{"id":10835,"date":"2020-10-28T10:32:42","date_gmt":"2020-10-28T08:32:42","guid":{"rendered":"https:\/\/havas.cz\/?post_type=pressroom&p=10835"},"modified":"2020-11-11T10:02:48","modified_gmt":"2020-11-11T08:02:48","slug":"fibrilace-sini-je-castou-pricinou-mozkove-mrtvice-az-u-40-lidi-probiha-bez-priznaku1","status":"publish","type":"pressroom","link":"https:\/\/havas.cz\/en\/pressroom\/fibrilace-sini-je-castou-pricinou-mozkove-mrtvice-az-u-40-lidi-probiha-bez-priznaku1\/","title":{"rendered":"Fibrilace s\u00edn\u00ed je \u010dastou p\u0159\u00ed\u010dinou mozkov\u00e9 mrtvice, a\u017e u 40 % lid\u00ed prob\u00edh\u00e1 bez p\u0159\u00edznak\u016f1<\/sup>"},"content":{"rendered":"

Fibrilace s\u00edn\u00ed je srde\u010dn\u00ed arytmi\u00ed, kter\u00e1 se projevuje mimo jin\u00e9 i nepravideln\u00fdm nebo rychl\u00fdm tlukotem srdce.4<\/sup> P\u0159i nel\u00e9\u010den\u00e9 fibrilaci s\u00edn\u00ed m\u016f\u017ee doj\u00edt ke vzniku sra\u017eeniny v\u00a0srdci, kter\u00e1 krevn\u00edm \u0159e\u010di\u0161t\u011bm putuje a\u017e do mozku, kde zap\u0159\u00ed\u010din\u00ed zmi\u0148ovanou mozkovou mrtvici.5<\/sup> V\u00a0\u010cesk\u00e9 republice je mrtvice jednou z\u00a0nej\u010dast\u011bj\u0161\u00edch p\u0159\u00ed\u010din smrti, a proto si 29.\u00a0\u0159\u00edjna, u p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne mrtvice, p\u0159ipom\u00edn\u00e1me d\u016fle\u017eitost prevence a v\u010dasn\u00e9 diagn\u00f3zy6, 8<\/sup> a jeden z\u00a0jej\u00edch rizikov\u00fdch faktor\u016f \u2013 fibrilaci s\u00edn\u00ed.<\/p>\n

D\u016fvody a projevy fibrilace s\u00edn\u00ed<\/strong><\/p>\n

Pro\u010d lid\u00e9 trp\u00ed fibrilac\u00ed s\u00edn\u00ed, nen\u00ed mo\u017en\u00e9 jednozna\u010dn\u011b \u0159\u00edct. Jej\u00ed v\u00fdskyt se zvy\u0161uje s\u00a0v\u011bkem a nej\u010dast\u011bj\u0161\u00edmi rizikov\u00fdmi faktory krom\u011b v\u011bku jsou vysok\u00fd krevn\u00ed tlak, r\u016fzn\u00e1 onemocn\u011bn\u00ed srdce, nadm\u011brn\u00e1 funkce \u0161t\u00edtn\u00e9 \u017el\u00e1zy, \u0161patn\u00e1 \u017eivotospr\u00e1va a d\u00e1le i stres \u010di psychick\u00e9 nap\u011bt\u00ed.2,4<\/sup> Projevy jsou potom takt\u00e9\u017e velmi rozmanit\u00e9.<\/p>\n

