Antwort Jak vzniká nedomykavost chlopně? Weitere Antworten – Jak se pozná špatně srdce

Jak vzniká nedomykavost chlopně?
Rozlišujeme 7 základních příznaků při onemocnění srdce, patří sem bolest na hrudi, dušnost, kašel, palpitace, synkopa, cyanóza, otoky a hemoptýza. Mezi další příznaky patří také únava, nechutenství, kachexie, bolest břicha, nauzea, zvracení, atd.Dnes se dá umělá chlopeň dostat do srdce skrz tříslo. Lidem v takto vysokém věku tato operace může prodloužit život o 3 až 5 let. U mladších lidí okolo pětašedesáti let ještě přesně nelze určit, o kolik let jim tento zákrok prodlouží život. „Kromě věku pacienta je velmi důležité, jaké má další onemocnění.Délka operace se pohybuje kolem 4 hodin. Asi u 15% nemocných s ischemickou chorobou srdeční lze našít bypass i bez použití mimotělního oběhu z menšího řezu na hrudníku (tzv. miniinvazivní výkon). Při operaci srdeční chlopně je nutno použít mimotělní oběh.

Jak se provádí operace chlopně : Operace se provádí většinou ze střední sternotomie (protětí hrudní kosti uprostřed) a po kanylaci a spuštění mimotělního oběhu se operuje na nebijícím srdci. Operatér otevře patřičný srdeční oddíl nebo aortu a prohlédne si stav chlopně, pokud nejsou cípy patologicky postiženy, zvolí operatér příslušný druh plastiky.

Jak se pozna slabe srdce

silnější zadýchávání nebo dušnost, která se nejprve objevuje pouze při námaze, později i při běžných činnostech jako chůze, případně i v klidu,
kašel, případně sípání, zvláště vleže,
přibírání na váze,
oteklé kotníky,
snížená fyzická výkonnost a výdrž, silná únava a vyčerpání,

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Odhaduje se, že až desetina případů nemá žádné příznaky a až třetina případů má příznaky atypické a mírnější – například jen dušnost či bolest v zádech nebo v rameni. Mezi příznaky infarktu patří také pálení žáhy, bolest břicha, zvracení, nevolnost, závratě či mdloby nebo studené pocení.
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Jak se léčí Nedomykavost chlopně

.wDYxhc{clear:both}.cUnQKe .wDYxhc,.related-question-pair .wDYxhc,.M8OgIe .fm06If .wDYxhc{clear:none}html .dG2XIf .xpdclose .LKPcQc,html .dG2XIf .xpdopen .viOShc{padding-top:0;}.garHBe{color:var(–COEmY);font-size:20px;line-height:1.3;position:relative}.garHBe a{color:var(–COEmY)}.xpdopen .Hhmu2e{overflow:inherit}.xpdclose .a84NUc:not(:empty),.xpdopen .CQKTwc:not(:empty){border-top:solid 1px #ebebeb;border-radius:0}.xpdclose .pmYXee .a84NUc:not(:empty),.xpdopen .pmYXee .CQKTwc:not(:empty){border-top:none}.cAn2Qb .a84NUc:not(:empty),.cAn2Qb .CQKTwc:not(:empty){border-top:none}.SHa8ve{display:none}.xpdclose .TOfaBb.SHa8ve,.xpdopen .LL5J7d.SHa8ve{display:block}.rKR6H{padding-top:0.1px}.xpdclose .oHglmf,.xpdopen .xzPb7d{padding-bottom:16px}.xpdclose .kp-header .oHglmf,.xpdopen .kp-header .xzPb7d{padding-bottom:0}.c2xzTb .xpdclose .oHglmf,.c2xzTb .xpdopen .xzPb7d{padding-bottom:0}.HSryR .xpdclose .oHglmf,.HSryR .xpdopen .xzPb7d{padding-bottom:0}.Wnoohf .xpdopen .yp1CPe,.OJXvsb .xpdclose .siXlze{padding-bottom:16px}.Wnoohf .xpdopen .yp1CPe .xpdbox g-more-link{top:28px}.Wnoohf .xpdclose .wDYxhc.xsZWvb,.Wnoohf .xpdopen .wDYxhc.EfDVh{padding-bottom:0}.OJXvsb .xpdclose .wDYxhc.siXlze{padding-bottom:16px}#rhs .dG2XIf .xpdclose .LKPcQc,#rhs .dG2XIf .xpdopen .viOShc{padding-top:0}#rhs .Wnoohf .xpdopen .yp1CPe,#rhs .OJXvsb .xpdclose .siXlze{padding-bottom:15px}#rhs .Wnoohf .xpdclose .wDYxhc.xsZWvb,#rhs .Wnoohf .xpdopen .wDYxhc.EfDVh{padding-bottom:0}#rhs .Wnoohf .xpdclose .wDYxhc.xsZWvb.ecRggb,#rhs .Wnoohf .xpdopen .wDYxhc.EfDVh.ecRggb,#rhs .dG2XIf .ecRggb{padding-bottom:15px}.ecRggb{background-color:#fff;box-shadow:none;border:1px solid #dadce0;border-radius:8px;margin:0 0 16px 0}.Jb0Zif .UiGGAb.ILfuVd,.ILfuVd{font-size:16px;line-height:24px;}.fm06If .ILfuVd.NA6bn,.c2xzTb .ILfuVd.duSGDe,.c2xzTb .ILfuVd.NA6bn.c3biWd{font-size:14px;line-height:1.58;}.c2xzTb .zloOqf{font-size:16px;margin-bottom:16px;margin-top:-8px;}.FLWspc{margin:16px}.LFYdN{font-size:16px;margin:16px}.trNcde .ILfuVd{color:var(–bbQxAb);font-family:Google Sans,arial,sans-serif;font-size:14px;line-height:22px}.HSryR .ILfuVd{line-height:1.5}.ss6qqb .ILfuVd,.ss6qqb .UiGGAb.ILfuVd{font-size:14px;line-height:22px}.c2xzTb .qLYAZd{margin:16px 16px 16px 0;}.d9FyLd{padding:0 0 10px}.hgKElc{padding:0 8px 0 0}.kX21rb{font-size:12px;line-height:1.34;display:inline-block;font-family:Google Sans,arial,sans-serif;padding-right:0;white-space:nowrap}.SPV4pd{display:flex;overflow-x:auto}.SPV4pd::-webkit-scrollbar{display:none}.Vjskue{margin-left:8px}.JT9o0,.ZnIJV{align-items:center;border:1px solid var(–mXZkqc);border-radius:16px;box-sizing:border-box;color:#1a73e8;cursor:pointer;display:flex;height:32px;margin-bottom:16px}.BkHX0d{font-family:Google