\u201eN\u00e1\u0161 obor je v sou\u010dasn\u00e9 dob\u011b jen pro hrdiny,\u201c \u0159\u00edkaj\u00ed angiologov\u00e9<\/p>\n\n\n\n
Praha, 8. 10. 2025 \u2013 Nedokrvuj\u00ed se v\u00e1m nohy, tr\u00e1p\u00ed v\u00e1s k\u0159e\u010dov\u00e9 \u017e\u00edly, otoky nebo ko\u017en\u00ed r\u00e1ny, kter\u00e9 se
dlouho nehoj\u00ed? Pak byste si m\u011bli co nejd\u0159\u00edve nechat vy\u0161et\u0159it c\u00e9vy. To ale v \u010cesku za\u010d\u00edn\u00e1 b\u00fdt velk\u00fd
probl\u00e9m. Angiolog\u016f \u2013 specialist\u016f na c\u00e9vn\u00ed nemoci \u2013 je toti\u017e kritick\u00fd nedostatek. Z\u00e1sadn\u00ed roli p\u0159itom
hraj\u00ed i v p\u00e9\u010di o akutn\u00ed pacienty, kter\u00fdm jde o \u017eivot \u2013 nap\u0159\u00edklad p\u0159i \u017eiln\u00ed tromb\u00f3ze, akutn\u00ed nedokrevnosti
kon\u010detin nebo mozkov\u00e9 mrtvici.<\/p>\n\n\n\n
V n\u011bkter\u00fdch kraj\u00edch v\u0161ak angiologov\u00e9 zcela chyb\u00ed jak v nemocnic\u00edch, tak v ambulanc\u00edch. Zat\u00edmco d\u0159\u00edve jich v tuzemsku ka\u017ed\u00fd rok p\u0159ib\u00fdvalo 15, v sou\u010dasn\u00e9 dob\u011b atestuj\u00ed pouze dva a\u017e t\u0159i ro\u010dn\u011b. D\u016fvodem je p\u0159\u00edli\u0161 dlouh\u00e9 vzd\u011bl\u00e1v\u00e1n\u00ed. Angiologov\u00e9 proto usiluj\u00ed o zm\u011bnu z\u00e1kona \u2013 a n\u00e1vrat pouze k jedn\u00e9 povinn\u00e9 atestaci. Jen tak se podle nich poda\u0159\u00ed p\u0159il\u00e1kat do oboru mlad\u00e9 l\u00e9ka\u0159e.<\/p>\n\n\n\n
\u201eKdy\u017e se \u0159ekne angiologie, m\u00e1lokdo p\u0159esn\u011b v\u00ed, co v\u0161echno tento obor obn\u00e1\u0161\u00ed. Srozumiteln\u011bj\u0161\u00ed pojem je
c\u00e9vn\u00ed medic\u00edna. Star\u00e1me se toti\u017e o v\u0161echny c\u00e9vy v t\u011ble \u2013 \u017e\u00edly a tepny, kter\u00fdmi te\u010de krev, a tak\u00e9 \u010d\u00e1ste\u010dn\u011b
o lymfatick\u00fd syst\u00e9m,\u201c vysv\u011btluje p\u0159edsedkyn\u011b \u010cesk\u00e9 angiologick\u00e9 spole\u010dnosti (\u010cAS) \u010cLS JEP
doc. MUDr. Debora Karetov\u00e1, CSc., z II. intern\u00ed kliniky \u2013 kliniky kardiologie a angiologie 1. LF UK a
V\u0161eobecn\u00e9 fakultn\u00ed nemocnice v Praze. <\/p>\n\n\n\n
\u201ePom\u00e1h\u00e1me pacient\u016fm s k\u0159e\u010dov\u00fdmi \u017e\u00edlami, bolestiv\u00fdmi otoky nohou, v\u0159edy na kon\u010detin\u00e1ch nebo nap\u0159\u00edklad s ischemickou chorobou doln\u00edch kon\u010detin, p\u0159i n\u00ed\u017e spr\u00e1vn\u011b neproud\u00ed krev v tepn\u00e1ch nohou a m\u016f\u017ee hrozit amputace kon\u010detiny. L\u00e9\u010d\u00edme chronick\u00e9 \u017eiln\u00ed nemoci i hlubok\u00e9 \u017eiln\u00ed tromb\u00f3zy. A zachra\u0148ujeme tak\u00e9, ve spolupr\u00e1ci s dal\u0161\u00edmi specialisty, \u017eivoty pacient\u016f v akutn\u00edch stavech, nap\u0159\u00edklad p\u0159i masivn\u00ed tromb\u00f3ze a embolii, nebo jsme sou\u010d\u00e1st\u00ed t\u00fdmu l\u00e9\u010d\u00edc\u00edho mozkov\u00e9 mrtvice,\u201c dopl\u0148uje doc. Karetov\u00e1.<\/p>\n\n\n\n
Nemoc\u00ed ob\u011bhov\u00e9 soustavy, mezi kter\u00e9 pat\u0159\u00ed c\u00e9vn\u00ed choroby, v \u010cesk\u00e9 republice p\u0159ib\u00fdv\u00e1. Jak vypl\u00fdv\u00e1 z dat
