{"id":6466,"date":"2013-06-12T09:05:26","date_gmt":"2013-06-12T07:05:26","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=6466"},"modified":"2013-06-12T16:41:21","modified_gmt":"2013-06-12T14:41:21","slug":"novinka-na-skryte-arytmie-srdce","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=6466","title":{"rendered":"Odhal\u00ed skryt\u00e9 arytmie srdce"},"content":{"rendered":"<p><strong>Nov\u00fd diagnostick\u00fd p\u0159\u00edstroj pro d\u00e1lkov\u00e9 sledov\u00e1n\u00ed \u010dinnosti srdce odhal\u00ed poruchy i u lid\u00ed, u kter\u00fdch je b\u011b\u017en\u00e9 vy\u0161et\u0159en\u00ed nezjist\u00ed.\u00a0 Kv\u016fli v\u00fdpadk\u016fm rytmu p\u0159itom mohou omdl\u00edt a p\u0159i p\u00e1du se v\u00e1\u017en\u011b zranit. Novinka se testuje i v\u00a0 \u010cesku,\u00a0od l\u00e9ta by m\u011bla b\u00fdt dostupn\u00e1 v\u0161em pacient\u016fm.<br \/>\n<\/strong><\/p>\n<p><!--more--><\/p>\n<p>Kv\u016fli v\u00fdpadk\u016fm rytmu mohou omdl\u00edt a p\u0159i p\u00e1du se v\u00e1\u017en\u011b zranit. Stalo se to i pan\u00ed Vlast\u011b, kter\u00e1 si p\u0159i posledn\u00edm p\u00e1du nadvakr\u00e1t zlomila ruku. L\u00e9ka\u0159 ji vy\u0161et\u0159il, ale srdce v tu chv\u00edli fungovalo norm\u00e1ln\u011b. Nyn\u00ed je nep\u0159etr\u017eit\u00e9 sledov\u00e1na za pomoci p\u0159\u00edstroje BioMonitor, kter\u00fd j\u00ed byl voperov\u00e1n.<\/p>\n<p>&#8222;P\u0159\u00edstroj zmapuje poruchy srde\u010dn\u00edho rytmu, n\u011bkdy pacienty nevn\u00edman\u00e9, p\u0159esto zdrav\u00ed ohro\u017euj\u00edc\u00ed, kter\u00e9 by jinak odhaleny nebyly,&#8220; \u0159ekl vedouc\u00ed l\u00e9ka\u0159 arytmologie a kardiostimulace kardiocentra \u010deskobud\u011bjovick\u00e9 nemocnice docent Alan Bulava. Poruchy rytmu se \u010dasto projevuj\u00ed a\u017e sv\u00fdmi n\u00e1sledky, jako je srde\u010dn\u00ed selh\u00e1n\u00ed nebo mrtvice. I proto je podle Bulavy d\u016fle\u017eit\u00e9 poruchu v\u010das zjistit.<\/p>\n<p>P\u0159\u00edstroj um\u00ed pomoc\u00ed bezdr\u00e1tov\u00e9ho p\u0159enosu dat tzv. Home Monitoring okam\u017eit\u011b odeslat informace o stavu srdce a upozornit l\u00e9ka\u0159e na probl\u00e9m. Pacient nemus\u00ed kv\u016fli vy\u0161et\u0159en\u00ed srdce nikam cestovat a \u010dekat v ambulanci.<\/p>\n<p>Pan\u00ed Vlast\u011b voperovali l\u00e9ka\u0159i p\u0159\u00edstroj v \u00fanoru. Pacientka novin\u00e1\u0159\u016fm \u0159ekla, \u017ee p\u0159\u00edstroj ji neomezuje v pohybu, i kdy\u017e si na n\u011bj musela zvyknout.<\/p>\n<p>Za\u0159\u00edzen\u00ed p\u0159ipom\u00ednaj\u00edc\u00ed flash disk se zav\u00e1d\u00ed pod kl\u00ed\u010dn\u00ed kost. Zachyt\u00ed \u010dinnost srdce a zaznamen\u00e1, jak se porucha chov\u00e1. Podle pr\u016fb\u011bhu poruchy m\u016f\u017ee l\u00e9ka\u0159 upravit l\u00e9\u010dbu, t\u0159eba zm\u011bnit d\u00e1vkov\u00e1n\u00ed l\u00e9k\u016f. \u0158ada pacient\u016f d\u00edky tomu nemus\u00ed dostat natrvalo kardiostimul\u00e1tor nebo defibril\u00e1tor, co\u017e jsou p\u0159\u00edstroje, kter\u00e9 aktu\u00e1ln\u00ed poruchu rytmu napravuj\u00ed.