\u00a0\u201eFibrilace s\u00edn\u00ed se m\u016f\u017ee u ka\u017ed\u00e9ho \u010dlov\u011bka projevovat r\u016fzn\u011b. Nejb\u011b\u017en\u011bj\u0161\u00ed je pocit nepravideln\u00e9ho a rychl\u00e9ho srde\u010dn\u00edho pulzu, zad\u00fdch\u00e1v\u00e1n\u00ed, sn\u00ed\u017een\u00e1 fyzick\u00e1 v\u00fdkonnost, \u00fanava, tlak na hrudi nebo to\u010den\u00ed hlavy. V\u00a0mnoha p\u0159\u00edpadech ale pacient \u017e\u00e1dn\u00e9 p\u0159\u00edznaky nem\u00e1 a fibrilace s\u00edn\u00ed se odhal\u00ed n\u00e1hodou p\u0159i vy\u0161et\u0159en\u00ed, kter\u00e9 se prov\u00e1d\u00ed za jin\u00fdm \u00fa\u010delem. V\u010dasn\u00e9 diagnostikov\u00e1n\u00ed fibrilace s\u00edn\u00ed je z\u00e1sadn\u00ed, proto\u017ee jedin\u011b tak lze p\u0159edej\u00edt nebezpe\u010dn\u00fdm n\u00e1sledk\u016fm, nap\u0159. mozkov\u00e9 mrtvici<\/em>,\u201c vysv\u011btluje doc. MUDr. Martin Fiala, Ph.D., z\u00a0Centra kardiovaskul\u00e1rn\u00ed p\u00e9\u010de Neuron Medical v Brn\u011b.<\/p>\n

Nebezpe\u010dn\u00e9 krevn\u00ed sra\u017eeniny <\/strong><\/p>\n

Nebezpe\u010d\u00edm pro pacienty s fibrilac\u00ed s\u00edn\u00ed je mozkov\u00e1 mrtvice, kter\u00e1 pat\u0159\u00ed mezi nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010diny \u00famrt\u00ed.6, 9<\/sup> \u010cast\u00fdm d\u016fvodem je p\u0159eru\u0161en\u00ed toku krve do n\u011bkter\u00fdch \u010d\u00e1st\u00ed mozku.5<\/sup> Toto riziko m\u016f\u017ee nastat pr\u00e1v\u011b tehdy, pokud pacient trp\u00ed fibrilac\u00ed s\u00edn\u00ed. \u201eP\u0159i fibrilaci s\u00edn\u00ed se m\u00edhaj\u00edc\u00ed se srde\u010dn\u00ed s\u00edn\u011b nedostate\u010dn\u011b vyprazd\u0148uj\u00ed, co\u017e m\u016f\u017ee zap\u0159\u00ed\u010dinit stagnaci krve\u00a0a\u00a0vznik krevn\u00ed sra\u017eeniny v\u00a0lev\u00e9 srde\u010dn\u00ed s\u00edni. Tyto krevn\u00ed sra\u017eeniny mohou b\u00fdt vypuzeny ze srdce do tepenn\u00e9ho syst\u00e9mu. Pokud ucpou n\u011bkterou mozkovou tepnu, zabr\u00e1n\u00ed prokrven\u00ed a okysli\u010dov\u00e1n\u00ed posti\u017een\u00e9 \u010d\u00e1sti mozku a t\u00edm zp\u016fsob\u00ed jej\u00ed od\u00famr\u0165 \u010dili c\u00e9vn\u00ed mozkovou p\u0159\u00edhodu,\u201c<\/em> popisuje doc. MUDr. Martin Fiala, Ph.D.<\/p>\n

