{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T01:41:46Z","timestamp":1785462106295,"version":"3.56.0"},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"33","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Absztrakt: <\/jats:title>\n                <jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A <jats:italic>boka-kar index<\/jats:italic> (BKI) m\u00e9r\u00e9se az\n                    els\u0151 v\u00e1lasztand\u00f3 sz\u0171r\u0151m\u00f3dszer az als\u00f3 v\u00e9gtagi perif\u00e9ri\u00e1s art\u00e9ri\u00e1s \u00e9rbetegs\u00e9g\n                    (LEAD) diagnosztik\u00e1j\u00e1ban. A LEAD tekintet\u00e9ben vesz\u00e9lyeztetett popul\u00e1ci\u00f3ban\n                    v\u00e9gzett sz\u0171r\u00e9s c\u00e9lja a major v\u00e9gtagi esem\u00e9nyek, \u00edgy az amput\u00e1ci\u00f3 kock\u00e1zat\u00e1nak\n                    cs\u00f6kkent\u00e9se. A nyugalmi BKI-\u00e9rt\u00e9k ugyanakkor k\u00f6nnyen adhat \u00e1lnegat\u00edv eredm\u00e9nyt.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Kutat\u00e1sunk c\u00e9lja egy, a csal\u00e1dorvosi praxisban\n                    k\u00f6nnyen megval\u00f3s\u00edthat\u00f3, gyors \u00e9s k\u00f6lts\u00e9ghat\u00e9kony sz\u0171r\u0151m\u00f3dszer tesztel\u00e9se mellett\n                    azon betegek azonos\u00edt\u00e1sa volt, akikn\u00e9l a csal\u00e1dorvos eszk\u00f6zeivel nem kaphatunk\n                    definit\u00edv diagn\u00f3zist (negat\u00edv BKI mellett t\u00fcnetes, illetve nem komprim\u00e1lhat\u00f3\n                    art\u00e9ri\u00e1s csoport). <jats:italic>M\u00f3dszer:<\/jats:italic> Az \u00c9szak-Magyarorsz\u00e1g r\u00e9gi\u00f3ban 680\n                    beteg sz\u0171r\u00e9s\u00e9t v\u00e9gezt\u00fck el. Edinburgh-k\u00e9rd\u0151\u00edvet haszn\u00e1ltunk, r\u00f6gz\u00edtett\u00fck a saj\u00e1t\n                    \u00e9s a csal\u00e1di anamn\u00e9zist, a rizik\u00f3faktorokat, a jelenlegi panaszokat \u00e9s a\n                    gy\u00f3gyszerel\u00e9st. Fizik\u00e1lis vizsg\u00e1latot \u00e9s BKI-m\u00e9r\u00e9st v\u00e9gezt\u00fcnk.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A betegek 34%-a jelzett als\u00f3 v\u00e9gtagi\n                    claudicati\u00f3t, 23%-nak volt abnorm\u00e1lis BKI-\u00e9rt\u00e9ke, 14% jelzett norm\u00e1lis BKI-\u00e9rt\u00e9k\n                    mellett dysbasi\u00e1s panaszokat. 12% ker\u00fclt a nem komprim\u00e1lhat\u00f3 art\u00e9ri\u00e1s csoportba.\n                    A BKI alapj\u00e1n negat\u00edv, de t\u00fcnetes csoport rizik\u00f3faktor-profilja jelent\u0151s\n                    hasonl\u00f3s\u00e1got mutatott a biztosan LEAD-pozit\u00edv \u00e9s a nem komprim\u00e1lhat\u00f3 art\u00e9ri\u00e1s\n                    csoport rizik\u00f3faktor-profilj\u00e1val. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A LEAD val\u00f3s\n                    el\u0151fordul\u00e1sa magasabb lehet, mint a csak a BKI alapj\u00e1n t\u00f6rt\u00e9n\u0151 sz\u0171r\u00e9s eredm\u00e9nye.\n                    A popul\u00e1ci\u00f3 k\u00f6zel negyede ker\u00fclt a BKI alapj\u00e1n a negat\u00edv, de t\u00fcnetes \u00e9s a nem\n                    komprim\u00e1lhat\u00f3 art\u00e9ri\u00e1s csoportba. Ezen csoport betegei a csal\u00e1dorvos r\u00e9sz\u00e9r\u0151l\n                    k\u00fcl\u00f6n\u00f6s odafigyel\u00e9st ig\u00e9nyelnek. A norm\u00e1lis BKI-\u00e9rt\u00e9k ellen\u00e9re \u2013 ha felmer\u00fcl a\n                    LEAD klinikai gyan\u00faja \u2013 tov\u00e1bbi vizsg\u00e1latok sz\u00fcks\u00e9gesek. A LEAD sz\u0171r\u00e9se\n                    t\u00f6bbir\u00e1ny\u00fa megk\u00f6zel\u00edt\u00e9st ig\u00e9nyel. Orv Hetil. 2020; 161(33): 1381\u20131389.<\/jats:p>","DOI":"10.1556\/650.2020.31756","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T01:02:11Z","timestamp":1595984531000},"page":"1382-1390","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":5,"title":["Tapasztalataink az als\u00f3 v\u00e9gtagi perif\u00e9ri\u00e1s art\u00e9ri\u00e1s \u00e9rbetegs\u00e9g sz\u0171r\u00e9s\u00e9r\u0151l az \u00c9szak-Magyarorsz\u00e1g r\u00e9gi\u00f3ban"],"prefix":"10.1556","volume":"161","author":[{"given":"Zsombor","family":"T\u00f3th-Vajna","sequence":"first","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti Tansz\u00e9k, Semmelweis Egyetem, Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gergely","family":"T\u00f3th-Vajna","sequence":"additional","affiliation":[{"name":"2 Magatart\u00e1studom\u00e1nyi Int\u00e9zet, Semmelweis Egyetem, Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsuzsanna","family":"Gombos","sequence":"additional","affiliation":[{"name":"3 K\u00f6zponti Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Oszt\u00e1ly, Borsod-Aba\u00faj-Zempl\u00e9n Megyei K\u00f6zponti K\u00f3rh\u00e1z \u00e9s Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Miskolc"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigitta","family":"Szil\u00e1gyi","sequence":"additional","affiliation":[{"name":"4 Geometriai Tansz\u00e9k, Matematikai Int\u00e9zet, Budapesti M\u0171szaki \u00e9s Gazdas\u00e1gtudom\u00e1nyi Egyetem, Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zolt\u00e1n","family":"J\u00e1rai","sequence":"additional","affiliation":[{"name":"5 \u00c1ltal\u00e1nos Kardiol\u00f3giai Profil, Szent Imre Egyetemi Oktat\u00f3k\u00f3rh\u00e1z, Budapest"},{"name":"6 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti Tansz\u00e9k, Angiol\u00f3giai Tansz\u00e9ki Csoport, Semmelweis Egyetem, Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"S\u00f3tonyi","sequence":"additional","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti Tansz\u00e9k, Semmelweis Egyetem, Budapest"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/33\/article-p1382.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/33\/article-p1382.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:13:16Z","timestamp":1633914796000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/33\/article-p1382.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":0,"journal-issue":{"issue":"33"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31756","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}