{"id":17719,"date":"2019-06-11T07:27:32","date_gmt":"2019-06-11T05:27:32","guid":{"rendered":"https:\/\/zdravovek.eu\/?p=17719"},"modified":"2020-09-14T19:00:09","modified_gmt":"2020-09-14T17:00:09","slug":"infarkt-myokardu","status":"publish","type":"post","link":"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/","title":{"rendered":"Infarkt myokardu (srde\u010dn\u00ed infarkt) &#8211; p\u0159\u00edznaky, diagnostika, l\u00e9\u010dba"},"content":{"rendered":"<p>Infarkt myokardu (srde\u010dn\u00ed infarkt) je <strong>akutn\u00ed \u017eivot ohro\u017euj\u00edc\u00ed situace<\/strong>. Doch\u00e1z\u00ed p\u0159i n\u011bm k <strong>zastaven\u00ed proud\u011bn\u00ed krve do srdce<\/strong>, co\u017e po\u0161kod\u00ed bli\u017e\u0161\u00ed, ale i vzd\u00e1len\u011bj\u0161\u00ed tk\u00e1n\u011b.<\/p>\n<p>P\u0159i neadekv\u00e1tn\u00edm rozpozn\u00e1n\u00ed p\u0159\u00edznak\u016f infarktu myokardu pacient zbyte\u010dn\u011b ztr\u00e1c\u00ed \u010das, co\u017e m\u016f\u017ee b\u00fdt fat\u00e1ln\u00ed. <strong>Bolest na hrudi<\/strong> pat\u0159\u00ed mezi charakteristick\u00e9 p\u0159\u00edznaky infarktu.<\/p>\n<p>V\u00edte, jak\u00e9 jsou ty dal\u0161\u00ed?<\/p>\n\n<h2>Co se d\u011bje p\u0159i infarktu<\/h2>\n<p>P\u0159i infarktu doch\u00e1z\u00ed k <strong>ucp\u00e1n\u00ed jedn\u00e9 nebo v\u00edce koron\u00e1rn\u00edch tepen<\/strong>, kter\u00fdmi proud\u00ed krev do srdce. Nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dina, pro\u010d k blokaci doch\u00e1z\u00ed je aterosklerotick\u00fd plak.<\/p>\n<p>Nejn\u00e1chyln\u011bj\u0161\u00ed na srde\u010dn\u00ed infarkt jsou lid\u00e9 <strong><a href=\"https:\/\/zdravovek.eu\/cholesterol-hodnoty\/\">s vysok\u00fdm cholesterolem<\/a>, zv\u00fd\u0161en\u00fdm pod\u00edlem tuku, s vysok\u00fdm krevn\u00edm tlakem<\/strong>.<\/p>\n<h2>P\u0159\u00edznaky (akutn\u00ed infarkt myokardu)<\/h2>\n<p><strong>Nejb\u011b\u017en\u011bj\u0161\u00ed p\u0159\u00edznaky infarktu<\/strong> jsou:<\/p>\n<ul>\n<li><strong>bolest, tlak<\/strong> a pocit sta\u017een\u00ed <strong>na hrudi<\/strong><\/li>\n<li>du\u0161nost<\/li>\n<li><strong>bolest vyst\u0159eluj\u00edc\u00ed<\/strong> do lev\u00e9ho ramene, brady, \u010delisti<\/li>\n<li><strong>studen\u00fd pot<\/strong><\/li>\n<li><strong>nevolnost<\/strong>, zvracen\u00ed<\/li>\n<li><strong>\u00fazkost<\/strong>, strach ze smrti<\/li>\n<li>zrychlen\u00e1 srde\u010dn\u00ed frekvence<\/li>\n<li>ka\u0161el<\/li>\n<\/ul>\n<span class=\"erit-highlight\"> <strong>Velmi d\u016fle\u017eit\u00e9<\/strong>: Infarkt myokardu m\u016f\u017ee u n\u011bkter\u00fdch lid\u00ed prob\u00edhat i bez p\u0159\u00edznak\u016f!<\/span> Tehdy mluv\u00edme o tich\u00e9 isch\u00e9mii. Tich\u00e1 ischemie se vyskytuje u pacient\u016f se srde\u010dn\u00edm selh\u00e1n\u00edm.<\/p>\n<div class=\"erit-block erit-block-warning\"> U \u017een jsou p\u0159\u00edznaky infarktu o n\u011bco odli\u0161n\u00e9. P\u0159\u00edtomna m\u016f\u017ee b\u00fdt nap\u0159\u00edklad <strong>bolest v horn\u00ed \u010d\u00e1sti zad nebo to\u010den\u00ed hlavy<\/strong>. N\u011bkter\u00e9 \u017eeny popisuj\u00ed p\u0159\u00edznaky infarktu myokardu jako <strong>silnou ch\u0159ipku<\/strong>. <\/div>\n<h2>Diagnostika<\/h2>\n<p>Existuje n\u011bkolik zp\u016fsob\u016f, jak se infarkt myokardu diagnostikuje. L\u00e9ka\u0159 v\u00e1s nejprve poslechne a zjist\u00ed, zda je srde\u010dn\u00ed frekvence pravideln\u00e1.