{"id":724,"date":"2023-05-04T11:37:44","date_gmt":"2023-05-04T08:37:44","guid":{"rendered":"http:\/\/kildosklinika.lt.vanagas.serveriai.lt\/?p=724"},"modified":"2023-05-31T10:29:04","modified_gmt":"2023-05-31T07:29:04","slug":"sirdies-kruvio-testas-veloergometrija","status":"publish","type":"post","link":"https:\/\/kildosklinika.lt\/en\/straipsniai\/sirdies-kruvio-testas-veloergometrija\/","title":{"rendered":"\u0160irdies kr\u016bvio testas – veloergometrija: kada reikia j\u012f atlikti?"},"content":{"rendered":"

Kas yra veloergometrija?<\/strong><\/em><\/span><\/h3>\n

\u0160irdies kr\u016bvio testas (veloergometrija)<\/strong>\u00a0padeda nustatyti, kaip \u0161irdis dirba padidinto kr\u016bvio s\u0105lygomis: greitai einant b\u0117gimo takeliu arba minant stacionar\u0173 dvirat\u012f, tuo pat metu registruojant elektrokardiogram\u0105 ir sekant arterinio kraujo spaudimo poky\u010dius. Tai yra da\u017enai kardiologijoje naudojamas diagnostinis tyrimo metodas \u0161irdies funkcin\u0117s veiklos \u012fvertinimui:<\/p>\n

    \n
  • Ar \u0161irdis dirba efektyviai;<\/li>\n
  • Ar yra pakankama \u0161irdies kraujotaka kr\u016bvio metu;<\/li>\n
  • Kaip toleruojamas fizinis aktyvumas, lyginant su kitais to paties am\u017eiaus ir lyties \u017emon\u0117mis;<\/li>\n
  • Ar testo metu atsikartoja nusiskundimai (nemalon\u016bs poj\u016b\u010diai \u0161irdies plote, dusulys, per greitas \u0161irdies ritmas ar permu\u0161imai, galvos svaigimas);<\/li>\n<\/ul>\n

    Tai leid\u017eia nustatyti ir \u012fvertinti tam tikrus \u0161irdies veiklos sutrikimus bei ligas, tokias kaip:<\/p>\n

      \n
    • \u0160irdies\u00a0\u00a0raumens ar vo\u017etuv\u0173 veiklos nepakankamum\u0105;<\/li>\n
    • Kraujotakos nepakankamum\u0105 \u0161irdies raumenyje;<\/li>\n
    • \u0160irdies elektrin\u0117s veiklos stabilum\u0105 ramyb\u0117s b\u016bsenoje ir fizinio kr\u016bvio metu;<\/li>\n<\/ul>\n

      \u0160irdies streso testai padeda nustatyti, ar reikia papildom\u0173 – labiau invazini\u0173 – tyrim\u0173, kad b\u016bt\u0173 patvirtinta numanoma diagnoz\u0117. Ar tik\u0117tina, kad paskirtas gydymas ateityje suma\u017eins \u0161irdies priepuolio rizik\u0105 ir pad\u0117s pacientui jaustis geriau.<\/p>\n

      Kaip vykdomas \u0161irdies kr\u016bvio testas?<\/strong><\/em><\/span><\/h3>\n

      Testavimo metu gydytojai \u012fvertina organizmo reakcij\u0105 \u012f padid\u0117jus\u012f kr\u016bv\u012f, matuodami:<\/p>\n

        \n
      • Kraujo spaudim\u0105.<\/li>\n
      • \u0160irdies susitraukim\u0173 da\u017en\u012f.<\/li>\n
      • Kraujo \u012fsotinim\u0105 deguonimi.<\/li>\n
      • Elektrin\u012f \u0161irdies aktyvum\u0105 (EKG poky\u010dius).<\/li>\n
      • Palygina kaip dirba j\u016bs\u0173 \u0161irdis, lyginant su kitais j\u016bs\u0173 am\u017eiaus ir lyties \u017emon\u0117mis.<\/li>\n<\/ul>\n

        Kokiais atvejais prireikia atlikti \u0161irdies kr\u016bvio test\u0105?<\/strong><\/em><\/span><\/h3>\n

        Testo prireikia, kad nustatytum\u0117te \u0161irdies problemas, tokias kaip:<\/p>\n

          \n
        • \u012egimta \u0161irdies liga.<\/li>\n
        • \u0160irdies nepakankamumas.<\/li>\n
        • Vainikini\u0173 \u0161irdies kraujagysli\u0173 liga.<\/li>\n
        • \u0160irdies vo\u017etuv\u0173 liga.<\/li>\n<\/ul>\n

