{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T18:41:27Z","timestamp":1785782487268,"version":"3.56.0"},"reference-count":9,"publisher":"Akademiai Kiado Zrt.","issue":"45","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,11,10]]},"abstract":"<jats:p>Egy olyan esetet mutatunk be, ahol egy 89 \u00e9ves n\u0151betegn\u00e9l az at\u00edpusos panaszok\n                    h\u00e1tter\u00e9ben az EKG-n komplett atrioventricularis blokkot \u00e9s De Winter-jellel j\u00e1r\u00f3\n                    junctionalis ritmust \u00e9szlelt\u00fcnk heveny sz\u00edvinfarktusban. Mivel a De Winter-jel\n                    olyan EKG-elt\u00e9r\u00e9s, amelyet eddig a bal el\u00fcls\u0151 lesz\u00e1ll\u00f3 coronaria elz\u00e1r\u00f3d\u00e1s\u00e1ban\n                    \u00e9szleltek, azonnali koronarogr\u00e1fi\u00e1t v\u00e9gezt\u00fcnk, amely azonban a jobb coronaria\n                    occlusi\u00f3j\u00e1t mutatta. Tudom\u00e1sunk szerint eddig k\u00e9t esetet k\u00f6z\u00f6ltek, ahol a De\n                    Winter-jel h\u00e1tter\u00e9ben nem a bal coronaria el\u00fcls\u0151 lesz\u00e1ll\u00f3 \u00e1g\u00e1nak occlusi\u00f3ja\n                    okozta akut myocardialis infarktus \u00e1llt. Fontosnak tartjuk ennek a nemr\u00e9g le\u00edrt,\n                    karakterisztikus EKG-jelnek a sz\u00e9les k\u00f6rben val\u00f3 elterjeszt\u00e9s\u00e9t, mert ez seg\u00edt\n                    azon akut coronariaocclusi\u00f3knak a felismer\u00e9s\u00e9ben, amelyekben az EKG-n nincs\n                    ST-elev\u00e1ci\u00f3. Orv Hetil. 2024; 165(45): 1794\u20131797.<\/jats:p>","DOI":"10.1556\/650.2024.33170","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T09:34:09Z","timestamp":1731576849000},"page":"1794-1797","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["De Winter-jel komplett atrioventricularis blokkal \u00e9s jobb koszor\u00fa\u00e9r-elz\u00e1r\u00f3d\u00e1ssal ST-elev\u00e1ci\u00f3val nem j\u00e1r\u00f3 sz\u00edvinfarktusban"],"prefix":"10.1556","volume":"165","author":[{"given":"J\u00e1nos","family":"Tomcs\u00e1nyi","sequence":"first","affiliation":[{"name":"Beteg\u00e1pol\u00f3 Irgalmasrend Budai Irgalmasrendi K\u00f3rh\u00e1za, Kardiol\u00f3gia Budapest, \u00c1rp\u00e1d fejedelem u. 7. 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