{"id":58846,"date":"2024-07-30T00:36:26","date_gmt":"2024-07-29T22:36:26","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=58846"},"modified":"2024-07-29T16:56:42","modified_gmt":"2024-07-29T14:56:42","slug":"japonsti-lekari-potvrzuji-vzacny-srdecni-stav-po-vakcine-na-covid","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2024\/07\/30\/japonsti-lekari-potvrzuji-vzacny-srdecni-stav-po-vakcine-na-covid\/","title":{"rendered":"Japon\u0161t\u00ed l\u00e9ka\u0159i potvrzuj\u00ed vz\u00e1cn\u00fd srde\u010dn\u00ed stav po vakc\u00edn\u011b na COVID"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<div class=\"elementor-element elementor-element-1fb4c2c elementor-widget elementor-widget-theme-post-content\" data-id=\"1fb4c2c\" data-element_type=\"widget\" data-widget_type=\"theme-post-content.default\">\n<div class=\"elementor-widget-container\">\n<p><em><strong><span>L\u00e9ka\u0159i v Japonsku, kte\u0159\u00ed zdokumentovali prvn\u00ed zn\u00e1m\u00fd p\u0159\u00edpad biopsi\u00ed prok\u00e1zan\u00e9 z\u00e1n\u011btliv\u00e9 dilata\u010dn\u00ed kardiomyopatie \u2013 stavu, kdy se srdce zv\u011bt\u0161uje a sl\u00e1bne v d\u016fsledku z\u00e1n\u011btu \u2013 po o\u010dkov\u00e1n\u00ed proti COVID-19 uvedli, \u017ee jejich p\u0159\u00edpadov\u00e1 studie zd\u016fraz\u0148uje hodnotu pokro\u010dil\u00fdch diagnostick\u00fdch technik prok\u00e1zan\u00fdch p\u0159i identifikaci a pochopen\u00ed vedlej\u0161\u00edch \u00fa\u010dink\u016f souvisej\u00edc\u00edch s vakc\u00ednou.<\/span><\/strong><\/em><\/p>\n<p><span>P\u0159\u00edpadov\u00e1 studie z Japonska dokumentovala prvn\u00ed zn\u00e1m\u00fd p\u0159\u00edpad z\u00e1n\u011btliv\u00e9 dilata\u010dn\u00ed kardiomyopatie (iDCM) \u2013 stavu, kdy se srdce zv\u011bt\u0161uje a sl\u00e1bne v d\u016fsledku z\u00e1n\u011btu \u2013 po o\u010dkov\u00e1n\u00ed proti COVID-19.<\/span><\/p>\n<p><span>L\u00e9ka\u0159i z nemocnice Narita-Tomisato Tokushukai v japonsk\u00e9 Chib\u011b pou\u017eili endomyokardi\u00e1ln\u00ed biopsii k diagnostice iDCM u 78let\u00e9 \u017eeny, u kter\u00e9 se po t\u0159et\u00edm o\u010dkov\u00e1n\u00ed proti COVID-19 rozvinuly srde\u010dn\u00ed probl\u00e9my.<\/span><\/p>\n<p><span>Pacient p\u0159edt\u00edm dostal dv\u011b d\u00e1vky mRNA vakc\u00edny BNT162b2 od spole\u010dnosti Pfizer-BioNTech, po nich\u017e n\u00e1sledovala posilovac\u00ed d\u00e1vka Moderna mRNA-1273.<\/span><\/p>\n<p><span>P\u0159\u00edpad uveden\u00fd 1. \u010dervence v recenzovan\u00e9m \u010dl\u00e1nku s otev\u0159en\u00fdm p\u0159\u00edstupem v \u010dasopise ESC Heart Failure p\u0159edstavuje v\u00fdznamn\u00fd pokrok v pochopen\u00ed mo\u017en\u00fdch srde\u010dn\u00edch komplikac\u00ed spojen\u00fdch s vakc\u00ednami COVID-19.