{"id":1182,"date":"2021-12-30T09:57:46","date_gmt":"2021-12-30T07:57:46","guid":{"rendered":"https:\/\/urgentnimedicina.cz\/?page_id=1182"},"modified":"2021-12-30T09:57:46","modified_gmt":"2021-12-30T07:57:46","slug":"stresove-kardiomyopatie-kazuistiky","status":"publish","type":"page","link":"https:\/\/urgentnimedicina.cz\/?page_id=1182","title":{"rendered":"Stresov\u00e9 kardiomyopatie \u2013 kazuistiky"},"content":{"rendered":"<p><span style=\"color: #ff0000;\"><em><strong>Dopl\u0148uj\u00edc\u00ed materi\u00e1ly k \u010dl\u00e1nku Stresov\u00e9 kardiomyopatie \u2013 kazuistiky autor\u016f Marcela B\u00edlsk\u00e1, Roman \u0160kulec, Barbora Stadlerov\u00e1, Tom\u00e1\u0161 Pa\u0159\u00edzek, Michal Kalina, Vladim\u00edr \u010cern\u00fd, David Astapenko publikovan\u00e9ho ve 3. \u010d\u00edsle 24. ro\u010dn\u00edku \u010dasopisu Urgentn\u00ed medic\u00edna.<\/strong><\/em><\/span><\/p>\n\n\n<h2 class=\"wp-block-heading\">Video 1<\/h2>\n\n\n\n<p>Vlevo je z\u00e1znam levostrann\u00e9 ventrikulografie pacientky s&nbsp;typickou formou stresov\u00e9 kardiomyopatie. Uprost\u0159ed je echokardiografick\u00fd z\u00e1znam apik\u00e1ln\u00ed \u010dty\u0159dutinov\u00e9 projekce pacientky s patrn\u00fdm rozs\u00e1hl\u00fdm aneurysmatem hrotu lev\u00e9 komory. Vpravo je echokardiografick\u00fd z\u00e1znam po dvou dnech s&nbsp;\u010d\u00e1ste\u010dnou \u00fapravou kontraktility hrotu lev\u00e9 komory.<\/p>\n\n\n\n<p><p align=\"center\"><iframe loading=\"lazy\" src=\"https:\/\/drive.google.com\/file\/d\/1zdKi_rVF6zNjLTka9PuUzwlWppcD9Vpo\/preview\" width=\"640\" height=\"480\" allow=\"autoplay\"><\/iframe><\/p><\/p>\n\n\n\n<p>Obr. \u010d. 1. Sch\u00e9ma typick\u00e9 (apik\u00e1ln\u00ed) formy takotsubo kardiomyopatie. Jedn\u00e1 se o apik\u00e1ln\u00ed projekci, na obr\u00e1zku jde vid\u011bt bal\u00f3novit\u00e9 roz\u0161\u00ed\u0159en\u00ed hrotu lev\u00e9 komory.<\/p>\n\n\n\n<figure class=\"wp-block-image size-medium\"><a href=\"https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-2.png\"><img loading=\"lazy\" decoding=\"async\" width=\"210\" height=\"300\" src=\"https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-2-210x300.png\" alt=\"\" class=\"wp-image-1196\" srcset=\"https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-2-210x300.png 210w, https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-2.png 223w\" sizes=\"auto, (max-width: 210px) 100vw, 210px\" \/><\/a><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Video 2<\/h2>\n\n\n\n<p>Vlevo je echokardiografick\u00fd z\u00e1znam pacienta s&nbsp;izolovanou stresovou kardiomyopati\u00ed prav\u00e9 komory. Je patrn\u00e9 v\u00fdrazn\u011b vyj\u00e1d\u0159en\u00e9 systolick\u00e9 vpad\u00e1v\u00e1n\u00ed hrotu prav\u00e9 komory s&nbsp;akinezou voln\u00e9 st\u011bny prav\u00e9 komory. N\u00e1lez p\u0159ipom\u00edn\u00e1 McConnelovo znamen\u00ed p\u0159i obstrukci plicn\u00edho \u0159e\u010di\u0161t\u011b, kter\u00e1 v\u0161ak byla vylou\u010dena. Vpravo tat\u00e1\u017e projekce po 7 dnech s&nbsp;\u00fapravou kontraktility st\u011bny prav\u00e9 komory.<\/p>\n\n\n\n<p><p align=\"center\"><iframe loading=\"lazy\" src=\"https:\/\/drive.google.com\/file\/d\/10ltAh11JypMaKDngS7XOh9LWrdN-fukq\/preview\" width=\"640\" height=\"480\" allow=\"autoplay\"><\/iframe><\/p><\/p>\n\n\n\n<p>Obr. \u010d. 2. Sch\u00e9ma takotsubo kardiomyopatie prav\u00e9 komory. Jedn\u00e1 se o apik\u00e1ln\u00ed projekci, \u0161ed\u00e1 z\u00f3na ukazuje oblast akinezy.