. . . "Toman, Ond\u0159ej" . "Ischemick\u00E1 choroba srde\u010Dn\u00ED (ICHS) postihuje v men\u0161\u00ED m\u00ED\u0159e i mlad\u0161\u00ED jedince. Obsahem sd\u011Blen\u00ED je charakteristika souboru mlad\u00FDch pacient\u016F ve v\u011Bku <= 40 let s p\u0159ed\u010Dasnou manifestac\u00ED ICHS, v\u010Detn\u011B rozboru rizikov\u00FDch faktor\u016F, rozsahu posti\u017Een\u00ED koron\u00E1rn\u00EDch tepen, l\u00E9\u010Dby a dal\u0161\u00EDho v\u00FDvoje onemocn\u011Bn\u00ED v pr\u016Fb\u011Bhu a\u017E 7let\u00E9ho sledov\u00E1n\u00ED. Pacienti a metodika: Do souboru bylo retrospektivn\u011B za\u0159azeno 98 pacient\u016F, u nich\u017E bylo v letech 2000-2007 koronarograficky prok\u00E1z\u00E1no makroskopick\u00E9 posti\u017Een\u00ED koron\u00E1rn\u00EDch tepen. 68 pacient\u016F bylo ke koronarografii indikov\u00E1no akutn\u011B v r\u00E1mci akutn\u00EDho koron\u00E1rn\u00EDho syndromu (AKS), 44 z nich m\u011Blo akutn\u00ED infarkt myokardu (IM) s ST elevacemi. Pacienti byli vyzv\u00E1ni k dal\u0161\u00ED spolupr\u00E1ci a 45 z nich (45,9 %) bylo komplexn\u011B znovu vy\u0161et\u0159eno a bude nad\u00E1le prospektivn\u011B sledov\u00E1no. V\u00FDsledky poukazuj\u00ED na celkov\u011B dobrou kr\u00E1tkodobou progn\u00F3zu t\u011Bchto pacient\u016F a potvrzuj\u00ED v\u00FDznam \u010Dasn\u00E9ho invazivn\u00EDho p\u0159\u00EDstupu a revaskularizace. Jednoro\u010Dn\u00ED mortalita pacient\u016F s AKS byla 1,9 %. Z 45 kompletn\u011B vy\u0161et\u0159en\u00FDch pacient\u016F m\u00E1 80 % ejek\u010Dn\u00ED frakci lev\u00E9 komory srde\u010Dn\u00ED nad 50 % a 84 % z nich je zcela bez symptom\u016F anginy pectoris. Dal\u0161\u00ED v\u00FDsledky v\u0161ak poukazuj\u00ED na rezervy v sekund\u00E1rn\u00ED prevenci ICHS. 15 pacient\u016F (33 %) nad\u00E1le kou\u0159\u00ED cigarety, 20 pacient\u016F (44 %) je ob\u00E9zn\u00EDch. Jen 22 pacient\u016F (49 %) m\u00E1 hladinu LDL-cholesterolu <= 2,5 mmol/ l a pouze 15 pacient\u016F (33 %) m\u011Blo p\u0159i na\u0161em vy\u0161et\u0159en\u00ED krevn\u00ED tlak <= 130/80 mm Hg. Z\u00E1v\u011Br: Ovlivn\u011Bn\u00ED t\u011Bchto z\u00E1kladn\u00EDch rizikov\u00FDch faktor\u016F by m\u011Blo zlep\u0161it i dlouhodobou progn\u00F3zu na\u0161ich pacient\u016F."@cs . . . "RIV/65269705:_____/08:#0001955!RIV13-MZ0-65269705" . "54" . . "Ischemick\u00E1 choroba srde\u010Dn\u00ED (ICHS) postihuje v men\u0161\u00ED m\u00ED\u0159e i mlad\u0161\u00ED jedince. Obsahem sd\u011Blen\u00ED je charakteristika souboru mlad\u00FDch pacient\u016F ve v\u011Bku <= 40 let s p\u0159ed\u010Dasnou manifestac\u00ED ICHS, v\u010Detn\u011B rozboru rizikov\u00FDch faktor\u016F, rozsahu posti\u017Een\u00ED koron\u00E1rn\u00EDch tepen, l\u00E9\u010Dby a dal\u0161\u00EDho v\u00FDvoje onemocn\u011Bn\u00ED v pr\u016Fb\u011Bhu a\u017E 7let\u00E9ho sledov\u00E1n\u00ED. Pacienti a metodika: Do souboru bylo retrospektivn\u011B za\u0159azeno 98 pacient\u016F, u nich\u017E bylo v letech 2000-2007 koronarograficky prok\u00E1z\u00E1no makroskopick\u00E9 posti\u017Een\u00ED koron\u00E1rn\u00EDch tepen. 