Sans,arial,sans-serif-medium,sans-serif;font-size:14px;line-height:20px;padding-right:20px;text-align:center;white-space:nowrap}.xv1D5b{display:block;padding:0 8px 0 12px;width:18px;height:18px}.LGOjhe{overflow:hidden;padding-bottom:20px}.trNcde .LGOjhe{overflow:visible}.SALvLe .LGOjhe,.Jb0Zif .LGOjhe,.HSryR .LGOjhe,.IVvPP .LGOjhe{padding:0 0 10px;margin:10px 0 0 0}.s6JM6d .SALvLe .LGOjhe{margin-top:12px;}.s6JM6d .HSryR .LGOjhe{margin-top:12px;padding-bottom:20px}#res .Jb0Zif .qDOt0b h3,.IVvPP .qDOt0b h3{font-size:16px;line-height:1.375}.Jb0Zif .qDOt0b .iUh30,.IVvPP .qDOt0b .iUh30{font-size:14px;line-height:1.58}.IVvPP .qDOt0b{border-bottom:1px solid var(–gS5jXb);padding-bottom:6px}.rjOVwe.ILfuVd{font-size:16px;line-height:20px}.dG2XIf .rjOVwe{padding-top:22px;padding-bottom:0;margin-bottom:1px}.xWd7I{padding-top:12px;}.ILfuVd.NA6bn,.ILfuVd.duSGDe,.ILfuVd.UiGGAb,.IVvPP .ILfuVd{font-size:14px;line-height:22px}.n6SJS .ILfuVd{font-size:14px}.ILfuVd.NA6bn,.ILfuVd.duSGDe,.ILfuVd.UiGGAb,.IVvPP .ILfuVd{line-height:20px}.xpd-wa .g-blk{margin:initial}.xpd-wa .dG2XIf{border:initial;box-shadow:none}.fm06If .ILfuVd,.c2xzTb .ILfuVd,.Jb0Zif .c2xzTb .ILfuVd{font-family:Google Sans,arial,sans-serif;color:var(–YLNNHc)}.fm06If .ILfuVd,.c2xzTb .ILfuVd,.Jb0Zif .c2xzTb .ILfuVd{font-size:20px;line-height:28px}.cUnQKe .ILfuVd,.cUnQKe .UiGGAb.ILfuVd,.w5mTAe .ILfuVd,.W0urI .ILfuVd{color:var(–bbQxAb);font-family:Google Sans,arial,sans-serif;font-size:16px;line-height:24px}.fm06If .ILfuVd b,.trNcde .ILfuVd b,.cUnQKe .ILfuVd b,.c2xzTb .ILfuVd b,.w5mTAe .ILfuVd b,.W0urI .ILfuVd b{background-color:#d3e3fd;color:#040c28;font-weight:500}@media (forced-colors:active){.fm06If .ILfuVd b,.c2xzTb .ILfuVd b,.trNcde .ILfuVd b,.cUnQKe .ILfuVd b,.w5mTAe .ILfuVd b,.W0urI .ILfuVd b{background-color:Mark;color:MarkText}}.IiOSLb .rsGxI.Ww4FFb,.Ww4FFb{background-color:var(–xhUGwc);border-radius:0px;border-width:0;box-shadow:none}.Ww4FFb .mnr-c:not(:empty),.mnr-c:not(:empty) .Ww4FFb,.Ww4FFb .Ww4FFb{box-shadow:none;margin-bottom:0px}.vt6azd{margin:0px 0px 8px}.vt6azd{margin:0px 0px 30px}.CBvvz{margin:-var(–sds-sys-measurement–space-sm) 0px 0px}.CBvvz{margin:-30px 0px 0px}
Nejšetrnějším způsobem řešení pro pacienta je záchovná operace – plastika chlopně, což je chirurgická oprava poškozené chlopně bez nutnosti náhrady. Tímto způsobem je možné v současné době vyřešit většinu případů nedomykavosti mitrální chlopně.
