{"id":61164,"date":"2025-10-10T09:44:55","date_gmt":"2025-10-10T07:44:55","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=61164"},"modified":"2025-10-10T09:45:07","modified_gmt":"2025-10-10T07:45:07","slug":"ambulanci-srdecniho-selhani-pribyva-stale-jich-ale-neni-dost","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=61164","title":{"rendered":"Ambulanc\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed p\u0159ib\u00fdv\u00e1, st\u00e1le jich ale nen\u00ed dost"},"content":{"rendered":"\n<p><br \/>Chyb\u00ed hlavn\u011b na z\u00e1pad\u011b \u010cech<\/p>\n\n\n\n<p>Praha, 9. \u0159\u00edjna 2025 \u2013 K p\u00e9\u010di o pacienty, kter\u00fdm selh\u00e1v\u00e1 srdce, se p\u0159ihl\u00e1silo u\u017e<br \/>74 specializovan\u00fdch kardiologick\u00fdch ambulanc\u00ed. Za \u010dty\u0159i m\u011bs\u00edce tak jejich po\u010det vzrostl<br \/>o \u010dtrn\u00e1ct. Podle kardiolog\u016f v\u0161ak s\u00ed\u0165 p\u00e9\u010de st\u00e1le nen\u00ed dost hust\u00e1. Nap\u0159\u00edklad v Karlovarsk\u00e9m<br \/>kraji nen\u00ed ani jedna ambulance srde\u010dn\u00edho selh\u00e1n\u00ed. Pro srovn\u00e1n\u00ed s obdobn\u011b velk\u00fdm krajem:<br \/>na Liberecku funguj\u00ed ambulance dv\u011b. O situaci budou kardiologov\u00e9 mluvit na XXVIII.<br \/>konferenci \u010cesk\u00e9 asociace srde\u010dn\u00edho selh\u00e1n\u00ed 10.\u201311. \u0159\u00edjna.<\/p>\n\n\n\n<p>\u201e\u010cel\u00edme pandemii srde\u010dn\u00edho selh\u00e1n\u00ed. Ka\u017ed\u00fd rok n\u00e1m p\u0159ib\u00fdv\u00e1 asi 40 000 takto nemocn\u00fdch lid\u00ed. Kdy\u017e<br \/>je propust\u00edme z nemocnice, je t\u0159eba, aby se jich co nejd\u0159\u00edve ujal ambulantn\u00ed kardiolog a hl\u00eddal<br \/>jejich zdravotn\u00ed stav \u2013 zabr\u00e1n\u00edme tak op\u011btovn\u00fdm hospitalizac\u00edm, nebo dokonce \u00famrt\u00edm,\u201c \u0159\u00edk\u00e1<br \/>p\u0159edseda \u010cesk\u00e9 asociace srde\u010dn\u00edho selh\u00e1n\u00ed \u010cesk\u00e9 kardiologick\u00e9 spole\u010dnosti (\u010cASS \u010cKS)<br \/>prof. MUDr. Jan Krej\u010d\u00ed.<\/p>\n\n\n\n<p>\u201eO nemocn\u00e9 se srde\u010dn\u00edm selh\u00e1n\u00edm se sice star\u00e1 v\u011bt\u0161ina kardiologick\u00fdch ambulanc\u00ed, ale t\u00edm, \u017ee se<br \/>kardiolog k t\u00e9to specializaci p\u0159ihl\u00e1s\u00ed, uvid\u00ed jej pacienti, kte\u0159\u00ed po propu\u0161t\u011bn\u00ed z nemocnice hledaj\u00ed<br \/>za\u0159\u00edzen\u00ed, kter\u00e9 by se jich ujalo. Na\u0161\u00edm c\u00edlem je utkat hustou s\u00ed\u0165 tak, aby se ka\u017ed\u00e9mu pacientovi<br \/>dostalo stejn\u00e9 p\u00e9\u010de bez ohledu na to, kde bydl\u00ed,\u201c vysv\u011btluje prof. Krej\u010d\u00ed. L\u00e9ka\u0159i v ambulanc\u00edch<br \/>srde\u010dn\u00edho selh\u00e1n\u00ed pacienty pe\u010dliv\u011b a pravideln\u011b kontroluj\u00ed. Upravuj\u00ed jim nap\u0159\u00edklad l\u00e9ky \u010di hl\u00eddaj\u00ed<br \/>jejich laboratorn\u00ed v\u00fdsledky, v\u010detn\u011b hodnot \u017eeleza v krvi. U pacient\u016f sleduj\u00ed i hmotnost, proto\u017ee<br \/>rychl\u00e9 p\u0159ib\u00fdv\u00e1n\u00ed na v\u00e1ze m\u016f\u017ee znamenat, \u017ee srdce nepracuje spr\u00e1vn\u011b a t\u011blo se zavod\u0148uje.