{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T14:36:08Z","timestamp":1648737368052},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"32","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,8,1]]},"abstract":"<jats:p>A jobbkamra-funkci\u00f3 vizsg\u00e1lata velesz\u00fcletett sz\u00edvfejl\u0151d\u00e9si rendelleness\u00e9gekben k\u00fcl\u00f6n\u00f6sen neh\u00e9z, f\u0151leg a posztoperat\u00edv id\u0151szakban, a jobb kamra saj\u00e1tos geometriai alakzata miatt, ugyanakkor kiemelked\u0151 a jelent\u0151s\u00e9ge a komplex sz\u00edvfejl\u0151d\u00e9si rendelleness\u00e9gek nyomon k\u00f6vet\u00e9s\u00e9ben. A posztoperat\u00edv jobbkamra-diszfunkci\u00f3 fontos t\u00e9nyez\u0151 a mortalit\u00e1sban \u00e9s morbidit\u00e1sban \u00e9s a reoper\u00e1ci\u00f3 sz\u00fcks\u00e9gess\u00e9g\u00e9nek meghat\u00e1roz\u00e1s\u00e1ban. Ez id\u00e1ig gyermekekben 133 sz\u00edvsz\u00f6veti Doppler-vizsg\u00e1lat t\u00f6rt\u00e9nt, a betegek \u00e9letkora 14 nap \u2013 20 \u00e9v, az \u00e1tlag\u00e9letkor 12,4 \u00e9v volt. A jelen k\u00f6zlem\u00e9nyben a szerz\u0151 a jobb kamr\u00e1ra vonatkoz\u00f3 vizsg\u00e1latokat ismerteti. A sziszt\u00e9m\u00e1s jobbkamra-funkci\u00f3 \u00e9rt\u00e9kel\u00e9s\u00e9re nagy\u00e9r-transpositi\u00f3s betegek Senning-m\u0171t\u00e9tje ut\u00e1ni (1. betegcsoport, 17 beteg 21 vizsg\u00e1lata), illetve Fallot-tetral\u00f3gia-m\u0171t\u00e9t ut\u00e1ni (2. betegcsoport, 21 beteg) vizsg\u00e1latok t\u00f6rt\u00e9ntek. \n <jats:italic>M\u00f3dszer:<\/jats:italic>\n A sz\u00f6veti sebess\u00e9gek k\u00f6z\u00fcl a jobb kamrai (tricuspidalis anulus) szisztol\u00e9s sebess\u00e9get \u00e9s kora diasztol\u00e9s sebess\u00e9get E\u2019 \u00e9s a tricuspidalis be\u00e1raml\u00e1si flow E-hull\u00e1m-sebess\u00e9get, illetve az E\/E\u2019 ar\u00e1ny\u00e1t m\u00e9rte. E sebess\u00e9gek eg\u00e9szs\u00e9gest\u0151l val\u00f3 elt\u00e9r\u00e9s\u00e9t, illetve a sz\u00edv m\u00e1gnesesrezonancia-vizsg\u00e1lattal m\u00e9rt jobb kamrai ejekci\u00f3s frakci\u00f3 k\u00f6z\u00f6tti \u00f6sszef\u00fcgg\u00e9s\u00e9t vizsg\u00e1lta. \n <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n Az 1. betegcsoportban a szisztol\u00e9s sebess\u00e9g szignifik\u00e1nsan elt\u00e9rt az eg\u00e9szs\u00e9gesekn\u00e9l m\u00e9rt \u00e9rt\u00e9kt\u0151l: 9,3\u20133,7 cm\/s sv vs. 14,2 \u00b1 2,3 cm\/s (\n <jats:italic>p<\/jats:italic>\n &gt; 0,001), E\u2019: 12,8 \u00b1 4,7 cm\/s vs. 16,7 \u00b1 2,8 cm\/s, E\/E\u2019 7,2 \u00b1 4,6 vs. 3,7 \u00b1 1,4. A szisztol\u00e9s sz\u00f6veti Doppler-sebess\u00e9g \u00e9s E\/E\u2019 ar\u00e1ny szoros \u00f6sszef\u00fcgg\u00e9st mutatott a sz\u00edv m\u00e1gneses rezonanci\u00e1val m\u00e9rt ejekci\u00f3s frakci\u00f3j\u00e1val (\n <jats:italic>p<\/jats:italic>\n &gt; 0,001). A 2. betegcsoport szisztol\u00e9s \u00e9rt\u00e9ke kev\u00e9sb\u00e9, de szint\u00e9n, szignifik\u00e1nsan cs\u00f6kkent volt. 11,1 \u00b1 4,3 cm\/s \u00e9s a jobb kamrai sz\u00edv m\u00e1gneses rezonanci\u00e1val m\u00e9rt ejekci\u00f3sfrakci\u00f3-\u00e9rt\u00e9kkel szint\u00e9n szignifik\u00e1ns \u00f6sszef\u00fcgg\u00e9st mutatott (\n <jats:italic>p<\/jats:italic>\n &gt; 0,001). \n <jats:italic>Konkl\u00fazi\u00f3:<\/jats:italic>\n Az eredm\u00e9nyek szerint a sz\u00f6veti Doppler-technika a jobbkamra-funkci\u00f3 vizsg\u00e1lat\u00e1ra alkalmas velesz\u00fcletett sz\u00edvbetegs\u00e9gekben \u00e9s a jobb kamrai funkci\u00f3 noninvaz\u00edv m\u00f3dszerei k\u00f6z\u00e9 aj\u00e1nlatos beiktatni. Kell\u0151 gyakorlattal \u2013 a sz\u00edv m\u00e1gnesesrezonancia-vizsg\u00e1lat\u00e1val egy\u00fctt alkalmazva \u2013 fontos, megb\u00edzhat\u00f3 adatok nyerhet\u0151k a betegek nyomon k\u00f6vet\u00e9s\u00e9ben, ami komoly seg\u00edts\u00e9g lehet a posztoperat\u00edv d\u00f6nt\u00e9shozatalban, p\u00e9ld\u00e1ul az esetleges reoper\u00e1ci\u00f3 sz\u00fcks\u00e9gess\u00e9g\u00e9nek meg\u00edt\u00e9l\u00e9s\u00e9ben \u00e9s a k\u00e9s\u0151i posztoperat\u00edv progn\u00f3zis meghat\u00e1roz\u00e1s\u00e1ban.<\/jats:p>","DOI":"10.1556\/oh.2008.28266","type":"journal-article","created":{"date-parts":[[2008,8,1]],"date-time":"2008-08-01T01:02:33Z","timestamp":1217552553000},"page":"1503-1508","source":"Crossref","is-referenced-by-count":0,"title":["Tissue Doppler imaging in the assessment of right ventricular function in congenital heart disease. 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