{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T02:21:48Z","timestamp":1784859708643,"version":"3.55.0"},"reference-count":26,"publisher":"Akademiai Kiado Zrt.","issue":"47","license":[{"start":{"date-parts":[[2023,11,26]],"date-time":"2023-11-26T00:00:00Z","timestamp":1700956800000},"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":[[2023,11,26]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> Az akut sz\u00edvizominfarktus diagn\u00f3zisa mellkasi\n                    f\u00e1jdalom \u00e9s neh\u00e9zl\u00e9gz\u00e9s mellett bek\u00f6vetkez\u0151 EKG-elt\u00e9r\u00e9sen alapul. Oka a sz\u00edvizom\n                    hypoperfusi\u00f3ja a betegek nagy r\u00e9sz\u00e9ben s\u00falyos koszor\u00fa\u00e9r-sz\u0171k\u00fclet vagy elz\u00e1r\u00f3d\u00e1s\n                    miatt, de bek\u00f6vetkezhet l\u00e1that\u00f3 koszor\u00fa\u00e9r-elv\u00e1ltoz\u00e1s n\u00e9lk\u00fcl is. Nem ST-elev\u00e1ci\u00f3s\n                    form\u00e1ja (NSTEMI) az ST-elev\u00e1ci\u00f3shoz (STEMI) k\u00e9pest rendszerint kevesebb\n                    panasszal j\u00e1r, az EKG-v\u00e1ltoz\u00e1s kev\u00e9sb\u00e9 t\u00edpusos, felismer\u00e9se a korai szakban\n                    nehezebb. A sz\u00edvizomsejt-k\u00e1rosod\u00e1s m\u00e9rs\u00e9kl\u00e9s\u00e9nek lehet\u0151s\u00e9ge a perfusio\n                    helyre\u00e1ll\u00edt\u00e1sa koszor\u00fa\u00e9r-intervenci\u00f3val. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> Annak\n                    vizsg\u00e1lata, hogy akut NSTEMI-ben mennyi id\u0151 telik el a panaszkezdett\u0151l a\n                    koszor\u00fa\u00e9r-t\u00e1g\u00edt\u00f3 ballon megnyit\u00e1s\u00e1ig. <jats:italic>M\u00f3dszer:<\/jats:italic> A 2016. 01. 01.\n                    \u00e9s 2020. 12. 31. k\u00f6z\u00f6tt NSTEMI-ben v\u00e9gzett 3733 akut koszor\u00fa\u00e9r-intervenci\u00f3b\u00f3l\n                    1376, els\u0151 alkalommal intenz\u00edv ell\u00e1t\u00e1sra ker\u00fclt betegben volt ismert a\n                    panaszkezdet, az els\u0151 eg\u00e9szs\u00e9g\u00fcgyi kontaktus \u00e9s a ballonnyit\u00e1s id\u0151pontja,\n                    valamint a 30 napos, illetve 1 \u00e9ves hal\u00e1loz\u00e1s. Az id\u0151k\u00fcl\u00f6nbs\u00e9gek medi\u00e1n \u00e9rt\u00e9keit\n                    \u00e9s a hal\u00e1loz\u00e1si adatokat \u00f6sszevetett\u00fck ezen id\u0151szak 1718 STEMI-s beteg\u00e9nek\n                    hasonl\u00f3 adataival. A medi\u00e1n id\u0151ket \u00f3ra:percben, az el\u0151fordul\u00e1st sz\u00e1zal\u00e9kban\n                    adtuk meg, a hal\u00e1loz\u00e1si adatokn\u00e1l k\u00e9tmint\u00e1s <jats:italic>t<\/jats:italic>-tesztet is\n                    v\u00e9gezt\u00fcnk. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> NSTEMI-ben a panasz kezdet\u00e9hez k\u00e9pest\n                    mind az els\u0151 eg\u00e9szs\u00e9g\u00fcgyi kontaktus (5:35 <jats:italic>vs.