{"id":9141,"date":"2020-06-10T10:17:54","date_gmt":"2020-06-10T08:17:54","guid":{"rendered":"https:\/\/havas.cz\/?post_type=pressroom&p=9141"},"modified":"2020-07-24T09:51:32","modified_gmt":"2020-07-24T07:51:32","slug":"sedm-dni-pripominajicich-srdecni-selhani","status":"publish","type":"pressroom","link":"https:\/\/havas.cz\/en\/pressroom\/sedm-dni-pripominajicich-srdecni-selhani\/","title":{"rendered":"Sedm dn\u00ed p\u0159ipom\u00ednaj\u00edc\u00edch srde\u010dn\u00ed selh\u00e1n\u00ed"},"content":{"rendered":"

Od 4. do 10. kv\u011btna 2020 tak budou odborn\u00edci na mezin\u00e1rodn\u00ed \u00farovni upozor\u0148ovat na d\u016fle\u017eitost v\u010dasn\u00e9ho rozpozn\u00e1n\u00ed p\u0159\u00edznak\u016f, stanoven\u00ed p\u0159esn\u00e9 diagn\u00f3zy a optim\u00e1ln\u00ed l\u00e9\u010dby srde\u010dn\u00edho selh\u00e1n\u00ed. C\u00edlem t\u00e9to iniciativy je edukovat \u0161irokou ve\u0159ejnost a pacienty o prevenci a zvl\u00e1d\u00e1n\u00ed tohoto onemocn\u011bn\u00ed.5<\/sup> Nen\u00ed nic snaz\u0161\u00edho ne\u017e si u t\u00e9to p\u0159\u00edle\u017eitosti p\u0159ipomenout sedm podob srde\u010dn\u00edho selh\u00e1v\u00e1n\u00ed, ale tak\u00e9 se nau\u010dit sedm opat\u0159en\u00ed, kter\u00e1 je t\u0159eba dodr\u017eovat, kdy\u017e u\u017e srde\u010dn\u00edm selh\u00e1n\u00edm \u010dlov\u011bk trp\u00ed.<\/p>\n

Nar\u016fstaj\u00edc\u00ed po\u010det pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm dal v\u00a0roce 2004 vzniknout Asociaci srde\u010dn\u00edho selh\u00e1n\u00ed Evropsk\u00e9 kardiologick\u00e9 spole\u010dnosti, kter\u00e1 je nejv\u011bt\u0161\u00ed asociac\u00ed srde\u010dn\u00edho selh\u00e1n\u00ed na sv\u011bt\u011b, sdru\u017euj\u00edc\u00ed v\u00edce ne\u017e deset tis\u00edc odborn\u00edk\u016f. Ka\u017ed\u00fd rok v kv\u011btnu v\u011bnuje sedm dn\u00ed zv\u00fd\u0161en\u00ed pov\u011bdom\u00ed o tomto z\u00e1va\u017en\u00e9m kardiologick\u00e9m onemocn\u011bn\u00ed a motivuje n\u00e1rody k\u00a0osv\u011btov\u00fdm aktivit\u00e1m o problematice srde\u010dn\u00edho selh\u00e1n\u00ed.5<\/sup> P\u0159esto\u017ee by se dle n\u00e1zvu onemocn\u011bn\u00ed mohlo zd\u00e1t, \u017ee se jedn\u00e1 pouze o akutn\u00ed z\u00e1stavu srdce, nen\u00ed tomu tak. Chronick\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed je onemocn\u011bn\u00ed dlouhodob\u00e9.6 <\/sup>P\u0159i v\u010dasn\u00e9m rozpozn\u00e1n\u00ed jej v\u0161ak lze \u00fasp\u011b\u0161n\u011b kontrolovat. Nasazen\u00ed spr\u00e1vn\u00e9 l\u00e9\u010dby a\u00a0dodr\u017eov\u00e1n\u00ed re\u017eimov\u00fdch opat\u0159en\u00ed jsou pak cestou k\u00a0zachov\u00e1n\u00ed kvality \u017eivota pacienta. \u0158ada lid\u00ed ale st\u00e1le nev\u00ed, na jak\u00e9 varovn\u00e9 p\u0159\u00edznaky si d\u00e1t pozor.7,8<\/sup> Stejn\u011b tak je ot\u00e1zkou, jak moc si sami pacienti uv\u011bdomuj\u00ed svou roli p\u0159i udr\u017eov\u00e1n\u00ed dobr\u00e9ho zdravotn\u00edho stavu.<\/p>\n

