Akutn\u00edch infarkt\u016f, kter\u00e9 l\u00e9ka\u0159i \u0159e\u0161\u00ed katetriza\u010dn\u00edmi z\u00e1kroky, postupn\u011b ub\u00fdv\u00e1, naopak p\u0159ib\u00fdv\u00e1 star\u0161\u00edch pacient\u016f se slo\u017eit\u011bj\u0161\u00edm a dlouhodob\u00fdm posti\u017een\u00edm srde\u010dn\u00edch tepen. Novin\u00e1\u0159\u016fm to \u0159ekl kardiolog Vojt\u011bch Novotn\u00fd z pardubick\u00e9ho Kardiologick\u00e9ho centra AGEL. L\u00e9ka\u0159i u\u017e podle n\u011bj operovali i tepny, kter\u00e9 byly nepr\u016fchodn\u00e9 20 let. Centrum ro\u010dn\u011b provede zhruba 3000 a\u017e 3500 operac\u00ed na dvou katetriza\u010dn\u00edch s\u00e1lech. Z toho je asi 1300 a\u017e 1500 z\u00e1krok\u016f, p\u0159i nich\u017e l\u00e9ka\u0159i tepny zpr\u016fchod\u0148uj\u00ed nebo jinak o\u0161et\u0159uj\u00ed.<\/p>\n\n\n\n
„Tro\u0161ku ub\u00fdv\u00e1 typick\u00fdch akutn\u00edch infarkt\u016f. Naopak p\u0159ib\u00fdv\u00e1 v\u00fdkon\u016f u star\u0161\u00edch pacient\u016f, kte\u0159\u00ed u\u017e prod\u011blali t\u0159eba prvn\u00ed infarkt, maj\u00ed stenty nebo bypassy. Jejich tepny jsou pak difuzn\u011b posti\u017een\u00e9, tak\u017ee tam nen\u00ed jedno z\u00fa\u017een\u00e9 m\u00edsto, ale sp\u00ed\u0161 takov\u00e1 sple\u0165 r\u016fzn\u00fdch z\u00fa\u017een\u00ed,“ popsal Novotn\u00fd.<\/p>\n\n\n\n
Pardubick\u00e9 pracovi\u0161t\u011b se specializuje tak\u00e9 na l\u00e9\u010dbu dlouhodob\u011b nepr\u016fchodn\u00fdch v\u011bn\u010dit\u00fdch tepen. „U pacient\u016f dojde v\u011bt\u0161inou k postupn\u00e9mu uz\u00e1v\u011bru tepny. Oni to t\u0159eba nemus\u00ed vn\u00edmat n\u011bjak dramaticky, ale sp\u00ed\u0161 tak pl\u00ed\u017eiv\u011b. Pak se dostanou na vy\u0161et\u0159en\u00ed, zjist\u00ed se, \u017ee maj\u00ed t\u0159eba jednu nebo v\u00edc tepen zav\u0159en\u00fdch,“ \u0159ekl Novotn\u00fd.<\/p>\n\n\n\n
Zpr\u016fchodn\u011bn\u00ed chronicky uzav\u0159en\u00fdch tepen je podle Novotn\u00e9ho technicky slo\u017eit\u00e9. V\u00fdkon pr\u016fm\u011brn\u011b trv\u00e1 hodinu a p\u016fl a\u017e dv\u011b hodiny, ve v\u00fdjime\u010dn\u00fdch p\u0159\u00edpadech m\u016f\u017ee trvat a\u017e \u010dty\u0159i hodiny. „My se t\u0159eba mus\u00edme nejd\u0159\u00edv t\u00edm ucpan\u00fdm m\u00edstem doslova prokutat, proto\u017ee tam je tk\u00e1\u0148 ztvrdl\u00e1,“ \u0159ekl l\u00e9ka\u0159. Krom\u011b b\u011b\u017en\u00fdch n\u00e1stroj\u016f proto vyu\u017e\u00edvaj\u00ed pokro\u010dil\u00e9 techniky a n\u011bkdy postupuj\u00ed k ucpan\u00e9mu m\u00edstu z obou stran.<\/p>\n\n\n\n
Podle Novotn\u00e9ho se pardubick\u00e9mu t\u00fdmu da\u0159\u00ed zpr\u016fchodnit zhruba 90 procent dlouhodob\u011b nepr\u016fchodn\u00fdch srde\u010dn\u00edch tepen. \u00dasp\u011b\u0161nost ale z\u00e1vis\u00ed na konkr\u00e9tn\u00edm n\u00e1lezu.<\/p>\n\n\n\n
