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Possibilities pregnancy after transplantation of the heart
CHVOJKOVÁ, Lenka
The thesis deals with the possibilities of pregnancy of women in fertile age after the heart transplant. The aim was to find out, whether there are women after the heart transplant in the Czech Republic, who got pregnant, delivered a baby, or are trying to get pregnant, or are interested in pregnancy, at least. The qualitative research utilizes a survey method, which was aimed at physicians, who are looking after patients after the heart transplant. Furthermore a non standardized interview was held with the physician of the Outpatient{\crq}s department for the Transplants at IKEM and with her patient, who is currently trying to get pregnant. Personal documents of the patient trying to get pregnant were used, in order to make the research more specific. It is apparent from the results that there is a small group of women after heart transplant in fertile age. Thus, for ascertaining the result, the foreign literature was used, which describes already successful pregnancies after the heart transplants in such women. Pregnancy risks must be divided into risks for a mother and for a fetus. The pregnant woman after the heart transplant is most endangered by hypertension and further to that there is a danger of implant rejection, infection, as well as premature delivery. The fetus is most endangered by infection and premature delivery. A majority of newborns are delivered with a low delivery weight. The abortion rate is relatively low compared to a number of successful deliveries. In the event that a woman desires to get pregnant, she is always informed of the risks associated with the pregnancy after transplant. The risks, which endanger a mother and a fetus, can be decreased to a minimum through a well monitored pregnancy. The thesis can be used for increasing awareness of women, who want to get pregnant after heart transplant.
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The comparison of some hemodynamics parameters, obtained by two non-invasive measurement methods - echocardiography and impedance cardiography (HOTMAN System) by patients with systemic hypertension
SASSMANNOVÁ, Anna
Echocardiography is an investigation of heart via scan. This enables to intend the moving and the locality of heart structures via scan pulse waves which are repulsed with acoustic interfaces. Impedance measuring of the thorax hemodynamics is based on changes of electrical impedance. These changes happen mainly because of the heart function. By its rhytmical function the heart periodically changes the conditions of blood flow through all vessels. By this we can explain periodical changes of impedance with frequence of heartbeat which we can observe by measuring. In this work I describe the comparison of two noninvasive investigation methods {--} echocardiography and impedance measuring of hemodynamics (Hotman System). We can use both of them to examine patients with high blood pressure (hypertension). My measurings are based on hemodynamics concept of hypertension. I did not take into account the actual treatment of patients. It is reviewed only patient´s actual situation and values of EF (ejection fraction) and CI (cardiac index) are compared in the same time by the same conditions.
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Health and social strokes by pacients after acute myocardial infartion.
HAVLÍČEK, Robert
The clinical hallmark of acute myocardial infarction is chest pain, typically located in the substernal region or sometimes in the epigastrium which frequently radiates to the neck, left arm and left shoulder. Anginal equivalents such as dyspnoea and epigastric discomfort may also occur. The physical findings can include diaphoresis, pale cool skin, sinus tachycardia and sometimes hypotension. The objective of my thesis is to describe the health-social overall impact. I have been interested in acute myocardial infarction problems since my first education as a rescuer. I used the method of classificatory frequency analysis of documents, comparing and analogy results each other. The main task was to show how the people live after acute myocardial infarction, if they are able to work or not. Graphical analysis shows patient{\crq}s social anamnesis, productivity, gender ratio and etc. Sample for analysis forms 109 patients, from that 16 forms employment history results, which are made separate.
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Trends in the Consumption of Antihypertenziva in the period 2002-2007
Krčmaříková, Monika ; Lešetický, Ondřej (advisor) ; Hladká, Libuše (referee)
Nowadays the number of people with hypertension is growing. Hypertension means permanent raise of blood pressure above 140/90 mm HG. Hypertension is dangerously disease, which could lead to death and which could evoke another dangerously death diseases. As a treatment of hypertension is encouraged healthy life style and drugs antihypertenziva. Aim of my work is identify to most prescribed antihypertenziva and their most prescribed sub group and overall consumption of antihypertenziva in monitored regions. I gained data of region Nymburk in years 2002 up to 2007 and of regions Kolín and Mělník in years 2004 up to 2007. These data are originally from Nymburk's branch office of VZP.
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Phenomenon non-compliance in adult patients of cardiology ward.
Červenková, Kristýna ; Lešetický, Ondřej (advisor) ; Jelínek, Pavel (referee)
The aim of the bachelor work is to analyze the rate of occurrence of the non-compliance phenomenon in adult patients treated at the cardiology ward at the Hospital České Budějovice a.s. The information for processing the work I have obtained through an anonymous questionnaire to patients. In the theoretical part, there is explanation of the non compliance phenomenon, hypertension and the importance of communication. In the practical part, there is evaluation of the obtained information and verification of the set hypotheses. At the end, there is my own conclusion of the achieved results.
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