{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T07:44:51Z","timestamp":1715586291540},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,3,1]]},"abstract":"<jats:p>A spont\u00e1n coronaria dissectio ritka k\u00f3r\u00e1llapot, amely f\u0151leg n\u0151kben, gyakran a peripartum id\u0151szak\u00e1ban fordul el\u0151. Specifikus k\u00f3roki t\u00e9nyez\u0151 egy\u00e9rtelm\u0171en nem azonos\u00edthat\u00f3 e nemritk\u00e1n fat\u00e1lis kimenetel\u0171 betegs\u00e9g h\u00e1tter\u00e9ben. Bemutatjuk egy fiatal, egy hete sz\u00fclt n\u0151beteg\u00fcnk eset\u00e9t, aki mellkasi f\u00e1jdalom miatt ker\u00fclt k\u00f3rh\u00e1zba, \u00e9s akut ST-elev\u00e1ci\u00f3s sz\u00edvinfarktus EKG-jeleit \u00e9szlelt\u00e9k rajta. A s\u00fcrg\u0151ss\u00e9gi koronarogr\u00e1fia elz\u00e1r\u00f3d\u00e1s n\u00e9lk\u00fcli nem szignifik\u00e1ns sz\u0171k\u00fcleteket \u00e9szlelt, emiatt intervenci\u00f3 nem t\u00f6rt\u00e9nt. Cardiogen sokk alakult ki, amely mechanikus kering\u00e9st\u00e1mogat\u00e1s seg\u00edts\u00e9g\u00e9vel rendez\u0151d\u00f6tt, a beteg \u00e1llapota stabiliz\u00e1l\u00f3dott, majd ism\u00e9telt ischaemi\u00e1s t\u00fcnetei jelentkeztek, az \u00fajabb angiogr\u00e1fia m\u00e1r egy\u00e9rtelm\u0171 coronaria dissectio jelenl\u00e9t\u00e9t mutatta a bal k\u00f6z\u00f6s t\u00f6rzs distalis r\u00e9sz\u00e9n, amely m\u00e1r a ramus circumflexus \u00e1raml\u00e1st is limit\u00e1lta, emiatt urgens coronaria bypass m\u0171t\u00e9t t\u00f6rt\u00e9nt j\u00f3 eredm\u00e9nnyel. A spont\u00e1n coronaria dissecti\u00f3ra gondolnunk kell a peripartum id\u0151szak\u00e1ban kialakult akut coronariaszindr\u00f3m\u00e1k eset\u00e9n, melyek hal\u00e1loz\u00e1sa magas, kezel\u00e9s\u00e9ben speci\u00e1lis szempontokat kell figyelembe venn\u00fcnk.<\/jats:p>","DOI":"10.1556\/oh.2008.28012","type":"journal-article","created":{"date-parts":[[2008,4,12]],"date-time":"2008-04-12T00:16:02Z","timestamp":1207959362000},"page":"457-463","source":"Crossref","is-referenced-by-count":2,"title":["Coronary artery dissection in the postpartum period \u2013 a case study"],"prefix":"10.1556","volume":"149","author":[{"given":"L\u00e1szl\u00f3","family":"Halmai","sequence":"first","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvos- \u00e9s Gy\u00f3gyszer\u00e9sztudom\u00e1nyi K\u00f6zpont Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Int\u00e9zet, III. \u00c1ltal\u00e1nos Intenz\u00edv R\u00e9szleg Szeged Kor\u00e1nyi fasor 7. 6720"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00f3bert","family":"Sepp","sequence":"additional","affiliation":[{"name":"2 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvos- \u00e9s Gy\u00f3gyszer\u00e9sztudom\u00e1nyi K\u00f6zpont II. 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