.vBnbff .mO5MMe{padding-top:10px}.cUnQKe .vBnbff .mO5MMe{padding-left:0;}.trNcde .vBnbff .mO5MMe{padding:10px 0 0 0}.cAn2Qb.abzPbc .mnr-c{max-width:calc(100% – 162px)}.tF2Cxc{position:relative}.Jb0Zif .BDNLRc{margin:16px 16px -11px}.RUXr2d{display:inline}.MTB56{margin-right:12px;vertical-align:middle}.Pthbuf{display:flex;align-items:center}.m164Nd{vertical-align:middle;display:inline-block}.qpGQpf{clear:both;padding-top:6px}.aCOpRe{line-height:1.58;word-wrap:break-word}.aCOpRe sup{line-height:0.9}.yuRUbf{font-weight:normal;font-size:small;line-height:1.58;}.IsZvec{max-width:48em;color:#4d5156;line-height:1.58}.uo4vr{color:var(–IXoxUe);line-height:1.58}.IjZ7ze{display:inline-block;color:var(–IXoxUe);font-size:12px;line-height:1.34;white-space:nowrap}.FyYA1e{margin:5px 0}a:hover h3.LC20lb{text-decoration:underline}.M8OgIe .dG2XIf .fm06If .LC20lb,.n6SJS h3.LC20lb{overflow:hidden;text-overflow:ellipsis;white-space:nowrap;width:100%}.LC20lb{display:inline-block;line-height:1.3;margin-bottom:3px;}.c2xzTb .LC20lb{margin-bottom:0}.MMgsKf{padding-top:2px}.DKV0Md{padding-top:4px;padding-top:5px;}.Z3xoIb{padding-top:27px;padding-top:28px;}.NXKJM{display:-webkit-box;overflow:hidden;-webkit-box-orient:vertical;-webkit-line-clamp:1}.hceuRc{-webkit-box-orient:vertical;display:-webkit-box;-webkit-line-clamp:2;overflow:hidden}.fzBvHb{font-weight:700}.DKV0Md,.Z3xoIb{margin-top:18px;}.xvfwl{margin-top:4px}.q0vns a.fl{font-size:12px}.TQc1id .qLRx3b{font-size:14px;line-height:1.58}.HGLrXd{display:inline-block;-webkit-text-size-adjust:none}.q0vns{display:inline-block;padding-bottom:2px;padding-top:1px}.NJjxre{position:absolute;left:0;top:0;width:100%}.M8OgIe .VWCdhc.Mjve0e .q0vns{width:max-content}.VjDLd .TieM1d .tjvcx,.IVvPP .tjvcx,.kno-kp .tjvcx,.VjDLd .kp-wholepage-osrp .tjvcx,#rhs .ss6qqb .tjvcx,#rhs .trNcde .tjvcx{display:inline-block;height:19px;overflow-y:hidden}.ojE3Fb{padding:0;padding-bottom:0;}.ojE3Fb .q0vns{display:flex;overflow:hidden;padding:0;padding-bottom:0;align-items:center;}.ojE3Fb .q0vns a.fl{padding-top:0;font-size:12px;line-height:18px;}.GvPZzd{font-size:12px;line-height:18px;}.dTxz9{padding-right:38px}.iG7WGe{color:#202124;padding:0;text-align:center;width:16px}.VuuXrf{color:#202124;font-size:14px;display:block;line-height:20px;white-space:nowrap;}.qncq2c{font-size:12px;line-height:16px;margin-left:6px}.CA5RN{overflow:hidden}.K2VDSb{display:flex;flex-direction:row}.H9lube{background-color:#f1f3f4;border:1px solid #dadce0;border-radius:50%;display:inline-flex;justify-content:center;align-items:center;height:26px;width:26px;margin-right:12px;flex-shrink:0;vertical-align:middle;}.fJOpI.H9lube{background-color:#e2eeff;border:1px solid #e2eeff}.P1UpZb{background-color:#f1f3f4;border:1px solid #ecedef}.eqA2re.NjwKYd{margin-right:0}.Vwoesf:not(.oRVWZ){display:inline-block}.Vwoesf{vertical-align:middle}.XNo5Ab.XNo5Ab{display:block;}.lWlVCe{border-radius:50%}.bJVp8c{color:#0060f0}.Jj3Uob{color:#0060f0;}.ob9lvb{color:#4d5156}.ob9lvb.HCMUuf{color:var(–IXoxUe)}.ylgVCe{color:#4d5156}.B6fmyf{position:absolute;top:0;height:0;visibility:hidden;white-space:nowrap;width:100%}.B6fmyf.Mg1HEd{height:auto}.ljeAnf{display:-webkit-box;overflow:hidden;-webkit-box-orient:vertical}.byrV5b{align-items:center;display:flex;flex-direction:row}.sBJG1d{display:flex;flex-direction:row;justify-content:center}.kDmHO{align-items:center;display:flex;flex-direction:column}.lR4vec{display:flex;flex-direction:column;justify-content:center}.xTEyc{align-items:start;display:flex;flex-direction:row}.OjFzvd{display:flex;flex-direction:row;justify-content:start}.YIPhrb{align-items:start;display:flex;flex-direction:column}.BToiNc{display:flex;flex-direction:column;justify-content:start}.E4bmEc .Va021{flex:1 1 100%}.E4bmEc .Y76LGf{flex:1 1 calc(50% – 4px)}.wDYxhc{clear:both}.cUnQKe .wDYxhc,.related-question-pair .wDYxhc,.M8OgIe .fm06If .wDYxhc{clear:none}html .dG2XIf .xpdclose .LKPcQc,html .dG2XIf .xpdopen .viOShc{padding-top:0;}.garHBe{color:var(–COEmY);font-size:20px;line-height:1.3;position:relative}.garHBe a{color:var(–COEmY)}.xpdopen .Hhmu2e{overflow:inherit}.xpdclose .a84NUc:not(:empty),.xpdopen .CQKTwc:not(:empty){border-top:solid 1px #ebebeb;border-radius:0}.xpdclose .pmYXee .a84NUc:not(:empty),.xpdopen .pmYXee .CQKTwc:not(:empty){border-top:none}.cAn2Qb .a84NUc:not(:empty),.cAn2Qb .CQKTwc:not(:empty){border-top:none}.SHa8ve{display:none}.xpdclose .TOfaBb.SHa8ve,.xpdopen .LL5J7d.SHa8ve{display:block}.rKR6H{padding-top:0.1px}.xpdclose .oHglmf,.xpdopen .xzPb7d{padding-bottom:16px}.xpdclose .kp-header .oHglmf,.xpdopen .kp-header .xzPb7d{padding-bottom:0}.c2xzTb .xpdclose .oHglmf,.c2xzTb .xpdopen .xzPb7d{padding-bottom:0}.HSryR .xpdclose .oHglmf,.HSryR .xpdopen .xzPb7d{padding-bottom:0}.Wnoohf .xpdopen .yp1CPe,.OJXvsb .xpdclose .siXlze{padding-bottom:16px}.Wnoohf .xpdopen .yp1CPe .xpdbox g-more-link{top:28px}.Wnoohf .xpdclose .wDYxhc.xsZWvb,.Wnoohf .xpdopen .wDYxhc.EfDVh{padding-bottom:0}.OJXvsb .xpdclose .wDYxhc.siXlze{padding-bottom:16px}#rhs .dG2XIf .xpdclose .LKPcQc,#rhs .dG2XIf .xpdopen .viOShc{padding-top:0}#rhs .Wnoohf .xpdopen .yp1CPe,#rhs .OJXvsb .xpdclose .siXlze{padding-bottom:15px}#rhs .Wnoohf .xpdclose .wDYxhc.xsZWvb,#rhs .Wnoohf .xpdopen .wDYxhc.EfDVh{padding-bottom:0}#rhs .Wnoohf .xpdclose .wDYxhc.xsZWvb.ecRggb,#rhs .Wnoohf .xpdopen .wDYxhc.EfDVh.ecRggb,#rhs .dG2XIf .ecRggb{padding-bottom:15px}.ecRggb{background-color:#fff;box-shadow:none;border:1px solid #dadce0;border-radius:8px;margin:0 0 16px 0}.Jb0Zif .UiGGAb.ILfuVd,.ILfuVd{font-size:16px;line-height:24px;}.fm06If .ILfuVd.NA6bn,.c2xzTb .ILfuVd.duSGDe,.c2xzTb .ILfuVd.NA6bn.c3biWd{font-size:14px;line-height:1.58;}.c2xzTb .zloOqf{font-size:16px;margin-bottom:16px;margin-top:-8px;}.FLWspc{margin:16px}.LFYdN{font-size:16px;margin:16px}.trNcde .ILfuVd{color:var(–bbQxAb);font-family:Google Sans,arial,sans-serif;font-size:14px;line-height:22px}.HSryR .ILfuVd{line-height:1.5}.ss6qqb .ILfuVd,.ss6qqb .UiGGAb.ILfuVd{font-size:14px;line-height:22px}.c2xzTb .qLYAZd{margin:16px 16px 16px 0;}.d9FyLd{padding:0 0 10px}.hgKElc{padding:0 8px 0 0}.kX21rb{font-size:12px;line-height:1.34;display:inline-block;font-family:Google Sans,arial,sans-serif;padding-right:0;white-space:nowrap}.SPV4pd{display:flex;overflow-x:auto}.SPV4pd::-webkit-scrollbar{display:none}.Vjskue{margin-left:8px}.JT9o0,.ZnIJV{align-items:center;border:1px solid var(–mXZkqc);border-radius:16px;box-sizing:border-box;color:#1a73e8;cursor:pointer;display:flex;height:32px;margin-bottom:16px}.BkHX0d{font-family:Google 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U člověka v klidu je srdeční frekvence 70–80 stahů za minutu.