Nej\u010dast\u011bj\u0161\u00edm p\u0159\u00edznakem probl\u00e9m\u016f s pr\u016fchodnost\u00ed srde\u010dn\u00edch tepen je, \u017ee se \u010dlov\u011bk zad\u00fdch\u00e1 p\u0159i \u010dinnostech, p\u0159i kter\u00fdch se d\u0159\u00edv nezad\u00fdch\u00e1val. „Jak to jde pl\u00ed\u017eiv\u011b, tak si na to lidi \u010dasto zvyknou. Hlavn\u011b se projevuje du\u0161nost, bolest na hrudi p\u0159i n\u00e1maze, nev\u00fdkonnost,“ \u0159ekl kardiolog.<\/p>\n\n\n\n
Du\u0161nost a zhor\u0161en\u00e9 d\u00fdch\u00e1n\u00ed tr\u00e1pily i Milenu \u0160t\u011brbovou z Pardubic, kter\u00e1 m\u011bla probl\u00e9my i v klidu a v noci nemohla sp\u00e1t vle\u017ee. Obt\u00ed\u017ee se postupn\u011b zhor\u0161ovaly a omezovaly ji tak\u00e9 p\u0159i b\u011b\u017en\u00e9m pohybu, nap\u0159\u00edklad p\u0159i ch\u016fzi do schod\u016f. Kv\u016fli dv\u011bma ucpan\u00fdm tepn\u00e1m podstoupila dva z\u00e1kroky, d\u00edky kter\u00fdm se mohla vr\u00e1tit k b\u011b\u017en\u00fdm aktivit\u00e1m. „U\u017e nemus\u00edm p\u0159i span\u00ed sed\u011bt. Chod\u00edm norm\u00e1ln\u011b do schod\u016f, s kamar\u00e1dkou bereme h\u016flky a skute\u010dn\u011b chod\u00edme dost p\u011b\u0161ky,“ \u0159ekla osmdes\u00e1tilet\u00e1 \u017eena.<\/p>\n\n\n\n
Krom\u011b l\u00e9\u010dby dlouhodob\u011b nepr\u016fchodn\u00fdch tepen se kardiolog Novotn\u00fd zam\u011b\u0159uje tak\u00e9 na slo\u017eit\u00e9 katetriza\u010dn\u00ed z\u00e1kroky u pacient\u016f s vysok\u00fdm rizikem. „T\u00fdk\u00e1 se to jak pacient\u016f, kte\u0159\u00ed t\u0159eba nem\u016f\u017eou podstoupit operaci srdce, takzvan\u00fd bypass, proto\u017ee je to prost\u011b pro n\u011b p\u0159\u00edli\u0161 rizikov\u00e9 a tu operaci by nep\u0159e\u017eili,“ uvedl Novotn\u00fd.<\/p>\n\n\n\n
\u010cTK<\/p>\n\n\n\n
Pardubick\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/pardubicky.denik.cz<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Akutn\u00edch infarkt\u016f, kter\u00e9 l\u00e9ka\u0159i \u0159e\u0161\u00ed katetriza\u010dn\u00edmi z\u00e1kroky, postupn\u011b ub\u00fdv\u00e1, naopak p\u0159ib\u00fdv\u00e1 star\u0161\u00edch pacient\u016f se slo\u017eit\u011bj\u0161\u00edm a dlouhodob\u00fdm posti\u017een\u00edm srde\u010dn\u00edch tepen. Novin\u00e1\u0159\u016fm to \u0159ekl kardiolog Vojt\u011bch […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14888,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-64833","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/64833","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=64833"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/64833\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14888"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=64833"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=64833"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=64833"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}