<\/span><\/p>\n<p><span>Pomoc\u00ed tk\u00e1\u0148ov\u00e9ho rozboru byli l\u00e9ka\u0159i schopni jasn\u011bji spojit srde\u010dn\u00ed onemocn\u011bn\u00ed s o\u010dkov\u00e1n\u00edm a odli\u0161it je od jin\u00fdch mo\u017en\u00fdch p\u0159\u00ed\u010din.<\/span><\/p>\n<p><span>&#8222;A\u010dkoli jsou takov\u00e9 z\u00e1va\u017en\u00e9 reakce extr\u00e9mn\u011b vz\u00e1cn\u00e9, tento p\u0159\u00edpad demonstruje hodnotu pokro\u010dil\u00fdch diagnostick\u00fdch technik p\u0159i odhalov\u00e1n\u00ed a pochopen\u00ed vedlej\u0161\u00edch \u00fa\u010dink\u016f souvisej\u00edc\u00edch s vakc\u00ednou,&#8220; napsali l\u00e9ka\u0159i.<\/span><\/p>\n<p><span>Pacientka byla \u00fasp\u011b\u0161n\u011b l\u00e9\u010dena kortikosteroidy, co\u017e vedlo k v\u00fdrazn\u00e9mu, ale ne \u00fapln\u00e9mu zlep\u0161en\u00ed jej\u00edho stavu.<\/span><\/p>\n<p><span>Tento v\u00fdsledek podtrhuje d\u016fle\u017eitost okam\u017eit\u00e9ho vyhled\u00e1n\u00ed l\u00e9ka\u0159sk\u00e9 pomoci a stanoven\u00ed p\u0159esn\u00e9 diagn\u00f3zy, pokud se u v\u00e1s po o\u010dkov\u00e1n\u00ed objev\u00ed neobvykl\u00e9 p\u0159\u00edznaky. &#8222;T\u011b\u017ek\u00e9 p\u0159\u00edpady mohou b\u00fdt smrteln\u00e9, pokud se nel\u00e9\u010d\u00ed,&#8220; napsali l\u00e9ka\u0159i.<\/span><\/p>\n<p><span>Dr. Peter McCullough souhlasil a \u0159ekl The Defender, \u017ee jeho pr\u00e1ce s Jessicou Rose, Ph.D. a Nicolasem Hulscherem, publikovan\u00e1 v lednu, uk\u00e1zala, \u017ee \u00famrtnost tis\u00edc\u016f p\u0159\u00edpad\u016f myokarditidy souvisej\u00edc\u00ed s vakc\u00ednou byla 2,9 %.<\/span><\/p>\n<p><span>McCullough \u0159ekl, \u017ee japonsk\u00e1 pr\u00e1ce je d\u016fle\u017eit\u00e1, proto\u017ee se t\u00fdk\u00e1 srde\u010dn\u00edho selh\u00e1n\u00ed, ke kter\u00e9mu doch\u00e1z\u00ed m\u011bs\u00edce a\u017e roky po o\u010dkov\u00e1n\u00ed proti COVID-19. U pacient\u016f s podobn\u00fdmi p\u0159\u00edznaky by l\u00e9ka\u0159i m\u011bli v\u00e1\u017en\u011b zv\u00e1\u017eit mo\u017enost, \u017ee po\u0161kozen\u00ed mohla zp\u016fsobit vakc\u00edna COVID-19, \u0159ekl.<\/span><\/p>\n<p><span>Brian Hooker, Ph.D., hlavn\u00ed v\u011bdeck\u00fd \u0159editel Children&#8217;s Health Defense, \u0159ekl The Defender, \u017ee p\u0159\u00edpadov\u00e1 studie byla \u201evelmi robustn\u00ed\u201c.<\/span><\/p>\n<p><span>&#8222;Vylou\u010d\u00edte jak srde\u010dn\u00ed infekci, tak chronickou myokarditidu zp\u016fsobenou autoimunitou, abyste mohli diagnostikovat myokarditidu spojenou s vakc\u00ednou,&#8220; \u0159ekl Hooker.