{"id":3260,"count":141,"description":"Nad\u0159azen\u00fd katalog MedsBase Heart &amp; Blood Pressure sdru\u017euje v\u0161echny kardiovaskul\u00e1rn\u00ed l\u00e9ky \u2014 antihypertenziva nap\u0159\u00ed\u010d hlavn\u00edmi t\u0159\u00eddami l\u00e9\u010div, antiangin\u00f3zn\u00ed nitr\u00e1ty, antiarytmika, l\u00e9ky na srde\u010dn\u00ed selh\u00e1n\u00ed a specializovan\u00e9 l\u00e9ky na plicn\u00ed arteri\u00e1ln\u00ed hypertenzi. Podrobn\u00fd klinick\u00fd p\u0159ehled podle t\u0159\u00edd l\u00e9\u010div s \u00fapln\u00fdm seznamem molekul a zna\u010dek najdete v na\u0161em <a href=\"https:\/\/medsbase.com\/cs\/high-blood-pressure-medication\/\">L\u00e9ky na vysok\u00fd krevn\u00ed tlak<\/a> podkategorii \u2014 pros\u00edm, projd\u011bte si ji pro v\u00fdb\u011brov\u00e9 pokyny a d\u00e1vkovac\u00ed kontext. V\u0161echny produkty jsou dod\u00e1v\u00e1ny spole\u010dnost\u00ed <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong>.\n\n<strong>Shrnut\u00ed t\u0159\u00eddy l\u00e9k\u016f.<\/strong> ARB (blok\u00e1tory angiotensinov\u00e9ho receptoru \u2014 losartan, valsartan, telmisartan, olmesartan, candesartan, irbesartan), ACE inhibitory (ramipril, lisinopril, enalapril, perindopril, kaptopril), beta-blok\u00e1tory (atenolol, metoprolol, bisoprolol, karvedilol, nebivolol, propranolol, labetalol, esmolol), blok\u00e1tory v\u00e1pn\u00edkov\u00fdch kan\u00e1l\u016f (amlodipin, nifedipin, felodipin, diltiazem, verapamil), diuretika (hydrochlorothiazid, indapamid, furosemid, torasemid, bumetanid, spironolakton, eplerenon, amilorid), alfa-blok\u00e1tory (prazosin, terazosin, doxazosin), centr\u00e1ln\u011b p\u016fsob\u00edc\u00ed l\u00e1tky (klonidin, alfa-methyldopa), nitr\u00e1ty (isosorbid mononitr\u00e1t, isosorbid dinitr\u00e1t, nitroglycerin sublingv\u00e1ln\u00ed \/ sprej \/ n\u00e1plast) a specializovan\u00e9 l\u00e1tky (ivabradin pro srde\u010dn\u00ed selh\u00e1n\u00ed, ambrisentan a riociguat pro plicn\u00ed arteri\u00e1ln\u00ed hypertenzi, minoxidil pro rezistentn\u00ed hypertenzi, sakubitril-valsartan pro HFrEF).\n\n<strong>Protisr\u00e1\u017eliv\u00e9 p\u0159\u00edpravky.<\/strong> Aspirin 75\u2013325 mg (Ecosprin), klopidogrel (Clodict, Plavix), warfarin (Warf, Waf-5), DOAC (Xarelto rivaroxaban, Eliquis apixaban) pro prim\u00e1rn\u00ed a sekund\u00e1rn\u00ed kardiovaskul\u00e1rn\u00ed prevenci. Viz na\u0161e <a href=\"https:\/\/medsbase.com\/cs\/anti-coagulants\/\">Antikoagulancia<\/a> kategorie.\n\n<strong>L\u00e9\u010dba sni\u017euj\u00edc\u00ed lipidy.<\/strong> Statiny (atorvastatin, rosuvastatin, simvastatin, pitavastatin), fenofibr\u00e1t, ezetimib a cholestyramin pro sn\u00ed\u017een\u00ed kardiovaskul\u00e1rn\u00edho rizika \u2014 viz na\u0161e <a href=\"https:\/\/medsbase.com\/cs\/high-cholesterol-treatments\/\">L\u00e9\u010dba vysok\u00e9ho cholesterolu<\/a> kategorie.