<\/p>\n\n\n\n<p>Snahu, aby se specialist\u00e9 zapojili a uzp\u016fsobili svoje praxe zv\u00fd\u0161en\u00e9 pot\u0159eb\u011b p\u00e9\u010de o pacienty,<br \/>kter\u00fdm selh\u00e1v\u00e1 srdce, by m\u011bl podpo\u0159it N\u00e1rodn\u00ed kardiovaskul\u00e1rn\u00ed pl\u00e1n. \u201eKv\u016fli stoupaj\u00edc\u00ed popt\u00e1vce<br \/>jedn\u00e1me s pl\u00e1tci p\u00e9\u010de \u2013 zdravotn\u00edmi poji\u0161\u0165ovnami \u2013 aby tyto ambulance l\u00e9pe ohodnotily. Data<br \/>n\u00e1m jasn\u011b ukazuj\u00ed, \u017ee zp\u011bt do nemocnic se do m\u011bs\u00edce po propu\u0161t\u011bn\u00ed vrac\u00ed asi 13 % pacient\u016f.<\/p>\n\n\n\n<p>Do roku je pak hospitalizace nezbytn\u00e1 p\u0159ibli\u017en\u011b u 36 % lid\u00ed kv\u016fli akutn\u00edmu zhor\u0161en\u00ed stavu. To se m\u016f\u017ee<br \/>v\u00fdrazn\u011b zlep\u0161it, pokud propu\u0161t\u011bn\u00e9 p\u0159ebere ide\u00e1ln\u011b do 14 dn\u016f do p\u00e9\u010de ambulantn\u00ed kardiolog,\u201c \u0159\u00edk\u00e1<br \/>p\u0159ednosta II. intern\u00ed kliniky kardiologie a angiologie V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze<br \/>prof. MUDr. Ale\u0161 Linhart. Vysv\u011btluje, \u017ee ka\u017ed\u00e1 dal\u0161\u00ed hospitalizace kr\u00e1t\u00ed \u017eivot. \u201ePo<br \/>druh\u00e9m n\u00e1vratu do nemocnice z d\u016fvodu zhor\u0161en\u00ed \u010dinnosti srdce kles\u00e1 pravd\u011bpodobnost p\u0159e\u017eit\u00ed na<br \/>28 m\u011bs\u00edc\u016f,\u201c dod\u00e1v\u00e1 prof. Linhart.<\/p>\n\n\n\n<p>Ambulance lze naj\u00edt v map\u011b, kterou vytvo\u0159ila \u010cesk\u00e1 kardiologick\u00e1 spole\u010dnost. Podle dat<br \/>kardiolog\u016f bude v \u010cesk\u00e9 republice v roce 2040 \u017e\u00edt t\u00e9m\u011b\u0159 900 000 pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm,<br \/>nyn\u00ed jich je kolem 400 000.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Chyb\u00ed hlavn\u011b na z\u00e1pad\u011b \u010cech Praha, 9. \u0159\u00edjna 2025 \u2013 K p\u00e9\u010di o pacienty, kter\u00fdm selh\u00e1v\u00e1 srdce, se p\u0159ihl\u00e1silo u\u017e74 specializovan\u00fdch kardiologick\u00fdch ambulanc\u00ed. Za \u010dty\u0159i <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=61164\" title=\"Ambulanc\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed p\u0159ib\u00fdv\u00e1, st\u00e1le jich ale nen\u00ed dost\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14901,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-61164","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\/61164","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=61164"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61164\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14901"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61164"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61164"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}