{"id":28,"date":"2024-04-04T06:59:26","date_gmt":"2024-04-04T03:59:26","guid":{"rendered":"https:\/\/sisu.ut.ee\/spordimeditsiini-algkursus\/sudame-rutmihaired\/"},"modified":"2024-04-04T06:59:56","modified_gmt":"2024-04-04T03:59:56","slug":"sudame-rutmihaired","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/spordimeditsiini-algkursus\/sudame-rutmihaired\/","title":{"rendered":"S\u00fcdame r\u00fctmih\u00e4ired"},"content":{"rendered":"<p>\n\tP\u00f5hjuseks v\u00f5ivad olla:\n<\/p>\n<ul>\n<li>\n\t\ts\u00fcdamelihase \u00fclekoormuss\u00fcndroom\n\t<\/li>\n<li>\n\t\tm\u00fcokardiit\n\t<\/li>\n<li>\n\t\tkardiom\u00fcopaatia\n\t<\/li>\n<li>\n\t\tmitraalklapi prolaps\n\t<\/li>\n<li>\n\t\ts\u00fcdame isheemiat\u00f5bi\n\t<\/li>\n<li>\n\t\tkroonilised infektsioonikolded jt\n\t<\/li>\n<\/ul>\n<p>\n\tVajalikud uuringud p\u00f5hjuse leidmiseks ja selle ravi. Sportimise piirangud vastavalt juhistele.\n<\/p>\n<h3>\n\t<strong><span style=\"color:#a52a2a\">Supraventrikulaarsed ekstras\u00fcstolid<\/span><\/strong><br>\n<\/h3>\n<ul>\n<li>\n\t\tSage ja normaalne leid.\n\t<\/li>\n<li>\n\t\tEnamasti as\u00fcmptomaatilised. Kui s\u00fcmptomaatilised siis valdavalt ps\u00fchhogeenset laadi!\n\t<\/li>\n<li>\n\t\tEnamasti tuntakse vahel\u00f6\u00f6kidena, ilma hemod\u00fcnaamilise vastuseta.\n\t<\/li>\n<li>\n\t\tDiferentsida ventrikulaarsest r\u00fctmih\u00e4irest: 12-l\u00fclitusega EKG, Holter-EKG, kilpn\u00e4\u00e4rme anal\u00fc\u00fcsid, koormus EKG (ka verer\u00f5hu hindamisega).\n\t<\/li>\n<li>\n\t\tIlma struktuurse kardiaalse haiguseta on k\u00f5ik spordiliigid lubatud.\n\t<\/li>\n<\/ul>\n<h3>\n\t<span style=\"color:#a52a2a\"><strong>Ventrikulaarsed ekstras\u00fcstolid (VES)<\/strong><\/span><br>\n<\/h3>\n<ul>\n<li>\n\t\tSage leid nii \u00fcldpopulatsioonis kui ka sportlastel.\n\t<\/li>\n<li>\n\t\tSagedamini paremast v\u00e4ljavoolutraktist (EKG-l QRST Hisi kimbu vasaku s\u00e4\u00e4re blokaadi\u00a0konfiguratsiooni ja inferoorse teljega).\n\t<\/li>\n<li>\n\t\tOn enamasti idiopaatilised ja beniigsed.\n\t<\/li>\n<li>\n\t\t<strong>VES \u00fcldjoontes ei oma prognostilist t\u00e4hendust, seda omab olemasolev s\u00fcdamehaigus. VES on s\u00fcmptom.<\/strong>\n\t<\/li>\n<li>\n\t\t\u00dcle 2000 VES\/24h jooksul loetakse prognostiliselt oluliseks (ESC 2006).\n\t<\/li>\n<li>\n\t\tTerve s\u00fcdame juhtudel patsienti k\u00e4sitleda kui \u00fcldpopulatsiooni.\u00a0 Ablatseerida soovituslikult juhtudel, kui patsiendil esineb VT episoode,\u00a0 VES &gt;20% registreeritud QRS-dest 24-tunni EKG monitooringul v\u00f5i kellel madal s\u00fcdame v\u00e4ljutusfunktsioon (EF &lt; 35%).\n\t<\/li>\n<li>\n\t\tBeniigsetel juhtudel koormus-EKG-l pigem VES tendents v\u00e4heneb koormuse kasvades.\u00a0 <strong>Kui r\u00fctmih\u00e4ire koormusel s\u00fcveneb, on see oluline riskimarker!<\/strong>\n\t<\/li>\n<li>\n\t\tBeniigsete vormide puhul\u00a0 j\u00e4lgimisperiood soovituslikult 6 kuud.\n\t<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>P\u00f5hjuseks v\u00f5ivad olla: s\u00fcdamelihase \u00fclekoormuss\u00fcndroom m\u00fcokardiit kardiom\u00fcopaatia mitraalklapi prolaps s\u00fcdame isheemiat\u00f5bi kroonilised infektsioonikolded jt Vajalikud uuringud p\u00f5hjuse leidmiseks ja selle ravi. Sportimise piirangud vastavalt juhistele. Supraventrikulaarsed ekstras\u00fcstolid Sage ja normaalne leid. Enamasti as\u00fcmptomaatilised. Kui s\u00fcmptomaatilised siis valdavalt ps\u00fchhogeenset laadi! Enamasti &#8230;<\/p>\n","protected":false},"author":243,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-28","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/spordimeditsiini-algkursus\/wp-json\/wp\/v2\/pages\/28","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sisu.ut.ee\/spordimeditsiini-algkursus\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sisu.ut.ee\/spordimeditsiini-algkursus\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/spordimeditsiini-algkursus\/wp-json\/wp\/v2\/users\/243"}],"replies":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/spordimeditsiini-algkursus\/wp-json\/wp\/v2\/comments?post=28"}],"version-history":[{"count":1,"href":"https:\/\/sisu.ut.ee\/spordimeditsiini-algkursus\/wp-json\/wp\/v2\/pages\/28\/revisions"}],"predecessor-version":[{"id":182,"href":"https:\/\/sisu.ut.ee\/spordimeditsiini-algkursus\/wp-json\/wp\/v2\/pages\/28\/revisions\/182"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/spordimeditsiini-algkursus\/wp-json\/wp\/v2\/media?parent=28"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}