          Didel\u0117s rizikos profesij\u0173 \u017emon\u0117ms (pvz., pilotams ar profesionaliems sportininkams), taip pat gali prireikti testavimo padidinto kr\u016bvio s\u0105lygomis.<\/p>\n

          Kurie \u017emon\u0117s tur\u0117t\u0173 atlikti \u0161irdies streso test\u0105?<\/strong><\/em><\/span><\/h3>\n

          \u0160is testas gali b\u016bti atliekamas, jei turite \u0161irdies ligos simptom\u0173, toki\u0173 kaip:<\/p>\n

            \n
          • Kr\u016btin\u0117s angina, kuri yra kr\u016btin\u0117s skausmas ar diskomfortas d\u0117l sutrikusio kraujo pritek\u0117jimo \u012f \u0161ird\u012f.<\/li>\n
          • \u0160irdies ritmo sutrikimai (per\u00a0greitas ar nereguliarus \u0161irdies plakimas).<\/li>\n
          • Dusulio ramyb\u0117s ar fizinio kr\u016bvio metu.<\/li>\n
          • Galvos svaigimo epizod\u0173.<\/li>\n<\/ul>\n

            Testavimas taip pat skiriamas \u017emon\u0117ms, kuriems jau yra diagnozuota \u0161irdies liga, kurie:<\/p>\n

              \n
            • Nori prad\u0117ti sportuoti.<\/li>\n
            • Jau yra gydomi, bet gydytojai nori \u012fvertinti gydymo efektyvum\u0105.<\/li>\n
            • Su didesne komplikacij\u0173 rizika d\u0117l asmenin\u0117s ar \u0161eimos \u0161irdies lig\u0173 istorijos.<\/li>\n
            • Serga diabetu ar kitomis ligomis, kurios padidina \u0161irdies lig\u0173 rizik\u0105.<\/li>\n
            • Kit\u0173 specialybi\u0173 gydytojai nori \u012fvertinti savo veiksm\u0173 rizik\u0105 d\u0117l galim\u0173 komplikacij\u0173.<\/li>\n<\/ul>\n

              Testas gali b\u016bti atliekamas ir \u017emon\u0117ms, neturintiems \u017einom\u0173 \u0161irdies lig\u0173 ar simptom\u0173, kad \u012fvertint\u0173 j\u0173 \u0161irdies lig\u0173 ir \u0161irdies priepuoli\u0173 rizik\u0105, ypa\u010d jei jie turi kit\u0173 rizikos veiksni\u0173, toki\u0173 kaip diabetas, auk\u0161tas kraujosp\u016bdis, auk\u0161tas cholesterolio kiekis ar \u0161eimos ankstyvos \u0161irdies ligos istorija.<\/p>\n

              \u0160irdies kr\u016bvio testas taikomas\u00a0\u00a0ne visiems.<\/u><\/strong><\/em>\u00a0Testo gali neprireikti, jei yra nustatyta:<\/p>\n

                \n
              • Vainikini\u0173 arterij\u0173 ligos diagnoz\u0117, buvo gydoma ir daugel\u012f met\u0173 neatsirado nauj\u0173 simptom\u0173.<\/li>\n
              • N\u0117ra buv\u0119 koronarini\u0173 arterij\u0173 ligos ar koronarin\u0117s ligos ar simptom\u0173 rizikos veiksni\u0173.<\/li>\n
              • Ma\u017ea \u0161irdies lig\u0173 rizika, \u012fskaitant \u017emones, kurie ner\u016bko, yra fizi\u0161kai aktyv\u016bs ir valgo \u0161irdies sveik\u0105 mityb\u0105.<\/li>\n<\/ul>\n

                Testas taip pat n\u0117ra skirtas \u017emon\u0117ms, sergantiems \u0161irdies ligomis, d\u0117l kuri\u0173 testavimas yra nesaugus.<\/em><\/strong> Tai apima:<\/p>\n

                  \n
                • Aortos atsisluoksniavimas.<\/li>\n
                • \u0160irdies raumens u\u017edegimas.<\/li>\n
                • Neseniai \u012fvyk\u0119s\u00a0infarktas<\/li>\n
                • Sunki aortos stenoz\u0117 (aortos vo\u017etuvo susiaur\u0117jimas).<\/li>\n
                • Nekontroliuojamas nenormalus \u0161irdies ritmas (aritmija).<\/li>\n
                • Nuolatinis kr\u016btin\u0117s skausmas.<\/li>\n<\/ul>\n

