{"id":92495,"date":"2025-11-19T00:18:03","date_gmt":"2025-11-18T23:18:03","guid":{"rendered":"https:\/\/www.infokuryr.cz\/n\/?p=92495"},"modified":"2025-11-18T10:54:11","modified_gmt":"2025-11-18T09:54:11","slug":"danska-dlouhodoba-studie-vyvraci-mytus-o-mirne-myokarditide-po-ockovani-tretina-lidi-zustava-nemocna","status":"publish","type":"post","link":"https:\/\/www.infokuryr.cz\/n\/2025\/11\/19\/danska-dlouhodoba-studie-vyvraci-mytus-o-mirne-myokarditide-po-ockovani-tretina-lidi-zustava-nemocna\/","title":{"rendered":"D\u00e1nsk\u00e1 dlouhodob\u00e1 studie vyvrac\u00ed m\u00fdtus o \u201em\u00edrn\u00e9 myokarditid\u011b po o\u010dkov\u00e1n\u00ed\u201c \u2013 t\u0159etina lid\u00ed z\u016fst\u00e1v\u00e1 nemocn\u00e1"},"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><strong><span dir=\"auto\">Dva roky po myokarditid\u011b spojen\u00e9 s o\u010dkov\u00e1n\u00edm: Co skute\u010dn\u011b ukazuje dlouhodob\u00e1 d\u00e1nsk\u00e1 studie<\/span><\/strong><\/p>\n<h3 class=\"wp-block-heading\"><em><span dir=\"auto\">Kritick\u00fd pohled na symptomy, srde\u010dn\u00ed funkce a v\u011bdeck\u00e1 slep\u00e1 m\u00edsta<\/span><\/em><\/h3>\n<p><span dir=\"auto\">Nov\u00e1\u00a0<\/span><a href=\"https:\/\/academic.oup.com\/eurheartj\/article\/46\/Supplement_1\/ehaf784.2583\/8310712?login=false\" target=\"_blank\" rel=\"noreferrer noopener\" data-type=\"link\" data-id=\"https:\/\/academic.oup.com\/eurheartj\/article\/46\/Supplement_1\/ehaf784.2583\/8310712?login=false\"><span dir=\"auto\">dlouhodob\u00e1<\/span><\/a><span dir=\"auto\">\u00a0d\u00e1nsk\u00e1 studie publikovan\u00e1 v\u00a0<\/span><em><span dir=\"auto\">European Heart Journal<\/span><\/em><span dir=\"auto\">\u00a0poskytuje prvn\u00ed systematick\u00e9 \u00fadaje o pacientech, u kter\u00fdch se po o\u010dkov\u00e1n\u00ed mRNA vyvinula myokarditida. V\u00fdsledky vyvracej\u00ed dlouhodobou domn\u011bnku, \u017ee tento stav je t\u00e9m\u011b\u0159 v\u017edy m\u00edrn\u00fd a zcela reverzibiln\u00ed.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><strong><span dir=\"auto\">Jedna t\u0159etina z\u016fst\u00e1v\u00e1 nemocn\u00e1 i roky po o\u010dkov\u00e1n\u00ed<\/span><\/strong><\/h2>\n<p><span dir=\"auto\">Z 46 identifikovan\u00fdch p\u0159\u00edpad\u016f se n\u00e1sledn\u00e9ho vy\u0161et\u0159en\u00ed z\u00fa\u010dastnilo 16 posti\u017een\u00fdch osob. Navzdory mal\u00e9mu po\u010dtu je vzorec jasn\u00fd:<\/span><\/p>\n<ul>\n<li><strong><span dir=\"auto\">31 % st\u00e1le trp\u00ed \u00fanavou<\/span><\/strong><\/li>\n<li><strong><span dir=\"auto\">31 % m\u00e1 bu\u0161en\u00ed srdce<\/span><\/strong><\/li>\n<li><strong><span dir=\"auto\">25 % poci\u0165uje bolest na hrudi p\u0159i n\u00e1maze<\/span><\/strong><\/li>\n<\/ul>\n<p><span dir=\"auto\">To znamen\u00e1, \u017ee v\u00edce ne\u017e jeden ze t\u0159\u00ed lid\u00ed m\u00e1 st\u00e1le p\u0159\u00edznaky dva a\u017e t\u0159i roky po akutn\u00ed ud\u00e1losti \u2013 co\u017e je v jasn\u00e9m rozporu s d\u0159\u00edv\u011bj\u0161\u00edm ve\u0159ejn\u00fdm l\u00ed\u010den\u00edm \u201em\u00edrn\u00e9 myokarditidy vyvolan\u00e9 o\u010dkov\u00e1n\u00edm\u201c.