{"id":332,"date":"2016-01-10T17:42:10","date_gmt":"2016-01-10T16:42:10","guid":{"rendered":"http:\/\/www.extrapopusti.rs\/Blog\/?p=332"},"modified":"2016-02-17T15:40:30","modified_gmt":"2016-02-17T14:40:30","slug":"holter-ekg-a","status":"publish","type":"post","link":"https:\/\/www.extrapopusti.rs\/Blog\/holter-ekg-a\/","title":{"rendered":"Holter EKG-a"},"content":{"rendered":"<h3><strong>\u00a0 \u00a0\u00a0<a href=\"http:\/\/www.extrapopusti.rs\/beograd\/zdravlje\">HOLTER SRCA<\/a><\/strong><\/h3>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.extrapopusti.rs\/beograd\/zdravlje\/lekarska-ordinacija-dr-nestorov\">Holter monitoring EKG-a<\/a> je neinvazivna dijagnosti\u010dka procedura odnosno poseban postupak pra\u0107enja rada srca u toku 24 ili 48 sati. Indikacije za Holter EKG-a su: poreme\u0107aji sr\u010danog ritma (aritmija), krize svesti, vrtoglavice.\u00a0Ukoliko pacijent ose\u0107a poreme\u0107aje ritma, nesvestice, bol u grudnom ko\u0161u, zamaranje i gubitak daha, a da se prethodnim pregledima nije utvrdilo sr\u010dano poreklo pomenutih simptoma , Holter ekg-a je neophodan dijagnosti\u010dki postupak.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Holter EKG snimanje<\/strong>-Izvodi se tako \u0161to se pacijentu\u00a0 na grudni ko\u0161 postave elektrode, koje su povezane sa malim aparatom. Sam aparat, ne\u0161to ve\u0107i od mobilnog telefona\u00a0 bele\u017ei elektrokardiogram pacijenta\u00a0 sve vreme, naj\u010de\u0161\u0107e u periodu od 24h. Pacijent tokom no\u0161enja holtera, obavlja uobi\u010dajene dnevne aktivnosti, koje bele\u017ei u dnevnik i saop\u0161tava kardiologu radi \u0161to preciznijeg tuma\u010denja nalaza.<\/p>\n<h4><strong><a href=\"http:\/\/www.extrapopusti.rs\/beograd\/zdravlje\">POPUSTI NA ZDRAVSTVENE USLUGE<\/a> \u00a0 <a href=\"http:\/\/www.extrapopusti.rs\/\">( POPUSTI DO 90 % )<\/a><\/strong><\/h4>\n<p><strong>*Na ovim linkovima mo\u017eete pogledati sve zdravstvene usluge sa popustom<\/strong><\/p>\n<p>&#8211;\u00a0<a href=\"http:\/\/www.extrapopusti.rs\/firme\/beograd\/zdravlje\">http:\/\/www.extrapopusti.rs\/firme\/beograd\/zdravlje<\/a><\/p>\n<p>&#8211;\u00a0<a href=\"http:\/\/www.extrapopusti.rs\/firme\/beograd\/zdravlje\">http:\/\/www.extrapopusti.rs\/firme\/beograd\/zdravlje<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong><a href=\"http:\/\/www.extrapopusti.rs\/beograd\/zdravlje\/gracia-medika\">Holter EKG &#8211; postupak snimanja.<\/a><\/strong> Na grudni ko\u0161 se prilepi pet elektroda koje su povezane sa malim aparatom koji se nosi u torbici preba\u010denoj preko ramena. Tokom perioda od 24 sata aparat neprekidno registruje elektri\u010dnu aktivnost srca. Osoba treba da radi sve uobi\u010dajene radnje i da vodi dnevnik aktivnosti. Sutradan, nakon 24 sata aparat se skida i \u010ditaju se rezultati. Jasno je kakav neprocenjiv zna\u010daj ima ova metoda, posebno u otkrivanju, a kasnije i pra\u0107enju le\u010denja poreme\u0107aja aktivnosti srca.<\/p>\n<div class=\"seven28\">\n<p>Tokom no\u0161enja parata, pacijent ne sme da se kupa, pomera kablove ili odlepljuje elektrode- o \u010demu dobija detaljna uputstva prilikom postavljanja holtera.\u00a0Podaci se sa aparata unose u kompjuter nakon skidanja holtera. Kardiolog analizira rad srca za \u010ditavo vreme snimanja ( prati se srednja sr\u010dana frekvenca, poreme\u0107aji ritma, nivo ST segmenta, pauze u sr\u010danom radu, du\u017eina trajanja pojedinih intervala u ekg zapisu). Na osnovu rezultata uo\u010davamp postoji li ishemija miokarda, aritmija ili poreme\u0107aji provo\u0111enja na osnovu \u010dega se predla\u017ee dalja dijagnostika i terapija. Na ovaj pouzdan i sasvim ne\u0161kodljiv na\u010din sti\u010demo objektivan uvid u stanje sr\u010danog mi\u0161i\u0107a i sprovodnog sistema srca.