<\/span><\/p>\n<p class=\"has-medium-font-size\"><strong><span>Pacient m\u011bl \u201eakutn\u00ed srde\u010dn\u00ed selh\u00e1n\u00ed\u201c.<\/span><\/strong><\/p>\n<p><span>Pacient, kter\u00fd nem\u011bl v anamn\u00e9ze srde\u010dn\u00ed onemocn\u011bn\u00ed, m\u011bl \u010dtvrt\u00fd den po t\u0159et\u00edm o\u010dkov\u00e1n\u00ed proti COVID-19 bu\u0161en\u00ed srdce a du\u0161nost. Jej\u00ed p\u0159\u00edznaky se postupn\u011b zhor\u0161ovaly a 11 dn\u00ed po o\u010dkov\u00e1n\u00ed byla hospitalizov\u00e1na.<\/span><\/p>\n<p><span>&#8222;Kdy\u017e byla p\u0159ijata do na\u0161\u00ed nemocnice, m\u011bla ji\u017e akutn\u00ed srde\u010dn\u00ed selh\u00e1n\u00ed,&#8220; vysv\u011btlili l\u00e9ka\u0159i.<\/span><\/p>\n<p><span>P\u0159i vy\u0161et\u0159en\u00ed si v\u0161imli n\u011bkolika znepokojiv\u00fdch p\u0159\u00edznak\u016f:<\/span><\/p>\n<ul class=\"wp-block-list\">\n<li><span>Rychl\u00fd srde\u010dn\u00ed tep 120 tep\u016f za minutu.<\/span><\/li>\n<li><span>Otekl\u00e9 kr\u010dn\u00ed \u017e\u00edly a ed\u00e9m nohou.<\/span><\/li>\n<li><span>Abnorm\u00e1ln\u00ed srde\u010dn\u00ed ozvy, v\u010detn\u011b cvalov\u00e9ho rytmu a srde\u010dn\u00edho \u0161elestu.<\/span><\/li>\n<li><span>N\u00edzk\u00e1 hladina kysl\u00edku v krvi.<\/span><\/li>\n<\/ul>\n<p><span>Diagnostick\u00e9 testy prok\u00e1zaly srde\u010dn\u00ed dysfunkci. Elektrokardiogram (EKG) uk\u00e1zal abnorm\u00e1ln\u011b rychlou srde\u010dn\u00ed frekvenci s naru\u0161en\u00fdmi vzory elektrick\u00e9ho veden\u00ed v prav\u00e9 i lev\u00e9 stran\u011b srdce.<\/span><\/p>\n<p><span>Krevn\u00ed testy odhalily zv\u00fd\u0161en\u00e9 hladiny srde\u010dn\u00edho troponinu I a mozkov\u00e9ho natriuretick\u00e9ho peptidu, oba markery stresu a po\u0161kozen\u00ed srde\u010dn\u00edho svalu. EKG prok\u00e1zalo z\u00e1va\u017enou poruchu funkce lev\u00e9 komory s ejek\u010dn\u00ed frakc\u00ed pouze 20 %.<\/span><\/p>\n<p><span>Aby l\u00e9ka\u0159sk\u00fd t\u00fdm vylou\u010dil onemocn\u011bn\u00ed koron\u00e1rn\u00edch tepen, provedl rentgenov\u00fd test zvan\u00fd koron\u00e1rn\u00ed angiografie, kter\u00fd neprok\u00e1zal \u017e\u00e1dn\u00e9 v\u00fdznamn\u00e9 z\u00fa\u017een\u00ed.<\/span><\/p>\n<p><span>Na z\u00e1klad\u011b konstelace p\u0159\u00edznak\u016f a v\u00fdsledk\u016f vy\u0161et\u0159en\u00ed l\u00e9ka\u0159i diagnostikovali iDCM, co\u017e m\u016f\u017ee souviset s ned\u00e1vn\u00fdm o\u010dkov\u00e1n\u00edm proti COVID-19. Aby stanovili definitivn\u00ed diagn\u00f3zu, provedli endomyokardi\u00e1ln\u00ed biopsii.