525
PŘEHLEDOVÉ425200011151111167232285340403465523580
ČLÁNKY1031200011154107169233293349
/1405200011133
REVIEW1463200011157113173207263347
ARTICLES1835200011158120175208264317372423
Left4253200973878103132
atrium574320097396692112156223
and8143200973984130
atrial961320097386592111150170
fibrillation1148320097214287115134153173212238257302347
in15123200971964
critically1593320097366282109128165204224243281
ill1891320097193858
patients:19653200974686112131172218244277294
from2276320097235195163
echocardiography24563200974077122166204243270315335379425452492538583620
to30933200972770
therapy31803200972772113140179225263
2820720001114292
|343200011126
ANESTEZIOLOGIE4268040010753112155200245290342362425467527586607650
A10988040010753
INTENZIVNÍ1172804001071978123168227276296345405426
MEDICÍNA16198040010770114174195248268328382
/20468040010732
Anest21238040010753101145179208
intenziv235180400107186693136184221240281
Med.26528040010770114164180
2026;37(1):28-352852804001074487128171185230270290330348362406449477518560
/34578040010731
www.aimjournal.cz48358040010765133201214257275349367415463490539579598614654693
https://doi.org/10.36290/aim.2026.01142543009543679513916918321423665843009846921147724300951457811251549254300984383102148191234277321347386408476496542585627670690734775811
Left4259100305135257347450
atrium9269100305120215332413553760
and17369100305120268406
atrial21929100305121215333414540620
fibrillation286391003058917430942450658666679088596410901233
in4146910030575222
critically441991003051112283094044835967218018811000
ill4251170030574155234
patients:71011700305136259354432550692787895962
from17231170030589208337541
echocardiography231411700305116232375501618742862100210831209133014501574171018521971
to43361170030595225
therapy46121170030595241358472596732854
Tencer4251560014966121191245308354
T.1,80315600149668988415700873955
2,9541570087389951560014931
Waldauf105015600149107167200271335404445
P.3,1519156001497088160915700873916491560014931
Balik17041560014973136169201266
M.41994156001491021342129157008739
1Department4251780071304531780012167118175223256292375425481513
of988178001215584
Anaesthesiology,10931780012161116164215254288343394433456511535590647695711
Resuscitation18251780012154104144198237282305339387420443498554
and24001780012148103160
Intensive2581178001212479112161217256279327376
Care29781780012158107139189
Medicine,31881780012181131189212257280335385405
Motol36141780012181136169223247
University38821780012165120143191241273314337370420
Hospital43231780012165121160216240273322345
and46891780012149104161
Second48711780012149100145199255311
Faculty5203178001214994138193217250299
of468191001215584
Medicine,5731910012181131189212257280335385405
Charles9991910012158113161194217268307
University,13271910012165120143191241273314337370420436
Prague1784191001215385133189244294
2Third4252040071304562040012150106129162218
Faculty695204001214993138193216249299
of1015204001215584
Medicine,11202040012181131189212257280335385405
Charles15462040012158113161194217268307
University,18742040012165120143191241273314337370420436
Prague2331204001215385133189244294
3Department4252170071304562170012167118175223256292375425481513
of991217001215584
Anaesthesiology10962170012161116164215254288343394433456511535590647695
and18122170012148103160
Resuscitation,19932170012154105144198238283306339388420443498554575
Kralovske2589217001215488137160215262302348397
Vinohrady3007217001215681136191247279328384432
University34602170012165120143191240273314337370419
Hospital,39012170012165120160216240273322345366
Third42882170012150106129161218
Faculty4527217001214893138192216249299
of4847217001215584
Medicine,49522170012181131189212257279335385405
Charles4682300012158113161193217267307
University,7962300012165120143191240273313336369419435
Prague1253230001215384133189244294
4Department4252430071304562430012167118175223256292375425481513
of991243001215584
Anaesthesiology,10962430012161116164215254288343394433456511535590647695711
Resuscitation18282430012154104144198237282305339387420443498554
and24032430012148103160
Intensive2584243001212479112161217256279327376
Care29812430012158107139189
Medicine,31912430012181131189212257280335385405
General36172430012165116172222255304327
University39652430012165120143191240273314337370420
Hospital44062430012165121160216240273322345
and47722430012149104161
First4954243001214871103144178
Faculty5153243001214893138192216249299
of468256001215584
Medicine,5732560012181131189212257280335385405
Charles9992560012158113161194217268307
University,13272560012165120143191241273314337370420436
Prague1784256001215385133189244294
New‑onset4252960012165117190223281337376427462
atrial906296001214881114139187211
fibrillation1137296001212956113146171195218267300324379436
is1592296001212363
common1675296001214498182266322378
in2072296001212479
critically2171296001214578102136159205254278302350
ill254029600121244871