<\/jats:italic> 2:05 \u00f3ra:perc),\n                    mind a percutan ballonnyit\u00e1s (18:12 <jats:italic>vs.<\/jats:italic> 4:05 \u00f3ra:perc) k\u00f6z\u00f6tti\n                    id\u0151 medi\u00e1n \u00e9rt\u00e9ke hosszabb volt, mint STEMI-ben. 2 \u00f3r\u00e1n bel\u00fcl a NSTEMI-s betegek\n                    21,3%-a jutott el az els\u0151 eg\u00e9szs\u00e9g\u00fcgyi kontaktusig, \u00e9s 1,2%-ban t\u00f6rt\u00e9nt a\n                    rekanaliz\u00e1l\u00f3ballon nyit\u00e1sa, STEMI-ben ezek az ar\u00e1nyok 48,7% \u00e9s 11,7%, 4 \u00f3r\u00e1n\n                    bel\u00fcl NSTEMI-ben 36,3% \u00e9s 6,1%, STEMI-ben 64,1% \u00e9s 46,8% voltak. A 30 napos\n                    hal\u00e1loz\u00e1si ar\u00e1ny NSTEMI-ben kisebb volt, mint STEMI-ben (5,9%\n                        <jats:italic>vs.<\/jats:italic> 7,9%, p = 0,03), az 1 \u00e9ves nagyobb (16,1%\n                        <jats:italic>vs.<\/jats:italic> 12,5%, p = 0,004). Az \u00e1ltalunk primeren felvett 554\n                    beteg P\u2013B medi\u00e1n id\u0151intervallumainak medi\u00e1n \u00e9rt\u00e9ke r\u00f6videbb (10:55 \u00f3ra:perc)\n                    volt, a hal\u00e1loz\u00e1si adatok m\u00e9rs\u00e9kelten kedvez\u0151bb, de statisztikailag nem\n                    \u00e9rt\u00e9kelhet\u0151 k\u00fcl\u00f6nbs\u00e9get mutattak (30 napos: 5,6%, 1 \u00e9ves: 13,9%).\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Az 1 \u00e9ves hal\u00e1loz\u00e1si adatok alapj\u00e1n a NSTEMI\n                    nem tekinthet\u0151 kev\u00e9sb\u00e9 vesz\u00e9lyesnek a STEMI-hez k\u00e9pest. A hypoperfusio kezdete\n                    ut\u00e1n az eltelt id\u0151vel ar\u00e1nyos sz\u00edvizomelhal\u00e1s a k\u00e9s\u0151bbi sz\u00edvel\u00e9gtelens\u00e9g\n                    val\u00f3sz\u00edn\u0171s\u00e9g\u00e9t n\u00f6veli. Emiatt c\u00e9lszer\u0171nek l\u00e1tszik, hogy a betegek a jelenlegin\u00e9l\n                    kor\u00e1bban jussanak el intervenci\u00f3s centrumba az invaz\u00edv diagnosztikai \u00e9s ter\u00e1pi\u00e1s\n                    lehet\u0151s\u00e9gek miatt. Orv Hetil. 2023; 164(47): 1865\u20131870.<\/jats:p>","DOI":"10.1556\/650.2023.32862","type":"journal-article","created":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T14:07:54Z","timestamp":1701094074000},"page":"1865-1870","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":2,"title":["Nem ST-elev\u00e1ci\u00f3s infarktus \u2013 az intervenci\u00f3s sz\u00edvizomment\u00e9s mostohagyereke."],"prefix":"10.1556","volume":"164","author":[{"given":"L\u00e1szl\u00f3","family":"Voith","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Istv\u00e1n Ferenc","family":"\u00c9des","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u00e9ka","family":"Skoda","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00edmea","family":"Szigethi","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 J\u00e1nosi A, Ferenci T, K\u0151szegi Zs, et al. 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