<\/span><\/p>\n<p><span>V reakci na tweet o japonsk\u00e9 studii Lori Petersen, kter\u00e1 byla po\u0161kozena vakc\u00ednou Pfizer, ve \u010dtvrtek na X (d\u0159\u00edve Twitter) zve\u0159ejnila n\u00e1sleduj\u00edc\u00ed:<\/span><\/p>\n<div class=\"twitter-tweet twitter-tweet-rendered\"><iframe id=\"twitter-widget-0\" class=\"\" title=\"X Post\" src=\"https:\/\/platform.twitter.com\/embed\/Tweet.html?dnt=false&amp;embedId=twitter-widget-0&amp;features=eyJ0ZndfdGltZWxpbmVfbGlzdCI6eyJidWNrZXQiOltdLCJ2ZXJzaW9uIjpudWxsfSwidGZ3X2ZvbGxvd2VyX2NvdW50X3N1bnNldCI6eyJidWNrZXQiOnRydWUsInZlcnNpb24iOm51bGx9LCJ0ZndfdHdlZXRfZWRpdF9iYWNrZW5kIjp7ImJ1Y2tldCI6Im9uIiwidmVyc2lvbiI6bnVsbH0sInRmd19yZWZzcmNfc2Vzc2lvbiI6eyJidWNrZXQiOiJvbiIsInZlcnNpb24iOm51bGx9LCJ0ZndfZm9zbnJfc29mdF9pbnRlcnZlbnRpb25zX2VuYWJsZWQiOnsiYnVja2V0Ijoib24iLCJ2ZXJzaW9uIjpudWxsfSwidGZ3X21peGVkX21lZGlhXzE1ODk3Ijp7ImJ1Y2tldCI6InRyZWF0bWVudCIsInZlcnNpb24iOm51bGx9LCJ0ZndfZXhwZXJpbWVudHNfY29va2llX2V4cGlyYXRpb24iOnsiYnVja2V0IjoxMjA5NjAwLCJ2ZXJzaW9uIjpudWxsfSwidGZ3X3Nob3dfYmlyZHdhdGNoX3Bpdm90c19lbmFibGVkIjp7ImJ1Y2tldCI6Im9uIiwidmVyc2lvbiI6bnVsbH0sInRmd19kdXBsaWNhdGVfc2NyaWJlc190b19zZXR0aW5ncyI6eyJidWNrZXQiOiJvbiIsInZlcnNpb24iOm51bGx9LCJ0ZndfdXNlX3Byb2ZpbGVfaW1hZ2Vfc2hhcGVfZW5hYmxlZCI6eyJidWNrZXQiOiJvbiIsInZlcnNpb24iOm51bGx9LCJ0ZndfdmlkZW9faGxzX2R5bmFtaWNfbWFuaWZlc3RzXzE1MDgyIjp7ImJ1Y2tldCI6InRydWVfYml0cmF0ZSIsInZlcnNpb24iOm51bGx9LCJ0ZndfbGVnYWN5X3RpbWVsaW5lX3N1bnNldCI6eyJidWNrZXQiOnRydWUsInZlcnNpb24iOm51bGx9LCJ0ZndfdHdlZXRfZWRpdF9mcm9udGVuZCI6eyJidWNrZXQiOiJvbiIsInZlcnNpb24iOm51bGx9fQ%3D%3D&amp;frame=false&amp;hideCard=false&amp;hideThread=false&amp;id=1814106127929692577&amp;lang=cs&amp;origin=https%3A%2F%2Funcutnews.ch%2Fjapanische-aerzte-bestaetigen-seltenen-herzzustand-nach-covid-spritze%2F&amp;sessionId=ab2ffef8295cbd0c50ec8de53ca52cd5575782be&amp;theme=light&amp;widgetsVersion=2615f7e52b7e0%3A1702314776716&amp;width=550px\" frameborder=\"0\" scrolling=\"no\" allowfullscreen=\"allowfullscreen\" data-tweet-id=\"1814106127929692577\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<p class=\"has-medium-font-size\"><strong><span>Kl\u00ed\u010dov\u00e9 poznatky<\/span><\/strong><\/p>\n<p><span>Endomyokardi\u00e1ln\u00ed biopsie poskytla z\u00e1sadn\u00ed informace o stavu pacienta. L\u00e9ka\u0159i pod mikroskopem pozorovali zn\u00e1mky z\u00e1n\u011btu v srde\u010dn\u00ed tk\u00e1ni, co\u017e potvrdilo diagn\u00f3zu iDCM. Tyto znaky zahrnovaly:<\/span><\/p>\n<ul class=\"wp-block-list\">\n<li><span>Zv\u011bt\u0161en\u00e9 bu\u0148ky srde\u010dn\u00edho svalu.