P\u0159i chronick\u00e9m srde\u010dn\u00edm selh\u00e1n\u00ed oslaben\u00e9 srdce nedok\u00e1\u017ee rovnom\u011brn\u011b rozv\u00e1d\u011bt krev a doru\u010dit tak do t\u011bla dostatek kysl\u00edku a \u017eivin, aby mohlo norm\u00e1ln\u011b fungovat. Srdce nezvl\u00e1d\u00e1 pracovat tak, aby naplnilo pot\u0159eby t\u011bla, nejd\u0159\u00edve p\u0159i v\u011bt\u0161\u00ed n\u00e1maze, pot\u00e9 i v\u00a0klidu.5,9<\/sup> Pozdn\u00ed diagn\u00f3za znamen\u00e1 ve v\u011bt\u0161in\u011b p\u0159\u00edpad\u016f tak\u00e9 hor\u0161\u00ed vyhl\u00eddky do budoucna, ni\u017e\u0161\u00ed kvalitu \u017eivota a riziko dal\u0161\u00ed hospitalizace.8,10<\/sup> \u201ePov\u011bdom\u00ed pacient\u016f o srde\u010dn\u00edm selh\u00e1n\u00ed se za posledn\u00ed roky ur\u010dit\u011b zv\u00fd\u0161ilo a i my v\u00a0ordinaci vn\u00edm\u00e1me, \u017ee u\u017e za z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed nepova\u017euj\u00ed pouze infarkt. P\u0159esto je \u0159ada pacient\u016f, u kter\u00fdch nen\u00ed srde\u010dn\u00ed selh\u00e1n\u00ed diagnostikov\u00e1no v\u010das. P\u0159itom v\u010dasn\u00e1 diagnostika je kl\u00ed\u010dov\u00e1 p\u0159edev\u0161\u00edm pro dal\u0161\u00ed progn\u00f3zu pacienta. Nen\u00ed-li toti\u017e v\u010das zah\u00e1jena adekv\u00e1tn\u00ed l\u00e9\u010dba, doch\u00e1z\u00ed k postupn\u00e9 progresi srde\u010dn\u00edho selh\u00e1n\u00ed, co\u017e negativn\u011b ovliv\u0148uje dal\u0161\u00ed v\u00fdhled pacienta, a to nejen stran p\u0159e\u017eit\u00ed, ale tak\u00e9 co se t\u00fd\u010de kvality \u017eivota. Z\u00e1sadn\u00ed sou\u010d\u00e1st\u00ed \u00fasp\u011b\u0161n\u00e9 l\u00e9\u010dby srde\u010dn\u00edho selh\u00e1n\u00ed je spolupr\u00e1ce pacienta, tedy pravideln\u00e9 u\u017e\u00edv\u00e1n\u00ed medikace a tak\u00e9 dodr\u017eov\u00e1n\u00ed re\u017eimov\u00fdch opat\u0159en\u00ed hned od\u00a0po\u010d\u00e1tku rozvoje onemocn\u011bn\u00ed. Pokud je pacient informovan\u00fd a sv\u00e9mu ston\u00e1n\u00ed rozum\u00ed, spolupr\u00e1ce je v\u017edycky mnohem lep\u0161\u00ed. Pak se \u010dasto dok\u00e1\u017eeme vyhnout n\u00e1hl\u00e9mu zhor\u0161en\u00ed stavu s\u00a0nutnost\u00ed hospitalizace a m\u016f\u017eeme udr\u017eet pacienta ve stabilizovan\u00e9m stavu,<\/em>\u201c vysv\u011btluje MUDr. Gabriela \u0160t\u011brb\u00e1kov\u00e1, Ph.D., z Kardiologick\u00e9 kliniky FN Plze\u0148.<\/p>\n

