{"id":7824,"date":"2019-01-10T12:49:24","date_gmt":"2019-01-10T10:49:24","guid":{"rendered":"https:\/\/havas.cz\/?post_type=pressroom&p=7824"},"modified":"2020-02-20T15:19:29","modified_gmt":"2020-02-20T13:19:29","slug":"srdecni-selhani-predstavuje-nejcastejsi-pricinu-hospitalizace-v-cr","status":"publish","type":"pressroom","link":"https:\/\/havas.cz\/en\/pressroom\/srdecni-selhani-predstavuje-nejcastejsi-pricinu-hospitalizace-v-cr\/","title":{"rendered":"Srde\u010dn\u00ed selh\u00e1n\u00ed p\u0159edstavuje nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinu hospitalizace v \u010cR"},"content":{"rendered":"

P\u0159i chronick\u00e9m srde\u010dn\u00edm selh\u00e1n\u00ed srdce nezvl\u00e1d\u00e1 plnit svou funkci \u017eivotn\u011b d\u016fle\u017eit\u00e9 pumpy v\u00a0na\u0161em t\u011ble. V\u00fdsledkem je nedostate\u010dn\u00e9 prokrven\u00ed nap\u0159. mozku, ledvin \u010di sval\u016f, a naopak hromad\u011bn\u00ed krve v\u00a0plic\u00edch, org\u00e1nech dutiny b\u0159i\u0161n\u00ed a v\u00a0doln\u00edch kon\u010detin\u00e1ch, co\u017e vede ke vzniku du\u0161nosti, otok\u016f, \u00fanavy a vy\u010derp\u00e1n\u00ed.3<\/sup>\u00a0T\u00edmto z\u00e1va\u017en\u00fdm onemocn\u011bn\u00edm trp\u00ed 26 milion\u016f lid\u00ed po cel\u00e9m sv\u011bt\u011b4<\/sup>\u00a0a po\u010det p\u0159\u00edpad\u016f v\u00fdrazn\u011b p\u0159ib\u00fdv\u00e1 s\u00a0t\u00edm, jak se do\u017e\u00edv\u00e1me vy\u0161\u0161\u00edho v\u011bku a dok\u00e1\u017eeme vyl\u00e9\u010dit st\u00e1le v\u00edce nemoc\u00ed. Proto je srde\u010dn\u00ed selh\u00e1n\u00ed \u010dasto pova\u017eov\u00e1no za epidemii 21. stolet\u00ed. Chronick\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed m\u00e1 negativn\u00ed dopad na kvalitu \u017eivota pacienta a v\u00fdrazn\u011b zkracuje jeho d\u00e9lku.3, 5<\/sup>\u00a0P\u0159i v\u010dasn\u00e9 diagn\u00f3ze a vhodn\u00e9 l\u00e9\u010db\u011b v\u0161ak m\u016f\u017ee b\u00fdt onemocn\u011bn\u00ed dr\u017eeno pod kontrolou p\u0159i zachov\u00e1n\u00ed kvality \u017eivota.<\/p>\n

Hospitalizace a srde\u010dn\u00ed selh\u00e1n\u00ed<\/strong><\/p>\n

\u010ce\u0161i mnohdy neinformuj\u00ed l\u00e9ka\u0159e o v\u0161em, co je skute\u010dn\u011b tr\u00e1p\u00ed, zejm\u00e9na nepova\u017euj\u00ed za d\u016fle\u017eit\u00e9 informovat o\u00a0obt\u00ed\u017e\u00edch, kter\u00e9 si spojuj\u00ed s\u00a0v\u011bkem. Pr\u00e1v\u011b za ty ale \u010dasto pova\u017euj\u00ed i p\u0159\u00edznaky chronick\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed.6<\/sup>\u00a0I\u00a0tento p\u0159\u00edstup znesnad\u0148uje diagnostiku chronick\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed a mnohdy vede k\u00a0tomu, \u017ee je onemocn\u011bn\u00ed odhaleno a\u017e v\u00a0pokro\u010dilej\u0161\u00edm stadiu. Pacient\u016fm se proto v\u010das nedost\u00e1v\u00e1 ani \u00fa\u010dinn\u00e9 p\u00e9\u010de a l\u00e9\u010dby, kter\u00e9 by mohly hospitalizac\u00edm zabr\u00e1nit.<\/p>\n