<\/span><\/li>\n<li><span>Jizvy mezi bu\u0148kami.<\/span><\/li>\n<li><span>Akumulace z\u00e1n\u011btliv\u00fdch bun\u011bk, zejm\u00e9na makrof\u00e1g\u016f a T lymfocyt\u016f nebo T bun\u011bk.<\/span><\/li>\n<\/ul>\n<p><span>Biopsie tak\u00e9 odhalila zv\u00fd\u0161en\u00e9 hladiny tenascinu-C, proteinu, kter\u00fd je typicky zv\u00fd\u0161en\u00fd p\u0159i aktivn\u00edm srde\u010dn\u00edm z\u00e1n\u011btu. To nazna\u010duje, \u017ee stav pacienta byl v aktivn\u00ed f\u00e1zi a potenci\u00e1ln\u011b l\u00e9\u010diteln\u00fd.<\/span><\/p>\n<p><span>Srde\u010dn\u00ed MRI, dal\u0161\u00ed pokro\u010dil\u00fd zobrazovac\u00ed test, uk\u00e1zal dal\u0161\u00ed zn\u00e1mky po\u0161kozen\u00ed srdce. Prok\u00e1zala zv\u011bt\u0161enou levou komoru a vzor jizev ve st\u011bn\u011b srde\u010dn\u00edho svalu, kter\u00fd se \u010dasto vyskytuje u neinfek\u010dn\u00edch p\u0159\u00ed\u010din z\u00e1n\u011btu srdce.<\/span><\/p>\n<p><span>&#8222;Biopsie n\u00e1m umo\u017enila p\u0159\u00edmo pozorovat z\u00e1n\u011btliv\u00fd proces v srde\u010dn\u00ed tk\u00e1ni, co\u017e n\u00e1m poskytlo \u00farove\u0148 jistoty, kterou jsme nem\u011bli v p\u0159edchoz\u00edch p\u0159\u00edpadech podez\u0159en\u00ed na srde\u010dn\u00ed probl\u00e9my souvisej\u00edc\u00ed s o\u010dkov\u00e1n\u00edm,&#8220; napsali l\u00e9ka\u0159i.<\/span><\/p>\n<p><span>Zd\u016fraznili, \u017ee tento p\u0159\u00edpad se li\u0161\u00ed od d\u0159\u00edve hl\u00e1\u0161en\u00fdch srde\u010dn\u00edch probl\u00e9m\u016f spojen\u00fdch s o\u010dkov\u00e1n\u00edm. \u201eNej\u010dast\u011bji hl\u00e1\u0161en\u00fdmi p\u0159\u00edpady z\u00e1n\u011btu srdce po o\u010dkov\u00e1n\u00ed proti COVID-19 byly myokarditida u mlad\u00fdch mu\u017e\u016f. Tento p\u0159\u00edpad iDCM u star\u0161\u00edho pacienta roz\u0161i\u0159uje na\u0161e ch\u00e1p\u00e1n\u00ed mo\u017en\u00fdch srde\u010dn\u00edch komplikac\u00ed.\u201c<\/span><\/p>\n<p><span>Podrobn\u00e9 n\u00e1lezy umo\u017enily l\u00e9ka\u0159\u016fm odli\u0161it tento p\u0159\u00edpad od jin\u00fdch typ\u016f srde\u010dn\u00edch probl\u00e9m\u016f a navrhly souvislost s ned\u00e1vnou vakcinac\u00ed COVID-19.<\/span><\/p>\n<p><span>N\u00e1sledn\u00e1 vy\u0161et\u0159en\u00ed po \u0161esti m\u011bs\u00edc\u00edch prok\u00e1zala \u201ev\u00fdznamn\u00e1 zlep\u0161en\u00ed\u201c.<\/span><\/p>\n<p><span>Pot\u00e9, co byla biopsi\u00ed potvrzena diagn\u00f3za iDCM, l\u00e9ka\u0159i zah\u00e1jili c\u00edlen\u00fd l\u00e9\u010debn\u00fd pl\u00e1n, kter\u00fd zahrnoval peror\u00e1ln\u00ed kortikosteroid prednisolon ke sn\u00ed\u017een\u00ed z\u00e1n\u011btu v srdci.