Sedm podob srde\u010dn\u00edho selh\u00e1v\u00e1n\u00ed<\/strong><\/p>\n

Srde\u010dn\u00ed selh\u00e1n\u00ed se zpravidla projevuje sedmi n\u00e1sleduj\u00edc\u00edmi zp\u016fsoby, p\u0159i\u010dem\u017e se u pacienta m\u016f\u017ee objevit pouze n\u011bkter\u00fd z\u00a0nich anebo i v\u00edce projev\u016f najednou. Jedn\u00e1 se o du\u0161nost, tedy zad\u00fdch\u00e1v\u00e1n\u00ed se, n\u011bkdy se projevuje v\u00edce p\u0159i poloze vle\u017ee; \u00fanavu, kter\u00e1 neodpov\u00edd\u00e1 p\u0159ede\u0161l\u00e9 n\u00e1maze; otoky kotn\u00edk\u016f, nohou a b\u0159icha; n\u00e1hl\u00fd vzestup hmotnosti o v\u00edce ne\u017e 2 kg b\u011bhem p\u00e1r dn\u00ed; ztr\u00e1tu chuti k\u00a0j\u00eddlu; n\u00e1hl\u00e9 bu\u0161en\u00ed srdce; sn\u00ed\u017eenou frekvenci mo\u010den\u00ed b\u011bhem dne a\u00a0naopak \u010dast\u011bj\u0161\u00ed frekvenci nucen\u00ed na mo\u010den\u00ed v noci. P\u0159\u00edznaky srde\u010dn\u00edho selh\u00e1n\u00ed je v\u017edy pot\u0159eba d\u00e1t do souvislosti s\u00a0aktivitami b\u011b\u017en\u00e9ho dne a celkov\u00fdm zdravotn\u00edm stavem. Pokud vypijete p\u0159ed span\u00edm nar\u00e1z p\u016fl litru tekutin, je b\u011b\u017en\u00e9 j\u00edt v\u00a0noci na toaletu a nemus\u00ed to m\u00edt spojitost s\u00a0onemocn\u011bn\u00edm srdce.9<\/sup> Je-li naopak \u010dlov\u011bk extr\u00e9mn\u011b unaven\u00fd z\u00a0aktivit, kter\u00e9 mu nikdy p\u0159edt\u00edm ned\u011blaly probl\u00e9m, je t\u0159eba zpozorn\u011bt. Praktickou pom\u016fckou pro zamy\u0161len\u00ed nad projevy nemoci je dotazn\u00edk p\u0159\u00edznak\u016f srde\u010dn\u00edho selh\u00e1n\u00ed, kter\u00fd je k dispozici nap\u0159\u00edklad na eduka\u010dn\u00edch webov\u00fdch str\u00e1nk\u00e1ch www.rukunasrdce.cz<\/a>. Dotazn\u00edk lze vyu\u017e\u00edt i jako pom\u016fcku p\u0159i konzultaci obt\u00ed\u017e\u00ed u\u00a0l\u00e9ka\u0159e.<\/p>\n

Sedm opat\u0159en\u00ed pro spokojen\u011bj\u0161\u00ed srdce p\u0159i srde\u010dn\u00edm selh\u00e1n\u00ed, kter\u00e1 zvl\u00e1dne ka\u017ed\u00fd<\/strong><\/p>\n