<\/p>\n<h3>Metody diagnostiky<\/h3>\n<p>P\u0159i diagnostice infarktu se pou\u017e\u00edv\u00e1 i <strong>EKG (elektrokardiogram)<\/strong>. Sleduje se j\u00edm elektrick\u00e1 aktivita srdce.<\/p>\n<p>P\u0159i infarktu doch\u00e1z\u00ed i <strong>k tvorb\u011b specifick\u00fdch protein\u016f<\/strong>, kter\u00e9 dok\u00e1\u017eeme zjistit v krvi. Jedn\u00edm z nich je troponin <b>cTnT<\/b> , kter\u00fd se <strong>b\u011b\u017en\u011b v krvi nevyskytuje<\/strong>. Hladiny troponinu m\u016f\u017eeme zjistit v krvi u\u017e od 3 &#8211; 8 hodin od zastaven\u00ed p\u0159\u00edvodu krve do srdce (od isch\u00e9mie). <strong>Do 7 &#8211; 10 dn\u00ed od infarktu<\/strong> hladina troponinu cTnT kles\u00e1 na <strong>nedetekovateln\u00e9 hladiny<\/strong>.<\/p>\n<figure id=\"attachment_14608\" aria-describedby=\"caption-attachment-14608\" style=\"width: 696px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" class=\"wp-image-14608 size-large\" src=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/elektrokardiogram-angina-pectoris-1024x682.jpg\" alt=\"Elektrokardiogram (EKG), z\u00e1znam \u010dinnosti srdce p\u0159i onemocn\u011bn\u00edch jako angina pectoris, infarkt myokardu\" width=\"696\" height=\"464\" srcset=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/elektrokardiogram-angina-pectoris-1024x682.jpg 1024w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/elektrokardiogram-angina-pectoris-600x400.jpg 600w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/elektrokardiogram-angina-pectoris-300x200.jpg 300w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/elektrokardiogram-angina-pectoris-768x512.jpg 768w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/elektrokardiogram-angina-pectoris-696x464.jpg 696w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/elektrokardiogram-angina-pectoris-1068x712.jpg 1068w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/elektrokardiogram-angina-pectoris-630x420.jpg 630w, https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/elektrokardiogram-angina-pectoris.jpg 1280w\" sizes=\"(max-width: 696px) 100vw, 696px\" \/><figcaption id=\"caption-attachment-14608\" class=\"wp-caption-text\">Elektrokardiogram (EKG) &#8211; z\u00e1znam \u010dinnosti srdce p\u0159i onemocn\u011bn\u00edch jako angina pectoris, infarkt myokardu&#8230; (Zdroj: 123rf.com)<\/figcaption><\/figure>\n<h2>L\u00e9\u010dba infarktu myokardu<\/h2>\n<p>Na \u0159e\u0161en\u00ed akutn\u00edho infarktu se pou\u017e\u00edvaj\u00ed <strong>dva chirurgick\u00e9 postupy<\/strong>. O jejich v\u00fdhod\u00e1ch a rizic\u00edch v\u00e1s bude l\u00e9ka\u0159 informovat.<\/p>\n<h3>Perkut\u00e1nn\u00ed koron\u00e1rn\u00ed intervence (angioplastika, stentov\u00e1n\u00ed)<\/h3>\n<p>Velmi m\u00e1lo invazivn\u00ed chirurgick\u00fd v\u00fdkon, p\u0159i kter\u00e9m se <strong>roz\u0161\u00ed\u0159\u00ed z\u00fa\u017een\u00e9 nebo \u00fapln\u011b zablokovan\u00e9 koron\u00e1rn\u00ed art\u00e9rie<\/strong>.