patients26312960012157106139163214270303344
with2994296001217498132187
septic3201296001213990148182205251
shock3471296001214095151197244
and37352960012148103161
worsens39152960012173128162203254310349
haemodynamics42842960012155104155239294352400457506589613658700
through5003296001213389122177233289345
loss5368296001212379119158
of425310001215585
atrial537310001214882115140189213
contraction,7773100012145100157190223273319355379435492514
shortening1318310001213995152185222273329353410467
of1812310001215585
diastolic1924310001215681129170204259285309354
filling230531000121305781105129185242
time,2574310001213458142193214
decrease28153100012157108155188239288328380
in3222310001212379
cardiac3328310001214595128185210259304
output,36593100012155112146204260294316
and40023100012149105162
elevation4192310001215075126175224258282338394
of4613310001215585
filling472631000121295680104128184242
pressures.4995310001215790141182222277311362402424
In5447310001212480
this425324001213389113153
context,599324001214499156189239288324347
atrial966324001214881115139188213
fibrillation1199324001212956114148172197221270303327383440
is1659324001212363
associated1743324001214888128184231255304337387446
with2209324001217398132188
prolonged2417324001215791147172228285342393451
hospitalisation,28883240012156112152210234268318343367407457490514570627649
a35573240012148
higher3625324001215680137193244278
risk392332400121335798145
of4088324001215585
ischaemic4193324001212464110166215266351375421
stroke,4634324001214074108164212262283
and49373240012148104162
increased5119324001212379125159210259299350409
mortality.4253380012182137170206255279302335385402
The8463380012149105156
pathogenesis10213380012156104137192247304354409460499523562
is1602338001212362
multifactorial,16833380012182137161194217247295340376430463487534558579
combining2281338001214498181237261316340395451
patient‑specific27513380012156105137161211266299327367423474520543573599644
predispositions3414338001215689139196219258315371410433466490544600639
and40723380012148103159
triggers425033800121336689145201251284325
associated4594338001214787126181226250298330379437
with5050338001217296129184
critical5253338001214577101134158202251275
illness.42535200121234872128179220260282
These7293520012149107158199250
include1000352001212480126150206263315
excessive1336352001215098143193233274298347397
catecholamine1754352001214595128179225281337362411496520576627
release,2403352001213283108160209249300321
electrolyte2745352001215176127174210243299324372410460
imbalances,32263520012124108166215240289345391441482504
autonomic37513520012148104138193250306390415460
nervous42333520012155107140193248304344
system4598352001214089130165215299
dysregulation,49193520012156105145179229287343367416450474530587608
systemic425366001214089129164215299323369
inflammation,820366001212480110137186270354403437461517574595
and14423660012148104162
changes16303660012145101150206263314355
in2011366001212379
preload2117366001215690141166222272330
and24733660012148104162
afterload.2661366001214878116166200225281331388410
Together,30973660012150100157209243299351385402
these3525366001213389140181232
factors3783366001213080125162217251292
enhance41013660012150107163212268314364
atrial4492366001214881115139188213
arrhythmogenicity4731366001214881115172219256312396452510561618642688712746797
and4253800012148104162
predispose614380001215791142200224264322379419470
to1111380001213388
the1226380001213490141
development13943800012157108156207232288346430482539572
of1993380001215585
new‑onset21053800012155107181214272329369420455
atrial2587380001214882115140189213
fibrillation.2827380001212956114148173197221270303327384440462
Bedside33163800012155106164205229286338
echocardiography3681380001215096152208255305338395420476533567616674731777
enables44853800012151107156214239290331
personalised48433800012157109143184240297346370394434486544
diagnosis,54143800012157814253940012148105161218258282322344
treatment,791394001213366117166200284336392426448
and12613940012148104162
prevention.1445394001215790141190240297330354410467489
Parameters19563940012153101135184268320354405439480
focused2458394001212985132187228279338
on28173940012155112
the2951394001213389141
left3114394001212375105143
atrium3279394001214881115140195279
aid3580394001214873130
in3732394001212480
the3834394001213389140
risk399639400121335898145
stratification4163394001214075108158191215246273319368402426482539
of4724394001215485
atrial4831394001214881115139188213
fibrillation,5066394001212956114148172196221269303327383440461
prediction425408001215791142200224270306330386443
of894408001215585
sinus1005408001213963119175215
rhythm1246408001213390136173230314
maintenance,15864080012183132156212246296353402458504554575
and21874080012148104162
selection2375408001213991116167214250274330387
of2788408001215585
an28994080012148104
appropriate30294080012148106164198254312346370419453503
