{"id":5054,"date":"2018-03-20T13:22:14","date_gmt":"2018-03-20T13:22:14","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=5054"},"modified":"2018-03-20T13:29:34","modified_gmt":"2018-03-20T13:29:34","slug":"insuficienta-cardiaca","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/insuficienta-cardiaca\/","title":{"rendered":"In spitalele din Romania, in fiecare ora moare un pacient cu insuficienta cardiaca"},"content":{"rendered":"<p style=\"text-align: justify\"><strong>In lipsa unui program pentru aceasta boala, o persoana diagnosticata cu insuficienta cardiaca in anul 2014 are 20% sanse sa fie in viata in anul 2024<\/strong><\/p>\n<p style=\"text-align: justify\"><strong><u>Bucuresti, 20 martie 2018<\/u><\/strong>: Un studiu recent facut in Romania arata cat de grave sunt consecintele insuficientei cardiace, atat pentru pacienti, cat si pentru sistemul medical. Rata de mortalitate standardizata din cauza insuficientei cardiace cronice (IC) estimata pentru Romania (40\/100.000 persoane) este de doua ori mai mare decat in alte state din Uniunea Europeana. In majoritatea tarilor din UE se desfasoara programe de prevenire, depistare precoce si urmarire a acestor pacienti, la risc sau cu diagnosticul de insuficienta cardiaca.<\/p>\n<p style=\"text-align: justify\"><strong><u>Prevalenta si incidenta insuficientei cardiace in Romania<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Se estimeaza ca 4.7% din populatia peste 35 de ani a Romaniei sufera de insuficienta cardiaca (circa 560.000 de pacienti).\u00a0 In fiecare ora apar in medie 5 cazuri noi de insuficienta cardiaca (circa 45.000 cazuri noi\/an).<\/p>\n<p style=\"text-align: justify\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Insuficienta cardiaca poate avea numeroase cauze, cele mai frecvente fiind infarctul miocardic, hipertensiunea arteriala si diversele boli ale valvelor cardiace. Toti factorii de risc ai bolilor cardiovasculare, cum ar fi fumatul, diabetul zaharat, consumul excesiv de alcool, etc., duc in final la aparitia insuficientei cardiace. Riscul aparitiei insuficientei cardiace creste cu varsta. Imbatranirea populatiei, aproape un sfert din populatia Romaniei fiind peste 60 de ani, va determina cresterea prevalentei insuficientei cardiace.<\/p>\n<p style=\"text-align: justify\"><strong><u>Dificultati de diagnostic si tratament la nivel national<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 In Romania, cazurile noi sunt raportate de catre medicii de familie la nivel national dar, din cauza ca aceasta activitate nu este validata, exista o tendinta generala de subraportare. In 2017 s\u2010au internat in spitalele din Romania circa 344.000 de pacienti cu diagnosticul principal sau secundar de insuficienta cardiaca. Durata medie de spitalizare a cazurilor internate este de aproximativ 7 zile.<\/p>\n<p style=\"text-align: justify\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Conf. Dr. Ovidiu Chioncel, sef de sectie in cadrul Institutului de Boli Cardiovasculare &#8222;Prof. C.C. Iliescu\u201d, avertizeaza ca &#8222;una din trei persoane moare sau se reinterneaza in anul urmator ultimei spitalizari. 7,4% dintre pacientii cu insuficienta cardiaca mor in spital. 9 din 10 pacienti nu stiu ca sufera de insuficien\u021ba cardiaca&#8221;.<\/p>\n<p style=\"text-align: justify\"><strong><u>Un sfert dintre pacientii cu IC interna\u021bi in<\/u><\/strong> <strong><u>spitalizare continua in 2014 nu vor fi in via\u021ba in anul 2024 <\/u><\/strong><\/p>\n<p style=\"text-align: justify\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pacientii cu insuficienta cardiaca au in general una sau mai multe afec\u021biuni asociate (comorbidita\u021bi), ceea ce contribuie la complexitatea acestor cazuri atat din punct de vedere al schemei de tratament, cat \u0219i al monitorizarii bolii.<\/p>\n<p style=\"text-align: justify\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Principala comorbiditate (60% dintre pacien\u021bi) in cazul pacien\u021bilor spitalizati cu IC este hipertensiunea arteriala, urmata de fibrilatia atriala (35% dintre pacienti).<\/p>\n<p style=\"text-align: justify\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Aproximativ 14.400 de ani de viata se pierd prematur, anual, prin deces inainte de speran\u021ba de via\u021ba standard, din cauza insuficientei cardiace. In acest context, probabilitatea medie de supravietuire peste zece ani a unui pacient cu insuficien\u021ba cardiaca este de 20%. &#8222;Prognosticul este mai prost decat la majoritatea formelor de cancer, in conditiile unui tratament cu posibilitati relativ limitate. In plus, insuficienta cardiaca implica utilizarea unor resurse importante din partea societatii pentru tratamentul acestor pacienti si pentru reintegrarea lor sociala\u201d spune Prof. Dr. Dragos Vinereanu, medic primar cardiolog la Spitalul Universitar de Urgenta din Bucuresti, Prorector al Universitatii de Medicina si Farmacie \u201eCarol Davila\u201c si presedinte al Societatii Romane de Cardiologie.<\/p>\n<p style=\"text-align: justify\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Majoritatea cazurilor de insuficienta cardiaca externate din spital merg la domiciliu, unde urmarirea acestor pacienti este dificila. In plus, programele de recuperare cardiovasculara lipsesc.<\/p>\n<p style=\"text-align: justify\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ca atare, reinternarile pentru insuficien\u021ba cardiaca sunt frecvente, crescand mult costurile. Acestea reprezinta o problema importanta atat pentru spitalele din Romania, cat si pentru calitatea vie\u021bii acestor pacienti.<\/p>\n<p style=\"text-align: justify\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 In contextul numarului tot mai crescut de persoane ce sufera de insuficienta cardiaca si al prognosticului sumbru al acestei afectiuni, in Romania este necesara recunoasterea importantei majore a acestei patologii si crearea de programe pentru depistarea precoce, tratamentul modern si urmarirea evolu\u021biei acestor pacienti.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In lipsa unui program pentru aceasta boala, o persoana diagnosticata cu insuficienta cardiaca in anul 2014 are 20% sanse sa fie in viata in anul 2024 Bucuresti, 20 martie 2018: [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":5055,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5054","post","type-post","status-publish","format-standard","has-post-thumbnail","category-stiri-noutati"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - 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