{"id":6370,"date":"2020-05-18T10:16:09","date_gmt":"2020-05-18T09:16:09","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/kardiologija-varijabilnost-krvnog-pritiska-copy\/"},"modified":"2020-10-07T10:47:11","modified_gmt":"2020-10-07T09:47:11","slug":"kardiologija-kardiovaskularni-rizik","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/kardiologija\/kardiologija-kardiovaskularni-rizik\/","title":{"rendered":"Kardiologija – Kardiovaskularni rizik"},"content":{"rendered":"

DA LI ZNATE SVOJ KARDIOVASKULARNI RIZIK?<\/strong><\/p>\n

Evropsko udru\u017eenje kardiologa kao i sva druga udru\u017eenja kardiologa\u00a0 koja brinu o zdravlju ljudi, daju preporuku da je neophodno napraviti \u0161to ta\u010dniju a ipak \u0161to jednostavniju procenu ukupnog kardiovaskularnog (KV) rizika od oboljevanja ili umiranja zbog KV bolesti.<\/span><\/p>\n

KADA SE PROCENJUJE KV RIZIK?<\/strong><\/p>\n

    \n
  1. Kada to pacijent tra\u017ei i <\/span><\/li>\n
  2. Kada to lekar procenjuje, a to je u stanjima prisutnih faktora rizika (povi\u0161eni krvni pritisak, lipidi, glikemija, pu\u0161enje), prisutne porodi\u010dne istorije za prerano KV oboljneje (mu\u0161karci pre 55 godine, \u017eene pre 65 godine), postojanja simptoma koji ukazuju na KV oboljenje i dr.\u00a0<\/span><\/li>\n<\/ol>\n

    KAKO BRZO I LAKO PROCENITI\u00a0 KV RIZIK?<\/strong><\/p>\n

    Osobe koje imaju: <\/span><\/p>\n

    1. KV oboljenje, <\/span><\/p>\n

    2. tip 2 dijabetes ili tip 1 sa mikroalbuminurijom; <\/span><\/p>\n

    3. vrlo visoke vrednosti pojedina\u010dnih faktora rizika – automatski imaju pove\u0107an KV rizik i zahtevaju le\u010denje svih faktora rizika.<\/span><\/p>\n

    Za ostale osobe je neophodno u svakodnevnoj klini\u010dkoj praksi, ne samo odrediti vrednosti pojedina\u010dnih faktora rizika, ve\u0107 proceniti apsolutni individulani ukupni KV rizik, na osnovu SCORE karte bodovanja.\u00a0<\/span><\/p>\n

    Najve\u0107i broj bolesnika ima 2 ili vi\u0161e faktora rizika istovremeno. Njihova udru\u017eenost ne dovodi do aditivnog ve\u0107 eksponencijalnog rasta rizika. Udru\u017eenost hipertenzije i hiperholesterolemije pove\u0107ava KV rizik za nastanak ishemijske bolesti srca za 9 puta, a udru\u017eenost hipertenzije, hiperholesterolemije i pu\u0161enja za 16 puta.<\/span><\/p>\n

    KAKO SE KORISTI SCORE KARTA?<\/strong><\/p>\n

    Procenjuje se 10-godi\u0161nji rizik za nastanak fatalnog KV doga\u0111aja. KV rizik mo\u017ee biti:\u00a0<\/span><\/p>\n

      \n
    1. Vrlo visok KV rizik: SCORE 10% i ve\u0107i, dokazano KV oboljenje pomo\u0107u neinvazivnih ili invazivnih testiranja, dijabetes\u00a0 mellitus sa jednim ili vi\u0161e KV rizika i\/ili o\u0161te\u0107enjem ciljnih organa, te\u0161ka hroni\u010dna bolest bubrega;<\/span><\/li>\n
    2. Visok KV rizik: SCORE 5 % i ve\u0107i, a manji od 10%, zna\u010dajno pove\u0107anje pojedina\u010dnih faktora rizika kao \u0161to je porodi\u010dna dislipidemija i te\u0161ka hipertenzija, diabetes mellitus bez rizi\u010dnih KV faktora ili o\u0161te\u0107enja organa, umerena hroni\u010dna bolest bubrega;\u00a0<\/span><\/li>\n
    3. Umeren KV rizik: SCORE 1% i ve\u0107i, a manji od 5%.<\/span><\/li>\n<\/ol>\n

      Ve\u0107ina sredove\u010dnih osoba pripada ovoj kategoriji.\u00a0\u00a0<\/span><\/p>\n

        \n
      1. Mali KV rizik: SCORE manji od 1%.\u00a0<\/span><\/li>\n<\/ol>\n

        KV rizik mo\u017ee biti i ve\u0107i od onog u SCORE karti:kod osoba koje su neaktivne ili gojazne, kod socijalno ugro\u017eenih osoba, kod osoba sa niskim HDL holesterolom i povi\u0161enim trigliceridima i dr.<\/span><\/p>\n

        Poseban zna\u010daj se odnosi na asimptomatske osobe sa preklini\u010dkim ateroskleroti\u010dnim o\u0161te\u0107enjima srca, mozga, bubrega, o\u010dnog dna, malih i velikih krvnih sudova. Klini\u010dki kardiolo\u0161ki pregled<\/a>, pregled krvi i urina, EKG, EHO srca, Doppler krvnih sudova, Holter EKG, Test optere\u0107enja i druge dijagnosti\u010dke metode doprinose otkrivanju asimptomatskih o\u0161te\u0107enja.<\/span><\/p>\n

        PROCENA I LE\u010cENJE POVE\u0106ANOG KV RIZIKA<\/strong><\/p>\n

        ZA\u0160TO U EUROMEDIKU?<\/strong><\/p>\n

        Zato \u0161to se u EUROMEDIKU visoko ceni zna\u010daj procene KV rizika i po\u0161tuje zna\u010daj sistematskih pregleda u otkrivanju faktora rizika i skrivenih o\u0161te\u0107enja.<\/span><\/p>\n

        EUROMEDIK permanentno edukaije pacijente i razvija pozitivan odnos sa njima.\u00a0<\/span><\/p>\n

        Misija EUROMEDIK-a je smanjenje KV rizika, a time i poboljanje kvalitet \u017eivota.<\/span><\/p>\n

         <\/p>\n","protected":false},"excerpt":{"rendered":"

        DA LI ZNATE SVOJ KARDIOVASKULARNI RIZIK? 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