{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T04:55:31Z","timestamp":1698209731731},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"5","license":[{"start":{"date-parts":[[2023,2,5]],"date-time":"2023-02-05T00:00:00Z","timestamp":1675555200000},"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":[[2023,2,5]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A popul\u00e1ci\u00f3ban egyre nagyobb ar\u00e1nyban vannak jelen\n                    olyan feln\u0151ttek, akik sz\u00edvfejl\u0151d\u00e9si rendelleness\u00e9ggel, k\u00f6zt\u00fck\n                    Fallot-tetral\u00f3gi\u00e1val j\u00f6ttek vil\u00e1gra. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A jelen\n                    vizsg\u00e1lat c\u00e9lja a Fallot-tetral\u00f3gi\u00e1val sz\u00fcletett betegek echokardiogr\u00e1fi\u00e1s \u00e9s\n                    cardialis m\u00e1gneses rezonanci\u00e1s vizsg\u00e1lati eredm\u00e9nyeinek \u00f6sszehasonl\u00edt\u00f3\n                    vizsg\u00e1lata volt att\u00f3l f\u00fcgg\u0151en, hogy korai teljes rekonstrukci\u00f3 t\u00f6rt\u00e9nt, vagy a\n                    korai palli\u00e1ci\u00f3t k\u00e9sei teljes korrekci\u00f3 k\u00f6vette. <jats:italic>M\u00f3dszerek:<\/jats:italic> A\n                    jelen tanulm\u00e1nyba 17 olyan, Fallot-tetral\u00f3gi\u00e1s beteget vontunk be, akik\n                    \u00e1tlag\u00e9letkora 28,6 \u00b1 4,6 \u00e9v volt (10 f\u00e9rfi). Korai teljes rekonstrukci\u00f3 10\n                    esetben t\u00f6rt\u00e9nt (\u00e1tlag\u00e9letkor: 25,0 \u00b1 8,0 \u00e9v; 8 f\u00e9rfi), m\u00edg korai palli\u00e1ci\u00f3t\n                    k\u00f6vet\u0151en k\u00e9sei teljes korrekci\u00f3 7 esetben (\u00e1tlag\u00e9letkor: 33,7 \u00b1 11,8 \u00e9v; 2\n                    f\u00e9rfi). Valamennyi esetben teljes k\u00f6r\u0171 k\u00e9tdimenzi\u00f3s Doppler-echokardiogr\u00e1fi\u00e1s \u00e9s\n                    cardialis m\u00e1gneses rezonanci\u00e1s vizsg\u00e1latot v\u00e9geztek.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Korai teljes rekonstrukci\u00f3 eset\u00e9n a hossz\u00fa t\u00e1v\u00fa\n                    tov\u00e1bbk\u00f6vet\u00e9s sor\u00e1n alacsonyabb bal kamrai v\u00e9gsystol\u00e9s (40,50 \u00b1 10,55\n                        ml\/m<jats:sup>2<\/jats:sup>\n                    <jats:italic>vs.<\/jats:italic> 58,14 \u00b1 19,07 ml\/m<jats:sup>2<\/jats:sup>, p = 0,013) \u00e9s v\u00e9gdiastol\u00e9s\n                    (86,60 \u00b1 12,62 ml\/m<jats:sup>2<\/jats:sup>\n                    <jats:italic>vs.<\/jats:italic> 116,70 \u00b1 23,70 ml\/m<jats:sup>2<\/jats:sup>, p = 0,002) volumenindexek\n                    \u00e9s ver\u0151volumen-index (46,00 \u00b1 6,77 ml\/m<jats:sup>2<\/jats:sup>\n                    <jats:italic>vs.<\/jats:italic> 58,43 \u00b1 7,11 ml\/m<jats:sup>2<\/jats:sup>, p = 0,001) igazolhat\u00f3\n                    magasabb echokardogr\u00e1fia sor\u00e1n m\u00e9rt bal kamrai ejekci\u00f3s frakci\u00f3 (69,75 \u00b1 6,80%\n                        <jats:italic>vs.<\/jats:italic> 61,67 \u00b1 8,80%, p = 0,038) mellett a korai palli\u00e1ci\u00f3ra,\n                    majd k\u00e9sei korrekci\u00f3ra ker\u00fcl\u0151 Fallot-tetral\u00f3gi\u00e1s esetekhez k\u00e9pest. A jobb\n                    sz\u00edvf\u00e9l tekintet\u00e9ben magasabb jobb kamrai izomt\u00f6meg (72,33 \u00b1 21,03 g vs. 51,33 \u00b1\n                    22,33 g, p = 0,044) igazolhat\u00f3 a korai teljes rekonstrukci\u00f3n \u00e1tesett\n                    Fallot-tetral\u00f3gi\u00e1s betegekben. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Kedvez\u0151bb bal\n                    kamrai morfol\u00f3giai \u00e9s funkcion\u00e1lis param\u00e9terek, de kifejezettebb jobb kamrai\n                    hypertrophia detekt\u00e1lhat\u00f3 Fallot-tetral\u00f3gi\u00e1s betegekben korai teljes\n                    rekonstrukci\u00f3t k\u00f6vet\u0151en a korai palli\u00e1ci\u00f3ra, majd k\u00e9sei korrekci\u00f3ra ker\u00fcl\u0151\n                    esetekhez k\u00e9pest. Orv Hetil. 2023; 164(5): 186\u2013194.<\/jats:p>","DOI":"10.1556\/650.2023.32696","type":"journal-article","created":{"date-parts":[[2023,2,6]],"date-time":"2023-02-06T16:19:50Z","timestamp":1675700390000},"page":"186-194","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["A m\u0171t\u00e9tileg korrig\u00e1lt Fallot-tetral\u00f3gi\u00e1val \u00e9l\u0151 feln\u0151tt betegek multimod\u00e1lis k\u00e9palkot\u00f3 vizsg\u00e1lata."],"prefix":"10.1556","volume":"164","author":[{"given":"Gergely","family":"R\u00e1cz","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Zagyi","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1rp\u00e1d","family":"Korm\u00e1nyos","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K\u00e1lm\u00e1n","family":"Havasi","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Forster","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Nemes","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Belgy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 8., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"2264","DOI":"10.1161\/CIRCULATIONAHA.110.946343","article-title":"Temporal trends in survival to adulthood among patients born with congenital heart disease from 1970 to 1992 in Belgium","volume":"122","author":"1 Moons","year":"2010","unstructured":"1 Moons P, Bovijn L, Budts W, et al. 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Clinical significance of the aortic arch and its malformations from fetus to adulthood. [Az aorta\u00edv-anom\u00e1li\u00e1k klinikai jelent\u0151s\u00e9ge a magzatt\u00f3l a feln\u0151ttkorig.] Orv Hetil. 2021; 162: 1920-1923. 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