management35584080012183132189238295346430482539572
strategy4156408001213974108157191241299348
(rhythm4530408001212859115162199255340
control48954080012145100157190224279304
vs.5225408001214889111
rate5362408001213282115166
control).4254220012145100156190223279304333352
Therefore,8034220012149107158192243274330364414435
a12644220012148
comprehensive13374220012145100184242276327383435492532555605655
and20174220012148105162
individualised2205422001212379137161210235293348397422446486537596
assessment2826422001214888128180220261344396453486
of3337422001215585
the3448422001213389140
left3614422001212375105143
atrium,3782422001214882115140195280301
along4109422001214872128185242
with4377422001217398132188
evaluation4590422001215199149173229278311335391448
of5063422001215585
diastolic5174422001215680129169204259284308354
and4254360012148103160
systolic604436001213988128162216241264309
function932436001212985141186222245300356
of1307436001215584
both14104360012157113146201
ventricles,1630436001214897153186219243288311362402423
should2073436001213994149205229285
be23784360012156107
an25044360012148103
integral2627436001212378111160217250299323
part29694360012156105138175
of3163436001215484
arrhythmia3266436001214880114170215252307390414462
management37474360012183131187235291342425476532564
in4330436001212479
patients44284360012157106138162212268301342
with4789436001217397130186
septic4994436001213990147181204249
shock.5262436001213995150196243266
This4254500012150107131171
review619450001213384133157209283
also925450001214873113169
provides1117450001215791147195220277329369
a15094500012148
practical1581450001215690140186222246292342366
bedside19704500012157109167208231289340
algorithm2334450001214872129185219244278334418
to2775450001213489
guide28874500012156112136193245
phenotype‑based31554500012157114165222278312363421473508567616656708766
management.39444500012184133189238295346431483539573595
Key4254660012358108158
words:6034660012375131167225267290
new‑onset9154670012156106179211268324363414447
atrial1383467001214881113137185208
fibrillation,1612467001213056112145169192215263296319374430450
sepsis,2084467001213990147186209248269
septic2374467001214090147180203248
shock,2643467001214095150196242266
echocardiography,2930467001215096151206251300332389412467524556605661717763779
left3730467001212474104140
atrium,3891467001214881113137192275296
anticoagulation.42084670012148103136159203257306362417440488520543598654675
Levá4254910016674139204270
síň719491001665697177
a9204910016665
fibrilace1009491001664994166227270313379439503
síní1536491001665697176219
u17794910016676
kriticky18794910016676140183233274335411477
nemocných:23804910016677140249316378456519580657692
od30964910016668143
echokardiografie326349100166631252022693444114755505936607257888549059501013
k43004910016676
terapii44004910016651116177243316356399
Nově4255120012167123171221
vzniklá675512001214995151175223248297
fibrilace1001512001213057114148172196245291341
síní1371512001214063120143
je1543512001212576
u16485120012156
pacientů17335120012158108153177228285318374
se2136512001214091
septickým2256512001214092150184207253300352437
šokem2722512001214197145195280
častá3031512001214595135169219
a32795120012149
zhoršuje33575120012143100156190231286311362
hemodynamiku37485120012156108193249307356413462546570618674
ztrátou4451512001214480113163196251307
síňové4787512001214164120176224274
kontrakce,50905120012148103159193226275323367417438
zkrácením425526001214390124172217266322345428
diastolického873526001215679127166200254278301346392441497552
plnění,1445526001215781136186242265285
poklesem17505260012157113160185235275325409
srdečního2178526001214072128179224279302360415
výdeje2612526001214899155205229279
a29115260012148
zvýšením2979526001214293144183234289312396
plnících3394526001215781136159204227272327
tlaků.3740526001213357105151207227
V39865260012156
tomto4062526001213387171203257
kontextu43395260012147100156188238285321376
je4734526001212575
fibrilace4829526001212955111144168191239284333
síní5182526001213962117141
spojena5342526001214096152425540001212475130178
s6295400012140
delší6955400012156107131170193
dobou9145400012156111169224280
hospitalizace,12205400012155110150206230263312335358401451495544564
vyšším1810540001214999139178201284
rizikem212054000121335699123169218302
ischemické2448540001212362107162213296320364411460
cévní2934540001214594141197221
mozkové31815400012183138180227281328377
příhody3584540001215790113170226283330
a39415400012148
zvýšenou4015540001214393144184234290345400
mortalitou.44415400012183139172208256280303336390445466
Patogeneze49335400012153101133187244294350400444494
je5453540001212474
multifaktoriální4255540012183138162195218247296343379433465489537560615639
a10875540012148
kombinuje11585540012147101184241265320375398449
predispozice1630554001215790140197220259316371413437482531
pacienta21845540012157105150173223279311360
