{"id":486,"date":"2019-05-14T06:14:13","date_gmt":"2019-05-14T06:14:13","guid":{"rendered":"http:\/\/mozdaniudar.org\/wp\/?p=486"},"modified":"2019-05-14T12:32:51","modified_gmt":"2019-05-14T12:32:51","slug":"atrijalna-fibrilacija-uzrok-koji-izaziva-i-do-30-mozdanih-udara-nepoznatog-porekla","status":"publish","type":"post","link":"https:\/\/mozdaniudar.org\/wp\/2019\/05\/14\/atrijalna-fibrilacija-uzrok-koji-izaziva-i-do-30-mozdanih-udara-nepoznatog-porekla\/","title":{"rendered":"Atrijalna fibrilacija – uzrok koji izaziva i do 30% mo\u017edanih udara"},"content":{"rendered":"
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Danas se \u0161irom Evrope obele\u017eava Evropski dan mo\u017edanog udara. Brojne kampanje i akcije \u0161irom Evrope su stavljene u slu\u017ebu podizanja svesti javnosti i mo\u017edanom udaru. Mi smo odlu\u010dili da za ovu priliku skrenemo pa\u017enju na jedno stanje koje je \u010dest uzrok mo\u017edanih udara, ovo stanje se zove atrijalna fibrilacija. Poznato je da je atrijalna fibrilacija jedan od uzro\u010dnika, ali opet imamo utisak da ta tema nije dovoljno zastupljena u javnosti.<\/p>\n

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slika preuzeta sa: www.shutterstock.com\/image-vector\/vector-black-brain-processes-technology-creative-285013631<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Za ovu priliku smo konsultovali dr Marka Lazi\u0107a, specijalistu interne medicine u Op\u0161toj bolnici \u0106uprija, koji nam je vi\u0161e rekao o ovoj aktuelnoj temi, ali i o najsavremenijim metodama u dijagnostici ovog stanja. Veliko nam je zadovoljstvo da vas obave\u0161tavamo o savremenim metodama i istra\u017eivanjima. Kao \u010dlan Evropske Alijanse za mo\u017edani udar uklju\u010deni smo u istra\u017eiva\u010dke projekte o kojima smo ve\u0107 pisali ovde<\/a>.<\/p>\n

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Foto: privatna arhiva<\/figcaption><\/figure>\n
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\u0160ta je atrijalna fibrilacija?<\/strong><\/p>\n

ML:<\/strong> Atrijalna fibrilacija, ranije absolutna aritmija, naj\u010de\u0161\u0107a je sr\u010dana aritmija koja nastaje u levoj pretkomori srca, pra\u0107ena je nepravilnim sr\u010danim radom i izostankom pretkomorske kontrakcije zbog \u010dega u dzepu (aurikuli) leve pretkomore postoje uslovi za nastajanje krvnih ugru\u0161aka koji zatim mogu izazvati infarkte mozga, tj. mo\u017edane udare. Smatra se da do 30% mo\u017edanih udara mo\u017ee izazvati neprepoznata atrijalna fibrilacija.<\/p>\n