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><strong><span dir=\"auto\">Biomarkery norm\u00e1ln\u00ed \u2013 srde\u010dn\u00ed funkce ne<\/span><\/strong><\/h2>\n<p><span dir=\"auto\">P\u0159esto\u017ee se hodnoty troponinu, CRP, EKG a ultrazvuku plic normalizovaly, jeden \u00fast\u0159edn\u00ed probl\u00e9m p\u0159etrv\u00e1v\u00e1:<\/span><\/p>\n<ul>\n<li><strong><span dir=\"auto\">Glob\u00e1ln\u00ed pod\u00e9ln\u00e9 nap\u011bt\u00ed (GLS) pouze \u221212 % (m\u00edsto b\u011b\u017en\u00fdch cca \u221218 %)<\/span><\/strong><\/li>\n<li><strong><span dir=\"auto\">Pouze 69 % dos\u00e1hne LVEF \u2265 50 %<\/span><\/strong><\/li>\n<li><strong><span dir=\"auto\">Diastolick\u00e1 funkce z\u016fst\u00e1v\u00e1 naru\u0161ena ve 12 % p\u0159\u00edpad\u016f.<\/span><\/strong><\/li>\n<\/ul>\n<p><span dir=\"auto\">To ukazuje, \u017ee\u00a0<\/span><strong><span dir=\"auto\">srdce se pln\u011b nezotav\u00ed<\/span><\/strong><span dir=\"auto\">\u00a0, i kdy\u017e laboratorn\u00ed v\u00fdsledky nazna\u010duj\u00ed opak. \u00dast\u0159edn\u00edm probl\u00e9mem t\u00e9to studie je rozpor mezi biochemick\u00fdm a klinick\u00fdm zotaven\u00edm.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><strong><span dir=\"auto\">Pro\u010d p\u0159\u00edznaky p\u0159etrv\u00e1vaj\u00ed \u2013 bez abnorm\u00e1ln\u00edch laboratorn\u00edch v\u00fdsledk\u016f<\/span><\/strong><\/h2>\n<p><span dir=\"auto\">Studie neposkytuje mechanistick\u00e9 vysv\u011btlen\u00ed, ale mezi mo\u017en\u00e9 p\u0159\u00ed\u010diny pat\u0159\u00ed:<\/span><\/p>\n<ul>\n<li><span dir=\"auto\">Rezidu\u00e1ln\u00ed fibr\u00f3za (viditeln\u00e1 pouze pomoc\u00ed MRI \u2013 neprov\u00e1d\u00ed se)<\/span><\/li>\n<li><span dir=\"auto\">Autonomn\u00ed dysregulace<\/span><\/li>\n<li><span dir=\"auto\">Mikrovaskul\u00e1rn\u00ed dysfunkce<\/span><\/li>\n<li><span dir=\"auto\">Subklinick\u00fd chronick\u00fd z\u00e1n\u011bt<\/span><\/li>\n<\/ul>\n<p><span dir=\"auto\">Z toho vypl\u00fdv\u00e1, \u017ee\u00a0<\/span><strong><span dir=\"auto\">patologie je slo\u017eit\u011bj\u0161\u00ed, ne\u017e se d\u0159\u00edve myslelo.<\/span><\/strong><\/p>\n<h2 class=\"wp-block-heading\"><strong><span dir=\"auto\">Metodologick\u00e9 slabiny \u2013 a pro\u010d maj\u00ed tendenci podce\u0148ovat rizika<\/span><\/strong><\/h2>\n<ul>\n<li><strong><span dir=\"auto\">Z\u00fa\u010dastnilo se pouze 16\/46<\/span><\/strong><span dir=\"auto\">\u00a0\u2192 mo\u017en\u00e9 zkreslen\u00ed v\u00fdb\u011bru; skute\u010dn\u00e1 m\u00edra p\u0159etrv\u00e1vaj\u00edc\u00edch symptom\u016f by mohla b\u00fdt vy\u0161\u0161\u00ed.<\/span><\/li>\n<li><strong><span dir=\"auto\">\u017d\u00e1dn\u00e9 magnetick\u00e9 rezonance srdce<\/span><\/strong><span dir=\"auto\">\u00a0\u2192 struktur\u00e1ln\u00ed po\u0161kozen\u00ed z\u016fst\u00e1v\u00e1 nezji\u0161t\u011bno.<\/span><\/li>\n<li><strong><span dir=\"auto\">Diagnostika bez stresu<\/span><\/strong><span dir=\"auto\">\u00a0\u2192 mnoho symptom\u016f se v ka\u017edodenn\u00edm \u017eivot\u011b projev\u00ed a\u017e ve stresu.<\/span><\/li>\n<li><strong><span dir=\"auto\">\u017d\u00e1dn\u00e1 zdrav\u00e1 kontroln\u00ed skupina<\/span><\/strong><\/li>\n<\/ul>\n<p><span dir=\"auto\">Studie je tedy cenn\u00e1, ale ne\u00fapln\u00e1.