<\/p>\n<p>Do z\u00fa\u017een\u00e9 c\u00e9vy je pomoc\u00ed katetru zavedena kovov\u00e1 s\u00ed\u0165ka. Ta tam z\u016fst\u00e1v\u00e1 natrvalo. Br\u00e1n\u00ed tomu, aby se c\u00e9va op\u011bt zu\u017eovala. Z\u00e1krok trv\u00e1 <strong>od 15 minut do 2 &#8211; 3 hodin<\/strong>. D\u011bl\u00e1 se <strong>v lok\u00e1ln\u00ed anestezii<\/strong> bu\u010f p\u0159i pln\u00e9m v\u011bdom\u00ed nebo sedaci. Katetr se zav\u00e1d\u00ed p\u0159es slabinu nebo p\u0159edlokt\u00ed. V\u00fdhody angioplastiky jsou jej\u00ed kr\u00e1tk\u00e1 rekonvalescence a <strong>minim\u00e1ln\u00ed z\u00e1sah do organismu<\/strong>.<\/p>\n<h3>Obchvatov\u00e1 operace srdce (bypass)<\/h3>\n<p>Ve srovn\u00e1n\u00ed s angioplastikou se jedn\u00e1 o n\u00e1ro\u010dn\u011bj\u0161\u00ed operaci, p\u0159i kter\u00e9 se <strong>otev\u00edr\u00e1 oblast hrudn\u00edku<\/strong>. Prov\u00e1d\u00ed se v celkov\u00e9 anestezii. Kardiochirurg vytvo\u0159\u00ed dopl\u0148kov\u00e9 c\u00e9vy (nej\u010dast\u011bji se pou\u017eij\u00ed prsn\u00ed c\u00e9vy nebo c\u00e9vy doln\u00edch kon\u010detin a p\u0159edlokt\u00ed), \u010d\u00edm\u017e se obejdou ty ucpan\u00e9 a nefunk\u010dn\u00ed.<\/p>\n<p>Operace vy\u017eaduje <strong>del\u0161\u00ed rekonvalescenci<\/strong>. Pacient se vr\u00e1t\u00ed do b\u011b\u017en\u00e9ho fungov\u00e1n\u00ed <strong>a\u017e po 4 &#8211; 6 t\u00fddnech<\/strong>. Samotn\u00e1 <strong>hospitalizace trv\u00e1 p\u0159ibli\u017en\u011b t\u00fdden<\/strong>.<\/p>\n<h3>L\u00e9ky pou\u017e\u00edvan\u00e9 p\u0159i l\u00e9\u010db\u011b infarktu myokardu<\/h3>\n<p>Efektivn\u00ed na infarkt myokardu jsou l\u00e9ky ze skupin:<\/p>\n<ul>\n<li><strong>antikoagulancia &#8211; l\u00e9ky na \u0159ed\u011bn\u00ed krve jako nap\u0159\u00edklad aspirin<\/strong> &#8211; doch\u00e1z\u00ed k rozpu\u0161t\u011bn\u00ed blok\u00e1dy v c\u00e9v\u011b, \u010d\u00edm\u017e se zlep\u0161\u00ed pr\u016ftok krve<\/li>\n<li><strong>trombolytika<\/strong> &#8211; dok\u00e1\u017e\u00ed rozpustit tromby<\/li>\n<li><strong>inhibitory agregace trombocyt\u016f<\/strong> (nap\u0159\u00edklad klopidogrel) &#8211; br\u00e1n\u00ed shlukov\u00e1n\u00ed krevn\u00edch desti\u010dek<\/li>\n<li><strong>nitroglycerin<\/strong> &#8211; l\u00e9\u010dba nitroglycerinem roz\u0161i\u0159uje c\u00e9vy<\/li>\n<li><strong>beta blok\u00e1tory<\/strong> &#8211; maj\u00ed preventivn\u00ed \u00fa\u010dinky na po\u0161kozen\u00ed srdce po infarktu, sni\u017euj\u00ed srde\u010dn\u00ed frekvenci a pou\u017e\u00edvaj\u00ed se i jako l\u00e9\u010dba vysok\u00e9ho tlaku krve<\/li>\n<li><strong>ACE inhibitory<\/strong> &#8211; maj\u00ed antihypertenzivn\u00ed \u00fa\u010dinek<\/li>\n<li><strong>l\u00e9ky na potla\u010den\u00ed bolesti, anxiolytika<br \/>\n<\/strong><\/li>\n<\/ul>\n<h2>Prvn\u00ed pomoc p\u0159i infarktu myokardu<\/h2>\n<p>P\u0159i podez\u0159en\u00ed na infarkt postupujte v n\u00e1sleduj\u00edc\u00edch kroc\u00edch:<\/p>\n<ul>\n<li><strong>Zavolejte z\u00e1chranku<\/strong>, p\u0159esn\u011b popi\u0161te p\u0159\u00edznaky. Nezapome\u0148te nadiktovat jm\u00e9no a adresu. \u0158\u00edzen\u00ed p\u0159i podez\u0159en\u00ed na infarkt je rizikov\u00e9 nejen pro v\u00e1s, ale i pro ostatn\u00ed \u00fa\u010dastn\u00edky provozu, proto se t\u00e9to mo\u017enosti vyh\u00fdbejte.<\/li>\n<li><strong>Usa\u010fte se<\/strong>.<\/li>\n<li>Pokud nejste alergi\u010dt\u00ed na <strong>aspirin<\/strong>, u\u017eijte ho.