{"id":16933,"date":"2023-08-24T14:35:33","date_gmt":"2023-08-24T12:35:33","guid":{"rendered":"https:\/\/webnemji.azurewebsites.net\/?page_id=16933"},"modified":"2024-01-03T14:44:32","modified_gmt":"2024-01-03T13:44:32","slug":"vysetrovaci-metody","status":"publish","type":"page","link":"https:\/\/webnemji.azurewebsites.net\/en\/oddeleni\/kardiologicke-oddeleni\/vysetrovaci-metody\/","title":{"rendered":"Methods of examination"},"content":{"rendered":"<div id=\"cmsmasters_row_\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\">\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_6iluctg3hk\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_overlay\"><\/div>\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_sybg7he2sg\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_b3c74b95a0\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center pageheadingtitle\">\n\t<h1 class=\"cmsmasters_heading\">Kardiologick\u00e9 odd\u011blen\u00ed<\/h1>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\">\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_ly5ze1hf8e\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_v67ee6nvg7\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\">\n<p><nav aria-label=\"breadcrumbs\">\n            <div class=\"breadcrumb-container theme1\">\n                <ol>\n                                    <\/ol>\n            <\/div>\n        <\/nav>    <script type=\"application\/ld+json\">\n        {\n            \"@context\": \"http:\/\/schema.org\",\n            \"@type\": \"BreadcrumbList\",\n            \"itemListElement\": [\n                            ]\n        }\n    <\/script>\n   \n    <script>\n            <\/script>\n<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_3f2f8816dd\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_0a1c5940f5\" class=\"cmsmasters_column one_third stickyinfocolumn\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_rva6m2t32d\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center\">\n\t<h3 class=\"cmsmasters_heading\">Informace o odd\u011blen\u00ed<\/h3>\n<\/div>\n<div id=\"cmsmasters_divider_dpp34mcdj5\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_center\"><\/div>\n<div class=\"cmsmasters_sidebar sidebar_layout_11 sidebar-custom-menu\"><aside id=\"nav_menu-8\" class=\"widget widget_nav_menu\"><div class=\"menu-oddeleni-kardiologie-container\"><ul id=\"menu-oddeleni-kardiologie\" class=\"menu\"><li id=\"menu-item-16737\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-16737\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/#popis-oddeleni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-info\"><\/i> Popis odd\u011blen\u00ed<\/a><\/li>\n<li id=\"menu-item-16738\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-16738\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/#personalni-obsazeni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-user-doctor\"><\/i> Person\u00e1ln\u00ed obsazen\u00ed<\/a><\/li>\n<li id=\"menu-item-16739\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-16739\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/#oteviraci-hodiny\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-clock\"><\/i> Ordina\u010dn\u00ed hodiny<\/a><\/li>\n<li id=\"menu-item-16740\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-16740\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/#kontaktni-informace\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-phone\"><\/i> Kontaktn\u00ed informace<\/a><\/li>\n<li id=\"menu-item-16741\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-16741\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/#kde-nas-najdete\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-location-dot\"><\/i> Kde n\u00e1s najdete<\/a><\/li>\n<li id=\"menu-item-16742\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-16742\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/#fotogalerie\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-camera\"><\/i> Fotogalerie<\/a><\/li>\n<li id=\"menu-item-16743\" class=\"menu-custom-separator menu-item menu-item-type-custom menu-item-object-custom menu-item-16743\"><hr class=\"mhm-menu-separator\"><\/li>\n<li id=\"menu-item-16949\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-16949\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/kardiologicke-ambulance\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-house-medical\"><\/i> Ambulance<\/a><\/li>\n<li id=\"menu-item-18264\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-18264\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/luzkova-cast\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-bed-pulse\"><\/i> L\u016f\u017ekov\u00e1 \u010d\u00e1st<\/a><\/li>\n<li id=\"menu-item-16744\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-16744\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/informace-pro-pacienty\/\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-circle-question\"><\/i> Informace pro pacienty<\/a><\/li>\n<li id=\"menu-item-16745\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-16745\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/charakteristika-oddeleni\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-stethoscope\"><\/i> Charakteristika odd\u011blen\u00ed<\/a><\/li>\n<li id=\"menu-item-16746\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-16746\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/vysetrovaci-metody\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-user-nurse\"><\/i> Vy\u0161et\u0159ovac\u00ed metody<\/a><\/li>\n<li id=\"menu-item-20721\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-20721\"><a href=\"\/oddeleni\/kardiologicke-oddeleni\/fotografie-z-udalosti\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-camera\"><\/i> Fotografie z ud\u00e1lost\u00ed<\/a><\/li>\n<\/ul><\/div><\/aside><div class=\"cl\"><\/div>\n<\/div>\n<\/div><\/div>\n<div id=\"cmsmasters_column_k7vlyuz4yq\" class=\"cmsmasters_column two_third\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_zkqherm22q\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_left\">\n\t<h2 class=\"cmsmasters_heading\">Vy\u0161et\u0159ovac\u00ed metody<\/h2>\n<\/div>\n<div id=\"cmsmasters_divider_x11sklp8kt\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_left\"><\/div>\n<div id=\"cmsmasters_divider_yldugl5mb\" class=\"cl\"><\/div>\n<div class=\"cmsmasters_text\">\n<style type=\"text\/css\"><\/style><section id='' \n                class='helpie-faq accordions groupSettings-125__enabled' \n                data-collection='' \n                data-pagination='0' \n                data-search='0' \n                data-pagination-enabled='0'\n                role='region'\n                aria-label='FAQ Section'\n                aria-live='polite'><form class=\"search\" onSubmit=\"return false;\"><div class=\"search__wrapper\"><input type=\"text\" class=\"search__input\" aria-label=\"Search\" role=\"searchbox\" placeholder=\"Vyhledat\"><span class=\"search__icon\"><svg class=\"svg-icon--search\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 22 22\">\r\n                        <g fill=\"none\" stroke=\"#171717\">\r\n                            <path stroke-linecap=\"square\" stroke-width=\"2\" d=\"M18.5 18.3l-5.4-5.4\"\/>\r\n                            <circle cx=\"8\" cy=\"8\" r=\"7\" stroke-width=\"2\"\/>\r\n                        <\/g>\r\n                    <\/svg><\/span><\/div><div