<\/span><\/p>\n<p><span>L\u00e9ka\u0159sk\u00fd t\u00fdm tak\u00e9 pod\u00e1val standardn\u00ed l\u00e9ky na srde\u010dn\u00ed selh\u00e1n\u00ed, v\u010detn\u011b:<\/span><\/p>\n<ul class=\"wp-block-list\">\n<li><span>Enalapril, k uvoln\u011bn\u00ed krevn\u00edch c\u00e9v.<\/span><\/li>\n<li><span>Spironolakton, diuretikum, kter\u00e9 m\u00e1 tak\u00e9 protiz\u00e1n\u011btliv\u00e9 vlastnosti.<\/span><\/li>\n<li><span>Dapagliflozin, nov\u011bj\u0161\u00ed l\u00e9k, kter\u00fd se uk\u00e1zal b\u00fdt u\u017eite\u010dn\u00fd p\u0159i srde\u010dn\u00edm selh\u00e1n\u00ed.<\/span><\/li>\n<\/ul>\n<p><span>Stav pacienta se po l\u00e9\u010db\u011b neust\u00e1le zlep\u0161oval. Po 16 dnech hospitalizace byla propu\u0161t\u011bna na sn\u00ed\u017eenou d\u00e1vku prednisolonu.<\/span><\/p>\n<p><span>Kontroln\u00ed vy\u0161et\u0159en\u00ed po \u0161esti m\u011bs\u00edc\u00edch prok\u00e1zala v\u00fdznamn\u00e9 zlep\u0161en\u00ed srde\u010dn\u00ed funkce pacienta. &#8222;Echokardiogram uk\u00e1zal dramatick\u00e9 zotaven\u00ed \u010derpac\u00ed kapacity srdce,&#8220; napsali l\u00e9ka\u0159i. \u201eEjek\u010dn\u00ed frakce lev\u00e9 komory se zlep\u0161ila z 20 % na 56 %, co\u017e je v norm\u00e1ln\u00edm rozmez\u00ed.<\/span><\/p>\n<p><span>N\u00e1sledn\u00e9 vy\u0161et\u0159en\u00ed srdce magnetickou rezonanc\u00ed potvrdilo zvr\u00e1cen\u00ed p\u0159edchoz\u00edch abnormalit a uk\u00e1zalo zmen\u0161en\u00ed velikosti srdce a zlep\u0161en\u00ed funkce. Nov\u00e1 biopsie nav\u00edc prok\u00e1zala v\u00fdznamn\u00fd pokles z\u00e1n\u011btu v srde\u010dn\u00ed tk\u00e1ni.<\/span><\/p>\n<p><span>Pacient z\u016fstal stabiln\u00ed b\u011bhem ro\u010dn\u00ed doby sledov\u00e1n\u00ed bez recidivy symptom\u016f.<\/span><\/p>\n<p><span>Hooker hodnotil pacientovo zotaven\u00ed pon\u011bkud opatrn\u011b. &#8222;To zn\u00ed sp\u00ed\u0161e jako chronick\u00e1 myokarditida (jizven\u00ed a zv\u011bt\u0161en\u00e9 srdce) ne\u017e akutn\u00ed myokarditida, kde je \u0161ance na \u00fapln\u00e9 uzdraven\u00ed b\u011bhem 2 a\u017e 3 m\u011bs\u00edc\u016f asi 66%.&#8220;<\/span><\/p>\n<p><span>Hooker pouk\u00e1zal na to, \u017ee zjizven\u00ed srdce je trval\u00e9 a v tomto p\u0159\u00edpad\u011b se ejek\u010dn\u00ed frakce srdce \u00fapln\u011b nezotavila do \u0161estim\u011bs\u00ed\u010dn\u00edho sledov\u00e1n\u00ed.