<\/li>\n<li>Pokud m\u00e1te p\u0159edeps\u00e1n <strong>nitroglycerin<\/strong>, u\u017eijte ho. Neu\u017e\u00edvejte v\u0161ak nitroglycerin n\u011bkoho jin\u00e9ho, ani ho nepod\u00e1vejte jin\u00fdm lidem p\u0159i podez\u0159en\u00ed na infarkt myokardu.<\/li>\n<li>Pokud je pacient <strong>v bezv\u011bdom\u00ed, zahajte resuscitaci<\/strong>. Nebojte se j\u00ed! Nem\u016f\u017ee ubl\u00ed\u017eit, jen pomoci! <span class=\"erit-highlight\">I \u0161patn\u00e1 technika je lep\u0161\u00ed, ne\u017e neud\u011blat nic.<\/span> Naopak ne\u010dinnost je v t\u00e9to situaci \u017eivot ohro\u017euj\u00edc\u00ed. <span class=\"erit-highlight\"><strong>P\u0159i resuscitaci se dr\u017ete pravidla 30:2<\/strong>, a tedy 30 stla\u010den\u00ed srdce a 2 vdechnut\u00ed.<\/span> P\u0159i vdechnut\u00ed pacientovi stiskn\u011bte prsty nos, aby vzduch neunikal. Hrudn\u00edk t\u0159eba ma\u010dkat dost siln\u011b, p\u0159ibli\u017en\u011b do hloubky 10 cm.<\/li>\n<\/ul>\n<p>P\u0159i o\u017eivov\u00e1n\u00ed se \u010dasto st\u00e1v\u00e1, \u017ee se p\u0159i n\u011bm zlom\u00ed \u017eebro. P\u0159esto je t\u0159eba pokra\u010dovat. Takto m\u016f\u017eeme doc\u00edlit to, \u017ee \u010dlov\u011bk nejen p\u0159e\u017eije, ale tak\u00e9 se v kone\u010dn\u00e9m d\u016fsledku l\u00e9pe zotav\u00ed.<\/p>\n<h2>Prevence infarktu<\/h2>\n<p>Z\u00e1kladem prevence infarktu a dal\u0161\u00edch kardiovaskul\u00e1rn\u00edch onemocn\u011bn\u00ed (jako angina pectoris) je zdrav\u00e1 <strong>\u017eivotospr\u00e1va a adekv\u00e1tn\u00ed fyzick\u00e9 zat\u00ed\u017een\u00ed<\/strong>.<\/p>\n<p>Pravideln\u011b konzumujte <strong>dostatek zeleniny a ovoce, vl\u00e1kninu a kvalitn\u00ed proteiny<\/strong>. T\u00edm budete p\u0159edch\u00e1zet zu\u017eov\u00e1n\u00ed c\u00e9v vlivem ateroskler\u00f3zy a vysok\u00e9ho cholesterolu.<\/p>\n<p>Pravideln\u00fdm sportem zase <strong>sn\u00ed\u017e\u00edte svou tepovou frekvenci a pos\u00edl\u00edte srde\u010dn\u00ed sval<\/strong>. Z\u00e1rove\u0148 pos\u00edl\u00edte proud\u011bn\u00ed krve do perifern\u00edch oblast\u00ed a udr\u017eujete svoji hmotnost v norm\u011b.<\/p>\n<h2>Shrnut\u00ed<\/h2>\n<p>Akutn\u00ed infarkt myokardu je <strong>\u017eivot ohro\u017euj\u00edc\u00ed situace<\/strong>, p\u0159i kter\u00e9 doch\u00e1z\u00ed k omezen\u00ed pr\u016ftoku krve do srdce. Koron\u00e1rn\u00ed tepny se ucpou vlivem <strong>nespr\u00e1vn\u00e9ho stravov\u00e1n\u00ed, kou\u0159en\u00edm a nedostatkem pohybu<\/strong>. Riziko infarktu zvy\u0161uj\u00ed i n\u011bkter\u00e1 onemocn\u011bn\u00ed, nap\u0159\u00edklad cukrovka a siln\u00fd je i vliv genetiky.<\/p>\n<p><strong>P\u0159i podez\u0159en\u00ed na infarkt myokardu<\/strong> (pokud se u v\u00e1s vyskytnou p\u0159\u00edznaky jako n\u00e1hl\u00e1 siln\u00e1 bolest na hrudi, slabost, pocen\u00ed, pop\u0159. nevolnost) <strong>ihned volejte \u010d\u00edslo 155<\/strong>. Adekv\u00e1tn\u00ed diagnostika a l\u00e9\u010dba infarktu pat\u0159\u00ed do rukou l\u00e9ka\u0159e.