class=\"search__message\"><\/div><\/form><article class=\"accordion \"><div class='helpie-faq-row'><div class='helpie-faq-col helpie-faq-col-12' ><ul><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-17719\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-17719\"\r\n                data-id=\"post-17719\" \r\n                data-item=\"hfaq-post-17719\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Do\u010dasn\u00e1 kardiostimulace<\/div><\/div><div id=\"accordion-content-post-17719\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-17719\"\r\n                style=\"background:transparent;\"><h5><strong>Do\u010dasn\u00e1 kardiostimulace<\/strong><\/h5>\n<p>Je l\u00e9\u010debn\u00e1 metoda pou\u017e\u00edvan\u00e1 k\u00a0l\u00e9\u010db\u011b akutn\u00edch stav\u016f u pacient\u016f s\u00a0pomalou srde\u010dn\u00ed frekvenc\u00ed, kdy srdce nen\u00ed schopno zajistit dod\u00e1vku \u017eivin pro v\u0161echny org\u00e1ny a tk\u00e1n\u011b . V\u00a0t\u011bchto p\u0159\u00edpadech je nutno zajistit dostate\u010dnou srde\u010dn\u00ed frekvenci pomoc\u00ed elektrick\u00fdch impulz\u016f vyvol\u00e1vaj\u00edc\u00edch srde\u010dn\u00ed stahy &#8211; a to prost\u0159ednictv\u00edm stimula\u010dn\u00ed elektrody zaveden\u00e9 do prav\u00e9 srde\u010dn\u00ed komory.<\/p>\n<p>Do\u010dasn\u00e1 elektroda je ponech\u00e1na v\u00a0srdci a stimulace je zapnuta do doby, ne\u017e se obnov\u00ed vlastn\u00ed dostate\u010dn\u00e1 srde\u010dn\u00ed frekvence. Do\u010dasn\u00fd kardiostimul\u00e1tor m\u00e1\u00a0pacient\u00a0 p\u0159i sob\u011b, obvykle je p\u0159ipevn\u011bn na pa\u017ei. Vzhledem k\u00a0citlivosti stimula\u010dn\u00ed elektrody na povyta\u017een\u00ed s\u00a0rizikem n\u00e1sledn\u00e9 poruchy stimulace je nutn\u00e9 se vyvarovat manipulaci se stimula\u010dn\u00edm syst\u00e9mem. Zm\u011bny polohy je proto rad\u011bji\u00a0\u00a0nutno prov\u00e1d\u011bt za asistence sestry. Pokud pomal\u00e1 srde\u010dn\u00ed akce trv\u00e1, je b\u011bhem hospitalizace nebo v\u00a0dob\u011b zohled\u0148uj\u00edc\u00ed p\u0159\u00edpadn\u00e1 p\u0159idru\u017een\u00e1 onemocn\u011bn\u00ed implantov\u00e1n trval\u00fd kardiostimul\u00e1tor.<\/p>\n<p>Postup zaveden\u00ed je stejn\u00fd jako u trval\u00e9ho kardiostimul\u00e1toru viz. trval\u00e1 kardiostimulace.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-17720\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-17720\"\r\n                data-id=\"post-17720\" \r\n                data-item=\"hfaq-post-17720\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Trval\u00e1 stimulace<\/div><\/div><div id=\"accordion-content-post-17720\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-17720\"\r\n                style=\"background:transparent;\"><h5><strong>Zaveden\u00ed trval\u00e9ho kardiostimul\u00e1toru<\/strong><\/h5>\n<p>Srde\u010dn\u00ed stimulace je indikov\u00e1na p\u0159i p\u0159\u00edli\u0161 pomal\u00e9 \u010dinnosti srdce.<\/p>\n<p>Existuje mnoho p\u0159\u00ed\u010din, pro kter\u00e9 doch\u00e1z\u00ed k\u00a0poruch\u00e1m p\u0159irozen\u00e9ho a pravideln\u00e9ho srde\u010dn\u00edho rytmu (nap\u0159. infarkt myokardu, z\u00e1n\u011bt atd.), nebo se jedn\u00e1 o zm\u011bny vyvolan\u00e9 v\u011bkem.<\/p>\n<p>Pokud je srde\u010dn\u00ed rytmus p\u0159\u00edli\u0161 pomal\u00fd, a t\u011blo je nav\u00edc vystaveno stresu \u010di n\u00e1maze, objev\u00ed se zpravidla\u00a0<strong>tyto p\u0159\u00edznaky:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400\">Z\u00e1vra\u0165,<\/li>\n<li style=\"font-weight: 400\">nevolnost,<\/li>\n<li style=\"font-weight: 400\">slabost,<\/li>\n<li style=\"font-weight: 400\">\u010di kr\u00e1tkodob\u00e1 porucha v\u011bdom\u00ed.<\/li>\n<\/ul>\n<p style=\"font-weight: 400\">Je to zn\u00e1mka toho, \u017ee srdce nen\u00ed schopno plnit svou z\u00e1kladn\u00ed funkci \u2013 dodat dostatek krve do v\u0161ech org\u00e1n\u016f t\u011bla &#8211; a to hlavn\u011b\u00a0 do mozku.<\/p>\n<h5 style=\"font-weight: 400\"><strong>Princip funkce kardiostimul\u00e1toru<\/strong><\/h5>\n<p style=\"font-weight: 400\">Pomoc\u00ed kardiostimul\u00e1toru jsou na srde\u010dn\u00ed svalovinu p\u0159en\u00e1\u0161eny mal\u00e9, p\u0159esn\u011b \u010dasovan\u00e9 elektrick\u00e9 impulsy, kter\u00e9 vyvol\u00e1vaj\u00ed pravideln\u00e9 stahy srdce, podobn\u011b jako je tomu u zdrav\u00e9ho srdce. Dne\u0161n\u00ed modern\u00ed kardiostimul\u00e1tor pracuje jen tehdy, chyb\u00ed-li p\u0159irozen\u00fd rytmus srdce (tedy pracuje jen &#8222;dle pot\u0159eby&#8220;). Proto mus\u00ed b\u00fdt p\u0159\u00edstroj z\u00e1rove\u0148 schopen rozpoznat vlastn\u00ed rytmus srdce a pokud se neobjev\u00ed spont\u00e1nn\u00ed stah, vyd\u00e1 kardiostimul\u00e1tor mal\u00fd elektrick\u00fd impulz, kter\u00fd tento stah um\u011ble navod\u00ed podr\u00e1\u017ed\u011bn\u00edm srde\u010dn\u00ed svaloviny.<\/p>\n<h5 style=\"font-weight: 400\"><strong>Slo\u017een\u00ed kardiostimul\u00e1tou<\/strong><\/h5>\n<p style=\"font-weight: 400\">Kardiostimul\u00e1tor se skl\u00e1d\u00e1 z \u00a0baterie a z\u00a0miniaturn\u00edch elektrick\u00fdch obvod\u016f a jeho elektrick\u00e9 impulzy jsou p\u0159en\u00e1\u0161eny elektrodou (co\u017e je tenk\u00fd, po cel\u00e9 d\u00e9lce izolovan\u00fd vodi\u010d) do srdce.<\/p>\n<p><a href=\"\/wp-content\/uploads\/2023\/09\/Image-13.jpg\" rel=\"ilightbox\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-17718 size-cmsmasters-project-thumb\" src=\"\/wp-content\/uploads\/2023\/09\/Image-13-580x269.jpg\" alt=\"\" width=\"580\" height=\"269\" \/><\/a><\/p>\n<h5 style=\"font-weight: 400\"><strong>Samotn\u00e9 zaveden\u00ed kardiostimul\u00e1toru<\/strong><\/h5>\n<p style=\"font-weight: 400\">V\u00fdkon trv\u00e1 obvykle okolo p\u016fl hodiny. Prov\u00e1d\u00ed se v m\u00edstn\u00edm znecitliv\u011bn\u00ed v oblasti pod kl\u00ed\u010dn\u00ed kost\u00ed. Poloha elektrod se kontroluje na obrazovce rentgenu. Po proveden\u00ed testu elektrod se p\u0159ipoj\u00ed kardiostimul\u00e1tor, v\u0161e se znovu zkontroluje a p\u0159\u00edstroj se um\u00edst\u00ed do p\u0159edem vytvo\u0159en\u00e9 kapsy v podko\u017e\u00ed a kapsa se za\u0161ije n\u011bkolika stehy. Z\u00e1krok je nebolestiv\u00fd.<\/p>\n<h5 style=\"font-weight: 400\"><strong>P\u0159\u00edprava p\u0159ed v\u00fdkonem<\/strong><\/h5>\n<p style=\"font-weight: 400\">Zaveden\u00ed kardiostimul\u00e1toru se prov\u00e1d\u00ed za hospitalizace pacienta na kardiologick\u00e9m odd\u011blen\u00ed. Pacient k\u00a0hospitalizaci p\u0159ich\u00e1z\u00ed den p\u0159edem, tak\u017ee bezprost\u0159edn\u00ed p\u0159\u00edprava se prov\u00e1d\u00ed a\u017e za hospitalizace.\u00a0\u00a0Je v\u00a0n\u00ed zahrnuta:<\/p>\n<ul>\n<li style=\"font-weight: 400\">Antibiotick\u00e1 profylaxe (prevence vzniku infekce),<\/li>\n<li style=\"font-weight: 400\">oholen\u00ed hrudn\u00edku a podpa\u017e\u00ed,<\/li>\n<li style=\"font-weight: 400\">zaveden\u00ed nitro\u017eiln\u00ed kanyly,<\/li>\n<li style=\"font-weight: 400\">pacient je od p\u016flnoci la\u010dn\u00fd (nej\u00edst, nep\u00edt, nekou\u0159it),<\/li>\n<li style=\"font-weight: 400\">rann\u00ed l\u00e9ky jsou pod\u00e1ny, pacient je zapije mal\u00fdm dou\u0161kem vody (\u010daje).<\/li>\n<\/ul>\n<h5 style=\"font-weight: 400\"><strong>P\u00e9\u010de bezprost\u0159edn\u011b po v\u00fdkonu<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400\">je\u0161t\u011b 2 hodiny po v\u00fdkonu z\u016fstat la\u010dn\u00fd.