Sedm z\u00e1kladn\u00edch tzv. re\u017eimov\u00fdch opat\u0159en\u00ed m\u016f\u017ee v\u00fdznamn\u011b p\u0159isp\u011bt ke kvalit\u011b \u017eivota pacienta se srde\u010dn\u00edm selh\u00e1n\u00edm. \u0158ad\u00ed se mezi n\u011b abstinence kou\u0159en\u00ed; omezen\u00ed alkoholu; zdrav\u00fd a p\u0159im\u011b\u0159en\u00fd pohyb; ale tak\u00e9 velmi pot\u0159ebn\u00fd odpo\u010dinek. Velk\u00fd pod\u00edl m\u00e1 i zdrav\u00e9 stravov\u00e1n\u00ed, kter\u00e9 pom\u00e1h\u00e1 dodat srdci jen ty spr\u00e1vn\u00e9 \u017eiviny, je\u017e ho pos\u00edl\u00ed. D\u016fle\u017eit\u00e1 je i redukce v\u00e1hy a konzumace men\u0161\u00edch porc\u00ed j\u00eddla. Ni\u017e\u0161\u00ed t\u011blesn\u00e1 v\u00e1ha a tr\u00e1ven\u00ed men\u0161\u00edho mno\u017estv\u00ed j\u00eddla m\u00e9n\u011b zat\u011b\u017euje t\u011blo a t\u00edm i srdce. Dal\u0161\u00ed podstatn\u00e9, ale ne tolik zn\u00e1m\u00e9 opat\u0159en\u00ed se t\u00fdk\u00e1 denn\u00edho p\u0159\u00edjmu tekutin. P\u0159i srde\u010dn\u00edm selh\u00e1n\u00ed toti\u017e t\u011blo zadr\u017euje tekutiny a t\u00edm se tvo\u0159\u00ed otoky. L\u00e9ka\u0159 proto m\u016f\u017ee pacientovi doporu\u010dit, aby m\u00e9n\u011b pil. Pokud se t\u011blo zapln\u00ed v\u011bt\u0161\u00edm mno\u017estv\u00edm tekutiny, je to zkr\u00e1tka p\u0159\u00edli\u0161 velk\u00e1 n\u00e1maha pro ji\u017e tak oslaben\u00e9 srdce.9,11 <\/sup>Re\u017eimov\u00e1 opat\u0159en\u00ed mus\u00ed b\u00fdt p\u0159izp\u016fsobena zdravotn\u00edmu stavu ka\u017ed\u00e9ho pacienta, proto by se m\u011bl pacient v\u017edy poradit se sv\u00fdm l\u00e9ka\u0159em. Nebojte se zeptat, jak\u00e9 aktivity a v\u00a0jak\u00e9 m\u00ed\u0159e jsou ty nejvhodn\u011bj\u0161\u00ed.<\/p>\n

Chronick\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed je z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed, se\u00a0kter\u00fdm se d\u00e1 ov\u0161em dob\u0159e pracovat a pacienti tak mohou \u017e\u00edt kvalitn\u00edm \u017eivotem. Zn\u00e1t sedm projev\u016f t\u00e9to chronick\u00e9 nemoci, ale i zp\u016fsob\u016f, jak srdci pomoci, m\u016f\u017ee pozitivn\u011b p\u0159isp\u011bt zdrav\u00ed. Zdrav\u00ed je zodpov\u011bdnost\u00ed ka\u017ed\u00e9ho z\u00a0n\u00e1s, nau\u010dte se v\u010das rozpoznat, kdy\u017e srdce hl\u00e1s\u00ed probl\u00e9my. V\u010das nav\u0161tivte l\u00e9ka\u0159e, ptejte se na nov\u00e9 l\u00e9\u010debn\u00e9 mo\u017enosti a vezm\u011bte re\u017eimov\u00e1 opat\u0159en\u00ed do sv\u00fdch rukou. Pomozte v\u00a0tomto i sv\u00fdm bl\u00edzk\u00fdm. Rezignace nad zdravotn\u00edm stavem psychick\u00e9 pohod\u011b, ale ani zdrav\u00ed samotn\u00e9mu zcela jist\u011b neprosp\u011bje.<\/p>\n

*\u00a0V origin\u00e1ln\u00edm zn\u011bn\u00ed tzv. Heart Failure Awareness Days\u00a0<\/strong><\/p>\n

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

Mark\u00e9ta Stillerov\u00e1, PR Director, Havas, 702\u00a0213\u00a0341, marketa.stillerova@havaspr.com<\/a><\/p>\n

Krist\u00fdna Hudeov\u00e1, PR Executive, Havas, 727\u00a0818\u00a0975, kristyna.hudeova@havaspr.com<\/a><\/p>\n

