{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T15:08:53Z","timestamp":1785510533607,"version":"3.56.0"},"reference-count":17,"publisher":"Akademiai Kiado Zrt.","issue":"5","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"Az akut v\u00e9rz\u00e9s s\u00falyos, anaemia induk\u00e1lta 2-es t\u00edpus\u00fa myocardialis infarktust\n okozhat azokn\u00e1l, akiknek szignifik\u00e1ns kor\u00e1bbi atheroscleroticus\n coronariabetegs\u00e9g\u00fck van, de nem a coronaria plakkruptura okozza a t\u00fcneteket. A\n szerz\u0151k n\u00e9gy esetet mutatnak be, amelyekn\u00e9l az alarm\u00edroz\u00f3 EKG-elt\u00e9r\u00e9sek\n h\u00e1tter\u00e9ben a koronarogr\u00e1fi\u00e1t is bemutatj\u00e1k. Eseteikkel arra h\u00edvj\u00e1k fel a\n figyelmet, hogy anaemia gyan\u00faja \u00e9s kiterjedt ST-depresszi\u00f3 eset\u00e9ben gondolni\n kell erre a lehet\u0151s\u00e9gre is. Ilyen esetekben javasolt v\u00e1rni az egy\u00e9bk\u00e9nt indokolt\n kett\u0151s thrombocytaaggreg\u00e1ci\u00f3-g\u00e1tl\u00f3, illetve heparinkezel\u00e9ssel. S\u00falyos anaemia\n (hemoglobin <80 g\/l) \u00e9s kiterjedt ST-depresszi\u00f3 eset\u00e9ben szinte mindig van\n kism\u00e9rt\u00e9k\u0171 emelked\u00e9s a nagy \u00e9rz\u00e9kenys\u00e9g\u0171 troponin T \u00e9s a kreatin-kin\u00e1z\n szintj\u00e9ben. A korai transzf\u00fazi\u00f3 \u00e9s a v\u00e9rz\u00e9sforr\u00e1s miel\u0151bbi kider\u00edt\u00e9se \u00e9s\n szan\u00e1l\u00e1sa \u00e1ltal\u00e1ban megel\u0151zi ilyen esetekben a coronariaintervenci\u00f3t. Azonnali\n v\u00e9rp\u00f3tl\u00e1s hat\u00e1s\u00e1ra az EKG-elt\u00e9r\u00e9sek regredi\u00e1lnak. Ennek r\u00e9szek\u00e9nt mutatnak be a\n szerz\u0151k \u2013 tudom\u00e1suk szerint els\u0151k\u00e9nt \u2013 transzf\u00fazi\u00f3ra megsz\u0171n\u0151 \u201epatol\u00f3gi\u00e1s\n Q-hull\u00e1mokat\u201d. Orv Hetil. 2026; 167(5): 188\u2013195.<\/jats:p>","DOI":"10.1556\/650.2026.33475","type":"journal-article","created":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T09:05:38Z","timestamp":1769936738000},"page":"188-195","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["S\u00falyos anaemia induk\u00e1lta 2-es t\u00edpus\u00fa myocardialis infarktus"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7596-5876","authenticated-orcid":true,"given":"J\u00e1nos","family":"Tomcs\u00e1nyi","sequence":"first","affiliation":[{"name":"Beteg\u00e1pol\u00f3 Irgalmasrend Budai Irgalmasrendi K\u00f3rh\u00e1za, Kardiol\u00f3gia Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hrisula","family":"Arabadzisz","sequence":"additional","affiliation":[{"name":"Beteg\u00e1pol\u00f3 Irgalmasrend Budai Irgalmasrendi K\u00f3rh\u00e1za, Kardiol\u00f3gia Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krist\u00f3f","family":"Tomcs\u00e1nyi","sequence":"additional","affiliation":[{"name":"Beteg\u00e1pol\u00f3 Irgalmasrend Budai Irgalmasrendi K\u00f3rh\u00e1za, Kardiol\u00f3gia Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Csillik","sequence":"additional","affiliation":[{"name":"Beteg\u00e1pol\u00f3 Irgalmasrend Budai Irgalmasrendi K\u00f3rh\u00e1za, Kardiol\u00f3gia Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tam\u00e1s","family":"Fr\u00e9sz","sequence":"additional","affiliation":[{"name":"Beteg\u00e1pol\u00f3 Irgalmasrend Budai Irgalmasrendi K\u00f3rh\u00e1za, Kardiol\u00f3gia Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Marosi","sequence":"additional","affiliation":[{"name":"Beteg\u00e1pol\u00f3 Irgalmasrend Budai Irgalmasrendi K\u00f3rh\u00e1za, Kardiol\u00f3gia Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Zuin M, Rigatelli G, Temporelli P, et al. Trends in acute myocardial\n infarction mortality in the European Union, 2012-2020. Eur J Pre Cardiol. 2023;\n 30: 1758-1771.\n https:\/\/doi.org\/10.1093\/eurjpc\/zwad214","DOI":"10.1093\/eurjpc\/zwad214"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Ferenci T, J\u00e1nosi A. Comparison of all-cause and cause-specific\n mortality after myocardial infarction. A Hungarian registry study. Am Heart J\n Plus: Cardiol Res Pract. 