<\/li>\n<li style=\"font-weight: 400\">Nutno le\u017eet v klidu na l\u016f\u017eku obvykle do r\u00e1na. Z r\u00e1ny je vyveden dr\u00e9n, kter\u00fd sestry chod\u00ed kontrolovat a zapisovat mno\u017estv\u00ed tekutiny v n\u011bm.<\/li>\n<li style=\"font-weight: 400\">B\u011bhem prvn\u00edch dn\u016f po implantaci je t\u0159eba <strong>nezvedat\u00a0<\/strong>ruku na stran\u011b, kde je implantov\u00e1n kardiostimul\u00e1tor, nad \u00farove\u0148 ramene a ned\u011blat rukou a ani s ramenem prudk\u00e9 pohyby.<\/li>\n<li style=\"font-weight: 400\">Asi po t\u00fddnu se dostav\u00edte k odstran\u011bn\u00ed steh\u016f.<\/li>\n<\/ul>\n<h5><strong>L\u00e9ka\u0159e je pot\u0159eba informovat v t\u011bchto p\u0159\u00edpadech:\u00a0 <\/strong>(a to i po ukon\u010den\u00ed hospitalizace!!)<\/h5>\n<ul>\n<li style=\"font-weight: 400\"><u>M\u00edstn\u00ed p\u0159\u00edznaky <\/u>\u00a0&#8211;\u00a0\u00a0okol\u00ed r\u00e1ny bude st\u00e1le bolet, bude nep\u0159im\u011b\u0159en\u011b zarudl\u00e9, tepl\u00e9, bude nat\u00e9kat nebo z r\u00e1ny bude vyt\u00e9kat tekutina.<\/li>\n<li style=\"font-weight: 400\"><u>Celkov\u00e9 p\u0159\u00edznaky<\/u>\u00a0\u00a0&#8211;\u00a0\u00a0hore\u010dka, bolest \u010di \u0161kub\u00e1n\u00ed na hrudi, dlouhodob\u00e1 \u00fanava, du\u0161nost \u010di zhor\u0161en\u00ed ji\u017e p\u0159\u00edtomn\u00e9 du\u0161nosti.<\/li>\n<\/ul>\n<p>Je\u0161t\u011b p\u0159ed propu\u0161t\u011bn\u00edm z\u00a0nemocnice bude pacient objedn\u00e1n k\u00a0prvn\u00ed ambulantn\u00ed kontrole. Nen\u00ed zde nutn\u00fd \u017e\u00e1dn\u00fd chirurgick\u00fd z\u00e1krok \u2013 kontrola je bezbolestn\u00e1. Zkontroluje se funkce kardiostimul\u00e1toru, stav baterie a z\u00e1kladn\u00ed parametry p\u0159\u00edstroje. Ka\u017ed\u00fd pacient dostane pr\u016fkaz\u00a0\u00a0pacienta s\u00a0kardiostimul\u00e1torem, kter\u00fd je t\u0159eba st\u00e1le nosit u sebe. D\u00e1le je nutn\u00e9 chodit na\u00a0<strong>pravideln\u00e9 kontroly<\/strong>\u00a0implantovan\u00e9ho kardiostimul\u00e1toru.<\/p>\n<p><a href=\"\/wp-content\/uploads\/2023\/09\/Image-12.jpg\" rel=\"ilightbox\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-17717 size-full\" src=\"\/wp-content\/uploads\/2023\/09\/Image-12.jpg\" alt=\"\" width=\"580\" height=\"186\" srcset=\"\/wp-content\/uploads\/2023\/09\/Image-12.jpg 580w, \/wp-content\/uploads\/2023\/09\/Image-12-300x96.jpg 300w\" sizes=\"auto, (max-width: 580px) 100vw, 580px\" \/><\/a><\/p>\n<h5 style=\"font-weight: 400\"><strong>\u017d<\/strong><strong>ivot s\u00a0kardiostimul\u00e1torem<\/strong><\/h5>\n<p style=\"font-weight: 400\">Bez obav se m\u016f\u017eete v\u011bnovat ka\u017edodenn\u00edm \u010dinnostem (\u00faklid, sprchov\u00e1n\u00ed, plav\u00e1n\u00ed, \u0159\u00edzen\u00ed automobilu, po porad\u011b s l\u00e9ka\u0159em m\u016f\u017eete znovu pokra\u010dovat ve fyzick\u00e9 aktivit\u011b (sportov\u00e1n\u00ed, turistice, zahradni\u010den\u00ed), provozov\u00e1n\u00ed kon\u00ed\u010dk\u016f, sexu\u00e1ln\u00ed aktivit\u011b. Pokud si nejste jisti, \u017ee va\u0161e aktivita neovlivn\u00ed funkci kardiostimul\u00e1toru, v\u017edy se obra\u0165te na odborn\u00e9ho l\u00e9ka\u0159e.<\/p>\n<h5><strong>Kardiostimul\u00e1tor a elektrick\u00e1 za\u0159\u00edzen\u00ed<\/strong><\/h5>\n<p>B\u011b\u017en\u00e9 elektrick\u00e9 spot\u0159ebi\u010de by nem\u011bly m\u00edt\u00a0\u00a0vliv na funk\u010dnost kardiostimul\u00e1toru. Nicm\u00e9n\u011b pokud budete m\u00edt p\u0159i pr\u00e1ci s\u00a0elektrick\u00fdm p\u0159\u00edstrojem nep\u0159\u00edjemn\u00e9 pocity (z\u00e1vrat\u011b, rychl\u00fd \u010di pomal\u00fd tep), okam\u017eit\u011b jej vypn\u011bte nebo ihned opus\u0165te m\u00edsto, kde se nach\u00e1z\u00ed.<\/p>\n<h5 style=\"font-weight: 400\"><strong>Bez obav m\u016f\u017eete pou\u017e\u00edvat tato za\u0159\u00edzen\u00ed<\/strong><\/h5>\n<p style=\"font-weight: 400\">R\u00e1dio, HI-FI, video, el. vysou\u0161e\u010de vlas\u016f, su\u0161i\u010dky, my\u010dky n\u00e1dob\u00ed, vysava\u010de, mikrovlnn\u00e9 trouby, kuchy\u0148sk\u00e9 spot\u0159ebi\u010de, kancel\u00e1\u0159sk\u00e9 spot\u0159ebi\u010de \u2013 faxy, po\u010d\u00edta\u010de, telefony. Mobiln\u00ed telefon je l\u00e9pe p\u0159ikl\u00e1dat na opa\u010dnou stranu, ne\u017e je implantov\u00e1n kardiostimul\u00e1tor, a nenosit v\u00a0n\u00e1prsn\u00ed kapse.<\/p>\n<h5 style=\"font-weight: 400\"><strong>Ur\u010dit\u011b se pora\u010fte s\u00a0l\u00e9ka\u0159em o n\u00e1sleduj\u00edc\u00edch \u010dinnostech:<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400\">Pr\u00e1ce s t\u011b\u017ek\u00fdmi vibruj\u00edc\u00edmi p\u0159\u00edstroji nap\u0159. sb\u00edje\u010dkou.<\/li>\n<li style=\"font-weight: 400\">Pou\u017e\u00edv\u00e1n\u00ed st\u0159eln\u00fdch zbran\u00ed.<\/li>\n<li style=\"font-weight: 400\">Pr\u00e1ce nebo pobyt v bl\u00edzkosti p\u0159\u00edstroj\u016f se siln\u00fdm elektromagnetick\u00fdm polem nebo s vysok\u00fdm elektrick\u00fdm nap\u011bt\u00edm.<\/li>\n<li style=\"font-weight: 400\">Pou\u017e\u00edv\u00e1n\u00ed elektrick\u00e9 sv\u00e1\u0159e\u010dky.<\/li>\n<\/ul>\n<h5 style=\"font-weight: 400\"><strong>Cestov\u00e1n\u00ed<\/strong><\/h5>\n<p style=\"font-weight: 400\">Pokud polet\u00edte letadlem, informujte bezpe\u010dnostn\u00ed slu\u017ebu o kardiostimul\u00e1toru,\u00a0\u00a0p\u0159\u00edpadn\u011b p\u0159edlo\u017ete pr\u016fkaz pacienta s kardiostimul\u00e1torem.\u00a0\u00a0Slu\u017eba zajist\u00ed, aby pro V\u00e1s kontrola byla bezpe\u010dn\u00e1. \u0158\u00edzen\u00ed motorov\u00fdch vozidel je bezpe\u010dn\u00e1. V\u017edy pou\u017e\u00edvejte bezpe\u010dnostn\u00ed p\u00e1sy \u2013 kardiostimul\u00e1toru ne\u0161kod\u00ed.<\/p>\n<h5 style=\"font-weight: 400\"><strong>L\u00e9ka\u0159sk\u00e1 vy\u0161et\u0159en\u00ed a z\u00e1kroky<\/strong><\/h5>\n<p style=\"font-weight: 400\">P\u0159ed ka\u017ed\u00fdm vy\u0161et\u0159en\u00edm nebo z\u00e1krokem upozorn\u011bte l\u00e9ka\u0159e na implantovan\u00fd kardiostimul\u00e1tor.\u00a0\u00a0Plat\u00ed to\u00a0pro zuba\u0159e, mas\u00e9ry a rehabilita\u010dn\u00ed pracovn\u00edky. Ultrazvuk, echokardiografie a vrt\u00e1n\u00ed zub\u016f jsou naprosto bezpe\u010dn\u00e9. V\u00a0p\u0159\u00edpad\u011b speci\u00e1ln\u00edch vy\u0161et\u0159en\u00ed \u2013 nap\u0159. litotrypse, radioterapie, nukle\u00e1rn\u00ed magnetick\u00e1 rezonance (NMR) nebo elektrokauterizace by m\u011blo b\u00fdt vy\u0161et\u0159en\u00ed konzultov\u00e1no s\u00a0Va\u0161\u00edm kardiologem.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-17724\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-17724\"\r\n                data-id=\"post-17724\" \r\n                data-item=\"hfaq-post-17724\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Echo srdce<\/div><\/div><div id=\"accordion-content-post-17724\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-17724\"\r\n                style=\"background:transparent;\"><h5 style=\"font-weight: 400\"><strong>ECHO srdce (echokardiografie)<\/strong><\/h5>\n<p style=\"font-weight: 400\">Je to nebolestiv\u00e9 a pacienta nezat\u011b\u017euj\u00edc\u00ed vy\u0161et\u0159en\u00ed srdce. P\u0159ed t\u00edmto vy\u0161et\u0159en\u00edm nen\u00ed nutn\u00e1 \u017e\u00e1dn\u00e1 speci\u00e1ln\u00ed p\u0159\u00edprava. Pacient m\u016f\u017ee norm\u00e1ln\u011b j\u00edst, p\u00edt a u\u017e\u00edvat l\u00e9ky. Prov\u00e1d\u00ed se pomoc\u00ed ultrazvuku. Vy\u0161et\u0159en\u00ed ultrazvukem je v sou\u010dasnosti z\u00e1kladn\u00ed a pravd\u011bpodobn\u011b i nejroz\u0161\u00ed\u0159en\u011bj\u0161\u00ed zobrazovac\u00ed diagnostick\u00e1 metoda. Jej\u00ed v\u00fdhodou je, \u017ee nezat\u011b\u017euje organismus\u00a0\u00a0pronikav\u00fdm z\u00e1\u0159en\u00edm, nen\u00ed nutno p\u0159ed vy\u0161et\u0159en\u00edm pod\u00e1vat kontrastn\u00ed l\u00e1tku jako u n\u011bkter\u00fdch rentgenov\u00fdch metod, a nav\u00edc lze, je-li to pot\u0159eba, vy\u0161et\u0159ovat p\u0159\u00edmo u l\u016f\u017eka nemocn\u00e9ho. Echokardiografie umo\u017en\u00ed l\u00e9ka\u0159i v relativn\u011b kr\u00e1tk\u00e9 chv\u00edli ur\u010dit, jak Va\u0161e srdce pracuje a zda\u00a0\u00a0jsou srde\u010dn\u00ed chlopn\u011b v po\u0159\u00e1dku. Lze tak\u00e9 pozorovat Va\u0161e srdce v pohybu.