<\/p>\n<p>Zdroje:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.mayoclinic.org\/first-aid\/first-aid-heart-attack\/basics\/art-20056679\" target=\"_blank\" rel=\"noopener noreferrer\">mayoclinic.org<\/a><\/li>\n<li><a href=\"http:\/\/www.nusch.sk\/sk\/informacie-o-koronarografii\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">nusch.sk<\/a><\/li>\n<li><a href=\"https:\/\/www.wikiskripta.eu\/w\/Biochemick%C3%A9_ukazatele_akutn%C3%ADho_infarktu_myokardu\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">wikiskripta.eu<\/a><\/li>\n<li><a href=\"https:\/\/www.healthline.com\/health\/acute-myocardial-infarction#prevention\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">healthline.com<\/a><\/li>\n<\/ul>\n<div class='erit-disclaimer'><span class='erit-disclaimer-icon'><span class='erit-disclaimer-text'>!<\/span><\/span><span class='erit-disclaimer-text'>\u010cl\u00e1nek byl vypracov\u00e1n l\u00e9k\u00e1rn\u00edkem av\u0161ak, slou\u017e\u00ed pouze pro informativn\u00ed \u00fa\u010dely - nenahrazuje l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed, nebo osobn\u00ed setk\u00e1n\u00ed v l\u00e9k\u00e1rn\u011b.<\/span><\/div>\n<script type='text\/javascript' >\n                jQuery(document).ready(function($) {\n    \n                    let data = {\n                        'action': 'render_widget_action',\n                        'postId': null,\n                        'categoryId': null\n                    };\n    \n                    let ajaxUrlFromPHP = 'https:\/\/zdravovek.eu\/wp-admin\/admin-ajax.php';\n                    jQuery.post(ajaxUrlFromPHP, data, function(response) {\n                        if(response == 0){\n                            \/\/ chyba\n                            jQuery( '#eap_top_w' ).html( '' );\n                            jQuery( '#eap_top_w_wrap' ).hide();\n                        } if(response == -1){\n                            \/\/ nenasli ziadne produkty\n                            jQuery( '#eap_top_w' ).html( '' );\n                            jQuery( '#eap_top_w_wrap' ).hide();\n                        } else {\n                            let desktop = $(window).width() > 960;\n                            if(desktop){\n                                jQuery( '#eap_top_w' ).html( response );\n                                jQuery( '#eap_top_w_wrap' ).fadeIn(1000);\n                            } else {\n                                jQuery( '#eap_top_w_mob_chart' ).html( response );\n                                jQuery( '#eap_top_w_mob' ).fadeIn(1000); 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Doch\u00e1z\u00ed p\u0159i n\u011bm k zastaven\u00ed proud\u011bn\u00ed krve do srdce, co\u017e po\u0161kod\u00ed bli\u017e\u0161\u00ed, ale i vzd\u00e1len\u011bj\u0161\u00ed tk\u00e1n\u011b. P\u0159i neadekv\u00e1tn\u00edm rozpozn\u00e1n\u00ed p\u0159\u00edznak\u016f infarktu myokardu pacient zbyte\u010dn\u011b ztr\u00e1c\u00ed \u010das, co\u017e m\u016f\u017ee b\u00fdt fat\u00e1ln\u00ed. Bolest na hrudi pat\u0159\u00ed mezi charakteristick\u00e9 p\u0159\u00edznaky infarktu. V\u00edte, jak\u00e9 jsou ty dal\u0161\u00ed? Co se d\u011bje [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":14049,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[112,107,79],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Infarkt myokardu - p\u0159\u00edznaky, diagnostika, l\u00e9\u010dba | Zdravov\u011bk<\/title>\n<meta name=\"description\" content=\"Infarkt myokardu (srde\u010dn\u00ed infarkt) se projevuje ostrou bolest\u00ed na hrudi. \u27a4 Jak\u00e9 jin\u00e9 p\u0159\u00edznaky ho doprov\u00e1zej\u00ed? \u27a4 Jak\u00e1 je diagnostika a l\u00e9\u010dba?