{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T11:18:31Z","timestamp":1648725511726},"reference-count":27,"publisher":"Akademiai Kiado Zrt.","issue":"Supplement-1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2008,5,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>Az anya \u00e9s a magzat eg\u00e9szs\u00e9g\u00e9t \u00e9s \u00e9let\u00e9t jelent\u0151sen vesz\u00e9lyezteti a sz\u00edvm\u0171t\u00e9tet ig\u00e9nyl\u0151 v\u00e1rand\u00f3s sz\u00edvel\u00e9gtelens\u00e9g\u00e9nek kezel\u00e9se. A sz\u00edvbetegs\u00e9g a legt\u00f6bb esetben r\u00e9g\u00f3ta ismert, de a terhesek \u00e1ltal\u00e1ban nem rendelkeznek kell\u0151 ismeretekkel sz\u00edvbetegs\u00e9g\u00fck s\u00falyoss\u00e1g\u00e1r\u00f3l \u00e9s a terhess\u00e9g sor\u00e1n kialakul\u00f3 sz\u00f6v\u0151dm\u00e9nyekr\u0151l. A term\u00e9keny kor\u00fa sz\u00edvbeteg n\u0151knek a csal\u00e1dtervez\u00e9s sor\u00e1n val\u00f3 rendszeres kardiol\u00f3giai \u00e9s n\u0151gy\u00f3gy\u00e1szati gondoz\u00e1sa a terhess\u00e9g v\u00e1llal\u00e1s\u00e1val j\u00e1r\u00f3 vesz\u00e9lyek r\u00e9szletes felt\u00e9rk\u00e9pez\u00e9s\u00e9t val\u00f3s\u00edtan\u00e1 meg, \u00e9s \u00edgy a sz\u00fcks\u00e9gess\u00e9 v\u00e1l\u00f3 sz\u00edvm\u0171t\u00e9t a terhess\u00e9g el\u0151tt elv\u00e9gezhet\u0151 lenne. A nyitott sz\u00edvm\u0171t\u00e9t kiz\u00e1r\u00f3lag olyan terhesekn\u00e9l indokolt, akikn\u00e9l a kardiol\u00f3giai kezel\u00e9s el\u00e9gtelen \u2013 bele\u00e9rtve az invaz\u00edv kat\u00e9teres elj\u00e1r\u00e1sokat \u2013, \u00e9s a m\u0171t\u00e9t halaszt\u00e1sa a sz\u00edvteljes\u00edtm\u00e9ny jelent\u0151s roml\u00e1s\u00e1hoz, sz\u00edvel\u00e9gtelens\u00e9ghez \u00e9s hal\u00e1lhoz vezetne. A sz\u00edvm\u0171t\u00e9t a terhess\u00e9g idej\u00e9n az \u00e9rintett szakemberek egy\u00fcttm\u0171k\u00f6d\u00e9s\u00e9t ig\u00e9nyli. A pontos k\u00f3risme, a javallat k\u00f6r\u00fcltekint\u0151 meghat\u00e1roz\u00e1sa, a megfelel\u0151 id\u0151z\u00edt\u00e9s, valamint az anaesthesia, a m\u0171vi kering\u00e9s \u00e9s a m\u0171t\u00e9t r\u00e9szleteinek megtervez\u00e9se \u00e9s sikeres megval\u00f3s\u00edt\u00e1sa a magzat folyamatos cardiotocographi\u00e1s \u00e9szlel\u00e9s\u00e9vel egy\u00fctt a beavatkoz\u00e1st biztons\u00e1goss\u00e1 teszi. A magzat folyamatos \u00e9szlel\u00e9se oxig\u00e9nhi\u00e1nyos vesz\u00e9ly\u00e1llapot\u00e1nak felismer\u00e9se \u00e9s gyors elh\u00e1r\u00edt\u00e1sa \u00e9rdek\u00e9ben elengedhetetlen. A sz\u00edvm\u0171t\u00e9t magzati kock\u00e1zat\u00e1nak cs\u00f6kkent\u00e9s\u00e9t a r\u00f6vid m\u0171t\u00e9ti \u00e9s m\u0171vi kering\u00e9si id\u0151, a normotermia, valamint a szok\u00e1sosn\u00e1l magasabb perct\u00e9rfogat \u00e9s art\u00e9ri\u00e1s k\u00f6z\u00e9pnyom\u00e1s szolg\u00e1lja. Napjainkban a terhess\u00e9g alatti sz\u00edvm\u0171t\u00e9t az anya sz\u00e1m\u00e1ra elegend\u0151en biztons\u00e1gos elj\u00e1r\u00e1s, de a magzati vesztes\u00e9g m\u00e9g mindig nem fogadhat\u00f3 el.<\/jats:p>","DOI":"10.1556\/maseb.61.2008.suppl.6","type":"journal-article","created":{"date-parts":[[2008,5,27]],"date-time":"2008-05-27T01:01:06Z","timestamp":1211850066000},"page":"17-21","source":"Crossref","is-referenced-by-count":1,"title":["Terhess\u00e9g \u00e9s nyitott sz\u00edvm\u0171t\u00e9tr"],"prefix":"10.1556","volume":"61","author":[{"given":"J\u00e1nos","family":"Aranyosi","sequence":"first","affiliation":[{"name":"1 Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika, Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum, 4012, Debrecen, Pf. 37"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e1nos","family":"Aranyosi","sequence":"additional","affiliation":[{"name":"2 Hajd\u00fa-Bihar Megyei Ken\u00e9zy Gyula K\u00f3rh\u00e1z, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1rp\u00e1d","family":"P\u00e9terffy","sequence":"additional","affiliation":[{"name":"3 Kardiol\u00f3giai Int\u00e9zet, Sz\u00edvseb\u00e9szeti K\u00f6zpont, Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","volume-title":"Heart Disease. 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