Jako prvn\u00ed v \u010cesku vkl\u00e1daj\u00ed elektrodu p\u0159\u00edmo k srde\u010dn\u00ed \u201ed\u00e1lnici\u201c
Modern\u00ed metodu stimulace srdce, p\u0159i n\u00ed\u017e se elektroda kardiostimul\u00e1toru
vkl\u00e1d\u00e1 p\u0159\u00edmo do p\u0159irozen\u00e9 elektrick\u00e9 dr\u00e1hy mezi pravou a levou srde\u010dn\u00ed s\u00edn\u00ed, do tzv.
Bachmannova svazku, zavedli do praxe \u2013 jako prvn\u00ed v \u010cesk\u00e9 republice \u2013 l\u00e9ka\u0159i Fakultn\u00ed
nemocnice u sv. Anny v Brn\u011b (FNUSA). Tento p\u0159\u00edstup p\u0159esn\u011bji napodobuje p\u0159irozen\u00e9 \u0161\u00ed\u0159en\u00ed
srde\u010dn\u00edho vzruchu, a pom\u00e1h\u00e1 tak srdci b\u00edt pravideln\u011b a efektivn\u011bji ne\u017e p\u0159i klasick\u00e9m zaveden\u00ed
elektrod. Pro srdce je to \u0161etrn\u011bj\u0161\u00ed a p\u0159edch\u00e1z\u00ed se jeho dal\u0161\u00edmu po\u0161kozen\u00ed.<\/p>\n\n\n\n
\u201eB\u011b\u017en\u00e9 kardiostimul\u00e1tory maj\u00ed elektrodu ulo\u017eenou na r\u016fzn\u00fdch m\u00edstech v prav\u00e9 s\u00edni, sign\u00e1l se
v\u0161ak ne\u0161\u00ed\u0159\u00ed rovnom\u011brn\u011b. Nov\u00e1 metoda vy\u017eaduje p\u0159esn\u00e9 zaveden\u00ed elektrody p\u0159\u00edmo do oblasti
Bachmannova svazku \u2013 co\u017e je p\u0159irozen\u00e1 cesta, kudy se ve zdrav\u00e9m srdci \u0161\u00ed\u0159\u00ed vzruchy mezi
s\u00ed\u0148ov\u00fdmi odd\u00edly. Pokud je tato cesta po\u0161kozen\u00e1 nebo zablokovan\u00e1, pomoc\u00ed stimulace ji m\u016f\u017eeme
nahradit a \u0161\u00ed\u0159en\u00ed vzruchu obnovit. T\u00edmto zp\u016fsobem lze l\u00e9pe koordinovat stahy s\u00edn\u00ed a p\u0159edch\u00e1zet
dal\u0161\u00edmu zhor\u0161ov\u00e1n\u00ed srde\u010dn\u00ed funkce,\u201c vysv\u011btluje MUDr. Roland Oravsk\u00fd, l\u00e9ka\u0159 I. intern\u00ed
kardioangiologick\u00e9 kliniky (IKAK) nemocnice u sv. Anny.<\/p>\n\n\n\n
Bachmann\u016fv svazek si lze podle l\u00e9ka\u0159\u016f p\u0159edstavit jako elektrickou spojku, kterou se p\u0159en\u00e1\u0161\u00ed
sign\u00e1l z prav\u00e9 do lev\u00e9 srde\u010dn\u00ed s\u00edn\u011b. Tento sign\u00e1l \u0159\u00edk\u00e1 s\u00edn\u00edm, kdy se maj\u00ed st\u00e1hnout a vytla\u010dit tak
krev do srde\u010dn\u00edch komor, kter\u00e9 ji pumpuj\u00ed d\u00e1l \u2013 do plic a zbytku t\u011bla. U n\u011bkter\u00fdch lid\u00ed se ale
tento sign\u00e1l nep\u0159en\u00e1\u0161\u00ed dob\u0159e a nedostane se z prav\u00e9 do lev\u00e9 s\u00edn\u011b v\u010das, nebo dokonce v\u016fbec.
Srdce pak bije nepravideln\u011b nebo ne\u00fa\u010dinn\u011b.<\/p>\n\n\n\n
Stimulaci Bachmannova svazku u\u017e m\u00e1 od leto\u0161n\u00edho kv\u011btna \u00fasp\u011b\u0161n\u011b za sebou 6 pacient\u016f
kardioangiologick\u00e9 kliniky u FN sv. Anny v Brn\u011b a ka\u017ed\u00fd m\u011bs\u00edc p\u0159ib\u00fdvaj\u00ed dal\u0161\u00ed. \u201eStimulace je pro
pacienty \u0161etrn\u011bj\u0161\u00ed, proto\u017ee vyu\u017e\u00edv\u00e1 p\u0159irozen\u00fdch fyziologick\u00fdch cest. P\u016fsob\u00ed i preventivn\u011b.