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Konzumujte stravu bohatou na zeleninu, ovoce, celozrnné výrobky a vlákninu. Jezte rybu nejméně dvakrát týdně. Omezte příjem nasycených tuku a potravin s vysokou mírou cholesterolu. Jen 30% vašeho denního příjmu by mělo být tvořeno tuky a jen velmi málo z toho, mohou být ty nasycené.
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Hlavním klinickým projevem infarktu myokardu je typicky klidová dlouhotrvající bolest na hrudníku, která se může šířit do krku, dolní čelisti, zubů, jedné nebo obou horních končetin, může být v zádech nebo v oblasti břicha. U části nemocných proběhne infarkt myokardu jako klinicky němá příhoda bez jakýchkoliv příznaků.
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Silné bolesti: Bolesti často vyzařují ze srdce do jiných oblastí těla, např. do paží, horní části břicha, mezi lopatky, do zad, krku nebo čelistí a zubů. Pocit tíhy na hrudníku: Při infarktu myokardu mohou být bolesti vnímány i jako tlak – pacienti často popisují pocit, „jako by jim někdo seděl na hrudi“.
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Zvětšení levé komory srdeční a poruchu její funkce lze zjistit i při CT angiografii nebo vyšetřením pomocí magnetické rezonance. K vyloučení ischemické choroby srdeční se provádí i koronární angiografie – nástřik srdečních tepen kontrastní látkou. V řadě případů ji dnes lze nahradit CT angiografií.
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Jak dlouho trvá rekonvalescence po operaci srdce

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Návrat do práce a jeho načasování je nutné konzultovat s vaším ošetřujícím lékařem. Závisí na vašem zdravotním stavu a druhu práce, kterou vykonáváte. Duševní práci je možné začít již po 4-6 týdnech od operace. Pokud pracujete fyzicky, je vhodné počkat dokud se nezhojí hrudní kost (minimálně 8 týdnů).
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Délka hospitalizace na lůžku intenzivní péče je při nekomplikovaném pooperačním průběhu obvykle 1-3 dny.
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Přednostka Pracoviště preventivní kardiologie Věra Adámková během diskuze upozornila, že bypass automaticky neznamená, že by člověk nemohl mít další komplikace se srdcem nebo další infarkt. Přesto však pro operované pacienty znamená znatelné prodloužení života, podle lékařů i o více jak deset let.
