{"id":8789,"date":"2024-02-06T11:07:08","date_gmt":"2024-02-06T11:07:08","guid":{"rendered":"https:\/\/www.afibmatters.org\/sto-moj-lijecnik-moze-uciniti\/korisne-pretrage\/"},"modified":"2024-02-08T16:46:55","modified_gmt":"2024-02-08T16:46:55","slug":"korisne-pretrage","status":"publish","type":"page","link":"https:\/\/www.afibmatters.org\/hr\/sto-moj-lijecnik-moze-uciniti\/korisne-pretrage\/","title":{"rendered":"Korisne pretrage"},"content":{"rendered":"<h2>EKG i pra\u0107enje sr\u010danog ritma<\/h2>\n<h3>Elektrokardiogram (EKG)<\/h3>\n<p>&nbsp;<\/p>\n<p>Elektrokardiogram (EKG) je najva\u017enija pretraga u dijagnosticiranju fibrilacije atrija. Posebne naljepnice (elektrode) stavljaju se na va\u0161e ruke, noge i na prsa (vidi sliku ispod) i preko ko\u017ee se snima elektri\u010dna aktivnost va\u0161eg srca. Cijeli postupak obi\u010dno traje samo nekoliko minuta i mo\u017ee se obaviti u ordinaciji lije\u010dnika op\u0107e prakse ili u bolnici.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-1073\" src=\"https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/iStock-171372917-1024x683.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/iStock-171372917-1024x683.jpg 1024w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/iStock-171372917-300x200.jpg 300w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/iStock-171372917-768x512.jpg 768w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/iStock-171372917-1536x1024.jpg 1536w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/iStock-171372917-2048x1365.jpg 2048w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/iStock-171372917-500x333.jpg 500w\" alt=\"\" width=\"1024\" height=\"683\" \/><\/p>\n<p>Standardni EKG u mirovanju bilje\u017ei otkucaje srca samo nekoliko sekundi, pa ako fibrilacija atrija nije prisutna tijekom tog vremena, mo\u017ee biti potrebno dugotrajno pra\u0107enje.<\/p>\n<p>&nbsp;<\/p>\n<h3>Pra\u0107enje rada srca<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-1007\" src=\"https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_1084333610-1024x683.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_1084333610-1024x683.jpg 1024w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_1084333610-300x200.jpg 300w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_1084333610-768x512.jpg 768w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_1084333610-1536x1024.jpg 1536w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_1084333610-2048x1365.jpg 2048w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_1084333610-500x333.jpg 500w\" alt=\"\" width=\"1024\" height=\"683\" \/><\/p>\n<p>Ako va\u0161a fibrilacija atrija traje samo kratko, mo\u017eda \u0107e biti potrebno pratiti rad srca tijekom 24 sata ili dulje (ponekad 7 dana ili dulje). Ova pretraga, koji se \u010desto naziva\u00a0<strong>pra\u0107enje Holterom<\/strong>, uklju\u010duje mali ure\u0111aj za snimanje koji je \u017eicama pri\u010dvr\u0161\u0107en na 4 posebne naljepnice (elektrode) postavljene na va\u0161a prsa (vidi gore). Ure\u0111aj se lako nosi ispod odje\u0107e tijekom uobi\u010dajenih dnevnih aktivnosti. Mo\u017ee biti korisno voditi dnevnik aktivnosti i svih simptoma koje osjetite dok nosite ure\u0111aj. Ova \u0107e pretraga va\u0161em lije\u010dniku pru\u017eiti detaljne informacije o va\u0161em sr\u010danom ritmu i povezanosti s va\u0161im simptomima.<\/p>\n<p>Alternativna pretraga je\u00a0<strong>pra\u0107enje doga\u0111aja.