<\/p>\n\n\n\n<figure class=\"wp-block-image size-medium\"><a href=\"https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-3.png\"><img loading=\"lazy\" decoding=\"async\" width=\"243\" height=\"300\" src=\"https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-3-243x300.png\" alt=\"\" class=\"wp-image-1198\" srcset=\"https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-3-243x300.png 243w, https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-3.png 380w\" sizes=\"auto, (max-width: 243px) 100vw, 243px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Video 3<\/h2>\n\n\n\n<p>Vlevo je levostrann\u00e1 ventrikulografie pacienta s midventrikul\u00e1rn\u00ed formou stresov\u00e9 kardiomyopatie. Je patrn\u00e1 drobn\u00e1 dyskineza a hypokineza st\u0159edn\u00edch segment\u016f lev\u00e9 komory se zachovalou kontraktilitou hrotu a baze. Vpravo je echokardiografick\u00fd z\u00e1znam subkost\u00e1ln\u00ed \u010dty\u0159dutinov\u00e9 projekce s podobn\u00fdm n\u00e1lezem.<\/p>\n\n\n\n<p><p align=\"center\"><iframe loading=\"lazy\" src=\"https:\/\/drive.google.com\/file\/d\/1snbpWC_7Bw-s3rfsZHK-rOT24bfO-HRY\/preview\" width=\"640\" height=\"480\" allow=\"autoplay\"><\/iframe><\/p><\/p>\n\n\n\n<p>Obr. \u010d. 3. Sch\u00e9ma midventrikul\u00e1rn\u00ed takotsubo kardiomyopatie. Jedn\u00e1 se o apik\u00e1ln\u00ed projekci, \u0161ed\u00e1 z\u00f3na ukazuje oblast akinezy.<\/p>\n\n\n\n<figure class=\"wp-block-image size-medium\"><a href=\"https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-4.png\"><img loading=\"lazy\" decoding=\"async\" width=\"201\" height=\"300\" src=\"https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-4-201x300.png\" alt=\"\" class=\"wp-image-1202\" srcset=\"https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-4-201x300.png 201w, https:\/\/urgentnimedicina.cz\/wp-content\/uploads\/image-4.png 350w\" sizes=\"auto, (max-width: 201px) 100vw, 201px\" \/><\/a><\/figure>\n\n\n\n<p><a href=\"https:\/\/drive.google.com\/drive\/folders\/1Ui1OKiIgSWzQ74S-5S3LYNeL8HiEGBjo?usp=sharing\" target=\"_blank\" rel=\"noreferrer noopener\">Odkaz na v\u0161echna videa<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dopl\u0148uj\u00edc\u00ed materi\u00e1ly k \u010dl\u00e1nku Stresov\u00e9 kardiomyopatie \u2013 kazuistiky autor\u016f Marcela B\u00edlsk\u00e1, Roman \u0160kulec, Barbora Stadlerov\u00e1, Tom\u00e1\u0161 Pa\u0159\u00edzek, Michal Kalina, Vladim\u00edr \u010cern\u00fd, David Astapenko publikovan\u00e9ho ve 3. \u010d\u00edsle 24. ro\u010dn\u00edku \u010dasopisu Urgentn\u00ed medic\u00edna. Video 1 Vlevo je z\u00e1znam levostrann\u00e9 ventrikulografie pacientky<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1182","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/pages\/1182","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1182"}],"version-history":[{"count":23,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/pages\/1182\/revisions"}],"predecessor-version":[{"id":1210,"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=\/wp\/v2\/pages\/1182\/revisions\/1210"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}