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Co řídí činnost srdce : .wDYxhc{clear:both}.cUnQKe .wDYxhc,.related-question-pair .wDYxhc,.M8OgIe .fm06If .wDYxhc{clear:none}html .dG2XIf .xpdclose .LKPcQc,html .dG2XIf .xpdopen .viOShc{padding-top:0;}.garHBe{color:var(–COEmY);font-size:20px;line-height:1.3;position:relative}.garHBe a{color:var(–COEmY)}.xpdopen .Hhmu2e{overflow:inherit}.xpdclose .a84NUc:not(:empty),.xpdopen .CQKTwc:not(:empty){border-top:solid 1px #ebebeb;border-radius:0}.xpdclose .pmYXee .a84NUc:not(:empty),.xpdopen .pmYXee .CQKTwc:not(:empty){border-top:none}.cAn2Qb .a84NUc:not(:empty),.cAn2Qb .CQKTwc:not(:empty){border-top:none}.SHa8ve{display:none}.xpdclose .TOfaBb.SHa8ve,.xpdopen .LL5J7d.SHa8ve{display:block}.rKR6H{padding-top:0.1px}.xpdclose .oHglmf,.xpdopen .xzPb7d{padding-bottom:16px}.xpdclose .kp-header .oHglmf,.xpdopen .kp-header .xzPb7d{padding-bottom:0}.c2xzTb .xpdclose .oHglmf,.c2xzTb .xpdopen .xzPb7d{padding-bottom:0}.HSryR .xpdclose .oHglmf,.HSryR .xpdopen .xzPb7d{padding-bottom:0}.Wnoohf .xpdopen .yp1CPe,.OJXvsb .xpdclose .siXlze{padding-bottom:16px}.Wnoohf .xpdopen .yp1CPe .xpdbox g-more-link{top:28px}.Wnoohf .xpdclose .wDYxhc.xsZWvb,.Wnoohf .xpdopen .wDYxhc.EfDVh{padding-bottom:0}.OJXvsb .xpdclose .wDYxhc.siXlze{padding-bottom:16px}#rhs .dG2XIf .xpdclose .LKPcQc,#rhs .dG2XIf .xpdopen .viOShc{padding-top:0}#rhs .Wnoohf .xpdopen .yp1CPe,#rhs .OJXvsb .xpdclose .siXlze{padding-bottom:15px}#rhs .Wnoohf .xpdclose .wDYxhc.xsZWvb,#rhs .Wnoohf .xpdopen .wDYxhc.EfDVh{padding-bottom:0}#rhs .Wnoohf .xpdclose .wDYxhc.xsZWvb.ecRggb,#rhs .Wnoohf .xpdopen .wDYxhc.EfDVh.ecRggb,#rhs .dG2XIf .ecRggb{padding-bottom:15px}.ecRggb{background-color:#fff;box-shadow:none;border:1px solid #dadce0;border-radius:8px;margin:0 0 16px 0}.Jb0Zif .UiGGAb.ILfuVd,.ILfuVd{font-size:16px;line-height:24px;}.fm06If .ILfuVd.NA6bn,.c2xzTb .ILfuVd.duSGDe,.c2xzTb .ILfuVd.NA6bn.c3biWd{font-size:14px;line-height:1.58;}.c2xzTb .zloOqf{font-size:16px;margin-bottom:16px;margin-top:-8px;}.FLWspc{margin:16px}.LFYdN{font-size:16px;margin:16px}.trNcde .ILfuVd{color:var(–bbQxAb);font-family:Google Sans,arial,sans-serif;font-size:14px;line-height:22px}.HSryR .ILfuVd{line-height:1.5}.ss6qqb .ILfuVd,.ss6qqb .UiGGAb.ILfuVd{font-size:14px;line-height:22px}.c2xzTb .qLYAZd{margin:16px 16px 16px 0;}.d9FyLd{padding:0 0 10px}.hgKElc{padding:0 8px 0 0}.kX21rb{font-size:12px;line-height:1.34;display:inline-block;font-family:Google Sans,arial,sans-serif;padding-right:0;white-space:nowrap}.SPV4pd{display:flex;overflow-x:auto}.SPV4pd::-webkit-scrollbar{display:none}.Vjskue{margin-left:8px}.JT9o0,.ZnIJV{align-items:center;border:1px