<\/p>\n<p style=\"font-weight: 400\"><strong>C\u00edlem<\/strong>\u00a0vy\u0161et\u0159en\u00ed je zjistit nejen ulo\u017een\u00ed, tvar a velikost srdce, ale tak\u00e9 posoudit jeho strukturu, prokrven\u00ed a do jist\u00e9 m\u00edry srde\u010dn\u00ed funkci.<\/p>\n<h5 style=\"font-weight: 400\"><strong>Kdy se toto vy\u0161et\u0159en\u00ed prov\u00e1d\u00ed ?<\/strong><\/h5>\n<p style=\"font-weight: 400\">P\u0159i podez\u0159en\u00ed na onemocn\u011bn\u00ed v\u00a0oblastech srde\u010dn\u00edho svalu, nitrobl\u00e1ny srde\u010dn\u00ed, chlopn\u00ed a osrde\u010dn\u00edku. Vy\u0161et\u0159en\u00ed m\u016f\u017ee odhalit nap\u0159\u00edklad tekutinu v\u00a0osrde\u010dn\u00edku, vrozen\u00e9 v\u00fdvojov\u00e9 vady, infek\u010dn\u00ed onemocn\u011bn\u00ed chlopn\u00ed a n\u00e1dory srdce.<\/p>\n<p style=\"font-weight: 400\">Cenn\u00fdm pomocn\u00edkem l\u00e9ka\u0159e je tzv.\u00a0<strong>Dopplerovsk\u00e9 vy\u0161et\u0159en\u00ed<\/strong>, kter\u00e9 umo\u017en\u00ed mapovat toky krve jednotliv\u00fdmi srde\u010dn\u00edmi dutinami (s\u00edn\u011bmi a komorami) a zn\u00e1zor\u0148ovat tak z\u00fa\u017een\u00ed \u010di nedomykavost chlopn\u00ed a vypo\u010d\u00edtat tlaky krve v\u00a0r\u016fzn\u00fdch m\u00edstech srdce.<\/p>\n<p style=\"font-weight: 400\">Toto vy\u0161et\u0159en\u00ed je mo\u017en\u00e9 prov\u00e1d\u011bt\u00a0na kardiologick\u00e9 vy\u0161et\u0159ovn\u011b nebo i na l\u016f\u017ekov\u00e9m odd\u011blen\u00ed p\u0159\u00edmo u l\u016f\u017eka pacienta.<\/p>\n<p style=\"font-weight: 400\"><strong>Poloha<\/strong>\u00a0je vle\u017ee na z\u00e1dech s\u00a0obna\u017een\u00fdm hrudn\u00edkem. L\u00e9ka\u0159 pot\u0159e konec sondy vodiv\u00fdm gelem. Sondou pak p\u0159ej\u00ed\u017ed\u00ed v\u00a0r\u016fzn\u00fdch \u00fahlech po hrudn\u00edku. Z\u00edskan\u00e1 zobrazen\u00ed srdce jsou nahr\u00e1v\u00e1na a zobrazov\u00e1na na obrazovce.\u00a0\u00a0L\u00e9ka\u0159 V\u00e1s v\u00a0pr\u016fb\u011bhu vy\u0161et\u0159en\u00ed po\u017e\u00e1d\u00e1, abyste se oto\u010dil na bok. Celkem toto vy\u0161et\u0159en\u00ed trv\u00e1 obvykle okolo\u00a015 minut.<\/p>\n<p style=\"font-weight: 400\"><strong>Po vy\u0161et\u0159en\u00ed\u00a0<\/strong>nen\u00ed nutn\u00e9 dodr\u017eovat n\u011bjak\u00fd speci\u00e1ln\u00ed re\u017eim. M\u016f\u017eete j\u00edst, p\u00edt, u\u017e\u00edvat sv\u00e9 l\u00e9ky a vykon\u00e1vat b\u011b\u017enou denn\u00ed \u010dinnost.<\/p>\n<p style=\"font-weight: 400\">V\u00fdsledek V\u00e1m sd\u011bl\u00ed l\u00e9ka\u0159 ihned po vy\u0161et\u0159en\u00ed.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-17725\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-17725\"\r\n                data-id=\"post-17725\" \r\n                data-item=\"hfaq-post-17725\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Elektrick\u00e1 kardioverze<\/div><\/div><div id=\"accordion-content-post-17725\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-17725\"\r\n                style=\"background:transparent;\"><h5 style=\"font-weight: 400\"><strong>Elektrick\u00e1 kardioverze<\/strong><\/h5>\n<p style=\"font-weight: 400\">Elektrick\u00e1 kardioverze je v\u00fdkon, kter\u00fd se pou\u017e\u00edv\u00e1 k\u00a0p\u0159eru\u0161en\u00ed srde\u010dn\u00edch arytmi\u00ed, nej\u010dast\u011bji fibrilace \u010di flutteru s\u00edn\u00ed. Tyto arytmie obvykle zhor\u0161uj\u00ed v\u00fdkonnost srdce a mohou tak\u00e9 v\u00e9st ke vzniku sra\u017eenin v\u00a0srde\u010dn\u00edch odd\u00edlech (s\u00edn\u00edch).<\/p>\n<p style=\"font-weight: 400\">Tento v\u00fdkon je prov\u00e1d\u011bn ambulantn\u011b, tedy bez nutnosti dal\u0161\u00ed hospitalizace.<\/p>\n<p style=\"font-weight: 400\">P\u0159i kardioverzi je p\u0159es povrch hrudn\u00edku k srdci aplikov\u00e1n pomoc\u00ed tzv. defibril\u00e1toru v\u00fdboj proudu, kter\u00fd zp\u016fsob\u00ed p\u0159eru\u0161en\u00ed arytmie a obnov\u00ed se tak norm\u00e1ln\u00ed srde\u010dn\u00ed rytmus srdce. K odstran\u011bn\u00ed vn\u00edm\u00e1n\u00ed bolesti p\u0159i v\u00fdboji se kardioverze prov\u00e1d\u00ed za kr\u00e1tkodob\u00e9ho usp\u00e1n\u00ed. Kv\u016fli nutnosti sledov\u00e1n\u00ed z\u00e1kladn\u00edch \u017eivotn\u00edch funkc\u00ed (d\u00fdch\u00e1n\u00ed, krevn\u00ed tlak, srde\u010dn\u00ed rytmus) se v\u00fdkon odehr\u00e1v\u00e1 ve zvl\u00e1\u0161\u0165 vybaven\u00e9 m\u00edstnosti\u00a0\u00a0(s\u00e1lek\u00a0\u00a0kardiologick\u00e9 JIP).<\/p>\n<h5 style=\"font-weight: 400\"><strong>P\u0159ed kardioverz\u00ed<\/strong><\/h5>\n<ul>\n<li>Od p\u016flnoci nic nej\u00edst, ani nep\u00edt.<\/li>\n<li style=\"font-weight: 400\">Pokud V\u00e1m l\u00e9ka\u0159 ne\u0159ekne jinak, pokra\u010dujte v bran\u00ed v\u0161ech l\u00e9k\u016f i v den v\u00fdkonu (se zapit\u00edm mal\u00fdm mno\u017estv\u00edm vody).<\/li>\n<li style=\"font-weight: 400\">Po\u010d\u00edtejte s t\u00edm, \u017ee po v\u00fdkonu budete 2 hodiny ponech\u00e1ni pod dozorem.<\/li>\n<li style=\"font-weight: 400\">Po tomto v\u00fdkonu nebudete moci do ve\u010dera \u0159\u00eddit automobil.<\/li>\n<\/ul>\n<h5 style=\"font-weight: 400\"><strong>Pr\u016fb\u011bh v\u00fdkonu<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400\">Na p\u0159edlokt\u00ed V\u00e1m bude\u00a0\u00a0do \u017e\u00edly zavedena kanyla, do n\u00ed\u017e bude pod\u00e1na kr\u00e1tkodob\u00e1 anestezie a dle ordinace l\u00e9ka\u0159e l\u00e9ky.<\/li>\n<li style=\"font-weight: 400\">Na hrudn\u00edk budou um\u00edst\u011bny nalepovac\u00ed elektrody ke sn\u00edm\u00e1n\u00ed EKG k\u0159ivky.<\/li>\n<li style=\"font-weight: 400\">Bude V\u00e1m v pravideln\u00fdch intervalech m\u011b\u0159en krevn\u00ed tlak pomoc\u00ed man\u017eety na pa\u017ei.<\/li>\n<li style=\"font-weight: 400\">Pot\u00e9 budou pod\u00e1ny l\u00e9ky, kter\u00e9 navod\u00ed kr\u00e1tkodob\u00fd (n\u011bkolik minut trvaj\u00edc\u00ed) hlubok\u00fd sp\u00e1nek a odstran\u00ed tak vn\u00edm\u00e1n\u00ed bolesti.<\/li>\n<li style=\"font-weight: 400\">Po Va\u0161em usp\u00e1n\u00ed se p\u0159ilo\u017e\u00ed na hrudn\u00edk 2 plo\u0161n\u00e9 elektrody defibril\u00e1toru a jimi se aplikuje ve zlomku vte\u0159iny elektrick\u00fd v\u00fdboj. Pokud nedojde k obnoven\u00ed norm\u00e1ln\u00edho srde\u010dn\u00edho rytmu, lze v\u00fdboj ihned opakovat za pou\u017eit\u00ed vy\u0161\u0161\u00ed energie.<\/li>\n<li style=\"font-weight: 400\">Elektrick\u00fd v\u00fdboj nebudete c\u00edtit, po v\u00fdkonu m\u016f\u017eete c\u00edtit lehkou slabost.<\/li>\n<li style=\"font-weight: 400\">Po dobu 2 hodin budeme d\u00e1le sledovat Va\u0161e \u017eivotn\u00ed funkce (dech, krevn\u00ed tlak, srde\u010dn\u00ed akce) a postupn\u011b V\u00e1s probud\u00edme z um\u011ble navozen\u00e9ho sp\u00e1nku. B\u011bhem t\u011bchto 2 hodin nesm\u00edte nic j\u00edst ani p\u00edt.