{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:01:44Z","timestamp":1785423704763,"version":"3.56.0"},"reference-count":22,"publisher":"Akademiai Kiado Zrt.","issue":"23","license":[{"start":{"date-parts":[[2025,6,8]],"date-time":"2025-06-08T00:00:00Z","timestamp":1749340800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,6,8]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n A diabetes mellitus napjaink egyik legkomolyabb\n n\u00e9peg\u00e9szs\u00e9g\u00fcgyi probl\u00e9m\u00e1ja. C\u00e9lszervi sz\u00f6v\u0151dm\u00e9nyei k\u00f6z\u00fcl kiemelend\u0151k a\n cardiovascularis megbeteged\u00e9sek. Ezek k\u00f6z\u00fcl is az egyik legnagyobb jelent\u0151s\u00e9g\u0171\n az als\u00f3 v\u00e9gtagi perif\u00e9ri\u00e1s art\u00e9ri\u00e1s \u00e9rbetegs\u00e9g.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n A\n kutat\u00e1s c\u00e9lja az als\u00f3 v\u00e9gtagi perif\u00e9ri\u00e1s art\u00e9ri\u00e1s \u00e9rbetegs\u00e9g prevalenci\u00e1j\u00e1nak,\n kock\u00e1zati t\u00e9nyez\u0151inek \u00e9s bek\u00f6vetkez\u00e9si kock\u00e1zat\u00e1nak felm\u00e9r\u00e9se volt egy\n csal\u00e1dorvosi praxis prevenci\u00f3s rendel\u00e9s\u00e9n megjelent,\n sz\u00e9nhidr\u00e1tanyagcsere-zavarban szenved\u0151 betegeken, a nem diabeteses betegek\n eredm\u00e9nyeivel \u00f6sszehasonl\u00edtva.\n M\u00f3dszer:<\/jats:italic>\n A 2021. 06. 01. \u00e9s\n 2024. 05. 31. k\u00f6z\u00f6tti id\u0151szakban a prevenci\u00f3s rendel\u00e9sen megjelent p\u00e1ciensek\n antropometriai adatait, t\u00e1rsbetegs\u00e9geit, valamint Doppler-index-eredm\u00e9nyeit\n \u00e9rt\u00e9kelt\u00fck a h\u00e1ziorvosi szoftver seg\u00edts\u00e9g\u00e9vel, \u00f6sszehasonl\u00edtva a diabeteses,\n illetve nem diabeteses betegek tekintet\u00e9ben.\n Eredm\u00e9nyek:<\/jats:italic>\n A\n vizsg\u00e1lt id\u0151szakban 522 ell\u00e1t\u00e1si esem\u00e9ny val\u00f3sult meg, 434 p\u00e1ciens bevon\u00e1s\u00e1val.\n A diabeteses, illetve nem diabeteses betegek hask\u00f6rfogat- (p<0,001), \u00e9s\n BMI-\u00e9rt\u00e9kei (p<0,001) k\u00f6z\u00f6tt szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9g igazol\u00f3dott. A\n cardiovascularis megbeteged\u00e9sek szint\u00e9n szignifik\u00e1nsan gyakrabban fordultak el\u0151\n (p<0,001) diabetesben. A perif\u00e9ri\u00e1s art\u00e9ri\u00e1s \u00e9rbetegs\u00e9g kialakul\u00e1s\u00e1ra a\n f\u00e9rfinem (p = 0,041) mellett a doh\u00e1nyz\u00e1s (p = 0,034), a diabetestartam (p =\n 0,018), az \u00e9homi v\u00e9rcukorszint (p = 0,039), a kr\u00f3nikus coronariabetegs\u00e9g\n (p<0,001), a kr\u00f3nikus veseel\u00e9gtelens\u00e9g (p = 0,041), a dyslipidaemia (p =\n 0,021), illetve a m\u00e1r megl\u00e9v\u0151 carotis plakk\/stenosis (p = 0,002) igazolt\n jelent\u0151s negat\u00edv befoly\u00e1sol\u00f3 hat\u00e1st. A perif\u00e9ri\u00e1s art\u00e9ri\u00e1s \u00e9rbetegs\u00e9g\n kialakul\u00e1s\u00e1nak kock\u00e1zata 45 \u00e9ves kort\u00f3l m\u00e1r megn\u00f6vekszik a diabeteses\n betegekben, 70 \u00e9ves \u00e9letkorra pedig a betegek nagy r\u00e9sze feltehet\u0151en\n elhal\u00e1lozik.\n Megbesz\u00e9l\u00e9s:<\/jats:italic>\n A perif\u00e9ri\u00e1s art\u00e9ri\u00e1s \u00e9rbetegs\u00e9g,\n illetve az egy\u00e9b ismert cardiovascularis k\u00f3rk\u00e9pek szignifik\u00e1nsan gyakrabban\n fordultak el\u0151 a diabeteses betegekben. T\u00f6bbs\u00e9g\u00fck polyvascularis betegnek\n tekinthet\u0151, az egy\u00e9b lokaliz\u00e1ci\u00f3k \u00e9rintetts\u00e9ge ok\u00e1n (carotisrendszer, illetve\n coronari\u00e1k). Az igazolt t\u00e1rsbetegs\u00e9gek miatt holisztikus szeml\u00e9let sz\u00fcks\u00e9ges a\n h\u00e1ziorvosi ell\u00e1t\u00e1sukat tekintve, melynek fontos r\u00e9sze a koleszterin-c\u00e9l\u00e9rt\u00e9kek\n el\u00e9r\u00e9se is.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n Annak \u00e9rdek\u00e9ben, hogy a prevenci\u00f3\n sikeresebb legyen, min\u00e9l el\u0151bb sz\u00fcks\u00e9ges a feladat\u00e1tad\u00e1s jegy\u00e9ben tov\u00e1bbi\n szakembereket is bevonni a diabeteses betegek csal\u00e1dorvosi ell\u00e1t\u00e1s\u00e1ba. A\n kr\u00f3nikus betegs\u00e9gek sz\u0171r\u0151vizsg\u00e1lat\u00e1ban, a betegoktat\u00e1sban, a c\u00e9l\u00e9rt\u00e9kre t\u00f6rt\u00e9n\u0151\n gondoz\u00e1sban pedig hat\u00e9kony seg\u00edts\u00e9get ny\u00fajthatnak a kiterjesztett hat\u00e1sk\u00f6r\u0171\n \u00e1pol\u00f3k, \u00edgy miel\u0151bbi integr\u00e1l\u00e1suk alapvet\u0151 fontoss\u00e1g\u00fa lenne. Orv Hetil 2025;\n 166(23): 913\u2013920.