{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T15:20:39Z","timestamp":1697642439425},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"47","license":[{"start":{"date-parts":[[2020,11,22]],"date-time":"2020-11-22T00:00:00Z","timestamp":1606003200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2020,11,22]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold> Az \u00e1ram\u00fct\u00e9s s\u00falyos esetben hirtelen hal\u00e1llal vagy t\u00f6bb\n                    szervrendszer kiterjedt k\u00e1rosod\u00e1s\u00e1val j\u00e1rhat. A magasfesz\u00fclts\u00e9g\u0171 \u00e1ram\u00fct\u00e9s\n                    (&gt;1000 V) \u00e1ltal\u00e1ban s\u00falyosabb \u00e9g\u00e9si s\u00e9r\u00fcl\u00e9sekkel \u00e9s magasabb k\u00f3rh\u00e1zi\n                    mortalit\u00e1ssal j\u00e1r, mint az alacsonyfesz\u00fclts\u00e9g\u0171, de a s\u00e9r\u00fcl\u00e9sek s\u00falyoss\u00e1g\u00e1t a\n                    fesz\u00fclts\u00e9gen k\u00edv\u00fcl a test ellen\u00e1ll\u00e1sa, az \u00e1ramexpoz\u00edci\u00f3 ideje, az \u00e1ram fajt\u00e1ja,\n                    er\u0151ss\u00e9ge \u00e9s \u00fatja is befoly\u00e1solja. A kritikus \u00e1llapot\u00fa vagy s\u00falyos \u00e9g\u00e9si\n                    s\u00e9r\u00fcl\u00e9seket szenvedett betegek s\u00fcrg\u0151ss\u00e9gi ell\u00e1t\u00e1sa komplex \u00e9s\n                    multidiszciplin\u00e1ris szeml\u00e9letet ig\u00e9nyel. A s\u00falyos sz\u00f6v\u0151dm\u00e9nyekkel j\u00e1r\u00f3\n                    \u00e1ram\u00fct\u00e9ses balesetek ugyanakkor a fejlett orsz\u00e1gokban ritk\u00e1k: az \u00e1ram\u00fct\u00e9s\n                    k\u00f6vetkezt\u00e9ben s\u00fcrg\u0151ss\u00e9gi oszt\u00e1lyon jelentkez\u0151 betegek d\u00f6nt\u0151 t\u00f6bbs\u00e9ge\n                    panaszmentesen vagy minor panaszokkal ker\u00fcl felv\u00e9telre. A ritmuszavarok az\n                    \u00e1ram\u00fct\u00e9ses balesetek messze leggyakoribb cardialis sz\u00f6v\u0151dm\u00e9nyei, \u00e9s rendszerint\n                    k\u00f6zvetlen\u00fcl az \u00e1ram\u00fct\u00e9s ut\u00e1n jelentkeznek. Az elektromos \u00e1ram kamrafibrill\u00e1ci\u00f3t\n                    vagy asystoli\u00e1t is kiv\u00e1lthat, mely a baleset helysz\u00edn\u00e9n ell\u00e1t\u00e1s n\u00e9lk\u00fcl hal\u00e1lhoz\n                    vezethet. B\u00e1r sok helyen elterjedt gyakorlat az \u00e1ram\u00fct\u00e9st szenvedett betegek\n                    rutinszer\u0171 monitoroz\u00e1sa, a klinikailag relev\u00e1ns arrhythmi\u00e1k \u00f6sszess\u00e9g\u00e9ben\n                    ritk\u00e1k, \u00e9s a felv\u00e9teli EKG alapj\u00e1n diagnosztiz\u00e1lhat\u00f3k, ez\u00e9rt EKG-monitoroz\u00e1s\n                    csak meghat\u00e1rozott rizik\u00f3faktorok eset\u00e9n sz\u00fcks\u00e9ges. Jelen munk\u00e1nk c\u00e9lja\n                    \u00f6sszefoglalni az \u00e1ram\u00fct\u00e9st szenvedett betegek optim\u00e1lis s\u00fcrg\u0151ss\u00e9gi ell\u00e1t\u00e1s\u00e1val\n                    kapcsolatos legfontosabb szempontokat, k\u00fcl\u00f6n\u00f6s tekintettel az \u00e1ram\u00fct\u00e9ses\n                    balesetet k\u00f6vet\u0151en fell\u00e9p\u0151 cardialis sz\u00f6v\u0151dm\u00e9nyekre \u00e9s arrhythmi\u00e1kra, valamint\n                    az EKG-monitoroz\u00e1s indik\u00e1ci\u00f3ira. Orv Hetil. 2020; 161(47): 1979\u20131988.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold> Electrical accidents (EA) may cause sudden death or severe\n                    injuries of multiple organs. High voltage injuries (&gt;1000 V) are associated\n                    with more severe burn injuries and higher in-hospital mortality than low voltage\n                    injuries, however, the severity of complications depends on several other\n                    factors like resistance of the body, duration of current exposition, intensity,\n                    type and pathway of current. Critically ill patients with severe burns and\/or\n                    other injuries require a multidisciplinary intensive treatment. However, such\n                    complications are rare in the developed countries: most patients present in the\n                    emergency department with no or minor symptoms and do not require hospital\n                    admission. Arrhythmias are the most frequent cardiac complications after EA.\n                    Electrical current may cause ventricular fibrillation or asystolia which can\n                    lead to death on the scene. In patients presenting in the emergency department,\n                    clinically relevant arrhythmias are rare and can be diagnosed by a 12-lead ECG,\n                    therefore a systematic monitoring may not be indicated. Aim of our work is to\n                    review the most frequent complications after an electrical accident with special\n                    focus on cardiac complications and arrhythmias. The other aim of the manuscript\n                    is to summarize the most important aspects of emergency treatment and indication\n                    for ECG monitoring after electrical accident. Orv Hetil. 2020; 161(47):\n                    1979\u20131988.<\/jats:p>","DOI":"10.1556\/650.2020.31897","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T01:06:04Z","timestamp":1606266364000},"page":"1979-1988","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Arrhythmiarizik\u00f3 \u00e9s cardialis sz\u00f6v\u0151dm\u00e9nyek \u00e1ram\u00fct\u00e9ses balesetet k\u00f6vet\u0151en"],"prefix":"10.1556","volume":"161","author":[{"given":"D\u00e1vid","family":"Pilecky","sequence":"first","affiliation":[{"name":"1 Klinikum Passau, Passau, N\u00e9metorsz\u00e1g"},{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Egyetem, Budapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enik\u0151","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"3 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika, Semmelweis Egyetem, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Endre","family":"Zima","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Semmelweis Egyetem, Budapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/47\/article-p1979.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/47\/article-p1979.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:13:21Z","timestamp":1633914801000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/47\/article-p1979.xml"}},"subtitle":["Szakirodalmi \u00e1ttekint\u00e9s \u00e9s s\u00fcrg\u0151ss\u00e9gi ell\u00e1t\u00e1si\n                    protokoll"],"short-title":[],"issued":{"date-parts":[[2020,11,22]]},"references-count":0,"journal-issue":{"issue":"47"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31897","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,22]]}}}