<\/li>\n<\/ul>\n<h5 style=\"font-weight: 400\"><strong>Po v\u00fdkonu<\/strong><\/h5>\n<p style=\"font-weight: 400\">Po v\u00fdkonu m\u016f\u017eete c\u00edtit bolestivost na hrudn\u00edku nebo v\u00a0z\u00e1dech. \u010cast\u011bji m\u016f\u017eete c\u00edtit m\u00edrn\u00e9 p\u00e1len\u00ed na povrchu t\u011bla v\u00a0m\u00edstech, kde byly p\u0159ilo\u017eeny elektrody defibril\u00e1toru. Tato m\u00edsta b\u00fdvaj\u00ed obvykle zarudl\u00e1. V\u00a0takov\u00fdch p\u0159\u00edpadech jsou o\u0161et\u0159ena mast\u00ed nebo kr\u00e9mem na pop\u00e1lenou poko\u017eku.<\/p>\n<p style=\"font-weight: 400\">B\u011bhem 24 hodin po v\u00fdkonu byste nem\u011bli \u0159\u00eddit motorov\u00e1 vozidla nebo t\u011b\u017ek\u00e9 stroje a p\u00edt alkoholick\u00e9 n\u00e1poje. M\u011bli byste po\u010d\u00edtat i s\u00a0t\u00edm, \u017ee\u00a0\u00a0m\u016f\u017ee b\u00fdt \u010d\u00e1ste\u010dn\u011b naru\u0161ena Va\u0161e schopnost koncentrace nebo rozhodov\u00e1n\u00ed a neponech\u00e1vat na toto obdob\u00ed v\u00e1\u017en\u00e1 rozhodnut\u00ed nebo podpisy pr\u00e1vn\u00edch dokument\u016f.<\/p>\n<p style=\"font-weight: 400\">Po v\u00fdkonu dostanete term\u00edn dal\u0161\u00ed kontroly k\u00a0Va\u0161emu o\u0161et\u0159uj\u00edc\u00edmu kardiologovi.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-17728\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-17728\"\r\n                data-id=\"post-17728\" \r\n                data-item=\"hfaq-post-17728\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Ergometrie<\/div><\/div><div id=\"accordion-content-post-17728\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-17728\"\r\n                style=\"background:transparent;\"><h5 style=\"font-weight: 400\"><strong>Ergometrie<\/strong><\/h5>\n<p style=\"font-weight: 400\">Ergometrie je vy\u0161et\u0159ovac\u00ed metoda, kter\u00e1 l\u00e9ka\u0159i umo\u017en\u00ed sledovat pr\u00e1ci Va\u0161eho srdce p\u0159i z\u00e1t\u011b\u017ei. Bicyklov\u00fd ergometr je p\u0159\u00edstroj, kter\u00fd se skl\u00e1d\u00e1 z\u00a0rotopedu a EKG m\u011b\u0159\u00edc\u00edho za\u0159\u00edzen\u00ed. V\u00a0pr\u016fb\u011bhu vy\u0161et\u0159en\u00ed l\u00e9ka\u0159 studuje EKG k\u0159ivku a tepovou frekvenci p\u0159i r\u016fzn\u00fdch intenzit\u00e1ch z\u00e1t\u011b\u017ee.\u00a0\u00a0EKG k\u0159ivka a tepov\u00e1 frekvence je sn\u00edm\u00e1na pomoc\u00ed elektrod p\u0159ipevn\u011bn\u00fdch na hrudn\u00edk a na kon\u010detiny.<\/p>\n<p style=\"font-weight: 400\">Z\u00edskan\u00e9 EKG k\u0159ivky \u00a0maj\u00ed charakteristick\u00fd vzhled, z nich\u017e zku\u0161en\u00fd l\u00e9ka\u0159 snadno m\u016f\u017ee odhalit skryt\u00e9 srde\u010dn\u00ed onemocn\u011bn\u00ed. P\u0159i z\u00e1t\u011b\u017ei se mohou objevit na EKG k\u0159ivce zm\u011bny, kter\u00e9 na EKG prov\u00e1d\u011bn\u00e9m v\u00a0klidu vle\u017ee nejsou patrny.<\/p>\n<p style=\"font-weight: 400\">Nej\u010dast\u011bj\u0161\u00ed indikac\u00ed k\u00a0tomuto vy\u0161et\u0159en\u00ed\u00a0\u00a0je ur\u010den\u00ed charakteru Va\u0161eho srde\u010dn\u00edho onemocn\u011bn\u00ed (nej\u010dast\u011bji\u00a0\u00a0p\u0159i chorob\u011b, kdy je nedostate\u010dn\u011b z\u00e1soben srde\u010dn\u00ed sval \u017eivinami a hlavn\u011b pak kysl\u00edkem &#8211; ICHS ).<\/p>\n<p style=\"font-weight: 400\"><strong>ICHS<\/strong>\u00a0( ischemick\u00e1 choroba srde\u010dn\u00ed) je onemocn\u011bn\u00ed srdce, p\u0159i kter\u00e9m doch\u00e1z\u00ed k\u00a0zan\u00e1\u0161en\u00ed tepen, kter\u00e9 vy\u017eivuj\u00ed srde\u010dn\u00ed svalovinu, tukov\u00fdmi \u010d\u00e1ste\u010dkami. Tento stav vede k\u00a0tvorb\u011b aterosklerotick\u00fdch pl\u00e1t\u016f a ke zmen\u0161en\u00ed pr\u016fm\u011bru tepny. D\u00edky zmen\u0161en\u00e9mu pr\u016fm\u011bru t\u011bchto tepen nen\u00ed srde\u010dn\u00ed tk\u00e1\u0148 dostate\u010dn\u011b vy\u017eivov\u00e1na a bol\u00ed. Pro toto onemocn\u011bn\u00ed jsou charakteristick\u00e9 bolesti na hrudi zvy\u0161uj\u00edc\u00ed se p\u0159i z\u00e1t\u011b\u017ei, kdy srdce vy\u017eaduje v\u011bt\u0161\u00ed p\u0159\u00edsun okysli\u010den\u00e9 krve.<\/p>\n<p style=\"font-weight: 400\">Na z\u00e1klad\u011b tohoto vy\u0161et\u0159en\u00ed pak l\u00e9ka\u0159 ur\u010d\u00ed z\u00e1va\u017enost onemocn\u011bn\u00ed.<\/p>\n<h5 style=\"font-weight: 400\"><strong>P\u0159ed vy\u0161et\u0159en\u00edm<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400\">12 hodin p\u0159ed ergometri\u00ed nep\u00edt alkohol a nekou\u0159it.<\/li>\n<li style=\"font-weight: 400\">P\u0159ed vy\u0161et\u0159en\u00edm je mo\u017en\u00e9 se lehce naj\u00edst.<\/li>\n<li style=\"font-weight: 400\">R\u00e1no p\u0159ed vy\u0161et\u0159en\u00edm si zm\u011b\u0159it teplotu. Nem\u011bla by b\u00fdt zv\u00fd\u0161en\u00e1.<\/li>\n<li style=\"font-weight: 400\">Na vy\u0161et\u0159en\u00ed si vezm\u011bte pohodln\u00e9 oble\u010den\u00ed a sportovn\u00ed obuv.<\/li>\n<\/ul>\n<p style=\"font-weight: 400\">Je\u0161t\u011b p\u0159ed samotn\u00fdm vy\u0161et\u0159en\u00edm si v\u00e1s l\u00e9ka\u0159 vy\u0161et\u0159\u00ed a sest\u0159i\u010dka nato\u010d\u00ed klidov\u00e9 EKG a zm\u011b\u0159\u00ed tlak. Pokud se nec\u00edt\u00edte dob\u0159e, oznamte to na za\u010d\u00e1tku vy\u0161et\u0159en\u00ed l\u00e9ka\u0159i.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-17729\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-17729\"\r\n                data-id=\"post-17729\" \r\n                data-item=\"hfaq-post-17729\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">HUT - Test na naklon\u011bn\u00e9 rovin\u011b<\/div><\/div><div id=\"accordion-content-post-17729\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-17729\"\r\n                style=\"background:transparent;\"><h5 style=\"font-weight: 400\"><strong>HUT &#8211; Test na naklon\u011bn\u00e9 rovin\u011b<\/strong><\/h5>\n<p style=\"font-weight: 400\">Test je indikov\u00e1n v\u00a0r\u00e1mci vy\u0161et\u0159ov\u00e1n\u00ed p\u0159\u00ed\u010diny stav\u016f charakterizovan\u00fdch n\u00e1hle vznikl\u00fdm bezv\u011bdom\u00edm spojen\u00fdm s\u00a0p\u00e1dem s\u00a0n\u00e1sledn\u00fdm n\u00e1vratem v\u011bdom\u00ed a \u00fapravou celkov\u00e9ho stavu do n\u011bkolika minut. Test je prov\u00e1d\u011bn na speci\u00e1ln\u00edm elektricky \u0159\u00edzen\u00e9m\u00a0\u00a0sklopn\u00e9m stole za st\u00e1l\u00e9ho sledov\u00e1n\u00ed EKG, krevn\u00edho tlaku a okysli\u010den\u00ed t\u011bla kysl\u00edkem. Cel\u00e9 vy\u0161et\u0159en\u00ed trv\u00e1 i s\u00a0p\u0159\u00edpravou pacienta cca 45minut.<\/p>\n<ul>\n<li style=\"font-weight: 400\">V prvn\u00ed f\u00e1zi doch\u00e1z\u00ed k celkov\u00e9mu zklidn\u011bn\u00ed pacienta v horizont\u00e1ln\u00ed poloze,<\/li>\n<li style=\"font-weight: 400\">ve druh\u00e9 f\u00e1zi je pacient sklopen do polohy cca 60 stup\u0148\u016f (nohama dol\u016f, hlavou nahoru) tato f\u00e1ze trv\u00e1 30 minut.<\/li>\n<\/ul>\n<h5 style=\"font-weight: 400\"><strong>P\u0159\u00edprava na vy\u0161et\u0159en\u00ed:<\/strong><\/h5>\n<p>4 hodiny p\u0159ed vy\u0161et\u0159en\u00edm nej\u00edst a nep\u00edt.<\/p>\n<h5><strong>Kontraindikace:<\/strong><\/h5>\n<ul>\n<li>t\u011bhotenstv\u00ed,<\/li>\n<li>epilepsie,<\/li>\n<li>v\u011bk &#8211; vy\u0161et\u0159en\u00ed se prov\u00e1d\u00ed do 70 let.