<\/p>\n<p>Pacient je vybaven i mobiln\u00edm za\u0159\u00edzen\u00edm CardioMessenger, kter\u00e9 p\u0159ipom\u00edn\u00e1 mobiln\u00ed telefon. Prost\u0159ednictv\u00edm mobiln\u00ed s\u00edt\u011b p\u0159en\u00e1\u0161\u00ed data o chodu pacientova srdce do internetov\u00e9ho servisn\u00edho centra v Berl\u00edn\u011b. Na zabezpe\u010den\u00fdch webov\u00fdch str\u00e1nk\u00e1ch m\u016f\u017ee l\u00e9ka\u0159 zpr\u00e1vy vyhodnocovat. L\u00e9\u010dba se zefektivn\u00ed, pro pacienty je komfortn\u011bj\u0161\u00ed a z\u00e1rove\u0148 \u0161et\u0159\u00ed pen\u00edze zdravotn\u00edho poji\u0161t\u011bn\u00ed, shrnul Bulava.<\/p>\n<p>Novinka se zat\u00edm implantuje jen pacient\u016fm v N\u011bmecku, kde ji hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovny. V \u010cesku se testovala v r\u00e1mci v\u00fdzkumn\u00e9ho projektu zat\u00edm u jednotlivc\u016f. Od l\u00e9ta by m\u011bla b\u00fdt dostupn\u00e1 v\u0161em pacient\u016fm, o \u00fahrad\u011b ze zdravotn\u00edho poji\u0161t\u011bn\u00ed se nyn\u00ed jedn\u00e1.<\/p>\n<p><strong>Nedoceniteln\u00e1 pomoc velmi p\u0159esn\u00e9ho z\u00e1znamu<\/strong><\/p>\n<p>Pades\u00e1tilet\u00e9ho mu\u017ee p\u0159ivezli do Kardiocentra Nemocnice \u010cesk\u00e9 Bud\u011bjovice, proto\u017ee ztratil na ulici v\u011bdom\u00ed. P\u0159\u00edznaky jeho pot\u00ed\u017e\u00ed signalizovaly, \u017ee se podle v\u0161eho jedn\u00e1 o bl\u00ed\u017ee nezjistiteln\u00fd druh arytmie, takzvanou komorovou takychardii. Srdce p\u0159i tomto rytmu nedok\u00e1\u017ee \u010derpat krev. Doch\u00e1z\u00ed k v\u00fdpadku jeho \u010dinnosti. Posti\u017een\u00ed lid\u00e9 pak \u010dasto ztr\u00e1cej\u00ed v\u011bdom\u00ed.<\/p>\n<p>Aby tuto poruchu bylo mo\u017en\u00e9 spr\u00e1vn\u011b l\u00e9\u010dit, mus\u00ed l\u00e9ka\u0159i p\u0159esn\u011b zmapovat jej\u00ed pr\u016fb\u011bh. A pr\u00e1v\u011b to um\u00ed nov\u00fd p\u0159\u00edstroj. Nav\u00edc dok\u00e1\u017ee zachytit i to, jak se srdce chov\u00e1 p\u0159ed n\u00ed a po n\u00ed. Syst\u00e9m, na kter\u00fd je pacient napojen\u00fd p\u0159es speci\u00e1ln\u00ed mobiln\u00ed jednotku, si automaticky stahuje pot\u0159ebn\u00e9 informace. Obvykle ve dv\u011b v noci, kdy\u017e \u010dlov\u011bk sp\u00ed. Ale dovede to ud\u011blat i okam\u017eit\u011b, pokud nastane n\u011bjak\u00fd nebezpe\u010dn\u00fd akutn\u00ed stav. &#8222;L\u00e9ka\u0159 m\u00e1 pr\u016fb\u011b\u017en\u00fd p\u0159ehled o tom, jak se porucha chov\u00e1,&#8220; \u0159\u00edk\u00e1 docent Bulava.<\/p>\n<p><strong>Uk\u00e1\u017ee specialist\u016fm, jak byli \u00fasp\u011b\u0161n\u00ed<\/strong><\/p>\n<p>Dal\u0161\u00ed skupinou, kter\u00e9 m\u016f\u017ee tahle &#8222;hra\u010dka&#8220; pomoci, jsou pacienti s jinou v\u00e1\u017enou poruchou rytmu, takzvanou fibrilac\u00ed s\u00edn\u00ed. P\u0159i n\u00ed doch\u00e1z\u00ed k chaotick\u00e9mu stahov\u00e1n\u00ed svalov\u00fdch vl\u00e1ken srde\u010dn\u00edch p\u0159eds\u00edn\u00ed a tedy ke ztr\u00e1t\u011b koordinovan\u00e9 srde\u010dn\u00ed \u010dinnosti. Srdce v tomto p\u0159\u00edpad\u011b nezvl\u00e1d\u00e1 \u010derpat dost krve. To u nemocn\u00e9ho zv\u011bt\u0161uje nap\u0159\u00edklad nebezpe\u010d\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed.