{"id":933,"date":"2021-10-04T09:31:08","date_gmt":"2021-10-04T07:31:08","guid":{"rendered":"http:\/\/skmed.sk\/?p=933"},"modified":"2021-10-04T09:31:11","modified_gmt":"2021-10-04T07:31:11","slug":"skmed-zdrave-ranajky-kardiovaskularne-ochorenia-z-pohladu-3-vlny-pandemie","status":"publish","type":"post","link":"https:\/\/skmed.sk\/?p=933","title":{"rendered":"SK+MED: Zdrav\u00e9 ra\u0148ajky – kardiovaskul\u00e1rne ochorenia z poh\u013eadu 3. vlny pand\u00e9mie"},"content":{"rendered":"\n

V r\u00e1mci s\u00e9rie stretnut\u00ed s novin\u00e1rmi SK+MED pripravilo t\u00e9mu ku svetov\u00e9mu d\u0148u srdca ktor\u00e1 bola 29.9.2021. <\/p>\n\n\n\n

Po takmer dvoch rokoch boja s\u00a0koronav\u00edrusovou pand\u00e9miou odborn\u00edci u\u017e vedia, \u017ee COVID-19 nepostihuje len p\u013e\u00faca, ale n\u00e1sledky infekcie m\u00f4\u017eu po\u0161kodi\u0165 srdcov\u00fd sval, postihuj\u00fa cievy, nar\u00fa\u0161aj\u00fa zr\u00e1\u017eanie krvi a sp\u00f4sobuj\u00fa tromboembolizmus. Po\u0161koden\u00e9 p\u013e\u00facne tkanivo zase m\u00f4\u017ee vies\u0165 k\u00a0pre\u0165a\u017eeniu srdca. S\u00a0prich\u00e1dzaj\u00facou tre\u0165ou vlnou pand\u00e9mie COVID-19 by si najm\u00e4 pacienti s\u00a0chronick\u00fdmi ochoreniami mali uvedomi\u0165, \u017ee v\u00a0pr\u00edpade n\u00e1kazy m\u00f4\u017eu ma\u0165 \u0165a\u017e\u0161\u00ed priebeh infekcie, proti ktor\u00e9mu sa v\u0161ak u\u017e dnes m\u00f4\u017eu \u00fa\u010dinne chr\u00e1ni\u0165 vakcin\u00e1ciou. V\u00fdzvou nielen pre kardiol\u00f3giu, ale pre medic\u00ednu v\u00f4bec bude tzv. long covid (dlhodob\u00fd covid), ktor\u00fd m\u00f4\u017ee postihova\u0165 pacientov bez oh\u013eadu na to, \u010di prekonali \u0165a\u017ek\u00fd, alebo len mierny typ ochorenia. Pr\u00e1ve dlhodob\u00fd covid si bude vy\u017eadova\u0165 monitoring pacientov z\u00a0h\u013eadiska sledovania nielen ich vit\u00e1lnych funkci\u00ed, ale aj z\u00e1kladn\u00fdch parametrov ako je krvn\u00fd tlak \u010di pulz, EKG. V\u00a0tejto s\u00favislosti sa jav\u00ed telemedic\u00edna op\u00e4\u0165 ako d\u00f4le\u017eit\u00e1 t\u00e9ma, o\u00a0ktorej by sa nemalo len hovori\u0165. \u00a0<\/strong><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Zatia\u013e \u010do\nv druhej vlne pand\u00e9mie  boli\nnemocnice pln\u00e9 pacientov na JIS a na umel\u00fdch p\u013e\u00facnych ventil\u00e1ci\u00e1ch, dnes\nje zatia\u013e situ\u00e1cia in\u00e1. Lek\u00e1ri maj\u00fa v\u00e4\u010d\u0161ie sk\u00fasenosti s lie\u010dbou, dok\u00e1\u017eu\nlep\u0161ie odhadn\u00fa\u0165 priebeh ochorenia a najm\u00e4 m\u00e1me k dispoz\u00edcii\no\u010dkovanie. Odborn\u00edci predpokladaj\u00fa, \u017ee nemocni\u010dn\u00e9 l\u00f4\u017eka bud\u00fa v \u010fal\u0161ej vlne\nzap\u013a\u0148a\u0165 najm\u00e4 neo\u010dkovan\u00ed pacienti a pacienti s in\u00fdmi pridru\u017een\u00fdmi\nochoreniami. Ak sa do nemocnice dostane aj zao\u010dkovan\u00fd \u010dlovek nad 70 rokov,\nzrejme u\u017e nebude musie\u0165 by\u0165 ventilovan\u00fd a ochorenie zvl\u00e1dne u\u017e len na\nkysl\u00edku. S pr\u00edchodom nov\u00fdch variantov koronav\u00edrusu sa zmenila aj rizikov\u00e1\nskupina pacientov. Zatia\u013e \u010do na za\u010diatku i\u0161lo najm\u00e4 o pacientov vo vysokom\nveku, seniorov, pr\u00edpadne polymorb\u00eddnych pacientov, teraz ide o pacientov\nnad 40 rokov, ktor\u00ed m\u00f4\u017eu ma\u0165 nadv\u00e1hu, obezitu \u010di diabetes. COVID-19 sa v\u0161ak\nnevyh\u00fdba ani mlad\u0161\u00edm ro\u010dn\u00edkom.<\/p>\n\n\n\n

