{"id":8111,"date":"2022-02-07T08:08:50","date_gmt":"2022-02-07T07:08:50","guid":{"rendered":"http:\/\/www.infokuryr.cz\/n\/?p=8111"},"modified":"2022-02-07T08:08:50","modified_gmt":"2022-02-07T07:08:50","slug":"z-niceho-nic-ma-ve-velke-britanii-300-000-lidi-smrtelne-onemocneni-srdce","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2022\/02\/07\/z-niceho-nic-ma-ve-velke-britanii-300-000-lidi-smrtelne-onemocneni-srdce\/","title":{"rendered":"Z ni\u010deho nic m\u00e1 ve Velk\u00e9 Brit\u00e1nii 300 000 lid\u00ed smrteln\u00e9 onemocn\u011bn\u00ed srdce"},"content":{"rendered":"
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Podle nov\u00e9 studie m\u00e1 v sou\u010dasnosti ve Velk\u00e9 Brit\u00e1nii t\u00e9m\u011b\u0159 300 000 lid\u00ed z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed srdce zvan\u00e9 aort\u00e1ln\u00ed sten\u00f3za (z\u00fa\u017een\u00ed aort\u00e1ln\u00ed chlopn\u011b).\u00a0Jedn\u00e1 se o potenci\u00e1ln\u011b smrteln\u00e9 onemocn\u011bn\u00ed.<\/span><\/p>\n

Britsk\u00fd syst\u00e9m ve\u0159ejn\u00e9ho zdravotnictv\u00ed (NHS) bude m\u00edt b\u011bhem p\u0159\u00ed\u0161t\u00edch n\u011bkolika let v\u00e1\u017en\u00fd probl\u00e9m postarat se o takov\u00e9 mno\u017estv\u00ed pacient\u016f vy\u017eaduj\u00edc\u00edch zdravotn\u00ed p\u00e9\u010di.\u00a0O\u010dek\u00e1v\u00e1 se p\u0159itom, \u017ee jejich po\u010dty je\u0161t\u011b porostou.<\/span><\/p>\n

Pokud se jim nedostane adekv\u00e1tn\u00ed p\u00e9\u010de, v\u00edce ne\u017e polovina pacient\u016f s pokro\u010dil\u00fdm stadiem onemocn\u011bn\u00ed aort\u00e1ln\u00ed chlopn\u011b zem\u0159e v pr\u016fb\u011bhu n\u00e1sleduj\u00edc\u00edch 5 let.<\/span><\/p>\n

Zji\u0161t\u011bn\u00ed studie byla publikov\u00e1na ve speci\u00e1ln\u00ed sekci \u201eOtev\u0159en\u00e9 srdce\u201c Britsk\u00e9ho Medic\u00ednsk\u00e9ho \u017durn\u00e1lu (BMJ).<\/span><\/p>\n

Podstata a pr\u016fb\u011bh onemocn\u011bn\u00ed<\/span><\/h2>\n

Aort\u00e1ln\u00ed sten\u00f3za je onemocn\u011bn\u00ed, kdy aort\u00e1ln\u00ed chlope\u0148, kter\u00e1 je hlavn\u00ed v\u00fdstupn\u00ed chlopn\u00ed na srdci, ztuhne nebo se z\u00fa\u017e\u00ed.\u00a0Jin\u00fdmi slovy, nedok\u00e1\u017ee se otev\u00edrat a zav\u00edrat v pln\u00e9m rozsahu, \u010d\u00edm\u017e doch\u00e1z\u00ed ke sn\u00ed\u017een\u00ed nebo blokov\u00e1n\u00ed krve vych\u00e1zej\u00edc\u00ed ze srdce do aorty a d\u00e1le do cel\u00e9ho t\u011bla.<\/span><\/p>\n

U v\u011bt\u0161iny pacient\u016f prob\u00edh\u00e1 toto onemocn\u011bn\u00ed v tichosti.\u00a0P\u0159\u00edznaky se za\u010dnou objevovat a\u017e v pokro\u010dil\u00e9m stadiu.<\/span><\/p>\n