<\/span><\/p>\n<p class=\"has-medium-font-size\"><strong><span>Vy\u017eaduje se ostra\u017eitost a vy\u0161et\u0159ov\u00e1n\u00ed mo\u017en\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f souvisej\u00edc\u00edch s vakc\u00ednou<\/span><\/strong><\/p>\n<p><span>P\u0159\u00edpadov\u00e1 studie poskytuje nov\u00fd pohled na spektrum srde\u010dn\u00edch komplikac\u00ed potenci\u00e1ln\u011b spojen\u00fdch s vakc\u00ednami COVID-19. V\u00fdzkumn\u00edci ve sv\u00e9 diskusi zd\u016fraznili n\u011bkolik d\u016fle\u017eit\u00fdch bod\u016f.<\/span><\/p>\n<p><span>Podle sou\u010dasn\u00fdch znalost\u00ed se myokarditida souvisej\u00edc\u00ed s vakc\u00ednou COVID-19 vyskytuje p\u0159edev\u0161\u00edm u mlad\u00fdch mu\u017e\u016f, \u010dasto po druh\u00e9 d\u00e1vce o\u010dkov\u00e1n\u00ed.<\/span><\/p>\n<p><span>Hooker pouk\u00e1zal na to, \u017ee mlad\u00ed mu\u017ei jsou vystaveni nejvy\u0161\u0161\u00edmu riziku po\u0161kozen\u00ed srdce z mRNA vakc\u00edn.<\/span><\/p>\n<p><span>Tyto p\u0159\u00edpady myokarditidy typicky vykazuj\u00ed mno\u017estv\u00ed lymfocyt\u016f, co\u017e je typ b\u00edl\u00fdch krvinek, kter\u00e9 infiltruj\u00ed srde\u010dn\u00ed tk\u00e1\u0148. Tento p\u0159\u00edpad se v\u0161ak odchyluje od typick\u00e9ho profilu myokarditidy spojen\u00e9 s vakc\u00ednou n\u011bkolika zp\u016fsoby:<\/span><\/p>\n<ul class=\"wp-block-list\">\n<li><span>Pacientkou byla star\u0161\u00ed \u017eena.<\/span><\/li>\n<li><span>Komplikace nastala po t\u0159et\u00ed d\u00e1vce jin\u00e9 vakc\u00edny proti COVID-19.<\/span><\/li>\n<li><span>Diagn\u00f3za zn\u011bla konkr\u00e9tn\u011b iDCM.<\/span><\/li>\n<\/ul>\n<p><span>V\u00fdsledky biopsie uk\u00e1zaly sm\u011bs makrof\u00e1g\u016f a T lymfocyt\u016f v srde\u010dn\u00ed tk\u00e1ni &#8211; bu\u0148k\u00e1ch imunitn\u00edho syst\u00e9mu, kter\u00e9 pom\u00e1haj\u00ed zbavit t\u011blo infekce a nemoci &#8211; a tak\u00e9 srde\u010dn\u00ed mikrotromby (drobn\u00e9 krevn\u00ed sra\u017eeniny).<\/span><\/p>\n<p><span>Tento vzorec se li\u0161\u00ed od d\u0159\u00edve hl\u00e1\u0161en\u00fdch p\u0159\u00edpad\u016f myokarditidy spojen\u00e9 s vakc\u00ednou a jin\u00fdch typ\u016f srde\u010dn\u00edho z\u00e1n\u011btu souvisej\u00edc\u00edho s vakc\u00ednou. To podtrhuje slo\u017eitost imunitn\u00edch reakc\u00ed na vakc\u00edny, p\u00ed\u0161\u00ed l\u00e9ka\u0159i.<\/span><\/p>\n<p><span>V\u011bdci zd\u016fraznili, \u017ee je d\u016fle\u017eit\u00e9 zv\u00e1\u017eit iDCM u pacient\u016f, kte\u0159\u00ed vykazuj\u00ed p\u0159\u00edznaky srde\u010dn\u00edho selh\u00e1n\u00ed po o\u010dkov\u00e1n\u00ed proti COVID-19, zejm\u00e9na pokud klinick\u00fd obraz neodpov\u00edd\u00e1 typick\u00e9 myokarditid\u011b.