S ochoren\u00edm\nCOVID-19 a s jeho prekonan\u00edm sa sp\u00e1ja viacero komplik\u00e1ci\u00ed. \u201ePri\ninfekcii COVID-19 m\u00f4\u017ee d\u00f4js\u0165 k rozkol\u00edsaniu hodn\u00f4t krvn\u00e9ho tlaku, vzniku\narytmi\u00ed, z\u00e1palu srdcov\u00e9ho svalu, a\u017e k ak\u00fatnemu srdcov\u00e9mu zlyh\u00e1vaniu. Ob\u00e1vanou\nkomplik\u00e1ciou m\u00f4\u017ee by\u0165 po\u0161kodenie koron\u00e1rnych ciev tromb\u00f3zou, so vznikom\npo\u0161kodenia koron\u00e1rnych tepien a\u017e infarktu myokardu,\u201c <\/em>vysvet\u013euje MUDr. Anna\nVachulov\u00e1, PhD., kardiologi\u010dka, N\u00e1rodn\u00fd \u00fastav srdcov\u00fdch a cievnych chor\u00f4b a.s.,\nBratislava. Tak\u00e9to komplik\u00e1cie sa m\u00f4\u017eu vyskytn\u00fa\u0165 u \u013eud\u00ed bez\npredch\u00e1dzaj\u00faceho srdcovo-cievneho ochorenia, ale m\u00f4\u017eu zhor\u0161i\u0165 aj u\u017e existuj\u00face\nkardiovaskul\u00e1rne ochorenie. <\/p>\n\n\n\n

Z\u00e1va\u017enou\nkomplik\u00e1ciou v s\u00favislosti s COVID-19 je emb\u00f3lia. \u201eNa z\u00e1klade \u0161t\u00fadie publikovanej\nv minulom roku m\u00f4\u017ee by\u0165  riziko\ntromboemb\u00f3lie a\u017e 20%,\u201c<\/em> hovor\u00ed MUDr. Anna Vachulov\u00e1, PhD. Kardiologi\u010dka\n\u010falej upozor\u0148uje, \u017ee lieky na riedenie krvi m\u00f4\u017eu pom\u00f4c\u0165 pacientom minimalizova\u0165\nrizik\u00e1 s\u00favisiace s krvn\u00fdmi zrazeninami, av\u0161ak musia by\u0165 ordinovan\u00e9 odborn\u00edkmi. \u201eLieky\nna riedenie krvi na jednej strane minimalizuj\u00fa riziko vzniku krvn\u00fdch zrazen\u00edn,\nale na druhej strane zvy\u0161uj\u00fa riziko krv\u00e1cania. Neodborn\u00e9 a neopodstatnen\u00e9\nu\u017e\u00edvanie liekov na riedenie krvi m\u00f4\u017ee ma\u0165 za n\u00e1sledok krv\u00e1cav\u00e9 komplik\u00e1cie,\nnapr. z tr\u00e1viaceho traku. Lie\u010dba liekmi na riedenie krvi patr\u00ed do r\u00fak\nodborn\u00edkom a riadi sa pr\u00edslu\u0161n\u00fdmi odpor\u00fa\u010daniami,\u201c <\/em>dod\u00e1va MUDr. Vachulov\u00e1. <\/p>\n\n\n\n