                  Ar \u0161irdies streso testas yra saugus?<\/strong><\/em><\/h3>\n

                  Jei n\u0117ra kontraindikacij\u0173, \u0161irdies kr\u016bvio testas yra saugus. Labai ma\u017eai \u017emoni\u0173 testo metu patiria komplikacij\u0173. Visada galima bet kuriuo metu sustabdyti testavim\u0105, jei pajau\u010diate nerim\u0105 ar nepatogum\u0105.<\/p>\n

                  INFORMACIJA PACIENTUI APIE \u0160IRDIES KR\u016aVIO TEST\u0104.<\/h3>\n

                  Kiek laiko trunka testavimas?<\/p>\n

                  Kai atliekate standartin\u012f testavim\u0105, kr\u016bvis t\u0119siamas apie 10\u201315 minu\u010di\u0173. Papildomas laikas yra b\u016btinas prie\u0161 pradedant test\u0105 ir atsistatymui po to.<\/p>\n

                  Kaip pasiruo\u0161ti \u0161irdies kr\u016bvio testui?<\/strong><\/em><\/h3>\n

                  Rekomenduojama:<\/p>\n

                    \n
                  • Nieko nevalgyti kelias valandas iki testo.<\/li>\n
                  • Venkite kofeino 24 valandas iki testo. Tai apima kav\u0105, arbat\u0105, energetinius g\u0117rimus ir tam tikrus nereceptinius vaistus.<\/li>\n
                  • Ner\u016bkykite ir nenaudokite tabako gamini\u0173.<\/li>\n
                  • Nustokite vartoti tam tikrus receptinius vaistus testo dien\u0105. Tai apima beta blokatorius ir astmos inhaliatorius. Pasitarkite su kardiologu prie\u0161 nutraukdami bet kokius vaistus.<\/li>\n
                  • Pabandykite atsipalaiduoti. Nat\u016bralu, kad nervinat\u0117s d\u0117l \u0161irdies tyrim\u0173, ta\u010diau nerimas gali tur\u0117ti \u012ftakos j\u016bs\u0173 rezultatams.<\/li>\n
                  • D\u0117v\u0117kite lengvus, patogius drabu\u017eius ir tvirtus vaik\u0161\u010diojimo batus.<\/li>\n<\/ul>\n

                    Kaip vyksta \u0161irdies kr\u016bvio testas?<\/strong><\/em><\/h3>\n

                    \u0160tai ko tik\u0117tis atliekant testavim\u0105:<\/p>\n

                      \n
                    1. Gydytojas u\u017efiksuoja j\u016bs\u0173 gyvybinius po\u017eymius, \u012fskaitant j\u016bs\u0173 ramyb\u0117s \u0161irdies ritm\u0105 ir kraujosp\u016bd\u012f.<\/li>\n
                    2. Pritvirtina ma\u017eus, lipnius diskus (elektrodus) prie kr\u016btin\u0117s. Elektrodai jungiasi prie elektrokardiografo<\/li>\n
                    3. Pradedate eiti b\u0117gimo takeliu arba lengvai minate stacionar\u0173 dvirat\u012f.<\/li>\n
                    4. Laikui b\u0117gant tempas (tuo pa\u010diu ir kr\u016bvis) tampa intensyvesnis.<\/li>\n
                    5. Gydytojas periodi\u0161kai klausia, kaip jau\u010diat\u0117s.<\/li>\n
                    6. Testas baigiasi i\u0161laikius tikslin\u012f \u0161irdies susitraukim\u0173 da\u017en\u012f pakankamai ilgai, kad b\u016bt\u0173 galima u\u017efiksuoti \u0161irdies funkcijos rodmenis, paprastai apie 10\u201315 minu\u010di\u0173. Tikslinis \u0161irdies susitraukim\u0173 da\u017enis yra didesnis nei ramyb\u0117s b\u016bsenoje ir atsi\u017evelgiant \u012f paciento am\u017ei\u0173 ir fizines galimybes.<\/li>\n
                    7. Gydytojai u\u017egali baigti test\u0105 anks\u010diau numatyto laiko, jei pajuntate simptomus (skausm\u0105 \u0161irdies plote, dusul\u012f, silpnum\u0105) arba papra\u0161ote sustoti.<\/li>\n<\/ol>\n

                      Kas atsitinka po \u0161irdies streso testo?<\/strong><\/em><\/h3>\n

                      Baig\u0119 ar sustabd\u0119 test\u0105, gydytojai stebi j\u016bs\u0173 savijaut\u0105, \u0161irdies susitraukim\u0173 da\u017en\u012f, kraujosp\u016bd\u012f ir EKG, kol viskas gr\u012f\u0161 \u012f norm\u0105. Tai trunka apie 15 minu\u010di\u0173. Kai \u0161irdies susitraukim\u0173 da\u017enis atsistatys, gal\u0117site eiti namo.<\/p>\n

