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001-es BibID:	BIBFORM100404
035-os BibID:	(cikkazonosító)784220
Első szerző:	Kőszegi Zsolt (kardiológus, belgyógyász)
Cím:	Anatomical Assessment vs. Pullback REsting full-cycle rAtio (RFR) Measurement for Evaluation of Focal and Diffuse CoronarY Disease : rationale and Design of the "READY Register" / Kőszegi Zsolt, Berta Balázs, Tóth Gábor G., Tar Balázs, Üveges Áron, Ágoston András, Szücs Attila, Szabó Gábor Tamás, Barta Judit, Szük Tibor, Czuriga Dániel, Komócsi András, Ruzsa Zoltán
Dátum:	2021
ISSN:	2297-055X 2297-055X
Megjegyzések:	Background: The morphology and functional severity of coronary stenosis show poor correlation. However, in clinical practice, the visual assessment of the invasive coronary angiography is still the most common means for evaluating coronary disease. The fractional flow reserve (FFR), the coronary flow reserve (CFR), and the resting full-cycle ratio (RFR) are established indices to determine the hemodynamic significance of a coronary stenosis. Design/Methods: The READY register (NCT04857762) is a prospective, multicentre register of patients who underwent invasive intracoronary FFR and RFR measurement. The main aim of the registry is to compare the visual estimate of coronary lesions and the functional severity of the stenosis assessed by FFR, as well as the RFR pullback. Characterizations of the coronary vessel for predominantly focal, diffuse, or mixed type disease according to visual vs. RFR pullback determination will be compared. The secondary endpoint of the study is a composite of major adverse cardiac events, including death, myocardial infarction, and repeat coronary revascularization at 1 year. These endpoints will be compared in patients with non-ischemic FFR in the subgroup of cases where the local pressure drop indicates a focal lesion according to the definition of ?RFR > 0.05 (for <25 mm segment length) and in the subgroup without significant ?RFR. In case of an FFR value above 0.80, an extended physiological analysis is planned to diagnose or exclude microvascular disease using the CFR/FFR index. This includes novel flow dynamic modeling for CFR calculation (CFRp-3D). Conclusion: The READY register will define the effect of RFR measurement on visual estimation-based clinical decision-making. It can identify a prognostic value of ?RFR during RFR pullback, and it would also explore the frequency of microvascular disease in the patient population with FFR > 0.80. Clinical Trial Registration: ClinicalTrials.gov (NCT04857762).
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk resting full-cycle ratio (RFR) microvascular coronary disease fractional flow reserve (FFR) coronary flow reserve (CFR) coronary artery disease
Megjelenés:	Frontiers in Cardiovascular Medicine. - 8 (2021), p. 1-7. -
További szerzők:	Berta Balázs Tóth Gábor G. Tar Balázs (1970-) (orvos) Üveges Áron Ágoston András Szücs Attila Szabó Gábor Tamás (1982-) (kardiológus) Barta Judit (1975-) (kardiológus) Szűk Tibor (1967-) (kardiológus) Czuriga Dániel (1982-) (kardiológus) Komócsi András Ruzsa Zoltán
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001-es BibID:	BIBFORM095124
035-os BibID:	(cikkazonosító)614493
Első szerző:	Ujvárosy Dóra
Cím:	Cardiopulmonary Resuscitation With Mechanical Chest Compression Device During Percutaneous Coronary Intervention : a case report / Dóra Ujvárosy, Veronika Sebestyén, Tamás Ötvös, Balázs Ratku, István Lorincz, Tibor Szuk, Zoltán Csanádi, Ervin Berényi, Zoltán Szabó
Dátum:	2021
ISSN:	2297-055X
Megjegyzések:	Sudden cardiac death is a leading cause of death worldwide, whereby myocardial infarction is considered the most frequent underlying condition. Percutaneous coronary intervention (PCI) is an important component of post-resuscitation care, while uninterrupted high-quality chest compressions are key determinants in cardiopulmonary resuscitation (CPR). In our paper, we evaluate a case of a female patient who suffered aborted cardiac arrest due to myocardial infarction. The ambulance crew providing prehospital care for sudden cardiac arrest used a mechanical chest compression device during advanced CPR, which enabled them to deliver ongoing resuscitation during transfer to the PCI laboratory located 20 km away from the scene. Mechanical chest compressions were continued during the primary coronary intervention. The resuscitation, carried out for 2 h and 35 min, and the coronary intervention were successful, as evidenced by the return of spontaneous circulation and by the fact that, after a short rehabilitation, the patient was discharged home with a favorable neurological outcome. Our case can serve as an example for the effective and safe use of a mechanical compression device during primary coronary intervention.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk sudden cardiac death cardiopulmonary resuscitation coronary intervention mechanical chest compression device
Megjelenés:	Frontiers in Cardiovascular Medicine. - 8 (2021), p. 1-6. -
További szerzők:	Borbásné Sebestyén Veronika (1990-) (biofizikus) Ötvös Tamás (1980-) (orvos) Ratku Balázs (1985-) (mentőtiszt) Lőrincz István (1950-) (belgyógyász, kardiológus) Szűk Tibor (1967-) (kardiológus) Csanádi Zoltán (1960-) (kardiológus) Berényi Ervin (1964-) (radiológus) Szabó Zoltán (1973-) (belgyógyász, kardiológus)
Pályázati támogatás:	GINOP-2.3.2-15-2016-00005 GINOP
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