\n\n<strong>Jak vybrat.<\/strong> Modern\u00ed doporu\u010den\u00ed ESC\/NICE 2023 pro prvn\u00ed linii l\u00e9\u010dby hypertenze: ARB nebo ACE inhibitor (u osob mlad\u0161\u00edch 55 let, ne\u010dern\u00e9 pleti) NEBO blok\u00e1tor kalciov\u00fdch kan\u00e1l\u016f (nad 55 let nebo \u010dern\u00e1 ple\u0165). N\u00e1sleduje p\u0159echod na du\u00e1ln\u00ed terapii (ARB\/ACEi + BKK), pot\u00e9 trojkombinaci (p\u0159id\u00e1n\u00ed thiazidov\u00e9ho\/thiazid\u016fm podobn\u00e9ho diuretika) a nakonec \u010dty\u0159kombinaci (p\u0159id\u00e1n\u00ed spironolaktonu, pokud K+ &lt; 4,5). C\u00edlov\u00fd TK &lt; 140\/90 (130\/80 u diabetu\/CKD\/vysok\u00e9ho KV rizika). Srde\u010dn\u00ed selh\u00e1n\u00ed se sn\u00ed\u017eenou ejek\u010dn\u00ed frakc\u00ed (HFrEF) \u2014 sacubitril-valsartan (nebo ARB\/ACEi) + beta-blok\u00e1tor + MRA + SGLT-2 inhibitor (\u010dty\u0159i pil\u00ed\u0159e). Ischemick\u00e1 choroba srde\u010dn\u00ed \u2014 beta-blok\u00e1tor + statin + antiagrega\u010dn\u00ed l\u00e9\u010dba + ACEi\/ARB p\u0159i hypertenzi nebo LV dysfunkci.\n\n<strong>D\u016fle\u017eit\u00e9.<\/strong> Kardiovaskul\u00e1rn\u00ed l\u00e9ky funguj\u00ed nejl\u00e9pe p\u0159i pravideln\u00e9m u\u017e\u00edv\u00e1n\u00ed \u2014 informujte pros\u00edm sv\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e a kardiologa. N\u00e1hl\u00e9 vysazen\u00ed betablok\u00e1tor\u016f nebo klonidinu m\u016f\u017ee zp\u016fsobit rebound hypertenzi\/anginu pectoris\/arytmii \u2014 v\u017edy sni\u017eujte d\u00e1vky postupn\u011b. Kombinace ACE inhibitor\u016f a ARB ji\u017e nejsou doporu\u010dov\u00e1ny (studie ON-TARGET). T\u011bhotenstv\u00ed: ACE inhibitory a ARB jsou absolutn\u011b kontraindikov\u00e1ny; methyldopa, labetalol a nifedipin jsou l\u00e9ky prvn\u00ed volby pro hypertenzi v t\u011bhotenstv\u00ed. T\u011b\u017ek\u00e1 symptomatick\u00e1 hypotenze, synkopa, otoky, du\u0161nost, palpitace nebo bolesti na hrudi vy\u017eaduj\u00ed okam\u017eit\u00e9 l\u00e9ka\u0159sk\u00e9 vy\u0161et\u0159en\u00ed.\n\nV\u0161echny produkty MedsBase pro srdce a krevn\u00ed tlak jsou expedov\u00e1ny z <strong>WHO-GMP certifikovan\u00fdch v\u00fdrobc\u016f<\/strong> s diskr\u00e9tn\u00edm balen\u00edm a jsou kryty na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\">Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/a>.","link":"https:\/\/medsbase.com\/cs\/heart-blood-pressure\/","name":"Srdce a krevn\u00ed tlak","slug":"heart-blood-pressure","taxonomy":"product_cat","parent":3223,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3260","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat\/3223"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product?product_cat=3260"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}