<\/span><\/p>\n<p><span>\u201eKlinici by nem\u011bli v\u00e1hat s proveden\u00edm EMB [endomyokardi\u00e1ln\u00ed biopsie] u pacient\u016f, kte\u0159\u00ed vykazuj\u00ed fenotyp DCM [dilata\u010dn\u00ed kardiomyopatie] po o\u010dkov\u00e1n\u00ed proti SARS-CoV-2,\u201c zd\u016fraznili l\u00e9ka\u0159i.<\/span><\/p>\n<p><span>McCullough \u0159ekl, \u017ee v\u011b\u0159\u00ed, \u017ee v\u0161ichni o\u010dkovan\u00ed potenci\u00e1ln\u011b utrp\u011bli po\u0161kozen\u00ed srdce. &#8222;Ve sv\u00e9 klinick\u00e9 praxi&#8230; dodr\u017euji v\u00edcestup\u0148ov\u00fd p\u0159\u00edstup zahrnuj\u00edc\u00ed anamn\u00e9zu, vy\u0161et\u0159en\u00ed, EKG, laborato\u0159e a ve vybran\u00fdch p\u0159\u00edpadech i echokardiografii\/magnetickou rezonanci srdce.&#8220;<\/span><\/p>\n<p><span>Japonsk\u00fd t\u00fdm uznal, \u017ee i kdy\u017e jsou takov\u00e9 z\u00e1va\u017en\u00e9 reakce extr\u00e9mn\u011b vz\u00e1cn\u00e9, tento p\u0159\u00edpad zd\u016fraz\u0148uje pot\u0159ebu pokra\u010duj\u00edc\u00ed ostra\u017eitosti a d\u016fkladn\u00e9ho vy\u0161et\u0159ov\u00e1n\u00ed mo\u017en\u00fdch ne\u017e\u00e1douc\u00edch \u00fa\u010dink\u016f souvisej\u00edc\u00edch s vakc\u00ednou.<\/span><\/p>\n<p><em>Autor: John Michael Dumais<\/em><\/p>\n<\/div>\n<\/div>\n<div class=\"elementor-element elementor-element-8c57238 quelle dc-has-condition dc-condition-empty elementor-widget elementor-widget-heading\" data-id=\"8c57238\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n<div class=\"elementor-widget-container\">\n<h3 class=\"elementor-heading-title elementor-size-default\"><span style=\"font-size: 10pt;\"><a href=\"https:\/\/childrenshealthdefense.org\/defender\/cardiomyopathy-covid-vaccines-japan-study\/\" target=\"_blank\" rel=\"nofollow noopener\">Zdroj<\/a><\/span><\/h3>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>L\u00e9ka\u0159i v Japonsku, kte\u0159\u00ed zdokumentovali prvn\u00ed zn\u00e1m\u00fd p\u0159\u00edpad biopsi\u00ed prok\u00e1zan\u00e9 z\u00e1n\u011btliv\u00e9 dilata\u010dn\u00ed kardiomyopatie \u2013 stavu,&#8230;<\/p>\n","protected":false},"author":2,"featured_media":37401,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[105,677,2340,46],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/58846"}],"collection":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/comments?post=58846"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/58846\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/37401"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=58846"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=58846"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=58846"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}