{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T13:10:02Z","timestamp":1777813802982,"version":"3.51.4"},"reference-count":28,"publisher":"Akademiai Kiado Zrt.","issue":"43","license":[{"start":{"date-parts":[[2022,10,23]],"date-time":"2022-10-23T00:00:00Z","timestamp":1666483200000},"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":[[2022,10,23]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> V\u00e1rand\u00f3ss\u00e1g sor\u00e1n a kering\u00e9si rendszer is seg\u00edti a\n                    magzat fejl\u0151d\u00e9s\u00e9t. Az art\u00e9ri\u00e1s k\u00f6z\u00e9pnyom\u00e1s \u00e9s a centr\u00e1lis systol\u00e9s v\u00e9rnyom\u00e1s\n                    norm\u00e1l\u00e9rt\u00e9ke a v\u00e1rand\u00f3ss\u00e1g elej\u00e9n lecs\u00f6kken, majd a terminus v\u00e9g\u00e9re megk\u00f6zel\u00edti\n                    a v\u00e1rand\u00f3ss\u00e1g el\u0151tti \u00e9rt\u00e9ket. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Tanulm\u00e1nyunk c\u00e9lja az\n                    els\u0151 \u00e9s a m\u00e1sodik trimeszterben a magyar v\u00e1rand\u00f3s n\u0151k k\u00f6r\u00e9ben a k\u00fcl\u00f6nb\u00f6z\u0151\n                    kering\u00e9si param\u00e9terek norm\u00e1l\u00e9rt\u00e9keinek referencia-adatb\u00e1zis\u00e1t l\u00e9trehozni.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> A Szegedi Tudom\u00e1nyegyetem Sz\u00fcl\u00e9szeti \u00e9s\n                    N\u0151gy\u00f3gy\u00e1szati Klinik\u00e1j\u00e1nak j\u00e1r\u00f3beteg-ambulanci\u00e1j\u00e1n megjelent v\u00e1rand\u00f3sok k\u00f6z\u00fcl\n                    185 eg\u00e9szs\u00e9ges, v\u00e1rand\u00f3s n\u0151t v\u00e1lasztottunk ki 2020 m\u00e1jus\u00e1t\u00f3l augusztus v\u00e9g\u00e9ig.\n                    Kering\u00e9si \u00e9s terhess\u00e9gi ultrahangvizsg\u00e1latok t\u00f6rt\u00e9ntek. Valid\u00e1lt TensioMed\n                    Arteriograph 2020 m\u0171szerrel m\u00e9rt\u00fck a k\u00f6vetkez\u0151 param\u00e9tereket: art\u00e9ri\u00e1s\n                    k\u00f6z\u00e9pnyom\u00e1s, centr\u00e1lis systol\u00e9s nyom\u00e1s, a pulzushull\u00e1m terjed\u00e9si sebess\u00e9ge \u00e9s a\n                    boka-kar index a 12\u201321. h\u00e9tig. Az ultrahangvizsg\u00e1latok Voluson 730 k\u00e9sz\u00fcl\u00e9kkel\n                    t\u00f6rt\u00e9ntek. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Eredm\u00e9nyeink alapj\u00e1n l\u00e1that\u00f3, hogy az\n                    art\u00e9ri\u00e1s k\u00f6z\u00e9pnyom\u00e1s \u00e9s a centr\u00e1lis systol\u00e9s v\u00e9rnyom\u00e1s \u00e9rt\u00e9kei cs\u00f6kkentek a 12.\n                    h\u00e9tt\u0151l a 15. h\u00e9tig, \u00e9s ut\u00e1na kezdtek el n\u0151ni a 21. h\u00e9tig. A pulzushull\u00e1m\n                    terjed\u00e9si sebess\u00e9ge \u00e9s a boka-kar index eset\u00e9ben viszont nem volt szignifik\u00e1ns\n                    k\u00fcl\u00f6nbs\u00e9g a gestati\u00f3s hetekre vonatkoztatva. <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> A 15.\n                    gestati\u00f3s h\u00e9ten t\u00f6rt\u00e9n\u0151 v\u00e1ltoz\u00e1s a kering\u00e9si redisztrib\u00faci\u00f3nak \u00e9s sz\u00f6vettani\n                    v\u00e1ltoz\u00e1snak a k\u00f6vetkezm\u00e9nye, amikor a chorion\u2013placenta \u00e1talakul\u00e1s v\u00e9gbemegy. \u00cdgy\n                    magas \u00e1raml\u00e1s\u00fa \u00e9s alacsony ellen\u00e1ll\u00e1s\u00fa v\u00e9r\u00e1raml\u00e1s j\u00f6n l\u00e9tre. \u00d6sszehasonl\u00edtva a\n                    nem v\u00e1rand\u00f3s \u00e1llapot\u00fa n\u0151kn\u00e9l m\u00e9rt referencia\u00e9rt\u00e9kekkel, azt mondhatjuk, hogy a\n                    norm\u00e1ltartom\u00e1nyon bel\u00fcl, de szignifik\u00e1ns m\u00e9rt\u00e9kben v\u00e1ltoznak az \u00e9rt\u00e9kek.