Zdroje:<\/p>\n

    \n
  1. Gheorghiade M, Pang P. Acute heart failure syndromes. Journal of the American College of Cardiology 2009; 53(7): 557\u201373.<\/li>\n
  2. Heidenreich PA et al. Forecasting the Impact of Heart Failure in the United States: A Policy Statement From the American Heart Association. Circ Heart Fail 2013; 6 (3) 606\u201319.<\/li>\n
  3. Go et al. Heart Disease and Stroke Statistics \u2013 2014 Update: A Report From the American Heart Association, Circulation 2014; 4; 129: e28\u2013e292.<\/li>\n
  4. Lloyd-Jones DM et al. Lifetime risk for developing congestive heart failure: the Framingham Heart Study. Circulation 2002; 106: 3068\u201372.<\/li>\n
  5. Heart Failure Association of the ESC. Naposledy dostupn\u00e9 9. 3. 2020 z: https:\/\/www.escardio.org\/Sub-specialty-communities\/Heart-Failure-Association-of-the-ESC-(HFA)\/Advocacy\/Heart-failure-awareness-day<\/a><\/li>\n
  6. Bedn\u00e1\u0159 F. Chronick\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed. Novartis, 2018.<\/li>\n
  7. STEM\/MARK, \u010ce\u0161i a srde\u010dn\u00ed selh\u00e1n\u00ed, duben 2017.<\/li>\n
  8. 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
  9. Ponikowski P et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal 2016; 37: 2129\u20132200. DOI: http:\/\/dx.doi.org\/10.1093\/eurheartj\/ehw128 ehw128. First published online: 20 May 2016.<\/li>\n
  10. Epstein AM, Jha AK, Orav EJ. The Relationship between Hospital Admission Rates and Rehospitalizations. New Engl J Med 2011; 365: 2287\u20132295.<\/li>\n
  11. \u0160pinar J et al. Summary of the 2016 ESC Guidelines on the diagnosis and treatment of acute and chronic heart failure. Prepared by the Czech Society of Cardiology. Cor et Vasa 2016; 58: e530\u2013e568.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Poznejte sedm podob t\u00e9to nemoci i sedm opat\u0159en\u00ed, kter\u00e1 zvl\u00e1dne ka\u017ed\u00fd.
    \nNa sv\u011bt\u011b trp\u00ed srde\u010dn\u00edm selh\u00e1n\u00edm minim\u00e1ln\u011b 26 milion\u016f lid\u00ed a dle progn\u00f3z bude toto \u010d\u00edslo v roce 2030 je\u0161t\u011b o 25 % vy\u0161\u0161\u00ed.1,2<\/sup> Chronick\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed se toti\u017e rozv\u00edj\u00ed u ka\u017ed\u00e9ho p\u00e1t\u00e9ho nad 40 let.3,4<\/sup> Nejen to je d\u016fvodem, pro\u010d Asociace srde\u010dn\u00edho selh\u00e1n\u00ed Evropsk\u00e9 kardiologick\u00e9 spole\u010dnosti i letos v kv\u011btnu vyhla\u0161uje ji\u017e tradi\u010dn\u00ed Dny zvy\u0161ov\u00e1n\u00ed pov\u011bdom\u00ed o srde\u010dn\u00edm selh\u00e1n\u00ed*. <\/p>\n","protected":false},"author":48,"featured_media":9148,"menu_order":0,"template":"","meta":{"_links_to":"","_links_to_target":""},"pressroom_category":[],"pressroom_tag":[204],"class_list":["post-9141","pressroom","type-pressroom","status-publish","has-post-thumbnail","hentry","pressroom_tag-zdravi"],"yoast_head":"\nSedm dn\u00ed p\u0159ipom\u00ednaj\u00edc\u00edch srde\u010dn\u00ed selh\u00e1n\u00ed - 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\/sedm-dni-pripominajicich-srdecni-selhani\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sedm dn\u00ed p\u0159ipom\u00ednaj\u00edc\u00edch srde\u010dn\u00ed selh\u00e1n\u00ed - Havas Prague\" \/>\n<meta property=\"og:description\" content=\"Poznejte sedm podob t\u00e9to nemoci i sedm opat\u0159en\u00ed, kter\u00e1 zvl\u00e1dne ka\u017ed\u00fd. 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