#022 Antiarytmická liečba (nielen) pri srdcovom zlyhávaní - Kristína Hudecová

from Kardio MD · host Mladí lekári

❤️ Nastavenie antiarytmickej liečby je náročné a vyžaduje zohľadnenie účinnosti, nežiaducich účinkov aj pravidelné prehodnocovanie jej bezpečnosti a opodstatnenosti vzhľadom na aktuálny klinický stav pacienta. Táto epizóda ti pomôže upratať si triedy antiarytmík, ich praktické použitie a najčastejšie klinické pasce (výber podľa profilu pacienta, intervaly na EKG).Epizóda je pre mladých kardiológov *čky, internistov*ky a všetkých, ktorí chcú mať v antiarytmikách systém, nie len zoznam názvov.Hosťka: MUDr. Kristína Hudecová, PhD. – kardiologička (Nemocnica Bory) a odborná asistentka na Ústave farmakológie a klinickej farmakológie LF UK v Bratislave.🔥 V epizóde sa dozvieš:- ako v praxi používať klasifikáciu Vaughan–Williams a čo z nej je dnes naozaj „živé“- aké antiarytmiká zvoliť pri HFrEF vs. HFpEF- kedy má ešte miesto trieda 1C (propafenón/flekainid) a aké sú kontraindikácie- ako bezpečne nastaviť „pill-in-the-pocket“: pre koho, prečo prvá dávka ideálne pod dohľadom a prečo betablokátor nie je detail- praktický pohľad na amiodarón: koho ním liečiť, ako nasycovať, čo sledovať a kedy je lepšie vysadiť- záver: sekundárna prevencia po odvrátenej NSS (komorové arytmie), digitoxín (renesancia?) a take-home message, ktorú si chceš zapamätať🔔 Chceš dostávať pravidelné informácie zo sveta kardiológie aj do Tvojej mailovej schránky? Prihlás sa na odber newslettra Kardio MD, ktorý 2x mesačne pre Teba píše MUDr. Marek Karman. https://kardiomd.substack.com/Generálny partner podcastu Kardio MD je spoločnosť TIMED a hlavný partner je spoločnosť Medtronic.Timestamps:(00:35) Úvod a privítanie(04:27) Antiarytmiká pri HF-REF vs. HF-PEF: rytmus alebo frekvencia?(10:10) „Pill-in-the-pocket“: koho vybrať a ako bezpečne nastaviť(16:10) Amiodarón: koho ním liečiť a prečo(25:30) Nežiaduce účinky a kedy liečbu radšej vysadiť(33:18) Sekundárna prevencia po NSS: liečba okrem ICD a špecifiká medikamentóznej terapie(36:03) Digoxín: renesancia srdcového glykozidu pri srdcovom zlyhávaní?(40:02) Take home message

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#022 Antiarytmická liečba (nielen) pri srdcovom zlyhávaní - Kristína Hudecová

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