{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T23:40:10Z","timestamp":1729294810297,"version":"3.27.0"},"reference-count":29,"publisher":"Akademiai Kiado Zrt.","issue":"15","license":[{"start":{"date-parts":[[2023,4,16]],"date-time":"2023-04-16T00:00:00Z","timestamp":1681603200000},"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":[[2023,4,16]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic>A myocardialis izomh\u00edd a koszor\u00faereken gyakran kimutatott, j\u00f3indulat\u00fanak tartott, velesz\u00fcletett elt\u00e9r\u00e9s. Egyed\u00fcl\u00e1ll\u00f3 abban a tekintetben, hogy dinamikus kompresszi\u00f3t okoz az adott \u00e9rszakaszon.<jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>A k\u00f6zlem\u00e9nyben arra kerest\u00fck a v\u00e1laszt, hogy melyek \u00e9s hogyan vizsg\u00e1lhat\u00f3k azok a morfol\u00f3giai \u00e9s funkcion\u00e1lis jellemz\u0151k, amelyek meghat\u00e1rozz\u00e1k a myocardialis izomh\u00edd t\u00fcnetk\u00e9pz\u0151 volt\u00e1t.<jats:italic>M\u00f3dszer:<\/jats:italic>A rendelkez\u00e9sre \u00e1ll\u00f3 invaz\u00edv \u00e9s nem invaz\u00edv vizsg\u00e1l\u00f3m\u00f3dszerekkel a morfol\u00f3giai \u00e9s a funkcionalit\u00e1si \u00f6sszef\u00fcgg\u00e9sek ismertet\u00e9s\u00e9vel bemutatjuk saj\u00e1t retrospekt\u00edv kutat\u00e1sunkat, amikor angina pectoris miatt v\u00e9gzett koronarogr\u00e1fia sor\u00e1n a bal el\u00fcls\u0151 lesz\u00e1ll\u00f3 coronari\u00e1n kimutatott myocardialis izomh\u00edd morfol\u00f3giai jellemz\u0151it vizsg\u00e1ltuk. \u00d6sszehasonl\u00edtottuk a betegek \u00e9letkil\u00e1t\u00e1sait azokn\u00e1l a betegekn\u00e9l, akikn\u00e9l csak myocardialis izomh\u00edd fordult el\u0151, azokkal, akikn\u00e9l szignifik\u00e1ns arteriosclerosis is jelen volt.<jats:italic>Eredm\u00e9nyek:<\/jats:italic>Az intravascularis ultrahangvizsg\u00e1lat alkalmas az elt\u00e9r\u00e9s vizualiz\u00e1l\u00e1s\u00e1ra, a kompresszi\u00f3 m\u00e9rt\u00e9k\u00e9nek meg\u00edt\u00e9l\u00e9s\u00e9re. M\u00e1r funkcion\u00e1lis meg\u00edt\u00e9l\u00e9st is lehet\u0151v\u00e9 tesz az intracoronari\u00e1s Doppler- \u00e9s a frakcion\u00e1lis \u2019flow\u2019 rezerv vizsg\u00e1lat. A nem invaz\u00edv funkcion\u00e1lis vizsg\u00e1latok k\u00f6z\u00fcl a leggyakrabban a terhel\u00e9ses echokardiogr\u00e1fia haszn\u00e1latos. Saj\u00e1t eredm\u00e9nyeink szerint, ahol koronarogr\u00e1fi\u00e1val izol\u00e1lt myocardialis izomhidat tal\u00e1ltunk, ott a csoport morfol\u00f3giai jegyei s\u00falyosabb jellemz\u0151ket mutattak, a myocardialis izomh\u00edd r\u00f6vid\u00fcl\u00e9se nagyobb volt. A hossz\u00fa t\u00e1v\u00fa, 10 \u00e9ves ut\u00e1nk\u00f6vet\u00e9s sor\u00e1n a mortalit\u00e1s kicsi volt, \u00e9s eredm\u00e9nyeink azt mutatt\u00e1k, hogy a m\u00e9rt morfol\u00f3giai param\u00e9terek egyike sem befoly\u00e1solja a mortalit\u00e1st.<jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>Alapvet\u0151 ellentmond\u00e1s az \u00e1llapot gyakori el\u0151fordul\u00e1sa a j\u00f3 progn\u00f3zisa, illetve a nagysz\u00e1m\u00fa esetle\u00edr\u00e1s k\u00f6z\u00f6tt, ahol s\u00falyos sz\u00f6v\u0151dm\u00e9nyeket mutatnak be. Ma m\u00e1r rendelkez\u00e9sre \u00e1llnak azok a nem invaz\u00edv \u00e9s invaz\u00edv vizsg\u00e1l\u00f3m\u00f3dszerek, amelyek seg\u00edts\u00e9g\u00e9vel egy j\u00f3l tervezett prospekt\u00edv tanulm\u00e1ny v\u00e1laszt adhat a myocardialis izomh\u00edd morfol\u00f3giai jellemz\u0151inek funkcion\u00e1lis jelent\u0151s\u00e9g\u00e9re. Orv Hetil. 2023; 164(15): 563\u2013570.<\/jats:p>","DOI":"10.1556\/650.2023.32744","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T05:47:06Z","timestamp":1682056026000},"page":"563-570","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Myocardialis izomh\u00edd: a t\u00fcneteket befoly\u00e1sol\u00f3 morfol\u00f3giai faktorok vizsg\u00e1lata"],"prefix":"10.1556","volume":"164","author":[{"given":"Gy\u00f6rgy","family":"B\u00e1rczi","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, V\u00e1rosmajor u. 68., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e9la","family":"Merkely","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, V\u00e1rosmajor u. 68., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Ol\u00e1h","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, V\u00e1rosmajor u. 68., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e1ra","family":"Papp","sequence":"additional","affiliation":[{"name":"Magyar Tudom\u00e1nyos Akad\u00e9mia \u2013 Semmelweis Egyetem Lend\u00fclet Kardiovaszkul\u00e1ris K\u00e9palkot\u00f3 Kutat\u00f3csoport Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Alex","family":"Sayour","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, V\u00e1rosmajor u. 68., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Istv\u00e1n","family":"Szigy\u00e1rt\u00f3","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, V\u00e1rosmajor u. 68., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Z\u00f3ka","sequence":"additional","affiliation":[{"name":"D\u00e9l-pesti Centrumk\u00f3rh\u00e1z \u2013 Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, K\u00f6zponti Laborat\u00f3rium Budapest Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D\u00e1vid","family":"Becker","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, V\u00e1rosmajor u. 68., 1122 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"1176","DOI":"10.1111\/1556-4029.13665","article-title":"Myocardial bridging: a meta-analysis of prevalence","volume":"63","author":"1 Hostiuc","year":"2018","unstructured":"1 Hostiuc S, Negoi I, Rusu MC, et al. 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