<\/li>\n<\/ul>\n<p style=\"font-weight: 400\">Dle pot\u0159eby je mo\u017en\u00e9 okam\u017eit\u00e9 navr\u00e1cen\u00ed sklopn\u00e9ho stolu do p\u016fvodn\u00ed horizont\u00e1ln\u00ed polohy. V\u00a0pr\u016fb\u011bhu naklon\u011bn\u00ed doch\u00e1z\u00ed u \u010dlov\u011bka fyziologicky k\u00a0zapojen\u00ed ur\u010dit\u00fdch regula\u010dn\u00edch mechanism\u016f, kter\u00e9 vedou ke standardn\u00ed srde\u010dn\u00ed reakci s\u00a0c\u00edlem udr\u017een\u00ed krevn\u00edho tlaku a ob\u011bhu.<\/p>\n<p style=\"font-weight: 400\">V ur\u010dit\u00fdch p\u0159\u00edpadech doch\u00e1z\u00ed k poru\u0161e t\u011bchto mechanism\u016f, kter\u00e1 se projevuje v\u00fdrazn\u00fdm poklesem krevn\u00edho tlaku, zpomalen\u00ed srde\u010dn\u00ed akce nebo naopak abnorm\u00e1ln\u00edm zv\u00fd\u0161en\u00edm tepov\u00e9 frekvence \u010di vznikem arytmi\u00ed. Obt\u00ed\u017ee se projevuj\u00ed se pocen\u00edm, nevolnost\u00ed, z\u00e1vrat\u00ed \u010di pocitem suchosti v \u00fastech.\u00a0\u00a0V\u0161echny tyto projevy jsou zaznamen\u00e1v\u00e1ny a dokumentov\u00e1ny. Podle mechanismu vzniku poruchy v\u011bdom\u00ed je potom l\u00e9ka\u0159em doporu\u010dena l\u00e9\u010dba.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-17730\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-17730\"\r\n                data-id=\"post-17730\" \r\n                data-item=\"hfaq-post-17730\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Telemetrie<\/div><\/div><div id=\"accordion-content-post-17730\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-17730\"\r\n                style=\"background:transparent;\"><h5 style=\"font-weight: 400\"><strong>Telemetrie<\/strong><\/h5>\n<p style=\"font-weight: 400\">Slou\u017e\u00ed k monitoraci srde\u010dn\u00ed akce, po\u010dtu pulz\u016f a dech\u016f pacienta na d\u00e1lku. Pacient m\u00e1 tento p\u0159\u00edstroj p\u0159ipevn\u011bn\u00fd \u010dty\u0159mi nalepovac\u00edmi elektrodami na hrudn\u00edku. Pacient\u016fv pohyb po odd\u011blen\u00ed nen\u00ed nijak omezen\u00fd, ov\u0161em dosah je pouze v r\u00e1mci kardiologick\u00e9ho odd\u011blen\u00ed. Sledovac\u00ed monitor je um\u00edst\u011bn na sestern\u011b, proto pokud telemetr zachyt\u00ed n\u011bjakou nepravidelnost v srde\u010dn\u00edm rytmu pacienta, okam\u017eit\u011b za\u010dne alarmovat a pacientovi je okam\u017eit\u011b poskytnuta v\u010dasn\u00e1 pomoc.<\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-17731\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-17731\"\r\n                data-id=\"post-17731\" \r\n                data-item=\"hfaq-post-17731\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Koronarografie<\/div><\/div><div id=\"accordion-content-post-17731\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-17731\"\r\n                style=\"background:transparent;\"><h5 style=\"font-weight: 400\"><strong>Koronarografick\u00e9 vy\u0161et\u0159en\u00ed <\/strong><strong>(prov\u00e1d\u00ed KC Vyso\u010dina)<\/strong><\/h5>\n<p style=\"font-weight: 400\">Koronarografie je kontrastn\u00ed rentgenologick\u00e9 vy\u0161et\u0159en\u00ed koron\u00e1rn\u00edch tepen z\u00e1sobuj\u00edc\u00edch Va\u0161e srdce (resp. srde\u010dn\u00ed sval) krv\u00ed. Prov\u00e1d\u00ed se p\u0159i podez\u0159en\u00ed na z\u00fa\u017een\u00ed nebo uz\u00e1v\u011br t\u011bchto tepen. P\u0159\u00ed\u010dinou b\u00fdv\u00e1 nej\u010dast\u011bji aterosklerotick\u00e9 posti\u017een\u00ed p\u0159i ischemick\u00e9 chorob\u011b srde\u010dn\u00ed (ICHS). Ta se projevuje p\u0159edev\u0161\u00edm bolestmi na hrudi a \u010dasto i du\u0161nost\u00ed.<\/p>\n<p style=\"font-weight: 400\"><strong>C\u00edlem<\/strong>\u00a0koronarografie je zobrazit koron\u00e1rn\u00ed tepny, jejich pr\u016fsvit a odhalit tak p\u0159\u00edpadn\u00e9 z\u00fa\u017een\u00ed nebo uz\u00e1v\u011br. K\u00a0obnoven\u00ed pr\u016ftoku krve \u201eucpan\u00fdmi\u201d nebo z\u00fa\u017een\u00fdmi tepnami lze prov\u00e9st podle n\u00e1lezu a mo\u017enost\u00ed sou\u010dasn\u011b katetriza\u010dn\u00ed zpr\u016fchodn\u011bn\u00ed \u2013 angioplastiku, nebo po posouzen\u00ed n\u00e1lezu napl\u00e1novat kardiochirurgickou operaci v\u00a0CKTCH Brno, nebo v\u00a0\u010cesk\u00fdch Bud\u011bjovic\u00edch (koron\u00e1rn\u00ed by-pass = p\u0159emost\u011bn\u00ed nepr\u016fchodn\u00e9 koron\u00e1rn\u00ed tepny).<\/p>\n<p style=\"font-weight: 400\">Farmakologick\u00e1 l\u00e9\u010dba je ned\u00edlnou sou\u010d\u00e1st\u00ed vy\u0161et\u0159en\u00ed i l\u00e9\u010dby ICHS (viz \u010dl\u00e1nek &#8211; ergometrie). V\u010dasn\u00fdm odhalen\u00edm kritick\u00e9ho z\u00fa\u017een\u00ed koron\u00e1rn\u00edch tepen a zah\u00e1jen\u00edm p\u0159\u00edslu\u0161n\u00e9 l\u00e9\u010dby <strong>V\u00e1m m\u016f\u017ee<\/strong>\u00a0pr\u00e1v\u011b tato\u00a0<strong>koronarografie zachr\u00e1nit \u017eivot.<\/strong><\/p>\n<p style=\"font-weight: 400\">Prov\u00e1d\u00ed se i p\u0159ed ka\u017ed\u00fdm pl\u00e1novan\u00fdm chirurgick\u00fdm v\u00fdkonem na srdci a na jeho c\u00e9v\u00e1ch.<\/p>\n<p style=\"font-weight: 400\">Pracovi\u0161t\u011b pro prov\u00e1d\u011bn\u00ed koronarografie je kombinac\u00ed opera\u010dn\u00edho s\u00e1lu a rentgenologick\u00e9 vy\u0161et\u0159ovny. Jeho sou\u010d\u00e1st\u00ed je z\u00e1krokov\u00fd st\u016fl a nastaviteln\u00fd stojan s\u00a0rtg. p\u0159\u00edstrojem. K\u00a0rentgenov\u00e9mu zobrazen\u00ed je zapot\u0159eb\u00ed zdroj z\u00e1\u0159en\u00ed \u2013 tzv. rentgenka. Po pr\u016fchodu organismem se rentgenov\u00e9 z\u00e1\u0159en\u00ed sn\u00edm\u00e1 a p\u0159ev\u00e1d\u00ed na obrazovku. Po zobrazen\u00ed pr\u016fsvitu a pr\u016fb\u011bhu Va\u0161ich koron\u00e1rn\u00edch tepen je t\u0159eba aplikovat kontrastn\u00ed l\u00e1tku, k\u00a0\u010demu\u017e slou\u017e\u00ed katetr zaveden\u00fd k\u00a0srdci. Je to dlouh\u00e1 tenk\u00e1 dut\u00e1 trubi\u010dka. Kontrastn\u00ed l\u00e1tka se aplikuje p\u0159etlakovou st\u0159\u00edka\u010dkou.<\/p>\n<p style=\"font-weight: 400\">Katetr se do tepny zav\u00e1d\u00ed obvykle p\u0159es z\u00e1p\u011bst\u00ed nebo tak\u00e9 p\u0159es t\u0159\u00edslo.. Za kontroly rentgenem se dost\u00e1v\u00e1 katetr Va\u0161\u00ed tepnou a\u017e k\u00a0m\u00edstu odstupu koron\u00e1rn\u00edch c\u00e9v nad aort\u00e1ln\u00ed chlopn\u00ed. Po vstupu do koron\u00e1rn\u00ed tepny aplikuje l\u00e9ka\u0159 kontrastn\u00ed l\u00e1tku, kter\u00e1 zobraz\u00ed jej\u00ed pr\u016fsvit a pr\u016fb\u011bh. Stejn\u00fd postup zopakuje l\u00e9ka\u0159 i u druh\u00e9 v\u011bn\u010dit\u00e9 tepny.<\/p>\n<h5 style=\"font-weight: 400\"><strong>P\u0159\u00edprava p\u0159ed koronarografi\u00ed<\/strong><\/h5>\n<ul>\n<li style=\"font-weight: 400\"><strong>Dlouhodob\u00e1 <\/strong>\u2013 indikaci k vy\u0161et\u0159en\u00ed ur\u010d\u00ed l\u00e9ka\u0159, pac. dostane term\u00edn vy\u0161et\u0159en\u00ed a k hospitalizaci se dostav\u00ed r\u00e1no v den pl\u00e1novan\u00e9 koronarografie. P\u0159edem je mu odebr\u00e1na krev p\u0159edev\u0161\u00edm na zji\u0161t\u011bn\u00ed sr\u00e1\u017elivosti.<br \/>\nK hospitalizaci se pacient dostav\u00ed na la\u010dno, ov\u0161em rann\u00ed l\u00e9ky si vezme tak, jak je m\u00e1 naordinov\u00e1ny od sv\u00e9ho l\u00e9ka\u0159e<strong>. V\u00fdjimkou jsou diabetici, kte\u0159\u00ed si\u00a0<u>nesm\u011bj\u00ed\u00a0<\/u>aplikovat inzul\u00edn, nebo vz\u00edt l\u00e9ky na cukrovku !! Budou toti\u017e na la\u010dno !!<br \/>\n<\/strong>Nutn\u00e9 je tak\u00e9 v\u010das nahl\u00e1sit alergie na j\u00f3d a mesocain!<\/li>\n<li style=\"font-weight: 400\"><strong>Kr\u00e1tkodob\u00e1<br \/>\n<\/strong>Oholen\u00ed p\u0159edlokt\u00ed nebo t\u0159\u00edsla.