\u00dastavu zdravotnick\u00fdch informac\u00ed a statistiky \u010cR, od roku 2013 do roku 2023 se po\u010det pacient\u016f
s nemocemi ob\u011bhov\u00e9 soustavy zv\u00fd\u0161il o 21 % \u2013 z p\u0159ibli\u017en\u011b 2,23 milionu na t\u00e9m\u011b\u0159 2,7 milionu. Tato
onemocn\u011bn\u00ed jsou nav\u00edc v tuzemsku hlavn\u00ed p\u0159\u00ed\u010dinou smrti. <\/p>\n\n\n\n
\u201eL\u00e9\u010d\u00edme pacienty s m\u00edrn\u00fdmi i z\u00e1va\u017en\u00fdmi c\u00e9vn\u00edmi n\u00e1lezy, p\u0159i n\u00e1hl\u00fdch p\u0159\u00edhod\u00e1ch a po nich. Nemocn\u00e9 sledujeme dlouhodob\u011b, abychom p\u0159ede\u0161li z\u00e1va\u017en\u00fdm komplikac\u00edm. N\u011bkte\u0159\u00ed k n\u00e1m doch\u00e1z\u00ed na pravideln\u00e9 kontroly trvale. Z\u00e1sadn\u00ed je ur\u010dit spr\u00e1vnou d\u00e9lku l\u00e9\u010dby a vhodn\u00fd zp\u016fsob terapie. V opa\u010dn\u00e9m p\u0159\u00edpad\u011b m\u016f\u017ee hrozit nap\u0159\u00edklad plicn\u00ed embolie \u010di akutn\u00ed nedokrevnost kon\u010detin, co\u017e jsou \u017eivot ohro\u017euj\u00edc\u00ed stavy,\u201c popisuje MUDr. Ji\u0159\u00ed Matu\u0161ka, m\u00edstop\u0159edseda \u010cAS, kter\u00fd m\u00e1 angiologickou ambulanci v Hodon\u00edn\u011b. \u201eV sou\u010dasn\u00e9 dob\u011b v na\u0161\u00ed ordinaci pe\u010dujeme asi o 35 % osob z okresu Hodon\u00edn ve v\u011bku nad 50 let,\u201c dopl\u0148uje.<\/p>\n\n\n\n
Angiolog\u016f je v\u0161ak v \u010cesku m\u00e1lo a v n\u011bkter\u00fdch kraj\u00edch zcela chyb\u00ed. Kritick\u00e1 je situace v ji\u017en\u00edch \u010cech\u00e1ch, na
z\u00e1pad\u011b a severu \u010cech nebo nap\u0159\u00edklad na Znojemsku. V t\u011bchto regionech mus\u00ed pacienti na kontrolu
k c\u00e9vn\u00edmu specialistovi doj\u00ed\u017ed\u011bt i 90 a v\u00edce minut. \u201eAngiologov\u00e9 nechyb\u00ed jenom v okrajov\u00fdch \u010d\u00e1stech
\u010ceska, ale i v \u0159ad\u011b v\u011bt\u0161\u00edch nemocnic. Pr\u00e1v\u011b tam p\u0159itom hraj\u00ed st\u011b\u017eejn\u00ed roli. Pokud z\u00e1chrann\u00e1 slu\u017eba
p\u0159iveze na urgentn\u00ed p\u0159\u00edjem pacienta, kter\u00e9mu jde o \u017eivot a hroz\u00ed mu nap\u0159\u00edklad amputace kon\u010detiny, mus\u00ed
situaci rychle vyhodnotit c\u00e9vn\u00ed specialista \u2013 aby se p\u0159ede\u0161lo trval\u00fdm komplikac\u00edm, nebo dokonce smrti,\u201c
vysv\u011btluje m\u00edstop\u0159edseda \u010cAS MUDr. Tom\u00e1\u0161 Hauer.<\/p>\n\n\n\n
Zat\u00edmco p\u0159ed n\u011bkolika lety v \u010cesku p\u0159ib\u00fdvalo v praxi ka\u017ed\u00fd rok p\u0159ibli\u017en\u011b 15 angiolog\u016f, v sou\u010dasn\u00e9 dob\u011b
jsou to pouze dva a\u017e t\u0159i ro\u010dn\u011b. D\u016fvodem je p\u0159\u00edli\u0161 dlouh\u00e9 specializa\u010dn\u00ed vzd\u011bl\u00e1v\u00e1n\u00ed. \u201eD\u0159\u00edve sta\u010dila
angiolog\u016fm jedna atestace, stejn\u011b jako v jin\u00fdch oborech intern\u00ed medic\u00edny. V roce 2018 se ale zm\u011bnila
legislativa a c\u00e9vn\u00ed specialist\u00e9 od t\u00e9 doby mus\u00ed absolvovat krom\u011b z\u00e1kladn\u00ed atestace (z interny,