Vezmeme-li v \u00favahu st\u00e1rnut\u00ed populace, je pravd\u011bpodobn\u00e9, \u017ee mno\u017estv\u00ed p\u0159\u00edpad\u016f zm\u00edn\u011bn\u00e9ho onemocn\u011bn\u00ed nejsou zat\u00edm diagnostikov\u00e1ny, p\u0159i\u010dem\u017e v\u010dasn\u00e1 l\u00e9\u010dba by jim mohla pomoci.<\/span><\/p>\n

Proveden\u00e1 studie zahrnovala v\u00fdzkumn\u00edky p\u0159\u00edmo z NHS Anglie, Univerzity v Glasgow\u011b, Univerzity v Southamptonu, Univerzity Norte Dame v Austr\u00e1lii a tak\u00e9 kardiology a chirurgy z Manchesteru, Sheffieldu a Edinburghu.<\/span><\/p>\n

\u201ePodle na\u0161ich poznatk\u016f, jde o prvn\u00ed studii, kter\u00e1 specificky odhadla z\u00e1t\u011b\u017e pokro\u010dil\u00e9ho symptomatick\u00e9ho stadia tohoto onemocn\u011bn\u00ed u britsk\u00e9 populace,\u201c\u00a0<\/span><\/em>\u00a0uv\u00e1d\u011bj\u00ed auto\u0159i studie.<\/span><\/p>\n

\u201eJej\u00ed v\u00fdskyt je nejvy\u0161\u0161\u00ed u st\u00e1rnouc\u00ed pov\u00e1le\u010dn\u00e9 generace, takzvan\u00fdch \u201ebaby boomer\u016f\u201c.\u00a0Odhadujeme, \u017ee moment\u00e1ln\u011b \u017eije s t\u00edmto potenci\u00e1ln\u011b smrteln\u00fdm onemocn\u011bn\u00edm kolem 300 tis\u00edc lid\u00ed.\u00a0Uveden\u00fd po\u010det v\u0161ak daleko p\u0159esahuje kapacity ve\u0159ejn\u00e9 s\u00edt\u011b nemocnic ohledn\u011b screeningu, t\u0159\u00edd\u011bn\u00ed a l\u00e9\u010dby.\u201c<\/span><\/em><\/p>\n

V\u011bdci p\u0159edpov\u00eddaj\u00ed, \u017ee v\u00fdskyt aort\u00e1ln\u00ed sten\u00f3zy u lid\u00ed nad 55 let ve Velk\u00e9 Brit\u00e1nii je kolem 1,5 %, co\u017e p\u0159edstavuje ji\u017e zm\u00edn\u011bn\u00fd absolutn\u00ed po\u010det 300 tis\u00edc pacient\u016f.<\/span><\/p>\n

Z tohoto po\u010dtu je kolem 199 tis\u00edc (68%) v pokro\u010dil\u00e9m stadiu a 92 tis\u00edc (32%) v asymptomatick\u00e9m stadiu, u kter\u00fdch se onemocn\u011bn\u00ed zjist\u00ed, a\u017e kdy\u017e podstoup\u00ed screeningov\u00e9 vy\u0161et\u0159en\u00ed, p\u0159\u00edpadn\u011b testy na jin\u00e1 onemocn\u011bn\u00ed srdce.<\/span><\/p>\n

P\u0159i aort\u00e1ln\u00ed sten\u00f3ze zpo\u010d\u00e1tku pacienti nepoci\u0165uj\u00ed \u017e\u00e1dn\u00e9 p\u0159\u00edznaky, pozd\u011bji v pokro\u010dilej\u0161\u00edm stadiu se mohou rozvinout bolesti na hrudi, lap\u00e1n\u00ed po dechu,\u00a0<\/span>z\u00e1vrat\u011b<\/span><\/a>\u00a0, to\u010den\u00ed hlavy nebo mdloby.\u00a0V nejz\u00e1va\u017en\u011bj\u0161\u00edch p\u0159\u00edpadech m\u016f\u017ee onemocn\u011bn\u00ed v\u00e9st k \u017eivot ohro\u017euj\u00edc\u00edmu selh\u00e1n\u00ed srdce.<\/span><\/p>\n

