{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T20:22:09Z","timestamp":1776975729888,"version":"3.51.4"},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"31","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,8,1]]},"abstract":"<jats:p>Az idiopathi\u00e1s fascicularis kamrai tachycardia fontos \u00e9s nem nagyon ritka sz\u00edvritmuszavar specifikus EKG-jelekkel \u00e9s ter\u00e1pi\u00e1s lehet\u0151s\u00e9gekkel. A kamrai tachycardia EKG-k\u00e9pe relat\u00edve keskeny QRS-morfol\u00f3gi\u00e1t mutat a jobb-Tawara-sz\u00e1r-blokk morfol\u00f3gi\u00e1j\u00e1val. A QRS-tengely\u00e1ll\u00e1s att\u00f3l f\u00fcgg, hogy melyik fasciculus r\u00e9sze a reentry k\u00f6rnek. Baltengely-devi\u00e1ci\u00f3 van jelen bal posterior fascicularis tachycardia, jobbtengely-devi\u00e1ci\u00f3 bal anterior fascicularis tachycardia eset\u00e9n. Bal septalis fascicularis tachycardia egy\u00fctt j\u00e1rhat norm\u00e1lis tengely\u00e1ll\u00e1ssal is. A fascicularis tachycardi\u00e1k \u00e1ltal\u00e1ban struktur\u00e1lis sz\u00edvbetegs\u00e9g n\u00e9lk\u00fcl alakulnak ki. A fascicularis tachycardi\u00e1k egyik fontos ism\u00e9rve, hogy verapamilkezel\u00e9sre j\u00f3l reag\u00e1lnak. N\u00e9h\u00e1ny esetben intrav\u00e9n\u00e1s adenozin is hat\u00e9kony lehet a ritmuszavar termin\u00e1l\u00e1s\u00e1ban. A fascicularis tachycardi\u00e1ban szenved\u0151 betegek nagy r\u00e9sz\u00e9ben sinusrhythmusban \u00e9s a kamrai tachycardia alatt is a QRS-t megel\u0151z\u0151 preszisztol\u00e9s vagy diasztol\u00e9s potenci\u00e1l regisztr\u00e1lhat\u00f3, amely feltehet\u0151en a Purkinje-rostokb\u00f3l ered. Ez az \u00fagynevezett P-potenci\u00e1l szolg\u00e1l seg\u00edts\u00e9g\u00fcl a leghat\u00e9konyabb ter\u00e1pia, a kat\u00e9terablatio sor\u00e1n. A ritmuszavar azonnali felismer\u00e9se \u00e9s megfelel\u0151 helyre t\u00f6rt\u00e9n\u0151 ir\u00e1ny\u00edt\u00e1sa az\u00e9rt fontos, mert a ritmuszavar kit\u0171n\u0151en abl\u00e1lhat\u00f3, \u00e9s az ablatio kurat\u00edv. \u00c1ttekint\u00e9s\u00fcnkben h\u00e1rom fiatal idiopathi\u00e1s fascicularis tachycardi\u00e1ban szenved\u0151 beteg\u00fcnk k\u00f3rt\u00f6rt\u00e9net\u00e9t \u00e9s sikeres ablati\u00f3j\u00e1t \u00edrjuk le, \u00e9s az esetek kapcs\u00e1n foglaljuk \u00f6ssze a speci\u00e1lis ritmuszavarral kapcsolatos jelenlegi ismereteinket.<\/jats:p>","DOI":"10.1556\/oh.2009.28642","type":"journal-article","created":{"date-parts":[[2009,8,7]],"date-time":"2009-08-07T01:02:53Z","timestamp":1249606973000},"page":"1463-1469","source":"Crossref","is-referenced-by-count":2,"title":["Ablation of idiopathic fascicular ventricular tachycardia"],"prefix":"10.1556","volume":"150","author":[{"given":"L\u00e1szl\u00f3","family":"Gell\u00e9r","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai K\u00f6zpont Budapest Ga\u00e1l J. u. 9. 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szabolcs","family":"Szil\u00e1gyi","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai K\u00f6zpont Budapest Ga\u00e1l J. u. 9. 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katalin","family":"Solymossy","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai K\u00f6zpont Budapest Ga\u00e1l J. u. 9. 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianna","family":"Srej","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai K\u00f6zpont Budapest Ga\u00e1l J. u. 9. 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Endre","family":"Zima","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai K\u00f6zpont Budapest Ga\u00e1l J. u. 9. 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Tahin","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai K\u00f6zpont Budapest Ga\u00e1l J. u. 9. 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e9la","family":"Merkely","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai K\u00f6zpont Budapest Ga\u00e1l J. u. 9. 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"atypb1","first-page":"98","volume":"4","year":"2004","journal-title":"Indian Pacing Electrophysiol. J."},{"key":"atypb2","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1161\/01.CIR.45.5.1035","volume":"45","year":"1972","journal-title":"Circulation"},{"key":"atypb3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0002-9149(79)90242-X","volume":"44","year":"1979","journal-title":"Am. J. Cardiol."},{"key":"atypb4","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1136\/hrt.46.6.679","volume":"46","year":"1981","journal-title":"Br. Heart J."},{"key":"atypb5","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1016\/0002-8703(84)90475-7","volume":"108","year":"1984","journal-title":"Am. Heart J."},{"key":"atypb6","first-page":"247","volume":"129","year":"1988","journal-title":"Orv. Hetil."},{"key":"atypb7","first-page":"560","volume":"18","year":"1988","journal-title":"G. Ital. Cardiol."},{"key":"atypb8","doi-asserted-by":"crossref","first-page":"1666","DOI":"10.1161\/01.CIR.85.5.1666","volume":"85","year":"1992","journal-title":"Circulation"},{"key":"atypb9","first-page":"233","volume":"4","year":"2002","journal-title":"Cardiol. Hung."},{"key":"atypb10","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/0167-5273(94)90248-8","volume":"46","year":"1994","journal-title":"Int. J. Cardiol."},{"key":"atypb11","doi-asserted-by":"crossref","first-page":"1986","DOI":"10.1046\/j.1460-9592.2003.00306.x","volume":"26","year":"2003","journal-title":"Pacing Clin. Electrophysiol."},{"key":"atypb12","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/0167-5273(86)90120-8","volume":"13","year":"1986","journal-title":"Int. J. 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