se2567554001214091
spouštěči2681554001213996152207246280329375397
související3102554001213994150198222261311335358403426
s35515540012140
kritickým3614554001214781105138161205252302386
onemocněním,40245540012155110161244299345400451506529613633
včetně4681554001214891140174229279
nadměrného49835540012156104161244294327383433489544
uvolnění4255680012155104157181237287342365
katecholaminů,809568001214796129178224279334358406489512567622643
elektrolytové1470568001215074125172208240295319366403457504553
poruchy,20415680012157113146201246302347363
dysregulace24235680012156104143175225282337360408453502
autonomního29435680012149103136190246301385440463520576
nervového35375680012156106139190244291340396451
systému,4006568001214088128162211295349370
systémového4395568001213987127161210294349396445501556
zánětu,4969568001214393148199232287308
změn52955680012143126177232
preloadu425582001215790140164219268324379
a8315820012148
afterloadu.906582001214877113163195219274323380435456
Tyto1388582001215091127181
faktory1596582001212978125161215248298
společně1921582001214096152176227272327378
zvyšují2325582001214394145184239262286
arytmogenní2637582001214981131168251306363413469524547
potenciál32115820012157113146195250295318366390
a36275820012149
predisponují3703582001215689139196220259315371427481505528
k42585820012147
rozvoji4332582001213387129180234258281
nově46405820012155110157206
vzniklé4873582001214893149172218243294
fibrilace5194582001212955112145168191239284333
síní.425596001214062118141161
Echokardiografie604596001214993148203250299331388411466522555603632658708
u13305960012155
lůžka1403596001212478121168217
pacienta16385960012156105150173223278311359
umožnuje20155960012155138193235291345369419
personalizovat24525960012157108141181236291339363386428483530578611
diagnostiku,3081596001215679127183238293332366389435490511
léčbu3610596001212374119175231
i38595960012123
prevenci.3900596001215789139187236291336359380
Parametry42975960012154101133181264315348381431
zaměřené4746596001214392175226257307362413
na51775960012155103
levou5298596001212374121175230
síň425610001214062118
napomáhají5616100012155103160216299347403451474497
odhadu10766100012155112168216272327
rizika142161000121335699122169218
fibrilace1657610001212955112145169192240285334
síní,2009610001213962117140161
predikci2188610001215790139197220266310333
udržení25396100012155111144188238294317
sinusového2874610001214063118172212267314363419474
rytmu3366610001213283119202257
a36416100012148
zvolení3707610001214394148172222278301
vhodné40266100012148104159216271322
strategie4366610001213973105154186236292316366
(kontrola4750610001212875128184216249304328375
rytmu5143610001213383120203258
vs.5419610001214887108
kontrola4256240012147101156189221276300348
frekvence).792624001212963113160211260316361410435454
Systematické,1265624001214994133167217300348381404449495544564
individualizované1848624001212479135159207231287342390414437479534581630685735
hodnocení26036240012155110168223278324373428451
levé3074624001212374121170
síně3264624001213962118168
spolu3451624001214096152176231
s37016240012140
posouzením37606240012157113152208263306356412435518
diastolické4297624001215780128167201255279302347393442
a47596240012148
systolické4826624001214088127161215239262307354403
funkce5248624001212985140187231280
obou4256380012155112168223
komor6706380012147101184240273
by9656380012157103
mělo10906380012183134158213
být13256380012157103140
nedílnou14876380012155106163186212267322377
součástí1886638001214095150195244283317340
péče22486380012157108153202
o24726380012155
kriticky2549638001214781105138161206252303
nemocné28746380012155106189244290345396
se3292638001213990
septickým3404638001214090147180203248294345429
šokem.3855638001214095142191275296
Přehled4173638001215385134190214264321
zároveň4516638001214393125180227276332
nabízí48706380012155103160184226250
praktický5142638001215790138185221244289335386
algoritmus425652001214872128183216239273356411450
u8966520012155
lůžka972652001212478121168217
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a22086520012148
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vzniklá1255669001214893149172218243291
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KORESPONDENČNÍ48575700974397142182222265321375429469522569622642
ADRESA1144757009749102146187227276
AUTORA:143775700974999140194239290307
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Článek326175700984768110156198240
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k4871757009841
tisku:49287570098284983125172191
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2026531575700953978115153
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EDIC,117076900953789107153167
tomas.tencer@fnmotol.cz135576900952466132169199214239277320357395419476498543608652676718736750787821839
Cit.40327690098476897118
zkr:416676900983678108128
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