\u00a0<\/strong>Ovaj ure\u0111aj za pra\u0107enje ne snima kontinuirano, ve\u0107 automatski bilje\u017ei va\u0161 EKG u odre\u0111eno vrijeme ili kada ru\u010dno pokrenete snimanje, npr. kada osjetite simptome. Ovi nosivi ure\u0111aji za pra\u0107enje doga\u0111aja obi\u010dno se mogu koristiti do 2 tjedna.<\/p>\n<p>Ako se fibrilacija atrija jo\u0161 uvijek ne otkrije, ali se na nju sumnja, mo\u017ee se koristiti i\u00a0<strong>ugradbeni sr\u010dani monitor<\/strong>\u00a0koji kontinuirano prati sr\u010dani ritam. Ovi monitori smje\u0161teni su ispod ko\u017ee prsnog ko\u0161a i mogu bilje\u017eiti promjene sr\u010danog ritma, obi\u010dno do tri godine.<\/p>\n<p>Nove tehnologije ugra\u0111ene u pametne telefone i pametne satove omogu\u0107uju bolesnicima da imaju vlastite monitore (\u010desto se nazivaju i nosivi ure\u0111aji) i da bilje\u017ee svoj sr\u010dani ritam na EKG-u. Pouzdanost ovih ure\u0111aja ispituje se u klini\u010dkim ispitivanjima. Kako bi se dijagnosticirala fibrilacija atrija, te bi snimke trebao pregledati lije\u010dnik.<\/p>\n<p>&nbsp;<\/p>\n<h2>Ultrazvuk srca<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1017 size-full\" src=\"https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/echocardiogram-1.jpg\" sizes=\"(max-width: 800px) 100vw, 800px\" srcset=\"https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/echocardiogram-1.jpg 800w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/echocardiogram-1-300x200.jpg 300w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/echocardiogram-1-768x513.jpg 768w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/echocardiogram-1-500x334.jpg 500w\" alt=\"\" width=\"800\" height=\"534\" \/><\/p>\n<h3>Ehokardiogram<\/h3>\n<p>Ako vam je dijagnosticirana fibrilacija atrija, va\u0161 \u0107e lije\u010dnik mo\u017eda htjeti pregledati va\u0161e srce ehokardiogramom koji se \u010desto naziva \u201eultrazvuk srca\u201c. Tijekom ove pretrage lije\u010dnik ili kardiolo\u0161ki tehni\u010dar \u0107e skenirati va\u0161 prsni ko\u0161 pomo\u0107u ru\u010dne sonde s malo gela na njoj, kako bi provjerio veli\u010dinu i funkciju \u010detiri glavne komore srca, sr\u010danog mi\u0161i\u0107a i zalistaka.<br \/>\nUltrazvuk ne poma\u017ee va\u0161em lije\u010dniku otkriti fibrilaciju atrija, ali pru\u017ea va\u017ene informacije o u\u010dinku fibrilacije atrija na va\u0161e srce i prognozu bolesti.<\/p>\n<h3>Transezofagealna ehokardiografija (ultrazvuk)<\/h3>\n<p>Mo\u017ee se dogoditi da va\u0161 lije\u010dnik \u017eeli pregledati va\u0161e srce transezofagealnim utrazvukom (TEE). Tijekom ove pretrage fleksibilna se cijev uvodi kroz usta i postavlja u jednjak (prolaz koji vodi od va\u0161ih usta do \u017eeluca). Kako je srce smje\u0161teno neposredno ispred jednjaka, TEE mo\u017ee dati vrlo detaljne slike najva\u017enijih dijelova srca. TEE je i zlatni standard u otkrivanju\u00a0<strong>krvnih ugru\u0161aka<\/strong>\u00a0koji mogu nastati unutar lijevog atrija kao posljedica fibrilacije atrija.<br \/>\nTEE se \u010desto koristi prije kardioverzije, ako nije jasno kada je fibrilacija atrija zapo\u010dela, a va\u0161 lije\u010dnik \u017eeli biti siguran da u va\u0161em srcu ve\u0107 nisu nastali krvni ugru\u0161ci.<\/p>\n<h2>Ostale pretrage<\/h2>\n<p>&nbsp;<\/p>\n<h3>Krvne pretrage<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-907\" src=\"https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_189924716-1024x683.