<\/span><\/p>\n<h2 class=\"wp-block-heading\"><strong><span dir=\"auto\">Slab\u00e1 komunikace rizik s ve\u0159ejnost\u00ed<\/span><\/strong><\/h2>\n<p><span dir=\"auto\">Po l\u00e9ta zn\u011blo toto poselstv\u00ed:<\/span><\/p>\n<ul>\n<li><span dir=\"auto\">\u201eV\u011bt\u0161inou m\u00edrn\u00e9\u201c<\/span><\/li>\n<li><span dir=\"auto\">&#8222;Zcela reverzibiln\u00ed&#8220;<\/span><\/li>\n<li><span dir=\"auto\">&#8222;Ne\u0161kodn\u00fd&#8220;<\/span><\/li>\n<\/ul>\n<p><span dir=\"auto\">D\u00e1nsk\u00e9 v\u00fdsledky tuto r\u00e9toriku jasn\u011b odporuj\u00ed:<\/span><\/p>\n<ul>\n<li><strong><span dir=\"auto\">1\/3 z\u016fst\u00e1v\u00e1 symptomatick\u00e1<\/span><\/strong><\/li>\n<li><strong><span dir=\"auto\">Srde\u010dn\u00ed funkce z\u016fst\u00e1v\u00e1 naru\u0161ena<\/span><\/strong><\/li>\n<li><strong><span dir=\"auto\">Dlouhodob\u00e1 rizika jsou nejasn\u00e1.<\/span><\/strong><\/li>\n<li><strong><span dir=\"auto\">Biomarkery spolehliv\u011b neodr\u00e1\u017eej\u00ed stav srdce.<\/span><\/strong><\/li>\n<\/ul>\n<p><span dir=\"auto\">Tato data vy\u017eaduj\u00ed poctiv\u00e9 p\u0159ehodnocen\u00ed komunikace rizik a p\u0159\u00ednos\u016f.<\/span><\/p>\n<p><strong><span dir=\"auto\">Z\u00e1v\u011br: Myokarditida vyvolan\u00e1 o\u010dkov\u00e1n\u00edm je l\u00e9ka\u0159sky i politicky podce\u0148ov\u00e1na.<\/span><\/strong><\/p>\n<p><span dir=\"auto\">Studie ukazuje:<\/span><\/p>\n<ul>\n<li><strong><span dir=\"auto\">V\u00fdznamn\u00e9 dlouhodob\u00e9 n\u00e1sledky u podstatn\u00e9 \u010d\u00e1sti posti\u017een\u00fdch<\/span><\/strong><\/li>\n<li><strong><span dir=\"auto\">M\u011b\u0159iteln\u00e9 funk\u010dn\u00ed poruchy navzdory \u201ezdrav\u011b vypadaj\u00edc\u00edm\u201c laboratorn\u00edm v\u00fdsledk\u016fm<\/span><\/strong><\/li>\n<li><strong><span dir=\"auto\">Nedostate\u010dn\u00e1 diagnostika (\u017e\u00e1dn\u00e1 magnetick\u00e1 rezonance, \u017e\u00e1dn\u00e9 z\u00e1t\u011b\u017eov\u00e9 testy)<\/span><\/strong><\/li>\n<li><strong><span dir=\"auto\">Nal\u00e9hav\u00e1 pot\u0159eba dlouhodob\u00e9 n\u00e1sledn\u00e9 p\u00e9\u010de a lep\u0161\u00edho v\u00fdzkumu<\/span><\/strong><\/li>\n<\/ul>\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:\/\/academic.oup.com\/eurheartj\/article\/46\/Supplement_1\/ehaf784.2583\/8310712?login=false\" target=\"_blank\" rel=\"nofollow noopener\"><span dir=\"auto\">Zdroj<\/span><\/a><\/span><\/h3>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dva roky po myokarditid\u011b spojen\u00e9 s o\u010dkov\u00e1n\u00edm: Co skute\u010dn\u011b ukazuje dlouhodob\u00e1 d\u00e1nsk\u00e1 studie Kritick\u00fd pohled&#8230;<\/p>\n","protected":false},"author":2,"featured_media":17219,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[2340,839,651],"_links":{"self":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/92495"}],"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=92495"}],"version-history":[{"count":0,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/posts\/92495\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media\/17219"}],"wp:attachment":[{"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/media?parent=92495"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/categories?post=92495"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.infokuryr.cz\/n\/wp-json\/wp\/v2\/tags?post=92495"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}