68 pacient\u016F bylo ke koronarografii indikov\u00E1no akutn\u011B v r\u00E1mci akutn\u00EDho koron\u00E1rn\u00EDho syndromu (AKS), 44 z nich m\u011Blo akutn\u00ED infarkt myokardu (IM) s ST elevacemi. Pacienti byli vyzv\u00E1ni k dal\u0161\u00ED spolupr\u00E1ci a 45 z nich (45,9 %) bylo komplexn\u011B znovu vy\u0161et\u0159eno a bude nad\u00E1le prospektivn\u011B sledov\u00E1no. V\u00FDsledky poukazuj\u00ED na celkov\u011B dobrou kr\u00E1tkodobou progn\u00F3zu t\u011Bchto pacient\u016F a potvrzuj\u00ED v\u00FDznam \u010Dasn\u00E9ho invazivn\u00EDho p\u0159\u00EDstupu a revaskularizace. Jednoro\u010Dn\u00ED mortalita pacient\u016F s AKS byla 1,9 %. Z 45 kompletn\u011B vy\u0161et\u0159en\u00FDch pacient\u016F m\u00E1 80 % ejek\u010Dn\u00ED frakci lev\u00E9 komory srde\u010Dn\u00ED nad 50 % a 84 % z nich je zcela bez symptom\u016F anginy pectoris. Dal\u0161\u00ED v\u00FDsledky v\u0161ak poukazuj\u00ED na rezervy v sekund\u00E1rn\u00ED prevenci ICHS. 15 pacient\u016F (33 %) nad\u00E1le kou\u0159\u00ED cigarety, 20 pacient\u016F (44 %) je ob\u00E9zn\u00EDch. Jen 22 pacient\u016F (49 %) m\u00E1 hladinu LDL-cholesterolu <= 2,5 mmol/ l a pouze 15 pacient\u016F (33 %) m\u011Blo p\u0159i na\u0161em vy\u0161et\u0159en\u00ED krevn\u00ED tlak <= 130/80 mm Hg. Z\u00E1v\u011Br: Ovlivn\u011Bn\u00ED t\u011Bchto z\u00E1kladn\u00EDch rizikov\u00FDch faktor\u016F by m\u011Blo zlep\u0161it i dlouhodobou progn\u00F3zu na\u0161ich pacient\u016F." . . "Coronary artery disease (CAD) affects in lower percentage even younger individuals. This paper describes group of young patients aged 40 years or less with premature manifestation of CAD, including analysis of risk factors, severity of coronary arteries affection, management and follow-up lasting up to 7 years. Conclusions: management of these basic risk factors should improve even the long-term prognosis of our patients."@en . "Dost\u00E1lov\u00E1, L." . . . . . "Ischemick\u00E1 choroba srde\u010Dn\u00ED s p\u0159ed\u010Dasnou manifestac\u00ED u mlad\u00FDch pacient\u016F" . "7"^^ . "9" . "Ischemick\u00E1 choroba srde\u010Dn\u00ED s p\u0159ed\u010Dasnou manifestac\u00ED u mlad\u00FDch pacient\u016F" . "Coronary artery disease with pemature manifestation in young patients"@en . "Coronary artery disease with pemature manifestation in young patients"@en . "7"^^ . . . "[AC8F15E62DAD]" . "Ischemick\u00E1 choroba srde\u010Dn\u00ED s p\u0159ed\u010Dasnou manifestac\u00ED u mlad\u00FDch pacient\u016F"@cs . . "Poloczek, Martin" . "7"^^ . "Kala, Petr" . "0042-773X" . "Jeny\u0161ov\u00E1, Radmila" . "RIV/65269705:_____/08:#0001955" . "P(1A8604)" . "CZ - \u010Cesk\u00E1 republika" . . . "\u0160pinar, Jind\u0159ich" . "Ischemick\u00E1 choroba srde\u010Dn\u00ED s p\u0159ed\u010Dasnou manifestac\u00ED u mlad\u00FDch pacient\u016F"@cs . "Vnit\u0159n\u00ED l\u00E9ka\u0159stv\u00ED" . "coronary ertery disease"@en . . . "Pa\u0159enica, Ji\u0159\u00ED" . . "373367" .