P\u0159i zhor\u0161en\u00ed p\u0159\u00edznak\u016f pacienti pot\u0159ebuj\u00ed operaci srdce a v\u00fdm\u011bnu chlopn\u011b.\u00a0Bez operace se stav zvykne dramaticky zhor\u0161it a eventu\u00e1ln\u011b zp\u016fsobit smrt.<\/span><\/p>\n

V\u011bdci uv\u00e1d\u011bj\u00ed, \u017ee moment\u00e1ln\u011b nedok\u00e1\u017eou ov\u011b\u0159it sv\u00e9 odhady, nakolik statistick\u00e1 data o v\u00fdskytu a prevalenci tohoto onemocn\u011bn\u00ed v britsk\u00e9 populaci jsou nedostate\u010dn\u00e1, a proto by se k jejich zji\u0161t\u011bn\u00edm m\u011blo p\u0159istupovat s obez\u0159etnost\u00ed.<\/span><\/p>\n

\u201eZ\u00e1v\u011brem chceme uv\u00e9st, \u017ee podle studie je pokro\u010dil\u00e1 forma aort\u00e1ln\u00ed sten\u00f3zy v populaci nad 55 let pom\u011brn\u011b roz\u0161\u00ed\u0159en\u00e1,\u201c\u00a0<\/span><\/em>\u00a0uv\u00e1d\u011bj\u00ed v\u00fdzkumn\u00edci.<\/span><\/p>\n

\u201eBez adekv\u00e1tn\u00ed detekce a intervence jsou vyhl\u00eddky t\u011bchto lid\u00ed pom\u011brn\u011b pochmurn\u00e9.\u201c<\/span><\/em><\/p>\n

M\u016f\u017ee b\u00fdt o\u010dkov\u00e1n\u00ed proti Covid-19 p\u0159\u00ed\u010dinou dramatick\u00e9ho n\u00e1r\u016fstu onemocn\u011bn\u00ed?<\/span><\/h2>\n

V cel\u00e9m \u010dl\u00e1nku v den\u00edku\u00a0<\/span>The Guardian\u00a0<\/span><\/em>\u00a0nezazn\u011bla ani jednou zm\u00ednka, zda jednou z p\u0159\u00ed\u010din tohoto stavu nemohou b\u00fdt vakc\u00edny proti covidu.<\/span><\/p>\n

Je toti\u017e velmi zvl\u00e1\u0161tn\u00ed, \u017ee o tomto onemocn\u011bn\u00ed se dosud t\u00e9m\u011b\u0159 v\u016fbec nemluvilo.\u00a0Vzpom\u00ednat se za\u010dalo a\u017e nyn\u00ed, kdy po masov\u00e9m o\u010dkov\u00e1n\u00ed populace proti Covid-19 ve velk\u00e9m p\u0159ib\u00fdvaj\u00ed infarkty, mrtvice, myokarditidy (z\u00e1n\u011bty srdce) \u010di\u00a0<\/span>\u00famrt\u00ed sportovc\u016f<\/span><\/a>\u00a0kolabuj\u00edc\u00edch v p\u0159\u00edm\u00e9m p\u0159enosu na h\u0159i\u0161t\u00edch.<\/span><\/p>\n

Sna\u017e\u00ed se m\u00e9dia hlavn\u00edho proudu podobn\u00fdmi \u010dl\u00e1nky zakr\u00fdt mo\u017enou skute\u010dnou p\u0159\u00ed\u010dinu dramaticky se zvy\u0161uj\u00edc\u00edho po\u010dtu kardiovaskul\u00e1rn\u00edch onemocn\u011bn\u00ed?<\/span><\/p>\n

Autor: Andrew Gregory, Zdroje,\u00a0<\/span>theguardian.com<\/span><\/a>\u00a0,\u00a0<\/span>thetruthseeker.co.uk<\/span><\/a>\u00a0, Zpracoval: Badatel.net<\/span><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Podle nov\u00e9 studie m\u00e1 v sou\u010dasnosti ve Velk\u00e9 Brit\u00e1nii t\u00e9m\u011b\u0159 300 000 lid\u00ed z\u00e1va\u017en\u00e9 onemocn\u011bn\u00ed…<\/p>\n","protected":false},"author":2,"featured_media":4447,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[23,213,1851,1556,303],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/8111"}],"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=8111"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/8111\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/4447"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=8111"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=8111"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=8111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}