"4" . . . "3"^^ . "[365449BEEFB4]" . . "Surgical treatment of ischemic heart disease and diabetes mellitus"@en . . "250620" . "3"^^ . . . . "3"^^ . "CZ - \u010Cesk\u00E1 republika" . "RIV/00179906:_____/10:10057486" . . . "RIV/00179906:_____/10:10057486!RIV11-MZ0-00179906" . "Chirurgick\u00E1 l\u00E9\u010Dba ischemick\u00E9 choroby srde\u010Dn\u00ED a diabetes mellitus"@cs . . . "Dra\u0161nar, Arno\u0161t" . . "56" . "Souhrn: Chirurgick\u00E1 l\u00E9\u010Dba ICHS je dnes pom\u011Brn\u011B \u010Dast\u00E1. P\u0159ibli\u017En\u011B ka\u017Ed\u00FD \u010Dtvrt\u00FD operovan\u00FD pro ICHS je diabetik. Krom speci\u00E1ln\u00ED p\u0159\u00EDpravy diabetika z hlediska kontroly glykemie a z hlediska metabolick\u00FDch n\u00E1rok\u016F v souvislosti s operac\u00ED se vlastn\u00ED chirurgick\u00FD postup nijak neli\u0161\u00ED. Z dlouhodob\u00E9ho hlediska je t\u00E9\u017E doba p\u0159e\u017E\u00EDv\u00E1n\u00ED u diabetik\u016F p\u0159edev\u0161\u00EDm v d\u016Fsledku rychlej\u0161\u00ED progrese ateroskler\u00F3zy krat\u0161\u00ED. Uv\u011Bdom\u011Bn\u00ED si t\u00E9to zn\u00E1me faktologie m\u016F\u017Ee v\u00E9st ke zlep\u0161en\u00ED v\u00FDsledku l\u00E9\u010Dby ICHS u diabetik\u016F. K tomu m\u016F\u017Ee p\u0159isp\u011Bt co nejlep\u0161\u00ED l\u00E9\u010Dba diabetu. Chirurgick\u00E1 l\u00E9\u010Dba ICHS p\u0159edev\u0161\u00EDm s pou\u017E\u00EDv\u00E1n\u00EDm arteri\u00E1ln\u00EDch \u0161t\u011Bp\u016F a s pou\u017E\u00EDv\u00E1n\u00EDm co nej\u0161etrn\u011Bj\u0161\u00EDch postup\u016F (revaskularizace myokardu z miniinvazivn\u00EDch p\u0159\u00EDstupov\u00FDch cest, p\u0159\u00EDpadn\u011B bez mimot\u011Bln\u00EDho ob\u011Bhu) m\u00E1 v sob\u011B rovn\u011B\u017E velk\u00FD potenci\u00E1l pro zlep\u0161en\u00ED v\u00FDsledk\u016F."@cs . . "Chirurgick\u00E1 l\u00E9\u010Dba ischemick\u00E9 choroby srde\u010Dn\u00ED a diabetes mellitus" . "Surgical treatment of ischemic heart disease and diabetes mellitus"@en . "Souhrn: Chirurgick\u00E1 l\u00E9\u010Dba ICHS je dnes pom\u011Brn\u011B \u010Dast\u00E1. P\u0159ibli\u017En\u011B ka\u017Ed\u00FD \u010Dtvrt\u00FD operovan\u00FD pro ICHS je diabetik. Krom speci\u00E1ln\u00ED p\u0159\u00EDpravy diabetika z hlediska kontroly glykemie a z hlediska metabolick\u00FDch n\u00E1rok\u016F v souvislosti s operac\u00ED se vlastn\u00ED chirurgick\u00FD postup nijak neli\u0161\u00ED. Z dlouhodob\u00E9ho hlediska je t\u00E9\u017E doba p\u0159e\u017E\u00EDv\u00E1n\u00ED u diabetik\u016F p\u0159edev\u0161\u00EDm v d\u016Fsledku rychlej\u0161\u00ED progrese ateroskler\u00F3zy krat\u0161\u00ED. Uv\u011Bdom\u011Bn\u00ED si t\u00E9to zn\u00E1me faktologie m\u016F\u017Ee v\u00E9st ke zlep\u0161en\u00ED v\u00FDsledku l\u00E9\u010Dby ICHS u diabetik\u016F. K tomu m\u016F\u017Ee p\u0159isp\u011Bt co nejlep\u0161\u00ED l\u00E9\u010Dba diabetu. Chirurgick\u00E1 l\u00E9\u010Dba ICHS p\u0159edev\u0161\u00EDm s pou\u017E\u00EDv\u00E1n\u00EDm arteri\u00E1ln\u00EDch \u0161t\u011Bp\u016F a s pou\u017E\u00EDv\u00E1n\u00EDm co nej\u0161etrn\u011Bj\u0161\u00EDch postup\u016F (revaskularizace myokardu z miniinvazivn\u00EDch p\u0159\u00EDstupov\u00FDch cest, p\u0159\u00EDpadn\u011B bez mimot\u011Bln\u00EDho ob\u011Bhu) m\u00E1 v sob\u011B rovn\u011B\u017E velk\u00FD potenci\u00E1l pro zlep\u0161en\u00ED v\u00FDsledk\u016F." . "Chirurgick\u00E1 l\u00E9\u010Dba ischemick\u00E9 choroby srde\u010Dn\u00ED a diabetes mellitus" . "Vnit\u0159n\u00ED l\u00E9ka\u0159stv\u00ED" . . . "Harrer, Jan" . "Chirurgick\u00E1 l\u00E9\u010Dba ischemick\u00E9 choroby srde\u010Dn\u00ED a diabetes mellitus"@cs . "At present, treatment of IHD is relatively frequently surgical. Approximately every fourth patient undergoing surgery for IHD is a diabetic. The surgery itself does not differ from non-diabetic patients except for the specific preparation of a diabetic patient with respect to glycaemia control and with respect to metabolic demands associated with the surgical intervention. Furthermore, long-term survival in diabetic patients is shorter, particularly due to more rapidly progressing atherosclerosis. The outcomes of IHD treatment in diabetic patients might improve when these well-known issues are fully acknowledged. The best possible diabetes treatment might contribute to this. Surgical treatment of IHD, particularly arterial grafting and use of as gentle as possible approaches (myocardial revascularization from mini-invasive entry pathways, possibly without extracorporeal circulation) also encompass great potential for outcome improvement."@en . "Voj\u00E1\u010Dek, Jan" . "V" . "diabetes mellitus; coronary artery bypass grafting (CABG)"@en . "0042-773X" .