\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Infarkt myokardu - p\u0159\u00edznaky, diagnostika, l\u00e9\u010dba | Zdravov\u011bk\" \/>\n<meta property=\"og:description\" content=\"Infarkt myokardu (srde\u010dn\u00ed infarkt) se projevuje ostrou bolest\u00ed na hrudi. \u27a4 Jak\u00e9 jin\u00e9 p\u0159\u00edznaky ho doprov\u00e1zej\u00ed? \u27a4 Jak\u00e1 je diagnostika a l\u00e9\u010dba?\" \/>\n<meta property=\"og:url\" content=\"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/\" \/>\n<meta property=\"og:site_name\" content=\"Zdravovek\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/zdravoveda.eu\/\" \/>\n<meta property=\"article:published_time\" content=\"2019-06-11T05:27:32+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-09-14T17:00:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/infarkt-myokardu-bolest-srdca.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"853\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Odhadovan\u00e1 doba \u010dten\u00ed\">\n\t<meta name=\"twitter:data1\" content=\"6 minut\">\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/zdravovek.eu\/#website\",\"url\":\"https:\/\/zdravovek.eu\/\",\"name\":\"Zdravovek\",\"description\":\"Magaz\\u00edn o zdrav\\u00ed a \\u017eivotospr\\u00e1ve\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":\"https:\/\/zdravovek.eu\/?s={search_term_string}\",\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"cs\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/#primaryimage\",\"inLanguage\":\"cs\",\"url\":\"https:\/\/zdravovek.eu\/wp-content\/uploads\/2019\/01\/infarkt-myokardu-bolest-srdca.jpg\",\"width\":1280,\"height\":853,\"caption\":\"Zdroj: 123rf.com\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/#webpage\",\"url\":\"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/\",\"name\":\"Infarkt myokardu - p\\u0159\\u00edznaky, diagnostika, l\\u00e9\\u010dba | Zdravov\\u011bk\",\"isPartOf\":{\"@id\":\"https:\/\/zdravovek.eu\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/#primaryimage\"},\"datePublished\":\"2019-06-11T05:27:32+00:00\",\"dateModified\":\"2020-09-14T17:00:09+00:00\",\"author\":{\"@id\":\"https:\/\/zdravovek.eu\/#\/schema\/person\/2315ad33a691c7a682d42152b3e6caee\"},\"description\":\"Infarkt myokardu (srde\\u010dn\\u00ed infarkt) se projevuje ostrou bolest\\u00ed na hrudi. \\u27a4 Jak\\u00e9 jin\\u00e9 p\\u0159\\u00edznaky ho doprov\\u00e1zej\\u00ed? \\u27a4 Jak\\u00e1 je diagnostika a l\\u00e9\\u010dba?\",\"breadcrumb\":{\"@id\":\"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/#breadcrumb\"},\"inLanguage\":\"cs\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"item\":{\"@type\":\"WebPage\",\"@id\":\"https:\/\/zdravovek.eu\/cs\/\",\"url\":\"https:\/\/zdravovek.eu\/cs\/\",\"name\":\"Home\"}},{\"@type\":\"ListItem\",\"position\":2,\"item\":{\"@type\":\"WebPage\",\"@id\":\"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/\",\"url\":\"https:\/\/zdravovek.eu\/cs\/infarkt-myokardu\/\",\"name\":\"Infarkt myokardu (srde\\u010dn\\u00ed infarkt) &#8211; p\\u0159\\u00edznaky, diagnostika, l\\u00e9\\u010dba\"}}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/zdravovek.eu\/#\/schema\/person\/2315ad33a691c7a682d42152b3e6caee\",\"name\":\"Mgr. 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