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_189924716-1024x683.jpg 1024w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_189924716-300x200.jpg 300w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_189924716-768x512.jpg 768w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_189924716-1536x1024.jpg 1536w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_189924716-2048x1365.jpg 2048w, https:\/\/cdn-endpoint-afib.azureedge.net\/afibmatters\/2020\/01\/shutterstock_189924716-500x333.jpg 500w\" alt=\"\" width=\"1024\" height=\"683\" \/><\/h3>\n<p>Nakon \u0161to vam je dijagnosticirana fibrilacija atrija, mo\u017eda \u0107ete morati napraviti i odre\u0111ene krvne pretrage. Iako krvne pretrage nisu nu\u017ene da bi se postavila dijagnoza, mogu pomo\u0107i da se objasni za\u0161to ste razvili fibrilaciju atrija, na primjer zbog\u00a0<strong>problema u radu \u0161titnja\u010de<\/strong>\u00a0ili neravnote\u017ee\u00a0<strong>elektrolita u va\u0161em tijelu<\/strong>. Krvne pretrage tako\u0111er poma\u017eu va\u0161em lije\u010dniku da odabere lijek\/lijekove koji su za vas najbolji.<\/p>\n<h3>Dodatno snimanje srca<\/h3>\n<p>U nekim slu\u010dajevima va\u0161 \u0107e lije\u010dnik mo\u017eda htjeti napraviti t<strong>est optere\u0107enja<\/strong>\u00a0kako bi ispitao \u0161to se doga\u0111a s va\u0161im srcem kada br\u017ee kuca.\u00a0<strong>Kompjuterska tomografija<\/strong>\u00a0srca ili\u00a0<strong>magnetska rezonancija srca<\/strong>\u00a0tako\u0111er se mogu koristiti za detaljnu analizu strukture i funkcije srca. O va\u0161em stanju ovisi jesu li potrebne daljnje pretrage te biste o tome trebali razgovarati sa svojim lije\u010dnikom.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>EKG i pra\u0107enje sr\u010danog ritma Elektrokardiogram (EKG) &nbsp; Elektrokardiogram (EKG) je najva\u017enija pretraga u dijagnosticiranju fibrilacije atrija. Posebne naljepnice (elektrode) stavljaju se na va\u0161e ruke, noge i na prsa (vidi sliku ispod) i preko ko\u017ee se snima elektri\u010dna aktivnost va\u0161eg srca. Cijeli postupak obi\u010dno traje samo nekoliko minuta i mo\u017ee se obaviti u ordinaciji lije\u010dnika [&hellip;]<\/p>\n","protected":false},"author":23,"featured_media":0,"parent":8759,"menu_order":14,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[287],"tags":[],"class_list":["post-8789","page","type-page","status-publish","hentry","category-sto-moj-lijecnik-moze-uciniti-hr"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.afibmatters.org\/hr\/wp-json\/wp\/v2\/pages\/8789"}],"collection":[{"href":"https:\/\/www.afibmatters.org\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.afibmatters.org\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.afibmatters.org\/hr\/wp-json\/wp\/v2\/users\/23"}],"replies":[{"embeddable":true,"href":"https:\/\/www.afibmatters.org\/hr\/wp-json\/wp\/v2\/comments?post=8789"}],"version-history":[{"count":1,"href":"https:\/\/www.afibmatters.org\/hr\/wp-json\/wp\/v2\/pages\/8789\/revisions"}],"predecessor-version":[{"id":8790,"href":"https:\/\/www.afibmatters.org\/hr\/wp-json\/wp\/v2\/pages\/8789\/revisions\/8790"}],"up":[{"embeddable":true,"href":"https:\/\/www.afibmatters.org\/hr\/wp-json\/wp\/v2\/pages\/8759"}],"wp:attachment":[{"href":"https:\/\/www.afibmatters.org\/hr\/wp-json\/wp\/v2\/media?parent=8789"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.afibmatters.org\/hr\/wp-json\/wp\/v2\/categories?post=8789"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.afibmatters.org\/hr\/wp-json\/wp\/v2\/tags?post=8789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}