                      REZULTATAI IR TOLESNI VEIKSMAI<\/h3>\n

                      K\u0105 rei\u0161kia normal\u016bs \u0161irdies kr\u016bvio testo rezultatai?<\/strong><\/em><\/h3>\n

                      Jei rezultatai yra normal\u016bs, j\u016bs\u0173 \u0161irdis pumpuoja krauj\u0105 taip, kaip tur\u0117t\u0173, ir kraujotaka yra pakankama. K\u0105 tai rei\u0161kia j\u016bs\u0173 sveikatai, priklauso nuo to, kod\u0117l jums buvo atliktas testavimas:<\/p>\n

                        \n
                      • \u0160irdies lig\u0173 \u012fvertinimas:<\/strong>\u00a0j\u016bs\u0173 juntami simptomai yra ne d\u0117l \u0161irdies problemos. Jums gali prireikti kit\u0173 vertinim\u0173, kad nustatytum\u0117te prie\u017east\u012f. Pavyzd\u017eiui, kai kurie \u017emon\u0117s, turintys nerim\u0105, patiria kr\u016btin\u0117s skausm\u0105 ir tachikardij\u0105, nors j\u0173 \u0161irdis yra sveika.<\/li>\n
                      • Sportas ar chirurginio gydymo planavimas:<\/strong>\u00a0j\u016bs\u0173 \u0161irdis yra pakankamai sveika, kad gal\u0117tum\u0117te prad\u0117ti treniravim\u0105si arba jus galima operuoti.<\/li>\n
                      • \u0160irdies lig\u0173 steb\u0117jimas:<\/strong>\u00a0gydymas, kur\u012f gaunate, yra tinkamas j\u016bs\u0173 poreikiams. J\u016bs\u0173 \u0161irdies veikla atitinka j\u016bs\u0173 organizmo fizinio kr\u016bvio poreikius.<\/li>\n<\/ul>\n

                        K\u0105 daryti, jei mano fizinio kr\u016bvio testo rezultatai yra nenormal\u016bs?<\/em><\/h3>\n

                        Nenormal\u016bs rezultatai gali reik\u0161ti, kad sergate \u0161irdies liga. D\u0117l lengvos \u0161irdies ligos po\u017eymi\u0173 gydytojai gali rekomenduoti gyvenimo b\u016bdo poky\u010dius (pvz., r\u016bkymo nutraukim\u0105 arba mank\u0161tos ir svorio metimo program\u0105) ir vaistus diabetui, kraujosp\u016bd\u017eiui ar cholesteroliui gydyti, kad suma\u017eint\u0173 jo pablog\u0117jimo rizik\u0105.<\/p>\n

                        Nenormal\u016bs rezultatai taip pat gali reik\u0161ti, kad j\u016bs\u0173 \u0161irdis n\u0117ra pakankamai stipri mank\u0161tai ar operacijai. Gali b\u016bti reikalingi papildomi gydymo b\u016bdai siekiant i\u0161vengti \u0161irdies priepuolio ar \u0161irdies nepakankamumo.<\/p>\n

                        Dr. A. Kildos klinikoje veloergometrijos tyrim\u0105 atlieka gydytoja kardiolog\u0117 med. dr. J\u016brat\u0117 Bidvien\u0117.<\/p>","protected":false},"excerpt":{"rendered":"

                        Kas yra veloergometrija? \u0160irdies kr\u016bvio testas (veloergometrija)\u00a0padeda nustatyti, kaip \u0161irdis dirba padidinto kr\u016bvio s\u0105lygomis: greitai einant b\u0117gimo takeliu arba minant stacionar\u0173 dvirat\u012f, tuo pat metu registruojant elektrokardiogram\u0105 ir sekant<\/p>","protected":false},"author":3,"featured_media":778,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[129],"tags":[],"service":[97,99,98],"specializacijos":[118],"class_list":["post-724","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kardiologija-sirdies-ligos","service-kardiologija","service-kardiologu-konsultacijos","service-kardiologiniai-tyrimai","specializacijos-kardiologai"],"acf":[],"yoast_head":"\n\u0160irdies kr\u016bvio testas - veloergometrija: kada reikia j\u012f atlikti? - Kildos klinika<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kildosklinika.lt\/en\/straipsniai\/sirdies-kruvio-testas-veloergometrija\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0160irdies kr\u016bvio testas - veloergometrija: kada reikia j\u012f atlikti? 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