Po\u010det pacient\u016f s\u00a0chronick\u00fdm srde\u010dn\u00edm selh\u00e1n\u00edm v\u00a0\u010cR se pohybuje kolem 230\u00a0000.7<\/sup>\u00a0Pr\u016fm\u011brn\u011b str\u00e1v\u00ed v nemocnici 5 a\u017e 10 dn\u00ed.8\u00a0<\/sup>N\u00e1klady na hospitalizaci jednoho pacienta se pohybuj\u00ed kolem 85\u00a0000 K\u010d. Odhadovan\u00e9 celkov\u00e9 n\u00e1klady na jejich hospitalizaci se tedy mohou vy\u0161plhat a\u017e na 7,98 miliardy korun ro\u010dn\u011b.7<\/sup>\u00a0P\u0159itom tento z\u00e1va\u017en\u00fd zdravotn\u011b-ekonomick\u00fd fenom\u00e9n lze p\u0159\u00edzniv\u011b ovlivnit v\u010dasnou n\u00e1v\u0161t\u011bvou l\u00e9ka\u0159e a modern\u00ed l\u00e9\u010dbou, \u010d\u00edm\u017e se d\u00e1 sn\u00ed\u017eit i jeho celospole\u010densk\u00fd dopad.<\/p>\n

\u017divot se srde\u010dn\u00edm selh\u00e1n\u00edm<\/strong><\/p>\n

\u017divot se srde\u010dn\u00edm selh\u00e1n\u00edm v\u010detn\u011b hospitalizace p\u0159edstavuje z\u00e1t\u011b\u017e nejen pro zdravotnick\u00fd syst\u00e9m, ale hlavn\u011b pro samotn\u00e9ho pacienta a jeho nejbli\u017e\u0161\u00ed okol\u00ed. Pacient kv\u016fli velk\u00e9 \u00fanav\u011b poci\u0165uje omezen\u00ed i p\u0159i naprosto b\u011b\u017en\u00fdch ka\u017edodenn\u00edch \u010dinnostech. I proto maj\u00ed velk\u00fd vliv na zvl\u00e1d\u00e1n\u00ed onemocn\u011bn\u00ed osoby, kter\u00e9 sd\u00edlej\u00ed dom\u00e1cnost s\u00a0pacientem. Pomoc bl\u00edzk\u00e9ho \u010dlov\u011bka je p\u0159i postupn\u00e9m rozvoji nemoci st\u00e1le d\u016fle\u017eit\u011bj\u0161\u00ed. P\u0159itom ned\u00e1vn\u00fd pr\u016fzkum mezi pe\u010duj\u00edc\u00edmi osobami uk\u00e1zal, \u017ee polovina z\u00a0nich se nec\u00edtila p\u0159ipraven\u00e1 na svou podp\u016frnou roli a 13\u00a0% z\u00a0nich se muselo vzd\u00e1t sv\u00e9ho zam\u011bstn\u00e1n\u00ed, aby mohli poskytovat p\u00e9\u010di sv\u00e9mu bl\u00edzk\u00e9mu se srde\u010dn\u00edm selh\u00e1n\u00edm.10<\/sup><\/p>\n

Je to ve va\u0161ich rukou<\/strong><\/p>\n

Va\u0161e zdrav\u00ed je va\u0161e zodpov\u011bdnost. V\u011bnujte pat\u0159i\u010dnou pozornost sv\u00e9mu zdravotn\u00edmu stavu. Sledujte i nen\u00e1padn\u00e9 zm\u011bny k\u00a0hor\u0161\u00edmu a nesty\u010fte se o nich mluvit se sv\u00fdm l\u00e9ka\u0159em. Nezapom\u00ednejte ani na zdrav\u00ed sv\u00fdch bl\u00edzk\u00fdch a\u00a0mluvte o n\u011bm s nimi.<\/p>\n