diabetologie nebo kardiologie) je\u0161t\u011b dal\u0161\u00ed, n\u00e1stavbovou atestaci. Jejich vzd\u011bl\u00e1n\u00ed a p\u0159\u00edprava je ve
srovn\u00e1n\u00ed s jin\u00fdmi obory minim\u00e1ln\u011b o rok a p\u016fl del\u0161\u00ed, co\u017e mlad\u00e9 l\u00e9ka\u0159e od angiologie odrazuje. N\u00e1\u0161 obor
je tak v sou\u010dasn\u00e9 dob\u011b u\u017e jenom pro hrdiny,\u201c popisuje doc. Karetov\u00e1.<\/p>\n\n\n\n
Se sv\u00fdmi kolegy z \u010cesk\u00e9 angiologick\u00e9 spole\u010dnosti usiluje o zm\u011bnu z\u00e1kona a n\u00e1vrat k jedn\u00e9 povinn\u00e9
atestaci. \u201eP\u0159ipravili jsme n\u00e1vrh nov\u00e9ho vzd\u011bl\u00e1vac\u00edho programu, o kter\u00e9m jedn\u00e1me s Ministerstvem
zdravotnictv\u00ed a kter\u00fd je v souladu s c\u00edli N\u00e1rodn\u00edho kardiovaskul\u00e1rn\u00edho pl\u00e1nu. Podle n\u011bj by v \u010cesku m\u011bli
fungovat minim\u00e1ln\u011b t\u0159i ambulantn\u00ed c\u00e9vn\u00ed specialist\u00e9 na 100 000 obyvatel,\u201c popisuje MUDr. Hauer.
Jedn\u00edm z c\u00edl\u016f N\u00e1rodn\u00edho kardiovaskul\u00e1rn\u00edho pl\u00e1nu je i pos\u00edlen\u00ed funk\u010dn\u00ed s\u00edt\u011b kardiovaskul\u00e1rn\u00edch
a cerebrovaskul\u00e1rn\u00edch center s nep\u0159etr\u017eit\u00fdm provozem, ve kter\u00fdch pracuj\u00ed multidisciplin\u00e1rn\u00ed t\u00fdmy
specialist\u016f. Jejich sou\u010d\u00e1st\u00ed mus\u00ed b\u00fdt krom\u011b kardiolog\u016f nebo c\u00e9vn\u00edch chirurg\u016f tak\u00e9 angiologov\u00e9 \u2013 v \u0159ad\u011b
kardiocenter ale tito odborn\u00edci chyb\u00ed.<\/p>\n\n\n\n
\u201eChceme j\u00edt tomuto pl\u00e1nu naproti, p\u0159i st\u00e1vaj\u00edc\u00edm syst\u00e9mu vzd\u011bl\u00e1v\u00e1n\u00ed to ale nen\u00ed mo\u017en\u00e9. \u0158ada c\u00e9vn\u00edch specialist\u016f je nav\u00edc v d\u016fchodov\u00e9m v\u011bku, a probl\u00e9m s jejich dostupnost\u00ed tak bude brzy je\u0161t\u011b v\u011bt\u0161\u00ed. N\u00e1vrat k jedn\u00e9 atestaci je jedinou cestou, jak p\u0159il\u00e1kat k angiologii mladou generaci l\u00e9ka\u0159\u016f \u2013 a zajistit v \u010cesku p\u00e9\u010di o v\u0161echny pacienty s c\u00e9vn\u00edmi nemocemi,\u201c uzav\u00edr\u00e1 p\u0159edsedkyn\u011b \u010cAS.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u201eN\u00e1\u0161 obor je v sou\u010dasn\u00e9 dob\u011b jen pro hrdiny,\u201c \u0159\u00edkaj\u00ed angiologov\u00e9 Praha, 8. 10. 2025 \u2013 Nedokrvuj\u00ed se v\u00e1m nohy, tr\u00e1p\u00ed v\u00e1s k\u0159e\u010dov\u00e9 \u017e\u00edly, otoky […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":59442,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-61170","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\/61170","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=61170"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/61170\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/59442"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=61170"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=61170"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=61170"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}