D\u016fle\u017eitost prevence <\/strong><\/p>\n

Dnes ji\u017e v\u00edme, \u017ee pacienti s\u00a0fibrilac\u00ed s\u00edn\u00ed maj\u00ed a\u017e p\u011btkr\u00e1t vy\u0161\u0161\u00ed riziko mozkov\u00e9 mrtvice a p\u0159edej\u00edt tomu lze spr\u00e1vnou prevenc\u00ed.2 <\/sup>Mnoho lid\u00ed v\u0161ak p\u0159i fibrilaci s\u00edn\u00ed nen\u00ed schopno popsat sv\u00e9 p\u0159\u00edznaky, nebo dokonce b\u00fdvaj\u00ed bezp\u0159\u00edznakov\u00ed. \u201eV\u010dasn\u00e9 vy\u0161et\u0159en\u00ed u l\u00e9ka\u0159e a proveden\u00ed elektrokardiografick\u00e9ho (EKG) vy\u0161et\u0159en\u00ed jsou z\u00e1sadn\u00ed pro v\u010dasn\u00e9 odhalen\u00ed fibrilace s\u00edn\u00ed a prevenci dal\u0161\u00edch komplikac\u00ed. U pacient\u016f, u kter\u00fdch se fibrilace s\u00edn\u00ed vyskytuje pouze z\u00e1chvatovit\u011b a nen\u00ed p\u0159\u00edtomna p\u0159i jednor\u00e1zov\u00e9m EKG vy\u0161et\u0159en\u00ed, lze \u0161anci na jej\u00ed z\u00e1chyt zv\u00fd\u0161it dlouhodob\u011bj\u0161\u00ed monitorac\u00ed EKG. D\u00edky tomu m\u016f\u017ee l\u00e9ka\u0159 nastavit individu\u00e1ln\u00ed l\u00e9\u010dbu a zapo\u010d\u00edt snahu o\u00a0obnoven\u00ed norm\u00e1ln\u00edho srde\u010dn\u00edho rytmu,\u201c<\/em> dopl\u0148uje doc. MUDr. Martin Fiala, Ph.D.<\/p>\n

Pod\u00edvat se m\u016f\u017eete nap\u0159\u00edklad na webov\u00e9 str\u00e1nky www.provasesrdce.cz<\/a>, kde si ov\u011b\u0159\u00edte, jestli spr\u00e1vn\u011b fibrilaci s\u00edn\u00ed rozum\u00edte. Nezapom\u00ednejte se o sv\u00e9 srdce starat, aby se do n\u011bj ve\u0161lo co nejv\u00edce l\u00e1sky pro va\u0161e bl\u00edzk\u00e9.<\/p>\n

Kontakt pro m\u00e9dia: <\/strong><\/p>\n

Mark\u00e9ta\u00a0Stillerov\u00e1, PR\u00a0Director,\u00a0Havas, 702\u00a0213 341,\u00a0marketa.stillerova@havaspr.com<\/a><\/p>\n

Daniela Ludv\u00edkov\u00e1, PR Trainee, Havas, 606\u00a0224\u00a0384, daniela.ludvikova@havaspr.com<\/a><\/p>\n