Pokud u\u017e m\u00e1te diagnostikovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed nebo jste byli hospitalizov\u00e1ni, n\u00e1sledujte pokyn\u016f l\u00e9ka\u0159e a\u00a0zaj\u00edmejte se o svou l\u00e9\u010dbu. P\u0159echod z\u00a0nemocnice do dom\u00e1c\u00ed p\u00e9\u010de toti\u017e v\u011bt\u0161inou zvy\u0161uje riziko n\u00e1hl\u00e9ho zhor\u0161en\u00ed zdravotn\u00edho stavu. D\u016fvodem je fakt, \u017ee pacient nen\u00ed pod tak d\u016fkladn\u00fdm l\u00e9ka\u0159sk\u00fdm dohledem11<\/sup>\u00a0a mus\u00ed se o sebe postarat s\u00e1m. Je proto d\u016fle\u017eit\u00e9 dodr\u017eovat re\u017eimov\u00e1 opat\u0159en\u00ed. V\u011bd\u011bt, jak\u00e9 l\u00e9ky a jak \u010dasto m\u00e1te u\u017e\u00edvat. M\u011bli byste tak\u00e9 v\u011bd\u011bt, pro\u010d tyto l\u00e9ky u\u017e\u00edv\u00e1te. M\u016f\u017eete u\u017e\u00edvat n\u011bkolik r\u016fzn\u00fdch l\u00e9k\u016f denn\u011b, ale v\u017edy si kombinace ov\u011b\u0159te se sv\u00fdm l\u00e9ka\u0159em. L\u00e9ky mohou zp\u016fsobit, \u017ee se p\u0159ed zlep\u0161en\u00edm stavu m\u016f\u017eete c\u00edtit trochu h\u016f\u0159. M\u016f\u017ee j\u00edt o\u00a0p\u0159echodn\u00fd stav; konzultujte jej se sv\u00fdm l\u00e9ka\u0159em, ale nep\u0159est\u00e1vejte p\u0159itom l\u00e9ky u\u017e\u00edvat.<\/p>\n

Je to na ka\u017ed\u00e9m z\u00a0n\u00e1s, p\u0159\u00edznaky sv\u00e9 nemoci m\u016f\u017eeme sledovat nap\u0159. pomoc\u00ed\u00a0online dotazn\u00edku symptom\u016f<\/a>, kter\u00fd m\u016f\u017eete vz\u00edt s\u00a0sebou p\u0159i dal\u0161\u00ed n\u00e1v\u0161t\u011bv\u011b l\u00e9ka\u0159e. V\u00edce informac\u00ed na\u00a0www.rukunasrdce.cz<\/a>.<\/p>\n

Srde\u010dn\u00ed selh\u00e1n\u00ed<\/strong><\/p>\n

Srde\u010dn\u00ed selh\u00e1n\u00ed je onemocn\u011bn\u00ed, kter\u00e9 postihuje kolem 230 tis\u00edc \u010cech\u016f.7<\/sup>\u00a0B\u011bhem \u017eivota se rozvine u jednoho z\u00a0p\u011bti nad 40 let12, 13\u00a0<\/sup>a\u00a0jeho progn\u00f3za je hor\u0161\u00ed ne\u017e u n\u011bkter\u00fdch b\u011b\u017en\u00fdch druh\u016f rakoviny.14<\/sup>\u00a0Hlavn\u00ed funkc\u00ed na\u0161eho srdce je udr\u017eovat krevn\u00ed ob\u011bh a\u00a0z\u00e1sobovat tak v\u0161echny na\u0161e org\u00e1ny kysl\u00edkem a \u017eivinami. P\u0159i srde\u010dn\u00edm selh\u00e1n\u00ed srdce nezvl\u00e1d\u00e1 tuto \u00falohu plnit a\u00a0org\u00e1ny nejsou dostate\u010dn\u011b prokrven\u00e9. Mezi p\u0159\u00edznaky se \u0159ad\u00ed du\u0161nost, otoky nohou a\u00a0kotn\u00edk\u016f, n\u00e1r\u016fst v\u00e1hy, \u00fanava, nechu\u0165 k j\u00eddlu, nadm\u011brn\u00e9 bu\u0161en\u00ed srdce a vy\u0161\u0161\u00ed frekvence mo\u010den\u00ed.3<\/sup>\u00a0Kdy\u017e nen\u00ed siln\u00e9 va\u0161e srdce, nebudete ani vy. Ruku na srdce, star\u00e1te se o n\u011bj? Mluvte se sv\u00fdm l\u00e9ka\u0159em.<\/p>\n