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A j\u00f6v\u0151ben szeretn\u00e9nk kiterjeszteni\n                    vizsg\u00e1latainkat a harmadik trimeszterre is, valamint nemcsak eg\u00e9szs\u00e9ges\n                    v\u00e1rand\u00f3sokat, hanem magas v\u00e9rnyom\u00e1s kialakul\u00e1s\u00e1ra rizik\u00f3s v\u00e1rand\u00f3sokat is\n                    bevonni a vizsg\u00e1latba. Ez\u00e1ltal k\u00edv\u00e1nunk l\u00e9trehozni egy valid\u00e1lt magyar\n                    adatb\u00e1zist, amely a terhess\u00e9gi magas v\u00e9rnyom\u00e1s kisz\u0171r\u00e9s\u00e9ben hasznos seg\u00e9dlett\u00e9\n                    v\u00e1lhatna a hazai v\u00e1rand\u00f3sgondoz\u00e1si gyakorlatban. Orv Hetil. 2022; 163(43):\n                    1721\u20131726.<\/jats:p>","DOI":"10.1556\/650.2022.32604","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T04:18:45Z","timestamp":1668831525000},"page":"1721-1726","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":2,"title":["Panaszmentes v\u00e1rand\u00f3sok art\u00e9ri\u00e1s nyom\u00e1s\u00e9rt\u00e9ke a v\u00e1rand\u00f3ss\u00e1g els\u0151 \u00e9s m\u00e1sodik trimeszter\u00e9ben"],"prefix":"10.1556","volume":"163","author":[{"given":"Dominika","family":"Csoma","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 1., 6720 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1bel Tam\u00e1s","family":"Altorjay","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 1., 6720 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"N\u00e9meth","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 1., 6720 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"Ny\u00e1ri","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Orvosi Fizikai \u00e9s Orvosi Informatikai Int\u00e9zet Szeged Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Sur\u00e1nyi","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 1., 6720 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 Kozma B, P\u00e1kozdy K, Lamp\u00e9 R, et al. 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Associations of blood pressure change in pregnancy with fetal growth and gestational age at delivery: findings from a prospective cohort. Hypertension 2014; 64: 36-44.","journal-title":"Hypertension"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"15 Tam\u00e1s P, Betlehem J, Szekeres-Barth\u00f3 J, et al. The two faces of preeclampsia. [A praeeclampsia k\u00e9t arca.] Orv Hetil. 2022; 163: 663-669. [Hungarian]","DOI":"10.1556\/650.2022.32427"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"16 Zsirai L, Cs\u00e1k\u00e1ny MGy, V\u00e9gh Gy, et al. Distribution of birth weights between 2011 and 2015 and changes in percentile figures between 1996 and 2015 Analyis of the Tauffer database. [A sz\u00fclet\u00e9si s\u00falyok megoszl\u00e1sa 2011 \u00e9s 2015. k\u00f6z\u00f6tt \u00e9s a percentilis\u00e9rt\u00e9kek v\u00e1ltoz\u00e1sa 1996 \u00e9s 2015 k\u00f6z\u00f6tt. A Tauffer-adatb\u00e1zis feldolgoz\u00e1sa.] Orv Hetil. 2019; 160: 1426-1436. 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