edznak\u016f srde\u010dn\u00edho selh\u00e1n\u00ed lze naj\u00edt na www.srdcedycha.cz<\/a> nebo na webu \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti.<\/p>\n","protected":false},"excerpt":{"rendered":"

Du\u0161nost nen\u00ed spojen\u00e1 pouze s onemocn\u011bn\u00edm plic, upozor\u0148uj\u00ed l\u00e9ka\u0159i Praha, 3. 3. 2025 \u2013 Lap\u00e1te po dechu p\u0159i b\u011b\u017en\u00e9m \u00faklidu nebo proch\u00e1zce se psem? Mo\u017en\u00e1 […]<\/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-55419","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\/55419","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=55419"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/55419\/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=55419"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55419"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}