Zdroje:<\/p>\n

    \n
  1. Azad N, Lemay G. Management of chronic heart failure in the older population. Journal of Geriatric Cardiology: JGC. 2014;11(4):329\u2013337.<\/li>\n
  2. UZIS, N\u00e1rodn\u00ed zdravotnick\u00fd informa\u010dn\u00ed syst\u00e9m, 2017<\/li>\n
  3. Ponikowski P, Voors AA, Anker SD et al. Authors\/Task Force Members. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2016 Jul 14;37(27):2129\u20132200<\/li>\n
  4. Ambrosy PA et al. The Global Health and Economic Burden of Hospitalizations for Heart Failure. Lessons Learned From Hospitalized Heart Failure Registries. J Am Coll Cardiol. 2014;63:1123\u20131133.<\/li>\n
  5. Halmo R, Galuszka J, Langov\u00e1 K, Galuszkov\u00e1 D. Self Care In Patients With Chronic Heart Failure. Pilot Study \u2013 Self Care Includes Problems. Biomedical Papers. 2015;159(1):124\u201330.<\/li>\n
  6. STEM\/MARK, \u010ce\u0161i a srde\u010dn\u00ed selh\u00e1n\u00ed, duben 2017<\/li>\n
  7. Pavlu\u0161ov\u00e1 M, Klimes J, \u0160pinar J et al. Chronic heart failure \u2013 Impact of the condition on patients and the healthcare system in the Czech Republic: A retrospective cost-of-illness analysis, Cor et Vasa 2018;60:e224\u2013e233<\/li>\n
  8. Ponikowski P et al., 2014. Heart failure. Preventing disease and death worldwide. Available at: https:\/\/www.escardio.org\/static_file\/Escardio\/Subspecialty\/HFA\/WHFA-whitepaper-15-May-14.pdf [Last accessed: July 2018]<\/li>\n
  9. Dharmarajan K, Hsieh AF, Lin Z et al., Diagnoses and Timing of 30-Day Readmissions after Hospitalization For Heart Failure, Acute Myocardial Infarction, or Pneumonia. JAMA. 2013;309(4):355\u2013363.<\/li>\n
  10. International Carers. Carers of persons with heart failure: a four-nation study. Available at: http:\/\/www.internationalcarers.org\/wp-content\/uploads\/2017\/12\/IACO-Carers-Infographic-1.pdf [Last accessed: July 2018]<\/li>\n
  11. Pascual-Figal D et al. Rationale and design of TRANSITION: a randomized trial of pre-discharge vs. Postdischarge initiation of sacubitril\/valsartan. ESC Heart Fail. 2018 Apr;5(2):327\u2013336.<\/li>\n
  12. \u0160pinar J et al. Souhrn Doporu\u010den\u00fdch postup\u016f ESC pro diagnostiku a l\u00e9\u010dbu akutn\u00edho a chronick\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed z roku 2016. P\u0159ipraven \u010ceskou kardiologickou spole\u010dnost\u00ed, Cor et Vasa 2016;58:e597\u2013e637<\/li>\n
  13. Zannad F et al. Heart failure burden and therapy. Europace 2009;11;v1\u2013v9<\/li>\n
  14. Stewart S et al. More ‘malignant’ than cancer? Five-year survival following a first admission for heart failure. European Journal of Heart Failure. 2001;3:315\u2013322<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    V\u00fdskyt chronick\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed se po cel\u00e9m sv\u011bt\u011b neust\u00e1le zvy\u0161uje. P\u0159edstavuje nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinu hospitalizace u lid\u00ed star\u0161\u00edch 65 let.1 Podle N\u00e1rodn\u00edho registru hospitalizovan\u00fdch bylo v roce 2013 hospitalizov\u00e1no p\u0159es 41 tis\u00edc lid\u00ed se srde\u010dn\u00edm selh\u00e1n\u00edm jako prim\u00e1rn\u00ed diagn\u00f3zou a v\u00edce ne\u017e 76 tis\u00edc se srde\u010dn\u00edm selh\u00e1n\u00edm jako prim\u00e1rn\u00ed \u010di sekund\u00e1rn\u00ed diagn\u00f3zou.2 P\u0159esto je pov\u011bdom\u00ed o tomto z\u00e1va\u017en\u00e9m onemocn\u011bn\u00ed st\u00e1le velice n\u00edzk\u00e9 a lid\u00e9 neznaj\u00ed jeho p\u0159\u00edznaky. K odhalen\u00ed nemoci mnohdy vede a\u017e prvn\u00ed hospitalizace v d\u016fsledku akutn\u00edch pot\u00ed\u017e\u00ed. V\u010dasn\u00e1 diagnostika m\u016f\u017ee nejen prodlou\u017eit \u017eivoty pacient\u016f, ale hlavn\u011b jejich \u017eivoty zkvalitnit.