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Koji su simptomi atrijalne fibrilacije?<\/strong><\/div>\n
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ML: <\/strong>Simptomi atrijalne fibrilacije jesu ubrzan i nepravilan sr\u010dani rad, kratak dah, nedostatak vazduha, netolerancija napora, a \u010desto, simptomi mogu\u00a0 potpuno izostati.<\/div>\n
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Za\u0161to je ovo opasno?<\/strong><\/div>\n
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ML: <\/strong>Najve\u0107a opasnost kod atrijalne fibrilacije preti od mogu\u0107eg mo\u017edanih udara. Prema najnovijim podacima dovoljno je trajanje aritmije samo 5 sati da bi se formirao krvni ugru\u0161ak u levoj pretkomori – koji zatim mo\u017ee dovesti do mo\u017edanog udara. Ukoliko atrijalna fibrilacija traje dugo i ukoliko je brze frekvence (vi\u0161e od 100 otkucaja u minuti), mo\u017ee dovesti do sr\u010danog popu\u0161tanja.<\/div>\n
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Kako se otkriva atrijalna fibrilacija?<\/strong><\/div>\n
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ML:<\/strong> Dijagnoza atrijalne fibrilacije nije laka ukoliko se radi o povremenoj aritmiji. Ukoliko je pacijent u stalnoj aritmiji, dijagnoza se postavlja EKG trakom. Me\u0111itim, kod pacijenata koji su povremeno u aritmiji, rutinski EKG je naj\u010de\u0161\u0107e normalan. Od pomo\u0107i mo\u017ee biti javljanje pacijenta lekaru u trenutku simptoma, \u0161to je preporuka ukoliko simptomi postoje ili no\u0161enje 24 \u010dasa Holter EKG-a. Ovo opet nije garancija da \u0107e se aritmija prikazati, jer pacijenti danima mogu biti u normalnom sr\u010danom ritmu. Najnovije preporuke za dijagnozu i atrijalne fibrilacije na prvo mesto stavljaju implantaciju loop rekoredera,malih ure\u0111aja , nalik USB flashu za kompjutere koji se stavljaju pod ko\u017eu i bele\u017ee EKG 24 \u010dasa.<\/div>\n
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Kako se le\u010di atrijalna fibrilacija?<\/strong><\/div>\n
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ML:<\/strong> Le\u010denje atrijalne fibrilacije je trojako: na prvom mestu je kontrola sr\u010dane frekvence (usporenje broja otkucaja, lekovima,\u00a0 na ispod 100 u minuti.), zatim antikoagulantna terapija: naime potrebno je ” razrediti” krv lekovima, kako bi se spre\u010dilo stvaranje tromba u pretkomori srca, i, na kraju, ukoliko je mogu\u0107e, poku\u0161aj uspostavljanja normalnog ritma, bilo lekovima, elektro\u0161okom ili kateter ablacijom. U svetu se ve\u0107 primenjuju savremeniji vidovi tretmana atrijalne fibrilacije.<\/div>\n
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Mo\u017eete li nam re\u0107i malo vi\u0161e o savremenim tretmanima?<\/strong><\/div>\n
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ML:<\/strong> Novine u le\u010denju atrijalne fibrilacije pre svega se odnose na dijagnostiku. Reveal linq jeste najnovija generacija loop recordera, koja se ugra\u0111uje injektorom pod ko\u017eu (nije potrebno praviti rez), tako da implantaciju mogu raditi i neurolozi. Zatim se, telemetrijski, prati EKG 24h (moze i do tri godine ili se vadi kada se otkrije aritmija). To je jako va\u017eno iz ugla pacijenata koji su ve\u0107 do\u017eiveli mo\u017edani udar zbog nedijagnostikovane atrijalne fibirlacije. Takvi pacijenti neposredno nakon mo\u017edanog udara mogu biti u ritmu, a narednu epizodu aritmije u proseku imaju za 6 meseci. Iz tog razloga 24h Holter EKG, stavljen neposredno nakon mo\u017edanog udara nije od pomo\u0107i u otkrivanju aritmije koja ga je izazvala. O tome \u0107e biti re\u010di na predavanju prof. Gorana Mila\u0161inovi\u0107a, eminentnog stru\u010dnjaka u ovoj oblasti, 15.5.2019. u hotelu Wing u Jagodini.<\/div>\n
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slika ure\u0111aja preuzeta sa: www.dicardiology.com\/content\/first-reveal-linq-insertable-cardiac-monitor-implanted<\/figcaption><\/figure>\n<\/div>\n<\/div>\n
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Zahvaljujemo na saradnji dr Marku Lazi\u0107u, i sa zadovoljstvom \u0107emo posetiti ovaj stru\u010dni skup i preneti uskoro vi\u0161e informacija.<\/div>\n
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Danas se \u0161irom Evrope obele\u017eava Evropski dan mo\u017edanog udara. Brojne kampanje i akcije \u0161irom Evrope su stavljene u slu\u017ebu podizanja[…]<\/p>\n","protected":false},"author":1,"featured_media":487,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false},"categories":[1],"tags":[26],"yoast_head":"\nAtrijalna fibrilacija - uzrok koji izaziva i do 30% mo\u017edanih udara -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mozdaniudar.org\/wp\/2019\/05\/14\/atrijalna-fibrilacija-uzrok-koji-izaziva-i-do-30-mozdanih-udara-nepoznatog-porekla\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Atrijalna fibrilacija - uzrok koji izaziva i do 30% mo\u017edanih udara -\" \/>\n<meta property=\"og:description\" content=\"Danas se \u0161irom Evrope obele\u017eava Evropski dan mo\u017edanog udara. 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