Zdroje: <\/strong><\/p>\n

    \n
  1. Dimitrios I. Fotiadis<\/a>. Handbook of Research on Trends in the Diagnosis and Treatment of Chronic Conditions. 2016. ISBN13: 9781466688285. Sta\u017eeno 11.8.2020, dostupn\u00e9 na https:\/\/books.google.com\/books?id=BAx4CgAAQBAJ&pg=PA201&lpg=PA201&dq=af+40%25+not+diagnosed&source=bl&ots=IZlnvx6ySx&sig=ACfU3U2-UtsLo-xrdNpj0qXE5owk6t-o9Q&hl=cs&sa=X&ved=2ahUKEwjt0rnT24TqAhXR-qQKHUIADZMQ6AEwCXoECAkQAQ#v=onepage&q=af%2040%25%20not%20diagnosed&f=false<\/a><\/li>\n
  2. \u010cih\u00e1k R, et al. Doporu\u010den\u00e9 postupy u pacient\u016f s\u00a0fibrilac\u00ed s\u00edn\u00ed. Cor at Vasa 2011; 53 (Suppl 1).<\/li>\n
  3. Neu\u017eil P. Fibrilace s\u00edn\u00ed \u2013 nej\u010dast\u011bj\u0161\u00ed srde\u010dn\u00ed arytmie. Nemocnice na Homolce. Sta\u017eeno dne 26.10.2020. Dostupn\u00e9 z: https:\/\/www.homolka.cz\/nase-oddeleni\/11635-kardiovaskularni-program\/11635-kardiologie-kar\/11697-nase-sluzby\/fibrilace-sini-nejcastejsi-srdecni-arytmie\/<\/a><\/li>\n
  4. Co je fibrilace\/flutter s\u00edn\u00ed. FN Hradec Kr\u00e1lov\u00e9. Sta\u017eeno dne 26.10.2020. Dostupn\u00e9 z: https:\/\/www.fnhk.cz\/kch\/fibrilace-sini\/co-je-fibrilace-flutter-sini<\/a><\/li>\n
  5. Fibrilace s\u00edn\u00ed. FN Brno. Sta\u017eeno dne 26.10.2020. Dostupn\u00e9 z: https:\/\/www.fnbrno.cz\/areal-bohunice\/interni-kardiologicka-klinika\/fibrilace-sini\/t5071<\/a><\/li>\n
  6. Sv\u011btov\u00fd den mrtvice. ZZMV. Sta\u017eeno dne 26.10.2020, dostupn\u00e9 z: https:\/\/www.zzmv.cz\/svetovy-den-mrtvice<\/a><\/li>\n
  7. Kautzner J. Fibrilace s\u00edn\u00ed. IKEM. Sta\u017eeno dne 26.10.2020, dostupn\u00e9 z : https:\/\/www.ikem.cz\/cs\/fibrilace-sini\/a-436\/#<\/a><\/li>\n
  8. World Stroke Association. World Stroke Day. Sta\u017eeno dne 26.10.2020. Dostupn\u00e9 z https:\/\/www.stroke.org\/en\/about-the-american-stroke-association\/world-stroke-day<\/a><\/li>\n
  9. GBD 2016 Stroke Collaborators. <\/sup>Lancet Neurol Actions. 2019 May;18(5):439-458. doi: 10.1016\/S1474-4422(19)30034-1. Epub 2019 Mar 11. Sta\u017eeno 11.8.2020, dostupn\u00e9 na: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6494974\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Fibrilace s\u00edn\u00ed neboli \u010desky m\u00edh\u00e1n\u00ed s\u00edn\u00ed pat\u0159\u00ed v sou\u010dasn\u00e9 dob\u011b k nej\u010dast\u011bj\u0161\u00edm poruch\u00e1m srde\u010dn\u00edho rytmu.2,3<\/sup> Aktu\u00e1ln\u011b se s fibrilac\u00ed s\u00edn\u00ed pot\u00fdk\u00e1 p\u0159ibli\u017en\u011b 6 milion\u016f Evropan\u016f.2<\/sup> N\u011bkte\u0159\u00ed ji naz\u00fdvaj\u00ed i epidemi\u00ed nov\u00e9ho tis\u00edcilet\u00ed, nebo\u0165 po\u010det pacient\u016f st\u00e1le roste a do budoucna se o\u010dek\u00e1v\u00e1 a\u017e jejich zdvojn\u00e1soben\u00ed.2<\/sup> Fibrilace s\u00edn\u00ed se m\u016f\u017ee projevovat u ka\u017ed\u00e9ho pacienta jinak, a\u017e u 40 % je ale pr\u016fb\u011bh bezp\u0159\u00edznakov\u00fd a o nemoci nemus\u00ed v\u016fbec v\u011bd\u011bt.1<\/sup> A\u010dkoliv samotn\u00e1 fibrilace s\u00edn\u00ed neb\u00fdv\u00e1 pro pacienty \u017eivot ohro\u017euj\u00edc\u00ed, podstatn\u00fdm nebezpe\u010d\u00edm je zhruba p\u011btkr\u00e1t vy\u0161\u0161\u00ed riziko c\u00e9vn\u00ed mozkov\u00e9 p\u0159\u00edhody \u010dili mrtvice, zap\u0159\u00ed\u010dinit m\u016f\u017ee i srde\u010dn\u00ed selh\u00e1n\u00ed.2<\/sup> <\/p>\n","protected":false},"author":48,"featured_media":10904,"menu_order":0,"template":"","meta":{"_links_to":"","_links_to_target":""},"pressroom_category":[],"pressroom_tag":[204],"class_list":["post-10835","pressroom","type-pressroom","status-publish","has-post-thumbnail","hentry","pressroom_tag-zdravi"],"yoast_head":"\nFibrilace s\u00edn\u00ed je \u010dastou p\u0159\u00ed\u010dinou mozkov\u00e9 mrtvice, a\u017e u 40 % lid\u00ed prob\u00edh\u00e1 bez p\u0159\u00edznak\u016f1 - 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