<\/p>\n","protected":false},"author":48,"featured_media":0,"menu_order":0,"template":"","meta":{"_links_to":"","_links_to_target":""},"pressroom_category":[],"pressroom_tag":[204],"class_list":["post-7824","pressroom","type-pressroom","status-publish","hentry","pressroom_tag-zdravi"],"yoast_head":"\nSrde\u010dn\u00ed selh\u00e1n\u00ed p\u0159edstavuje nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinu hospitalizace v \u010cR - Havas Prague<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/havas.cz\/pressroom\/srdecni-selhani-predstavuje-nejcastejsi-pricinu-hospitalizace-v-cr\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Srde\u010dn\u00ed selh\u00e1n\u00ed p\u0159edstavuje nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinu hospitalizace v \u010cR - Havas Prague\" \/>\n<meta property=\"og:description\" content=\"V\u00fdskyt chronick\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed se po cel\u00e9m sv\u011bt\u011b neust\u00e1le zvy\u0161uje. P\u0159edstavuje nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinu hospitalizace u lid\u00ed star\u0161\u00edch 65 let.1 Podle N\u00e1rodn\u00edho registru hospitalizovan\u00fdch bylo v roce 2013 hospitalizov\u00e1no p\u0159es 41 tis\u00edc lid\u00ed se srde\u010dn\u00edm selh\u00e1n\u00edm jako prim\u00e1rn\u00ed diagn\u00f3zou a v\u00edce ne\u017e 76 tis\u00edc se srde\u010dn\u00edm selh\u00e1n\u00edm jako prim\u00e1rn\u00ed \u010di sekund\u00e1rn\u00ed diagn\u00f3zou.2 P\u0159esto je pov\u011bdom\u00ed o tomto z\u00e1va\u017en\u00e9m onemocn\u011bn\u00ed st\u00e1le velice n\u00edzk\u00e9 a lid\u00e9 neznaj\u00ed jeho p\u0159\u00edznaky. K odhalen\u00ed nemoci mnohdy vede a\u017e prvn\u00ed hospitalizace v d\u016fsledku akutn\u00edch pot\u00ed\u017e\u00ed. V\u010dasn\u00e1 diagnostika m\u016f\u017ee nejen prodlou\u017eit \u017eivoty pacient\u016f, ale hlavn\u011b jejich \u017eivoty zkvalitnit.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/havas.cz\/pressroom\/srdecni-selhani-predstavuje-nejcastejsi-pricinu-hospitalizace-v-cr\/\" \/>\n<meta property=\"og:site_name\" content=\"Havas Prague\" \/>\n<meta property=\"article:modified_time\" content=\"2020-02-20T13:19:29+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/havas.cz\/pressroom\/srdecni-selhani-predstavuje-nejcastejsi-pricinu-hospitalizace-v-cr\/\",\"url\":\"https:\/\/havas.cz\/pressroom\/srdecni-selhani-predstavuje-nejcastejsi-pricinu-hospitalizace-v-cr\/\",\"name\":\"Srde\u010dn\u00ed selh\u00e1n\u00ed p\u0159edstavuje nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinu hospitalizace v \u010cR - Havas Prague\",\"isPartOf\":{\"@id\":\"https:\/\/havas.cz\/#website\"},\"datePublished\":\"2019-01-10T10:49:24+00:00\",\"dateModified\":\"2020-02-20T13:19:29+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/havas.cz\/pressroom\/srdecni-selhani-predstavuje-nejcastejsi-pricinu-hospitalizace-v-cr\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/havas.cz\/pressroom\/srdecni-selhani-predstavuje-nejcastejsi-pricinu-hospitalizace-v-cr\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/havas.cz\/pressroom\/srdecni-selhani-predstavuje-nejcastejsi-pricinu-hospitalizace-v-cr\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Dom\u016f\",\"item\":\"https:\/\/havas.cz\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pressroom\",\"item\":\"https:\/\/havas.cz\/pressroom\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Srde\u010dn\u00ed selh\u00e1n\u00ed p\u0159edstavuje nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinu hospitalizace v \u010cR\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/havas.cz\/#website\",\"url\":\"https:\/\/havas.cz\/\",\"name\":\"Havas Prague\",\"description\":\"Agentura Havas Prague. 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