Naj\u00fa\u010dinnej\u0161\u00edm\nn\u00e1strojom ako sa v s\u00fa\u010dasnosti chr\u00e1ni\u0165 proti ochoreniu COVID-19 a jeho\n\u0165a\u017ek\u00e9mu priebehu je vakcin\u00e1cia. O\u010dkovanie proti COVID-19 jednozna\u010dne odpor\u00fa\u010daj\u00fa\nmedzin\u00e1rodn\u00e9 a n\u00e1rodn\u00e9 kardiologick\u00e9 spolo\u010dnosti, vr\u00e1tane Slovenskej\nkardiologickej spolo\u010dnosti. Pod\u013ea odborn\u00edkov je o\u010dkovanie vhodn\u00e9 najm\u00e4 pre\npacientov s pridru\u017een\u00fdmi ochoreniami, ke\u010f\u017ee ich chr\u00e1ni pred \u0165a\u017ek\u00fdm\npriebehom, hospitaliz\u00e1ciou \u010di smr\u0165ou. <\/p>\n\n\n\n

Pand\u00e9mia\nkoronav\u00edrusu uk\u00e1zala, \u017ee vyu\u017e\u00edvanie telemedic\u00edny by v\u00fdznamne u\u013eah\u010dilo kontakt\nlek\u00e1ra a pacienta. Pod\u013ea Jany Adamcovej zo zdru\u017eenia SK+ MED je d\u00f4le\u017eit\u00e9,\naby mana\u017eovanie pacienta prostredn\u00edctvom telemedic\u00edny bolo pova\u017eovan\u00e9 za re\u00e1lny\nlek\u00e1rsky v\u00fdkon zaplaten\u00fd zdravotnou pois\u0165ov\u0148ou. \u201eO telemedic\u00edne sa\nv ostatnom obdob\u00ed hovor\u00ed pomerne ve\u013ea a \u010dasto, ch\u00fdbaj\u00fa v\u0161ak podstatn\u00e9\nre\u00e1lne kroky, ktor\u00e9 by telemedic\u00ednu na\u0161tartovali aj v praxi. Hovor\u00edme\no takej forme telemedic\u00edny, ktor\u00e1 by v prvom rade pomohla lek\u00e1rom.\nOdbremenila ich od dennej rutiny, pomohla by im z\u00edska\u0165 o pacientovi\na jeho zdravotnom stave viac inform\u00e1ci\u00ed v\u010faka modern\u00fdm technol\u00f3gi\u00e1m\na bola by skuto\u010dne u\u017eito\u010dn\u00fdm pomocn\u00edkom v praxi<\/em>\u201c, uzatv\u00e1ra Jana\nAdamcov\u00e1. <\/p>\n\n\n\n

\u201eMnoh\u00ed lek\u00e1ri\nkomunikuj\u00fa s ve\u013ek\u00fdm mno\u017estvom svojich pacientov telefonicky alebo emailovo aj\ndnes, av\u0161ak robia to z vlastnej v\u00f4le a na \u00fakor svojho \u010dasu, preto\u017ee za tak\u00fdto\nv\u00fdkon nemaj\u00fa zaplaten\u00e9,\u201c <\/em>upozor\u0148uje Ing. Katar\u00edna Dankov\u00e1,\nMPH, v\u00fdkonn\u00e1 riadite\u013eka SK+ MED.<\/p>\n\n\n\n