\n <\/jats:p>","DOI":"10.1556\/650.2025.33311","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T04:44:48Z","timestamp":1749530688000},"page":"913-920","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Diabeteses perif\u00e9ri\u00e1s art\u00e9ri\u00e1s \u00e9rbetegek morbidit\u00e1si \u00e9s mortalit\u00e1si mutat\u00f3i egy csal\u00e1dorvosi praxisban"],"prefix":"10.1556","volume":"166","author":[{"given":"Henrietta","family":"Galv\u00e1cs","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9gtudom\u00e1nyi Kar Budapest, Vas u. 17., 1088 Magyarorsz\u00e1g"},{"name":"MedProFam H\u00e1ziorvosi Szolg\u00e1ltat\u00f3 Kft. P\u00e1ty Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Istv\u00e1nn\u00e9","family":"Mongel","sequence":"additional","affiliation":[{"name":"MedProFam H\u00e1ziorvosi Szolg\u00e1ltat\u00f3 Kft. P\u00e1ty Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katalin","family":"D\u00f3zsa","sequence":"additional","affiliation":[{"name":"MedProFam H\u00e1ziorvosi Szolg\u00e1ltat\u00f3 Kft. P\u00e1ty Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zszolg\u00e1lati Kar, Eg\u00e9szs\u00e9g\u00fcgyi Menedzserk\u00e9pz\u0151 K\u00f6zpont Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Einarson TR, Acs A, Ludwig C, et al. Prevalence of cardiovascular\n disease in type 2 diabetes: a systematic literature review of scientific\n evidence from across the world in 2007-2017. Cardiovasc Diabetol. 2018; 17:\n 83.","DOI":"10.1186\/s12933-018-0728-6"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Kochar A, Mulder H, Rockhold FW, et al. Cause of death among\n patients with peripheral artery disease: insights from the EUCLID trial. Circ\n Cardiovasc Qual Outcomes 2020; 13: e006550.","DOI":"10.1161\/CIRCOUTCOMES.120.006550"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Aday AW, Matsushita K. Epidemiology of peripheral artery disease and\n polyvascular disease. Circ Res. 2021; 128: 1818\u20131832.","DOI":"10.1161\/CIRCRESAHA.121.318535"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"T\u00f3th-Vajna Zs, T\u00f3th-Vajna G, Gombos Zs, et al. A summary of data of\n screening of the lower limb peripheral arterial diseases in the region of\n Northern Hungary. [Tapasztalataink az als\u00f3 v\u00e9gtagi perif\u00e9ri\u00e1s art\u00e9ri\u00e1s\n \u00e9rbetegs\u00e9g sz\u0171r\u00e9s\u00e9r\u0151l az \u00c9szak-Magyarorsz\u00e1g r\u00e9gi\u00f3ban.] Orv Hetil. 2020; 161:\n 1381\u20131390. [Hungarian]","DOI":"10.1556\/650.2020.31756"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Soyoye DO, Abiodun OO, Ikem RT, et al. Diabetes and peripheral\n artery disease: a review. World J Diabetes 2021; 12: 827\u2013838.","DOI":"10.4239\/wjd.v12.i6.827"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Mazzolai L, Teixido-Tura G, Lanzi S, et al. 2024 ESC guidelines for\n the management of peripheral arterial and aortic diseases. Eur Heart J. 2024;\n 45: 3538\u20133700.","DOI":"10.1093\/eurheartj\/ehae179"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Cicek M, Buckley J, Pearson-Stuttard J, et al. Characterizing\n multimorbidity from type 2 diabetes: insights from clustering approaches.\n Endocrinol Metab Clin North Am. 2021; 50: 531\u2013558.","DOI":"10.1016\/j.ecl.2021.05.012"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Ferdinand KC. An overview of cardiovascular-kidney-metabolic\n syndrome. Am J Manag Care 2024; 30(10 Suppl): S181\u2013S188.","DOI":"10.37765\/ajmc.2024.89670"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"K\u00e9kes E. Cardio-renal-metabolic syndrome \u2013 an independent clinical\n picture? [Kardioren\u00e1lis-metabolikus szindr\u00f3ma \u2013 \u00f6n\u00e1ll\u00f3 klinikai k\u00f3rk\u00e9p?] Cardiol\n Hung. 2024; 54: 309\u2013321. [Hungarian]","DOI":"10.26430\/CHUNGARICA.2024.54.4.309"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"McClellan SP, Haque K, Garc\u00eda-Pe\u00f1a C. 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