solid var(–mXZkqc);border-radius:16px;box-sizing:border-box;color:#1a73e8;cursor:pointer;display:flex;height:32px;margin-bottom:16px}.BkHX0d{font-family:Google Sans,arial,sans-serif-medium,sans-serif;font-size:14px;line-height:20px;padding-right:20px;text-align:center;white-space:nowrap}.xv1D5b{display:block;padding:0 8px 0 12px;width:18px;height:18px}.LGOjhe{overflow:hidden;padding-bottom:20px}.trNcde .LGOjhe{overflow:visible}.SALvLe .LGOjhe,.Jb0Zif .LGOjhe,.HSryR .LGOjhe,.IVvPP .LGOjhe{padding:0 0 10px;margin:10px 0 0 0}.s6JM6d .SALvLe .LGOjhe{margin-top:12px;}.s6JM6d .HSryR .LGOjhe{margin-top:12px;padding-bottom:20px}#res .Jb0Zif .qDOt0b h3,.IVvPP .qDOt0b h3{font-size:16px;line-height:1.375}.Jb0Zif .qDOt0b .iUh30,.IVvPP .qDOt0b .iUh30{font-size:14px;line-height:1.58}.IVvPP .qDOt0b{border-bottom:1px solid var(–gS5jXb);padding-bottom:6px}.rjOVwe.ILfuVd{font-size:16px;line-height:20px}.dG2XIf .rjOVwe{padding-top:22px;padding-bottom:0;margin-bottom:1px}.xWd7I{padding-top:12px;}.ILfuVd.NA6bn,.ILfuVd.duSGDe,.ILfuVd.UiGGAb,.IVvPP .ILfuVd{font-size:14px;line-height:22px}.n6SJS .ILfuVd{font-size:14px}.ILfuVd.NA6bn,.ILfuVd.duSGDe,.ILfuVd.UiGGAb,.IVvPP .ILfuVd{line-height:20px}.xpd-wa .g-blk{margin:initial}.xpd-wa .dG2XIf{border:initial;box-shadow:none}.fm06If .ILfuVd,.c2xzTb .ILfuVd,.Jb0Zif .c2xzTb .ILfuVd{font-family:Google Sans,arial,sans-serif;color:var(–YLNNHc)}.fm06If .ILfuVd,.c2xzTb .ILfuVd,.Jb0Zif .c2xzTb .ILfuVd{font-size:20px;line-height:28px}.cUnQKe .ILfuVd,.cUnQKe .UiGGAb.ILfuVd,.w5mTAe .ILfuVd,.W0urI .ILfuVd{color:var(–bbQxAb);font-family:Google Sans,arial,sans-serif;font-size:16px;line-height:24px}.fm06If .ILfuVd b,.trNcde .ILfuVd b,.cUnQKe .ILfuVd b,.c2xzTb .ILfuVd b,.w5mTAe .ILfuVd b,.W0urI .ILfuVd b{background-color:#d3e3fd;color:#040c28;font-weight:500}@media (forced-colors:active){.fm06If .ILfuVd b,.c2xzTb .ILfuVd b,.trNcde .ILfuVd b,.cUnQKe .ILfuVd b,.w5mTAe .ILfuVd b,.W0urI .ILfuVd b{background-color:Mark;color:MarkText}}.IiOSLb .rsGxI.Ww4FFb,.Ww4FFb{background-color:var(–xhUGwc);border-radius:0px;border-width:0;box-shadow:none}.Ww4FFb .mnr-c:not(:empty),.mnr-c:not(:empty) .Ww4FFb,.Ww4FFb .Ww4FFb{box-shadow:none;margin-bottom:0px}.vt6azd{margin:0px 0px 8px}.vt6azd{margin:0px 0px 30px}.CBvvz{margin:-var(–sds-sys-measurement–space-sm) 0px 0px}.CBvvz{margin:-30px 0px 0px}
Převodní systém srdeční je tvořen sinusovým (sinoatriálním) uzlem, který tvoří elektrické impulsy nejrychleji. Za normálních okolností je srdce ovládáno sinusovým uzlem, přirozeným udavatelem rytmu, který v klidu vydává pravidelné impulsy v rozmezí 60-100*min-1.
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