{"id":7662,"date":"2013-07-09T14:24:50","date_gmt":"2013-07-09T12:24:50","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=7662"},"modified":"2014-10-20T20:11:10","modified_gmt":"2014-10-20T18:11:10","slug":"bodnete-mi-do-srdce-lih-zadal-pacient-pomohlo-to","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=7662","title":{"rendered":"Bodn\u011bte mi do srdce l\u00edh, \u017e\u00e1dal pacient. Zachr\u00e1nil si tak \u017eivot"},"content":{"rendered":"

L\u00e9ka\u0159i z pra\u017esk\u00e9 nemocnice v Motole vst\u0159\u00edkli veterin\u00e1\u0159i alkohol o s\u00edle 96 procent p\u0159\u00edmo do srdce a t\u00edm mu zachr\u00e1nili \u017eivot. Mu\u017e p\u0159estal trp\u011bt du\u0161nost\u00ed, kterou neodstranila ani p\u0159edchoz\u00ed n\u00e1ro\u010dn\u00e1 operace.<\/strong><\/p>\n

<\/p>\n

P\u0159\u00edslov\u00ed „alkohol je metla lidstva“ bude z\u00e1hodno poopravit na jin\u00e9: z rukou l\u00e9ka\u0159e ne\u0161kod\u00ed.
\nAlespo\u0148 Ji\u0159\u00edmu Dresslerovi z Vyso\u010diny patrn\u011b zachr\u00e1nil \u017eivot.<\/p>\n

„\u0160estadevades\u00e1tiprocentn\u00ed alkohol aplikovan\u00fd do srdce sp\u00e1l\u00ed \u010d\u00e1st zbytn\u011bl\u00e9ho svalu a umo\u017en\u00ed snaz\u0161\u00ed pr\u016fchod krve,“ vysv\u011btlil princip Josef Veselka z motolsk\u00e9 kardiologick\u00e9 kliniky. Z\u00e1krok nen\u00ed \u00faplnou novinkou, p\u0159esto jde o sv\u00e9ho druhu unik\u00e1t. „U takov\u00e9ho pacienta s touto diagn\u00f3zou jsme jej provedli jako prvn\u00ed na sv\u011bt\u011b,“ \u0159ekl l\u00e9ka\u0159.<\/p>\n

Kv\u016fli stejn\u00e9 diagn\u00f3ze zem\u0159el p\u0159\u00edmo na st\u0159\u00edda\u010dce n\u011bkdej\u0161\u00ed spoluhr\u00e1\u010d Jarom\u00edra J\u00e1gra Alexej \u010cerepanov.<\/p>\n

Alkohol do srdce jako metodu l\u00e9\u010dby si na internetu na\u0161el a vy\u017e\u00e1dal s\u00e1m pacient. „Nem\u011bl jsem u\u017e jinou mo\u017enost,“ vysv\u011btluje Ji\u0159\u00ed Dressler, kter\u00e9mu jin\u00ed l\u00e9ka\u0159i prakticky ned\u00e1vali nad\u011bji. Dressler je v\u0161ak veterin\u00e1\u0159, tak\u017ee diagn\u00f3zu znal od zv\u00ed\u0159at, a za\u010dal si zji\u0161\u0165ovat, jak se d\u00e1 l\u00e9\u010dit u lid\u00ed. A nakonec na\u0161el i doktora, kter\u00fd byl ochoten alkoholovou metodu aplikovat.<\/p>\n

Ned\u00e1 se nic d\u011blat, \u0159\u00edkali mu l\u00e9ka\u0159i <\/strong><\/p>\n

Jen\u017ee reoperaci mu l\u00e9ka\u0159i vzhledem ke slo\u017eitosti t\u00e9 prvn\u00ed a velk\u00e9 rizikovosti ka\u017ed\u00e9 n\u00e1sleduj\u00edc\u00ed odm\u00edtli prov\u00e9st.<\/p>\n

„V podstat\u011b v\u0161ude, kam p\u0159i\u0161el, jej pos\u00edlali dom\u016f a sly\u0161el – ne, na shledanou. A\u017e se mu povedlo narazit na internetu na m\u011b a spojit se s n\u00e1mi,“ vypr\u00e1v\u00ed Josef Veselka, p\u0159ednosta kardiologick\u00e9 kliniky v nemocnici v Motole.<\/p>\n

Ten m\u00e1 toti\u017e u\u017e se z\u00e1kroky s alkoholem v srdci sv\u00e9 zku\u0161enosti a vlastn\u011b je v \u010cesku jejich pr\u016fkopn\u00edkem – p\u0159ed patn\u00e1cti lety provedl prvn\u00ed takov\u00fd z\u00e1krok. O\u010d jde?<\/p>\n

„Pou\u017e\u00edv\u00e1 se \u0161estadevades\u00e1tiprocentn\u00ed alkohol a jeho vst\u0159\u00edknut\u00ed do srdce zp\u016fsob\u00ed odum\u0159en\u00ed tk\u00e1n\u011b na dan\u00e9m m\u00edst\u011b,“ popisuje l\u00e9ka\u0159.<\/p>\n

Minid\u00e1vka siln\u00e9ho alkoholu se vede skrz mal\u00fd otvor ve stehn\u011b pacienta tepnou a\u017e na to spr\u00e1vn\u00e9 m\u00edsto do srdce. Tam pak zp\u016fsob\u00ed n\u011bco jako „mal\u00fd infarkt“ a tk\u00e1\u0148 po z\u00e1sahu alkoholem odum\u00edr\u00e1.<\/p>\n