P\u0159edch\u00e1z\u00ed nap\u0159\u00edklad arytmi\u00edm, z nich\u017e nej\u010dast\u011bj\u0161\u00ed je fibrilace s\u00edn\u00ed, kdy srdce bije p\u0159\u00edli\u0161 rychle,
pomalu nebo nepravideln\u011b. D\u00edky t\u00e9to metod\u011b lze tak\u00e9 p\u0159edch\u00e1zet srde\u010dn\u00edmu selh\u00e1n\u00ed,\u201c
vysv\u011btluje MUDr. Andrej Nagy, vedouc\u00ed l\u00e9ka\u0159 Kardiostimula\u010dn\u00edho centra I. IKAK.<\/p>\n\n\n\n
I kdy\u017e je metoda ve sv\u011bt\u011b zn\u00e1m\u00e1 u\u017e n\u011bkolik let, odborn\u00e9 studie potvrdily jej\u00ed efektivitu teprve
ned\u00e1vno. \u201eJe n\u00e1ro\u010dn\u00e1 na um l\u00e9ka\u0159e, kter\u00fd kardiostimul\u00e1tor zav\u00e1d\u00ed. V\u00fdkon ho stoj\u00ed v\u00edce \u00fasil\u00ed a
\u010dasu, pro vhodn\u00e9 pacienty je ale lep\u0161\u00ed. V r\u00e1mci \u010cesk\u00e9 republiky jsme zat\u00edm jedin\u00ed, kdo tuto
metodu prov\u00e1d\u00ed rutinn\u011b,\u201c \u0159\u00edk\u00e1 prof. MUDr. Jan Krej\u010d\u00ed, Ph.D., FHFA, p\u0159ednosta I. intern\u00ed
kardioangiologick\u00e9 kliniky FNUSA v Brn\u011b. Je jednou z nov\u00fdch modern\u00edch metod
kardiostimulace, kter\u00e9 byly na I. IKAK v posledn\u00edch letech zavedeny do praxe \u2013 krom\u011b n\u00ed l\u00e9ka\u0159i
nap\u0159\u00edklad prov\u00e1d\u00ed fyziologickou stimulaci komor \u010di zav\u00e1d\u011bj\u00ed bezdr\u00e1tov\u00e9 kardiostimul\u00e1tory.<\/p>\n\n\n\n
Stimulace Bachmannova svazku nen\u00ed \u0159e\u0161en\u00edm pro v\u0161echny nemocn\u00e9 s poruchami srde\u010dn\u00edho
rytmu. Nevhodn\u00e1 je nap\u0159\u00edklad pro pacienty s poruchou veden\u00ed v srde\u010dn\u00edch komor\u00e1ch, kdy
ale s\u00edn\u011b funguj\u00ed spr\u00e1vn\u011b, nepom\u016f\u017ee ani nemocn\u00fdm, u nich\u017e u\u017e je trvale p\u0159\u00edtomna fibrilace
s\u00edn\u00ed. Vadit m\u016f\u017ee tak\u00e9 zjizven\u00e1 srde\u010dn\u00ed tk\u00e1\u0148 nebo anatomick\u00e1 stavba s\u00edn\u00ed. <\/p>\n\n\n\n
\u201eStudie odhaduj\u00ed \u017ee poruchu \u0161\u00ed\u0159en\u00ed vzruchu p\u0159es Bachmann\u016fv svazek m\u00e1 podle EKG
a\u017e 59 % pacient\u016f ve v\u011bku nad 60 let a a\u017e 47 % pacient\u016f ve v\u0161ech v\u011bkov\u00fdch skupin\u00e1ch.
Samoz\u0159ejm\u011b, ne v\u0161ichni jsou automaticky vhodn\u00ed k zaveden\u00ed kardiostimul\u00e1toru,
\u010d\u00edsla ale ukazuj\u00ed, \u017ee z t\u00e9to inovativn\u00ed metody m\u016f\u017ee profitovat skute\u010dn\u011b hodn\u011b pacient\u016f.
Ukazuje se, \u017ee by ze stimulace Bachmannova svazku mohli m\u00edt u\u017eitek i pacienti se srde\u010dn\u00edm selh\u00e1n\u00edm se zachovanou ejek\u010dn\u00ed frakc\u00ed, tedy ti, u kter\u00fdch srdce selh\u00e1v\u00e1 p\u0159es zachovanou sta\u017elivost lev\u00e9 komory. A takov\u00fdch mohou b\u00fdt v \u010cesku des\u00edtky a\u017e stovky tis\u00edc,\u201c dod\u00e1v\u00e1 MUDr. Oravsk\u00fd.<\/p>\n\n\n\n
Lidsk\u00e9 srdce p\u0159e\u010derp\u00e1 4\u20136 litr\u016f krve za minutu, a za tuto dobu p\u0159enese p\u0159ibli\u017en\u011b litr kysl\u00edku.
Pokud je zdrav\u00e9, st\u00e1hne se 60\u2013100\u00d7 za minutu. Kdy\u017e ne, je t\u0159eba mu pomoci.
Ka\u017edoro\u010dn\u011b l\u00e9ka\u0159i v \u010cR zavedou lidem s nemocn\u00fdm srdcem a\u017e 10 000 kardiostimul\u00e1tor\u016f \u2013
elektrick\u00fdch \u201ehl\u00edda\u010d\u016f\u201c spr\u00e1vn\u00e9ho srde\u010dn\u00edho rytmu.<\/p>\n","protected":false},"excerpt":{"rendered":"
Jako prvn\u00ed v \u010cesku vkl\u00e1daj\u00ed elektrodu p\u0159\u00edmo k srde\u010dn\u00ed \u201ed\u00e1lnici\u201c Modern\u00ed metodu stimulace srdce, p\u0159i n\u00ed\u017e se elektroda kardiostimul\u00e1toruvkl\u00e1d\u00e1 p\u0159\u00edmo do p\u0159irozen\u00e9 elektrick\u00e9 dr\u00e1hy mezi […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14511,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-60281","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\/60281","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=60281"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/60281\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14511"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=60281"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=60281"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=60281"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}