{"id":1055,"date":"2022-11-14T13:25:56","date_gmt":"2022-11-14T12:25:56","guid":{"rendered":"https:\/\/www.mudrsmelcova.cz\/?p=1055"},"modified":"2022-11-14T13:25:56","modified_gmt":"2022-11-14T12:25:56","slug":"mame-v-ordinaci-noveho-pomocnika","status":"publish","type":"post","link":"https:\/\/www.mudrsmelcova.cz\/?p=1055","title":{"rendered":"<strong>M\u00e1me v ordinaci nov\u00e9ho pomocn\u00edka<\/strong>"},"content":{"rendered":"\n<!--more-->\n\n\n\n<p>Syst\u00e9m cobas h 232 umo\u017e\u0148uje rychl\u00e9 stanoven\u00ed NT-pro BNP, troponinu T, D-dimer\u016f. Diagnostick\u00e9 testy dostupn\u00e9 pro tento p\u0159\u00edstroj umo\u017e\u0148uj\u00ed \u00fa\u010dinnou diagn\u00f3zu a vyhodnocen\u00ed kardiovaskul\u00e1rn\u00edch nemoc\u00ed. Vyhodnocen\u00ed t\u011bchto test\u016f pomoc\u00ed p\u0159\u00edstroje cobas h 232 kombinuje v\u00fdhody rychl\u00e9 diagn\u00f3zy s lep\u0161\u00ed klinickou interpretac\u00ed kvantitativn\u00edch hodnot (v porovn\u00e1n\u00ed s kvalitativn\u00edmi testy). Automatick\u00e9 vyhodnocen\u00ed zaji\u0161\u0165uje spolehliv\u011bj\u0161\u00ed v\u00fdsledky.<\/p>\n\n\n\n<h6 class=\"wp-block-heading\">Spolehliv\u00e9 stanoven\u00ed troponinu T<\/h6>\n\n\n\n<p>POC Troponin T od Roche usnad\u0148uje stanoven\u00ed diagn\u00f3zy u pacient\u016f s podez\u0159en\u00edm na po\u0161kozen\u00ed bun\u011bk myokardu, nap\u0159. v p\u0159\u00edpad\u011b akutn\u00edho koron\u00e1rn\u00edho syndromu (detekce a vylou\u010den\u00ed akutn\u00edho infarktu myokardu (AMI) a subakutn\u00edho infarktu myokardu, stanoven\u00ed rozsahu infarktu, strati\ufb01kace rizika u pacient\u016f s AMI). D\u00edky standardizaci a srovnatelnosti v\u00fdsledk\u016f lze test pou\u017e\u00edvat v kombinaci s vysoce citliv\u00fdm laboratorn\u00edm stanoven\u00edm Elecsys\u00ae Troponin T high-sensitive.1,2,3<\/p>\n\n\n\n<h6 class=\"wp-block-heading\">Spolehliv\u00e9 stanoven\u00ed NT-proBNP<\/h6>\n\n\n\n<p>Test Roche CARDIAC proBNP+ usnad\u0148uje stanoven\u00ed diagn\u00f3zy u pacient\u016f s podez\u0159en\u00edm na srde\u010dn\u00ed selh\u00e1n\u00ed, umo\u017e\u0148uje monitorov\u00e1n\u00ed pacient\u016f s kompenzovanou dysfunkc\u00ed lev\u00e9 komory a napom\u00e1h\u00e1 p\u0159i strati\ufb01kaci rizika pacient\u016f s akutn\u00edm koron\u00e1rn\u00edm syndromem. Referen\u010dn\u00ed hodnoty byly stanoveny pou\u017eit\u00edm testu Elecsys\u00ae proBNP firmy Roche Diagnostics.4<\/p>\n\n\n\n<h6 class=\"wp-block-heading\">Spolehliv\u00e9 stanoven\u00ed D-dimeru<\/h6>\n\n\n\n<p>Test Roche CARDIAC D-Dimer slou\u017e\u00ed k vylou\u010den\u00ed suspektn\u00ed hlubok\u00e9 \u017eiln\u00ed tromb\u00f3zy (H\u017dT) a plicn\u00ed embolie (PE). Bylo prok\u00e1z\u00e1no, \u017ee n\u00edzk\u00e1 a\u017e st\u0159edn\u00ed pravd\u011bpodobnost rizika PE ve spojen\u00ed s negativn\u00edm v\u00fdsledkem vy\u0161et\u0159en\u00ed D-dimeru m\u00e1 negativn\u00ed prediktivn\u00ed hodnotu (NPV) 100 %. Stejn\u011b tak byla 100% NPV prok\u00e1z\u00e1na u negativn\u00edho vy\u0161et\u0159en\u00ed D-dimeru ve spojen\u00ed s Wellsov\u00fdm sk\u00f3re ukazuj\u00edc\u00edm na nepravd\u011bpodobnost H\u017dT.5 Vy\u0161et\u0159en\u00ed D-dimeru u pacient\u016f s PE a H\u017dT sni\u017euje pot\u0159ebu pou\u017eit\u00ed zobrazovac\u00edch metod.6<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1040,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1055","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nezarazene"],"_links":{"self":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/posts\/1055","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1055"}],"version-history":[{"count":1,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/posts\/1055\/revisions"}],"predecessor-version":[{"id":1056,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/posts\/1055\/revisions\/1056"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=\/wp\/v2\/media\/1040"}],"wp:attachment":[{"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1055"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1055"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mudrsmelcova.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1055"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}