Je to v\u00fdhodn\u00e9 nap\u0159\u00edklad u nemocn\u00fdch lid\u00ed se srde\u010dn\u00ed arytmi\u00ed nebo t\u0159eba pr\u00e1v\u011b u pacient\u016f se zbytn\u011blou srde\u010dn\u00ed chlopn\u00ed, jakou m\u011bl Ji\u0159\u00ed Dressler.<\/p>\n

Minul\u00fd \u010das je na m\u00edst\u011b. Profesora Josefa Veselku p\u0159\u00edpad zaujal, z\u00e1krok provedl, a to \u00fasp\u011b\u0161n\u011b. Zbytn\u011bl\u00e1 p\u0159ep\u00e1\u017eka „zmizela“, p\u0159estala srdci vadit, a krev proud\u00ed zase jako d\u0159\u00edv. N\u011bkdej\u0161\u00ed veterin\u00e1\u0159 tak bez probl\u00e9m\u016f op\u011bt b\u011bh\u00e1 po cel\u00e9m gruntu.<\/p>\n

„Sv\u016fj v\u011bk m\u00e1m, tak\u017ee n\u011bjak\u00e9 sta\u0159eck\u00e9 neduhy na sob\u011b pozoruju, ale co se t\u00fd\u010de srdce, tam je to jako kdysi,“ \u0159\u00edk\u00e1 spokojen\u011b pacient, jemu\u017e dnes sta\u010d\u00ed chodit jednou ro\u010dn\u011b na kontroly a d\u00e1l \u017eije sv\u016fj \u017eivot.<\/p>\n

\u010ce\u0161t\u00ed l\u00e9ka\u0159i p\u0159itom byli prvn\u00ed, kdo z\u00e1krok u takov\u00e9ho beznad\u011bjn\u00e9ho pacienta provedli.<\/p>\n

„Podobn\u00fd v\u00fdkon jsme d\u011blali kv\u016fli jin\u00e9 diagn\u00f3ze u\u017e p\u0159ed patn\u00e1cti lety, ale na toto onemocn\u011bn\u00ed jsme jej skute\u010dn\u011b ud\u011blali prvn\u00ed na sv\u011bt\u011b,“ popisuje Josef Veselka z Motola. „V minulosti se toto onemocn\u011bn\u00ed l\u00e9\u010dilo d\u00e1l jen chirurgicky, co\u017e znamenalo novou operaci, jen\u017ee ta pr\u00e1v\u011b nen\u00ed u mnoh\u00fdch pacient\u016f mo\u017en\u00e1 kv\u016fli vysok\u00e9mu riziku,“ \u0159\u00edk\u00e1 l\u00e9ka\u0159.<\/p>\n

Alkohol byla jist\u011bj\u0161\u00ed volba. „\u00da\u010dinek je sice okam\u017eit\u00fd, ale pacient si za p\u00e1r dn\u00ed projde f\u00e1z\u00ed zhor\u0161en\u00ed, teprve pak je efekt trval\u00fd. Ten sval v srdci se toti\u017e d\u00edky alkoholu vlastn\u011b sp\u00e1l\u00ed a p\u0159estane vadit pr\u016ftoku krve,“ popsal princip Josef Veselka. Spr\u00e1vn\u011b se t\u00e9to metod\u011b \u0159\u00edk\u00e1 alkoholov\u00e1 sept\u00e1ln\u00ed ablace. A \u010de\u0161t\u00ed l\u00e9ka\u0159i budou p\u0159\u00edb\u011bh na podzim prezentovat p\u0159ed kolegy na evropsk\u00e9m kardiologick\u00e9m kongresu.<\/p>\n

Podle l\u00e9ka\u0159e je sice Ji\u0159\u00ed Dressler ojedin\u011bl\u00fdm pacientem, na n\u011bm\u017e byl z\u00e1krok proveden, nicm\u00e9n\u011b lid\u00ed s nemocn\u00fdm srdcem, u nich\u017e se d\u00e1 podobn\u00fd z\u00e1krok s alkoholem pou\u017e\u00edt, je v \u010cesku mnohem v\u00edc.<\/p>\n

„Nemocn\u00fdch je tak dvacet tis\u00edc a t\u011bchto v\u00fdkon\u016f se d\u00e1 ud\u011blat ro\u010dn\u011b a\u017e dva tis\u00edce,“ \u0159\u00edk\u00e1 l\u00e9ka\u0159. A dod\u00e1v\u00e1, \u017ee jde nav\u00edc o lacin\u00fd z\u00e1krok, proto\u017ee alkoholu m\u00e1me v \u010cesku pln\u00e9 sklady.<\/p>\n

Mlad\u00e1 fronta Dnes<\/p>\n

Lenka Petr\u00e1\u0161ov\u00e1<\/p>\n","protected":false},"excerpt":{"rendered":"

L\u00e9ka\u0159i z pra\u017esk\u00e9 nemocnice v Motole vst\u0159\u00edkli veterin\u00e1\u0159i alkohol o s\u00edle 96 procent p\u0159\u00edmo do srdce a t\u00edm mu zachr\u00e1nili \u017eivot. Mu\u017e p\u0159estal trp\u011bt du\u0161nost\u00ed, […]<\/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-7662","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/7662","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=7662"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/7662\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7662"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7662"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7662"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}