<br \/>\nZaveden\u00ed nitro\u017eiln\u00ed flexily.<\/li>\n<\/ul>\n<p style=\"font-weight: 400\">Z\u00a0katetriza\u010dn\u00ed laborato\u0159e si pak jednotliv\u011b volaj\u00ed pacienty na v\u00fdkon. Zdravotnick\u00fd person\u00e1l pak pacienta v\u00a0l\u016f\u017eku odv\u00e1\u017e\u00ed na koronarografii.<\/p>\n<h5 style=\"font-weight: 400\"><strong>Pr\u016fb\u011bh vy\u0161et\u0159en\u00ed<\/strong><\/h5>\n<p style=\"font-weight: 400\">Pacient si lehne na vy\u0161et\u0159ovac\u00ed st\u016fl pod pohybliv\u00e9 rameno rentgenu. Stranou uvid\u00ed na obrazovku, kterou bude l\u00e9ka\u0159 sledovat p\u0159i vy\u0161et\u0159en\u00ed.\u00a0\u00a0Na hrudn\u00edk sestra p\u0159ilep\u00ed elektrody ke sn\u00edm\u00e1n\u00ed EKG. Na prst dostanete klip sn\u00edmaj\u00edc\u00ed nasycen\u00ed krve kysl\u00edkem.<\/p>\n<p style=\"font-weight: 400\">L\u00e9ka\u0159 pak odezinfikuje m\u00edsto vpichu katetriza\u010dn\u00edho zavad\u011b\u010de (tedy t\u0159\u00edslo, nebo z\u00e1p\u011bst\u00ed) a znecitliv\u00ed mal\u00fdm mno\u017estv\u00edm lok\u00e1ln\u00edho anestetika. Pomoc\u00ed speci\u00e1ln\u00ed jehly nap\u00edchne stehenn\u00ed tepnu a p\u0159es ni bude posunovat katetr proti krevn\u00edmu proudu k srde\u010dn\u00edm tepn\u00e1m\u00a0\u00a0a pak aplikuje kontrastn\u00ed l\u00e1tku. Aktu\u00e1ln\u00ed pozici katetru a stav Va\u0161ich tepen bude kontrolovat pomoc\u00ed rentgenu a sledov\u00e1n\u00edm obrazovky. Cel\u00fd z\u00e1krok se prov\u00e1d\u00ed jen v lok\u00e1ln\u00edm umrtven\u00ed m\u00edsta vpichu katetriza\u010dn\u00edho zavad\u011b\u010de. Jste tedy p\u0159i pln\u00e9m v\u011bdom\u00ed a jste po celou dobu v kontaktu s l\u00e9ka\u0159em, kter\u00fd V\u00e1m vysv\u011btl\u00ed, co m\u00e1te pr\u00e1v\u011b d\u011blat. Sta\u010d\u00ed jen klidn\u011b le\u017eet na z\u00e1dech a na vyzv\u00e1n\u00ed ob\u010das zadr\u017eet dech. P\u0159edb\u011b\u017en\u00e9 v\u00fdsledky vy\u0161et\u0159en\u00ed V\u00e1m l\u00e9ka\u0159 m\u016f\u017ee sd\u011blit ji\u017e v pr\u016fb\u011bhu vy\u0161et\u0159en\u00ed. Samotn\u00e9 vy\u0161et\u0159en\u00ed trv\u00e1 20 min. a\u017e hodinu.<\/p>\n<p style=\"font-weight: 400\">B\u011bhem koronarografie l\u00e9ka\u0159 m\u016f\u017ee prov\u00e9st tzv. PCI (=perkut\u00e1nn\u00ed koron\u00e1rn\u00ed intervence) \u2013 jedn\u00e1 se o techniku, pomoc\u00ed n\u00ed\u017e lze roztahovat roztahovat z\u00fa\u017een\u00e9 nebo uzav\u0159en\u00e9 c\u00e9vy pomoc\u00ed speci\u00e1ln\u00edho balonku a velmi \u010dasto i v\u00a0tepn\u011b zanechat speci\u00e1ln\u00ed pru\u017einku. tzv.\u00a0\u00a0stent. Je pravd\u011bpodobn\u00e9, \u017ee po dobu nafouknut\u00ed balonku se objev\u00ed typick\u00e1 sv\u00edrav\u00e1 bolest za hrudn\u00ed kost\u00ed.\u00a0\u00a0Balonek tepnu na chv\u00edli uzav\u0159e a do tepny nem\u016f\u017ee proudit okysli\u010den\u00e1 krev.<\/p>\n<p style=\"font-weight: 400\">B\u011bhem nafouknut\u00ed jsou sklerotick\u00e9 pl\u00e1ty tla\u010deny proti st\u011bn\u011b c\u00e9vy a t\u00edm je roz\u0161i\u0159ov\u00e1n vnit\u0159n\u00ed pr\u016fsvit c\u00e9vy. L\u00e9ka\u0159 pak op\u011btovnou aplikac\u00ed kontrastn\u00ed l\u00e1tky zkontroluje pr\u016fchodnost c\u00e9vy a dle toho pak znovu rozhodne o dal\u0161\u00edm nafouknut\u00ed balonku nebo p\u0159\u00edpadn\u00e9m zaveden\u00ed stentu (mali\u010dk\u00e9 pru\u017einky, kter\u00e1 ponech\u00e1v\u00e1 c\u00e9vu rozta\u017eenou).<\/p>\n<h5 style=\"font-weight: 400\"><strong>Jak objednat pacienta?<\/strong><\/h5>\n<p>Tel:<strong> 567 157 156 <\/strong>nebo<strong> 567 157 157<\/strong><\/p>\n<h5><strong>Jak nachystat pacienta?<\/strong><\/h5>\n<p><a class=\"download-links-small-faq\" href=\"\/wp-content\/uploads\/2024\/06\/Priprava-pacienta-pred-planovanou-koronarografii.pdf\">P\u0159\u00edprava pacienta p\u0159ed pl\u00e1novanou koronarografi\u00ed<\/a><\/p>\n<\/div><\/li><li class=\"accordion__item \"><div class=\"accordion__header \" \r\n                id=\"accordion-header-post-17736\"\r\n                role=\"button\"\r\n                aria-expanded=\"false\"\r\n                aria-controls=\"accordion-content-post-17736\"\r\n                data-id=\"post-17736\" \r\n                data-item=\"hfaq-post-17736\" \r\n                style=\"background:transparent;\" \r\n                data-tags=\"\"\r\n                tabindex=\"0\"><div class=\"accordion__title\">Elektrofyziologick\u00e9 vy\u0161et\u0159en\u00ed a kat\u00e9trov\u00e1 ablace<\/div><\/div><div id=\"accordion-content-post-17736\" \r\n                class=\"accordion__body\" \r\n                role=\"region\"\r\n                aria-labelledby=\"accordion-header-post-17736\"\r\n                style=\"background:transparent;\"><h5><strong>Elektrofyziologick\u00e9 vy\u0161et\u0159en\u00ed (prov\u00e1d\u00ed KC Vyso\u010dina)<\/strong><\/h5>\n<p>Elektrofyziologick\u00e9 vy\u0161et\u0159en\u00ed se prov\u00e1d\u00ed s\u00a0c\u00edlem diagnostikovat poruchu srde\u010dn\u00edho rytmu (arytmii). Toto vy\u0161et\u0159en\u00ed spo\u010d\u00edv\u00e1 v\u00a0zaveden\u00ed kat\u00e9tr\u016f (speci\u00e1ln\u00edch c\u00e9vek) do srdce s\u00a0pomoc\u00ed rentgenov\u00e9ho za\u0159\u00edzen\u00ed. Kat\u00e9try se typicky zav\u00e1d\u011bj\u00ed z\u00a0prav\u00e9ho t\u0159\u00edsla. B\u011b\u017en\u00fdmi indikacemi pro toto vy\u0161et\u0159en\u00ed jsou palpitace (bu\u0161en\u00ed na hrudn\u00edku), synkopy (n\u00e1hl\u00e9 poruchy v\u011bdom\u00ed) a n\u011bkte\u0159\u00ed vybran\u00ed pacienti se srde\u010dn\u00edm selh\u00e1n\u00edm k\u00a0posouzen\u00ed nutnosti zaveden\u00ed implantabiln\u00edho p\u0159\u00edstroje (ICD). V\u00a0sou\u010dasn\u00e9 dob\u011b ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f n\u00e1sleduje po diagnostick\u00e9m elektrofyziologick\u00e9m vy\u0161et\u0159en\u00ed v\u00a0jednom sezen\u00ed je\u0161t\u011b \u010d\u00e1st l\u00e9\u010debn\u00e1, tedy kat\u00e9trov\u00e1 ablace, kdy je pacient zbaven sv\u00e9 poruchy.<\/p>\n<figure id=\"attachment_17757\" aria-describedby=\"caption-attachment-17757\" style=\"width: 580px\" class=\"wp-caption aligncenter\"><a href=\"\/wp-content\/uploads\/2023\/09\/Image-14.jpg\" rel=\"ilightbox\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-17757 size-cmsmasters-project-thumb\" src=\"\/wp-content\/uploads\/2023\/09\/Image-14-580x360.jpg\" alt=\"\" width=\"580\" height=\"360\" \/><\/a><figcaption id=\"caption-attachment-17757\" class=\"wp-caption-text\">Elektrofyziologick\u00e9 vy\u0161et\u0159en\u00ed<\/figcaption><\/figure>\n<p>Kat\u00e9trov\u00e1 ablace je metodou l\u00e9\u010dby n\u011bkter\u00fdch poruch rytmu. Ablace spo\u010d\u00edv\u00e1 ve \u201evyp\u00e1len\u00ed\u201c m\u00edsta, kter\u00e9 je za arytmii zodpov\u011bdn\u00e9, a to pomoc\u00ed kat\u00e9tr\u016f (c\u00e9vek), jimi\u017e se teplo do dan\u00e9ho m\u00edsta v srdci dod\u00e1v\u00e1. Typicky se kat\u00e9try zav\u00e1d\u011bj\u00ed z prav\u00e9ho nebo n\u011bkdy z obou t\u0159\u00edsel. V n\u011bkter\u00fdch p\u0159\u00edpadech je nutn\u00e9 arytmii vyvolat tak, aby byl vy\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 schopn\u00fd zjistit, odkud tato arytmie vych\u00e1z\u00ed. \u00dasp\u011b\u0161nost kat\u00e9trov\u00e9 ablace se u n\u011bkter\u00fdch arytmi\u00ed bl\u00ed\u017e\u00ed ke 100 % (nap\u0159. ablace flutteru nebo pravideln\u00e9 supraventrikul\u00e1rn\u00ed tachykardie), u jin\u00fdch je ni\u017e\u0161\u00ed a m\u016f\u017ee se pohybovat mezi 70 a 80 % (nap\u0159. u paroxysm\u00e1ln\u00ed fibrilace s\u00edn\u00ed) anebo je i pod 50 % (nap\u0159. u perzistuj\u00edc\u00ed fibrilace s\u00edn\u00ed).