2025; 60: 100663.\n https:\/\/doi.org\/10.1016\/j.ahjo.2025.100663","DOI":"10.1016\/j.ahjo.2025.100663"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"J\u00e1nosi A, Pach FP, Uzzoli A, et al. Comparison of the incidence,\n treatment and prognosis of myocardial infarction in Hungary\u2019s differently\n developed districts. [A sz\u00edvinfarktus incidenci\u00e1ja, a betegek ell\u00e1t\u00e1s\u00e1nak \u00e9s\n progn\u00f3zis\u00e1nak \u00f6sszehasonl\u00edt\u00e1sa Magyarorsz\u00e1g k\u00fcl\u00f6nb\u00f6z\u0151 fejletts\u00e9g\u0171 j\u00e1r\u00e1saiban.]\n Orv. Hetil. 2022; 163: 1862-1871. [Hungarian]\n https:\/\/doi.org\/10.1556\/650.2022.32640","DOI":"10.1556\/650.2022.32640"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Thygesen K, Alpert JS, Jaffe AS, et al. Fourth universal definition\n of myocardial infarction (2018). J Am Coll Cardiol. 2018; 72: 2231-2264.\n https:\/\/doi.org\/10.1016\/j.jacc.2018.08.1038","DOI":"10.1016\/j.jacc.2018.08.1038"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Sandoval Y, Thygesen K, Jaffe AS. The universal definition of\n myocardial infarction: present and future. Circulation 2020; 141: 1434-1436.\n https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.120.045708","DOI":"10.1161\/CIRCULATIONAHA.120.045708"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Wereski R, Kimenai DM, Taggart C, et al. Cardiac troponin thresholds\n and kinetics to differentiate myocardial injury and myocardial infarction.\n Circulation 2021; 144: 528-538.\n https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.121.054302","DOI":"10.1161\/CIRCULATIONAHA.121.054302"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez-de-Coss\u00edo A, Sanchez-Medal L, Smyth JF.\n Electrocardiographic modifications in anemia. Am Heart J. 1964; 67: 166-172.\n https:\/\/doi.org\/10.1016\/0002-8703(64)90365-5","DOI":"10.1016\/0002-8703(64)90365-5"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Yoshikawa H, Powell WJ Jr, Bland JH, et al. Effect of acute anemia\n on experimental myocardial ischemia. Am J Cardiol. 1973; 32: 670-678.\n https:\/\/doi.org\/10.1016\/S0002-9149(73)80061-X","DOI":"10.1016\/S0002-9149(73)80061-X"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Leung JM, Weiskopf RB, Feiner J, et al. Electrocardiographic\n ST-segment changes during acute, severe isovolemic hemodilution in humans.\n Anesthesiology 2000; 93: 1004-1010.\n https:\/\/doi.org\/10.1097\/00000542-200010000-00023","DOI":"10.1097\/00000542-200010000-00023"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Kwon JM, Cho Y, Jeon KH, et al. A deep learning algorithm to detect\n anaemia with ECGs: a retrospective, multicentre study. Lancet Digit Health 2020;\n 2: e358-e367.\n https:\/\/doi.org\/10.1016\/S2589-7500(20)30108-4","DOI":"10.1016\/S2589-7500(20)30108-4"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Bellotto F, Fagiuoli S, Pavei A, et al. Anemia and ischemia:\n myocardial injury in patients with gastrointestinal bleeding. Am J Med. 2005;\n 118: 548-551.\n https:\/\/doi.org\/10.1016\/j.amjmed.2005.01.026","DOI":"10.1016\/j.amjmed.2005.01.026"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Sabatine MS, Morrow DA, Giugliano RP, et al. Association of\n hemoglobin levels with clinical outcomes in acute coronary syndromes.\n Circulation 2005; 111: 2042-2049.\n https:\/\/doi.org\/10.1161\/01.CIR.0000162477.70955.5F","DOI":"10.1161\/01.CIR.0000162477.70955.5F"},{"key":"R13","unstructured":"Tomcs\u00e1nyi J, Jobb\u00e1gy L, Tenczer J, et al. Transient Q-waves in\n coronary disease. [Tranziens Q-hull\u00e1mok coronariabetegs\u00e9gben.] Orv Hetil. 1997;\n 138: 659-663. [Hungarian]"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Tomcs\u00e1nyi J. ECG pearl: transient Q-waves in myocardial infarction.\n [EKG-gy\u00f6ngyszem: tranziens Q-hull\u00e1m myocardialis infarctusban.] Orv Hetil. 2018;\n 159: 1208-1209. 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