<\/p>\n<p><b>Indikacije ili stanja kada je potreban Holter EKG monitoring su:<\/b><\/p>\n<p>\u2013 svi poreme\u0107aji sr\u010danog ritma srca<br \/>\n\u2013 pra\u0107enje terapijskog odgovora u le\u010denju aritmije<br \/>\n\u2013 dijagnostika ishemijske bolesti srca<br \/>\n\u2013 dijagnostika asimptomatske ishemije miokarda<br \/>\n\u2013 pra\u0107enje terapijskog odgovora u le\u010denju<br \/>\n\u2013 sinkope i presinkope, bolovi u grudima, dispneje<br \/>\n\u2013 pra\u0107enje varijabilnosti sr\u010dane frekvencije<br \/>\n\u2013 nejasna stanja krize svesti (gubitka svesti)<br \/>\n\u2013 pre po\u010detka bavljenja rekreacijom ili sportom te kod mladih sportista<br \/>\n\u2013 procena rizika mortaliteta<\/p>\n<p><b>U toku primene holter EKG monitoringa registruju se slede\u0107i parametri:<\/b> srednja sr\u010dana frekvenca, depresija ST segmenta, poreme\u0107aji sr\u010danog ritma, kompenzatorne pauze ili prekidi u radu srca, Q-T interval; varijabilnost sr\u010dane frekvence (kao nezvisan prognosti\u010dki pokazatelj).<\/p>\n<p>Pre monta\u017ee opreme, pacijent mora da se okupa, njegove grudi se potom moraju dobro o\u010distiti alkoholom (ili nekim drugim sredstvom) kako bi se obezbedilo dobro prianjanje samolepljivih EKG elektroda. Elektrode se prvo lepe a zatim pri\u010dvr\u0161\u0107uju na grudni ko\u0161 pacjenta i omogu\u0107avaju njegove uobi\u010dajene dnevno-no\u0107ne aktivnosti. Tankim \u017eicama elektrode se povezuju sa malim prenosnim holter EKG aparatom koji se postavlja oko struka pacjenta ili se nosi na specijalnom kai\u0161u oko vrata.<\/p>\n<p>U toku upotrebe mogu\u0107e su smetnje od jakih izvora elektomagnetnog zra\u010denja (mobilni telefon, mikrotalasna pe\u0107 i jakih magneta) ali i vlage pa se zabranjuje;<\/p>\n<ul>\n<li>Kupanje ili tu\u0161iranje pacijenta<i>, (obavlja pre i nakon upotrebe holter EKG)<\/i><\/li>\n<li>Boravak u blizini izvora visokog napona, metal detektora ili velikih magneta (zabrana snimanja magnetmom rezonantnom tomografijom).<\/li>\n<li>Upotreba elektri\u010dnog jastuka, \u0107ebeta, masa\u017eera i sli\u010dnih ure\u0111aja na elektri\u010dni pogon.<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 \u00a0\u00a0HOLTER SRCA &nbsp; Holter monitoring EKG-a je neinvazivna dijagnosti\u010dka procedura odnosno poseban postupak pra\u0107enja rada srca u toku 24 ili 48 sati. Indikacije za Holter EKG-a su: poreme\u0107aji sr\u010danog ritma (aritmija), krize svesti, vrtoglavice.\u00a0Ukoliko pacijent ose\u0107a poreme\u0107aje ritma, nesvestice,&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[619,623,616,625,630,624,632,620,628,622,626,170,171,618,617,629,631,621,627],"class_list":["post-332","post","type-post","status-publish","format-standard","hentry","category-extrapopusti","tag-aritmija","tag-bol-u-grudnom-kosu","tag-dijagnosticka-procedura","tag-grudni-kos","tag-holter-ekg-aparatom","tag-holter-ekg-a","tag-holter-srca","tag-krize-svesti","tag-lecenja-poremecaja-aktivnosti-srca","tag-nesvestice","tag-nosenja-holtera","tag-popusti","tag-popusti-do-90","tag-poremecaji-srcanog-ritma","tag-pracenja-rada-srca","tag-prekidi-u-radu-srca","tag-varijabilnost-srcane-frekvence","tag-vrtoglavice","tag-zdravstvene-usluge-sa-popustom"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Holter EKG-a | Popusti<\/title>\n<meta name=\"description\" content=\"Popusti i besplatni kuponi, bez registracije. 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