<\/p>\n<p>Vy\u0161et\u0159en\u00ed a l\u00e9\u010dba kat\u00e9trovou ablac\u00ed vy\u017eaduje spolupr\u00e1ci pacienta, tedy schopnost le\u017eet na z\u00e1dech po dobu 1-3 hodin na s\u00e1le a pak 8-12 hodin na l\u016f\u017ekov\u00e9m odd\u011blen\u00ed. Kat\u00e9trov\u00e1 ablace je prov\u00e1d\u011bna v analgosedaci, tedy po pod\u00e1n\u00ed siln\u00fdch analgetik a m\u016f\u017ee b\u00fdt v n\u011bkter\u00fdch \u010d\u00e1stech vy\u0161et\u0159en\u00ed nep\u0159\u00edjemn\u00e1. Na pracovi\u0161ti s velk\u00fdmi zku\u0161enostmi je kat\u00e9trov\u00e1 ablace pova\u017eov\u00e1na za bezpe\u010dnou l\u00e9\u010dbu a v \u0159ad\u011b indikac\u00ed j\u00ed d\u00e1v\u00e1me p\u0159ednost p\u0159ed l\u00e9\u010dbou farmakologickou (l\u00e9ky).<\/p>\n<p>Nej\u010dast\u011bj\u0161\u00ed arytmi\u00ed, pro kterou je prov\u00e1d\u011bna kat\u00e9trov\u00e1 ablace, je v\u00a0sou\u010dasn\u00e9 dob\u011b fibrilace s\u00edn\u00ed (nepravideln\u00fd tep vych\u00e1zej\u00edc\u00ed ze srde\u010dn\u00edch p\u0159eds\u00edn\u00ed). Tato porucha rytmu, pokud je nel\u00e9\u010den\u00e1, s\u00a0sebou p\u0159in\u00e1\u0161\u00ed zv\u00fd\u0161en\u00e9 riziko hospitalizac\u00ed, mozkov\u00fdch p\u0159\u00edhod a srde\u010dn\u00edho selh\u00e1n\u00ed. Principem ablace fibrilace s\u00edn\u00ed je zaveden\u00ed c\u00e9vek p\u0159es t\u0159\u00edslo do lev\u00e9 srde\u010dn\u00ed s\u00edn\u011b, kde se pomoc\u00ed s\u00e9rie \u201ep\u00e1len\u00ed\u201c vytvo\u0159\u00ed kruhov\u00e9 l\u00e9ze okolo plicn\u00edch \u017eil, je\u017e do lev\u00e9 s\u00edn\u011b \u00fast\u00ed. Ablace fibrilace s\u00edn\u00ed je technologicky n\u00e1ro\u010dn\u00fd v\u00fdkon, p\u0159i kter\u00e9m se pou\u017e\u00edvaj\u00ed modern\u00ed naviga\u010dn\u00ed a po\u010d\u00edta\u010dov\u00e9 syst\u00e9my. Typicky je pacient\u016fm provedeno CT srdce (vy\u0161et\u0159en\u00ed po\u010d\u00edta\u010dov\u00fd tomografem) t\u00fdden p\u0159ed ablac\u00ed, u n\u011bkter\u00fdch je\u0161t\u011b p\u0159ed v\u00fdkonem dopl\u0148ujeme j\u00edcnov\u00fd ultrazvuk. Po ablaci jsou pak pacienti ponech\u00e1ni nebo nov\u011b nastaveni na antikoagula\u010dn\u00ed l\u00e9\u010dbu (nap\u0159. Warfarin, Pradaxa, Eliquis apod.) na minim\u00e1ln\u011b 3 m\u011bs\u00edce.<\/p>\n<figure id=\"attachment_17758\" aria-describedby=\"caption-attachment-17758\" style=\"width: 580px\" class=\"wp-caption aligncenter\"><a href=\"\/wp-content\/uploads\/2023\/09\/Image-15.jpg\" rel=\"ilightbox\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-17758 size-cmsmasters-project-thumb\" src=\"\/wp-content\/uploads\/2023\/09\/Image-15-580x360.jpg\" alt=\"\" width=\"580\" height=\"360\" srcset=\"\/wp-content\/uploads\/2023\/09\/Image-15-580x360.jpg 580w, \/wp-content\/uploads\/2023\/09\/Image-15-300x187.jpg 300w\" sizes=\"auto, (max-width: 580px) 100vw, 580px\" \/><\/a><figcaption id=\"caption-attachment-17758\" class=\"wp-caption-text\">Naviga\u010dn\u00ed syst\u00e9m pou\u017e\u00edvan\u00fd p\u0159i l\u00e9\u010db\u011b fibrilace s\u00edn\u00ed<\/figcaption><\/figure>\n<p>Implantace ICD (implantabiln\u00edho kardioverteru defibril\u00e1toru) spo\u010d\u00edv\u00e1 v\u00a0zaveden\u00ed elektrody (vodi\u010de) z\u00a0oblasti lev\u00e9ho (vz\u00e1cn\u011b prav\u00e9ho) podkl\u00ed\u010dku do srdce a jeho spojen\u00ed s\u00a0gener\u00e1torem (zdrojem energie), je\u017e se \u201eza\u0161ije\u201c do podko\u017e\u00ed. ICD je indikovan\u00fd u pacient\u016f, kte\u0159\u00ed jsou ohro\u017eeni z\u00e1va\u017en\u00fdmi \u017eivot ohro\u017euj\u00edc\u00edmi arytmiemi, tedy typicky u pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm. Defibril\u00e1tor je schopn\u00fd tyto arytmie rozpoznat a l\u00e9\u010dit je bu\u010f s\u00e9ri\u00ed rychl\u00fdch impulz\u016f nebo siln\u00fdm elektrick\u00fdm v\u00fdbojem. U zhruba t\u0159etiny pacient\u016f je pak indikov\u00e1no zaveden\u00ed zvl\u00e1\u0161tn\u00ed elektrody do \u017e\u00edly obkru\u017euj\u00edc\u00ed levou komoru a pomoc\u00ed t\u00e9to elektrody jim pak pomoci s\u00a0p\u0159\u00edznaky srde\u010dn\u00edho selh\u00e1n\u00ed (tedy zlep\u0161it du\u0161nost a sn\u00ed\u017eit otoky kon\u010detin). Implantace ICD je v\u00a0principu podobn\u00e1 zaveden\u00ed trval\u00e9ho kardiostimul\u00e1toru (bud\u00ed\u010dku), kter\u00fd je v\u0161ak v\u00a0p\u0159\u00edpad\u011b ICD pon\u011bkud robustn\u011bj\u0161\u00ed a m\u00e1 o n\u011bco krat\u0161\u00ed \u017eivotnost.<\/p>\n<figure id=\"attachment_17759\" aria-describedby=\"caption-attachment-17759\" style=\"width: 580px\" class=\"wp-caption aligncenter\"><a href=\"\/wp-content\/uploads\/2023\/09\/Image-16.jpg\" rel=\"ilightbox\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-17759 size-cmsmasters-project-thumb\" src=\"\/wp-content\/uploads\/2023\/09\/Image-16-580x360.jpg\" alt=\"\" width=\"580\" height=\"360\" \/><\/a><figcaption id=\"caption-attachment-17759\" class=\"wp-caption-text\">ICD (implantabiln\u00ed kardioverter defibril\u00e1tor)<\/figcaption><\/figure>\n<figure id=\"attachment_17760\" aria-describedby=\"caption-attachment-17760\" style=\"width: 580px\" class=\"wp-caption aligncenter\"><a href=\"\/wp-content\/uploads\/2023\/09\/Image-17.jpg\" rel=\"ilightbox\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-17760 size-cmsmasters-project-thumb\" src=\"\/wp-content\/uploads\/2023\/09\/Image-17-580x360.jpg\" alt=\"\" width=\"580\" height=\"360\" \/><\/a><figcaption id=\"caption-attachment-17760\" class=\"wp-caption-text\">ICD (implantabiln\u00ed kardioverter defibril\u00e1tor)<\/figcaption><\/figure>\n<h5 style=\"font-weight: 400\"><strong>Jak objednat pacienta?<\/strong><\/h5>\n<p>Tel:<strong> 567 157 245<\/strong><\/p>\n<p><a class=\"download-links-small-faq\" href=\"\/wp-content\/uploads\/2025\/03\/Priprava-pred-EFV-a-ablaci.pdf\">P\u0159\u00edprava p\u0159ed EFR a ablac\u00ed<\/a><\/p>\n<p><a class=\"download-links-small-faq\" href=\"\/wp-content\/uploads\/2024\/06\/Priprava-pacienta-pred-katetrovou-ablaci-pro-fibrilaci-sini.pdf\">P\u0159\u00edprava pacienta p\u0159ed kat\u00e9trovou ablac\u00ed pro fibrilaci s\u00edn\u00ed<\/a><\/p>\n<\/div><\/li><\/ul><\/div><\/div><\/article><\/section>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_ud3g8cf4ek\" class=\"cmsmasters_row cmsmasters_color_scheme_default stopsticky cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_jz0lvx19q2\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":17118,"parent":16886,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pgc_sgb_lightbox_settings":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[85],"class_list":["post-16933","page","type-page","status-publish","has-post-thumbnail","hentry","category-page-oddeleni"],"publishpress_future_action":{"enabled":false,"date":"2026-04-11 11:48:45","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/16933","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/comments?post=16933"}],"version-history":[{"count":0,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/16933\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/16886"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media\/17118"}],"wp:attachment":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media?parent=16933"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/categories?post=16933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}