<\/p>\n<p>Pacienty se zm\u00edn\u011bnou arytmi\u00ed ohro\u017euje tak\u00e9 vy\u0161\u0161\u00ed riziko c\u00e9vn\u00edch mozkov\u00fdch p\u0159\u00edhod, p\u0159i kter\u00fdch snadno dojde k v\u00e1\u017en\u00fdm po\u0161kozen\u00edm funkc\u00ed mozku. M\u00edvaj\u00ed hor\u0161\u00ed pr\u016fb\u011bh a vy\u017eaduj\u00ed del\u0161\u00ed zotaven\u00ed ne\u017e mozkov\u00e9 mrtvice u lid\u00ed bez t\u00e9to arytmie.<br \/>\nSpecialist\u00e9 l\u00e9\u010d\u00ed tuto poruchu pomoc\u00ed z\u00e1kroku, kter\u00e9mu se \u0159\u00edk\u00e1 kat\u00e9trov\u00e9 ablace. Zavedou p\u0159i n\u00ed katetr p\u0159\u00edmo do nitra p\u0159eds\u00edn\u00ed. A tady se sna\u017e\u00ed s\u00e9ri\u00ed z\u00e1sah\u016f, tzv. &#8222;p\u00e1len\u00ed&#8220;, arytmii odstranit. &#8222;Prakticky u ka\u017ed\u00e9ho pacienta prob\u00edh\u00e1 tento z\u00e1sah trochu jinak,&#8220; vysv\u011btluje docent Bulava.<\/p>\n<p>&#8222;N\u011bkdy je t\u011b\u017ek\u00e9 p\u0159esn\u011b odhadnout, jak\u00fd postup bude ten nejefektivn\u011bj\u0161\u00ed.&#8220; To v\u0161ak nen\u00ed jedin\u00e9 \u00faskal\u00ed tohoto z\u00e1kroku. Ne v\u017edy jsou l\u00e9ka\u0159i \u00fasp\u011b\u0161n\u00ed napoprv\u00e9. Ob\u010das mus\u00ed zas\u00e1hnout podruh\u00e9. A pr\u00e1v\u011b u t\u011bchto p\u0159\u00edpad\u016f b\u00fdv\u00e1 velice u\u017eite\u010dnou pom\u016fckou nov\u00fd p\u0159\u00edstroj. P\u0159esn\u011b zachyt\u00ed \u010dinnost srdce a uk\u00e1\u017ee l\u00e9ka\u0159\u016fm, jestli byli \u00fasp\u011b\u0161n\u00ed, nebo jestli bude pot\u0159eba dal\u0161\u00ed z\u00e1sah. Nav\u00edc jim uk\u00e1\u017ee, jak se porucha rytmu chov\u00e1. Z jej\u00edho dob\u0159e zaznamenan\u00e9ho pr\u016fb\u011bhu sn\u00e1ze pochop\u00ed, co ud\u011blat, aby ji s co nejv\u011bt\u0161\u00ed \u00fasp\u011b\u0161nost\u00ed odstranili.<\/p>\n<p>invArena<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Nov\u00fd diagnostick\u00fd p\u0159\u00edstroj pro d\u00e1lkov\u00e9 sledov\u00e1n\u00ed \u010dinnosti srdce odhal\u00ed poruchy i u lid\u00ed, u kter\u00fdch je b\u011b\u017en\u00e9 vy\u0161et\u0159en\u00ed nezjist\u00ed.\u00a0 Kv\u016fli v\u00fdpadk\u016fm rytmu p\u0159itom mohou omdl\u00edt <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=6466\" title=\"Odhal\u00ed skryt\u00e9 arytmie srdce\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-6466","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/6466","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=6466"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/6466\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6466"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6466"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6466"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}