Na Slovensku\nm\u00e1 s telemedic\u00ednou najv\u00e4\u010d\u0161iu sk\u00fasenos\u0165 odbor kardiol\u00f3gie. \u201ePr\u00ednos\ntelemedic\u00edny je aj v tom, \u017ee niektor\u00e9 ak\u00fatne stavy vieme rozpozna\u0165 okam\u017eite.\nKe\u010f m\u00e1 pacient implantovan\u00fd defibril\u00e1tor, pr\u00edde k poruche vedomia, vieme zisti\u0165\npr\u00ed\u010dinu a efekt\u00edvne reagova\u0165,\u201c <\/em>dod\u00e1va MUDr. Anna Vachulov\u00e1, PhD.<\/p>\n\n\n\n

Probl\u00e9mom\nSlovenska je dnes fakt, \u017ee zdravotn\u00e9 pois\u0165ovne neprepl\u00e1caj\u00fa lek\u00e1rom samotn\u00fd\nv\u00fdkon telemedic\u00edny, ale len zariadenie, ktor\u00e9 sl\u00fa\u017ei na tento \u00fa\u010del. Aj preto\nnemaj\u00fa lek\u00e1ri ve\u013ek\u00fa motiv\u00e1ciu vyu\u017e\u00edva\u0165 telemedic\u00ednu. V praxi to znamen\u00e1\npln\u00e9 \u010dak\u00e1rne pacientov v ambulanci\u00e1ch a nemocniciach, pri\u010dom\nniektor\u00fdch by napr\u00edklad v\u010faka vzdialen\u00e9mu monitoringu mohol lek\u00e1r vidie\u0165 len\nsporadicky, nako\u013eko inform\u00e1cie o pacientovi by z\u00edskal na dia\u013eku priamo\nz monitorovacieho zariadenia. <\/p>\n","protected":false},"excerpt":{"rendered":"

V r\u00e1mci s\u00e9rie stretnut\u00ed s novin\u00e1rmi SK+MED pripravilo t\u00e9mu ku svetov\u00e9mu d\u0148u srdca ktor\u00e1 bola 29.9.2021. Po takmer dvoch rokoch boja s\u00a0koronav\u00edrusovou pand\u00e9miou odborn\u00edci u\u017e vedia, \u017ee COVID-19 nepostihuje len p\u013e\u00faca, ale n\u00e1sledky infekcie m\u00f4\u017eu po\u0161kodi\u0165 srdcov\u00fd sval, postihuj\u00fa cievy, nar\u00fa\u0161aj\u00fa zr\u00e1\u017eanie krvi a sp\u00f4sobuj\u00fa tromboembolizmus. Po\u0161koden\u00e9 p\u013e\u00facne tkanivo zase m\u00f4\u017ee vies\u0165 k\u00a0pre\u0165a\u017eeniu srdca. S\u00a0prich\u00e1dzaj\u00facou tre\u0165ou vlnou pand\u00e9mie COVID-19 by si najm\u00e4 pacienti s\u00a0chronick\u00fdmi ochoreniami mali uvedomi\u0165, \u017ee v\u00a0pr\u00edpade n\u00e1kazy…<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-933","post","type-post","status-publish","format-standard","hentry","category-nezaradene"],"_links":{"self":[{"href":"https:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/posts\/933","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/skmed.sk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=933"}],"version-history":[{"count":1,"href":"https:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/posts\/933\/revisions"}],"predecessor-version":[{"id":935,"href":"https:\/\/skmed.sk\/index.php?rest_route=\/wp\/v2\/posts\/933\/revisions\/935"}],"wp:attachment":[{"href":"https:\/\/skmed.sk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=933"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/skmed.sk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=933"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/skmed.sk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}