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1.

001-es BibID:BIBFORM113002
035-os BibID:(cikkazonosító)174 (scopus)85163820798 (wos)001021227100001
Első szerző:Bojti István
Cím:Decreased level of serum NT-proCNP associates with disease severity in COVID-19 / Bojti Istvan, Przewosnik Anne-Sophie, Luxenburger Hendrik, Hofmann Maike, Neumann-Haefelin Christoph, Esser Jennifer S., Siegel Patrick M., Maier Alexander, Kovacs Sarolta Bojtine, Kardos Laszlo, Csanádi Zoltan, Rieder Marina, Duerschmied Daniel, Lother Achim, Bode Christoph, Szabó Gabor Tamas, Czuriga Daniel
Dátum:2023
ISSN:1465-993X
Megjegyzések:Background: C-type natriuretic peptide (CNP) is an endothelium-derived paracrine molecule with an important role in vascular homeostasis. In septic patients, the serum level of the amino-terminal propeptide of CNP (NT-proCNP) shows a strong positive correlation with inflammatory biomarkers and, if elevated, correlates with disease severity and indicates a poor outcome. It is not yet known whether NT-proCNP also correlates with the clinical outcome of patients suffering from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In the current study, we aimed to determine possible changes in the NT-proCNP levels of patients with coronavirus disease 2019 (COVID-19), with special regard to disease severity and outcome. Methods: In this retrospective analysis, we determined the serum level of NT-proCNP in hospitalized patients with symptoms of upper respiratory tract infection, using their blood samples taken on admission, stored in a biobank. The NT-proCNP levels of 32 SARS-CoV-2 positive and 35 SARS-CoV-2 negative patients were measured to investigate possible correlation with disease outcome. SARS-CoV-2 positive patients were then divided into two groups based on their need for intensive care unit treatment (severe and mild COVID-19). Results: The NT-proCNP was significantly different in the study groups (e.g. severe and mild COVID-19 and non-COVID-19 patients), but showed inverse changes compared to previous observations in septic patients: lowest levels were detected in critically ill COVID-19 patients, while highest levels in the non-COVID-19 group. A low level of NT-proCNP on admission was significantly associated with severe disease outcome. Conclusions: Low-level NT-proCNP on hospital admission is associated with a severe COVID-19 disease course. The pathomechanism underlying this observation remains to be elucidated, while future studies in larger patient cohorts are necessary to confirm these observations and reveal therapeutic importance.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
COVID-19
Furin
NT-proCNP
SARS-CoV-2
Megjelenés:Respiratory Research. - 24 : 1 (2023), p. 1-12. -
További szerzők:Przewosnik, Anne-Sophie Luxenburger, Hendrik Hofmann, Maike Neumann-Haefelin, Christoph Esser, Jennifer S. Siegel, Patrick M. Maier, Alexander Bojtiné Kovács Sarolta Kardos László (1970-) (megelőző orvostan és népegészségtan szakorvos) Csanádi Zoltán (1960-) (kardiológus) Rieder, Marina Duerschmied, Daniel Lother, Achim Bode, Christoph Szabó Gábor Tamás (1982-) (kardiológus) Czuriga Dániel (1982-) (kardiológus)
Pályázati támogatás:DRKS00026655
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2.

001-es BibID:BIBFORM103008
035-os BibID:(cikkazonosító)873899 (WOS)000836963900001 (Scopus)85135499583
Első szerző:Csató Gábor
Cím:Predictors of restenosis following percutaneous coronary stent implantation : the role of trimetazidine therapy / Csató Gábor, Erdei Nóra, Ványai Beatrix, Balla Tímea, Czuriga Dániel, Csanádi Zoltán, Koszegi Zsolt, Édes István, Szabó Gábor Tamás
Dátum:2022
ISSN:2297-055X
Megjegyzések:Aims: In-stent restenosis (ISR) is an unresolved problem following percutaneous coronary intervention (PCI), having a negative impact on clinical outcome. The main goal of this study was to find new independent predictors that may influence the development of ISR. Methods and results: In this retrospective analysis, 653 PCI patients were involved. All patients had coronary stent implantation and a follow-up coronary angiography. Based on the presence of ISR at follow-up, patients were divided into two groups: 221 in the ISR and 432 in the control group. When evaluating the medical therapy of patients, significantly more patients were on trimetazidine (TMZ) in the control compared to the ISR group (p = 0.039). TMZ was found to be an independent predictor of a lower degree of ISR development (p = 0.007). TMZ treatment was especially e??ective in baremetal stent (BMS)-implanted chronic coronary syndrome (CCS) patients with narrow coronary arteries. The inflammation marker neutrophil to lymphocyte ratio (NLR) was significantly elevated at baseline in the ISR group compared to controls. The reduction of post-PCINLR was associated with improved e cacy of TMZ to prevent ISR development. Drug eluting stent implantation (p<0.001) and increased stent diameter (p<0.001) were themost important independent predictors of a lower degree of ISR development, while the use of longer stents (p = 0.005) was a major independent predictor of an increased ISR risk. Conclusion: TMZ reduces the occurrence of ISR following PCI, with special e??ectiveness in BMS-implanted patients having CCS and narrow coronary arteries. TMZ treatmentmay help to lower ISR formation in countries with high BMS utilization rates.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
in-stent restenosis
trimetazidine (TMZ)
percutaneous coronary intervention (PCI)
anti-inflammatory effect
stent implantation
Megjelenés:Frontiers in Cardiovascular Medicine. - 9 (2022), p. 1-9. -
További szerzők:Erdei Nóra (1979-) (orvos) Ványai Beatrix (1993-) (általános orvos) Balla Tímea Czuriga Dániel (1982-) (kardiológus) Csanádi Zoltán (1960-) (kardiológus) Kőszegi Zsolt (1962-) (kardiológus, belgyógyász) Édes István (1952-) (kardiológus) Szabó Gábor Tamás (1982-) (kardiológus)
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3.

001-es BibID:BIBFORM105981
035-os BibID:(cikkazonosító)2035
Első szerző:Jenei Csaba (kardiológus)
Cím:Novel Method to Detect Pitfalls of Intracoronary Pressure Measurements by Pressure Waveform Analysis / Jenei Csaba, Tar Balázs, Ágoston András, Sánta Péter, Sánta János, Csippa Benjámin, Wéber Richárd, Gyürki Dániel, Halász Gábor, Szabó Gábor Tamás, Czuriga Dániel, Kőszegi Zsolt
Dátum:2022
ISSN:2075-4426
Megjegyzések:Potential pitfalls of fractional flow reserve (FFR) measurements are well-known drawbacks of invasive physiology measurement, e.g., significant drift of the distal pressure trace may lead to the misclassification of stenoses. Thus, a simultaneous waveform analysis of the pressure traces may be of help in the quality control of these measurements by online detection of such artefacts as the drift or the wedging of the catheter. In the current study, we analysed the intracoronary pressure waveform with a dedicated program. In 130 patients, 232 FFR measurements were performed and derivative pressure curves were calculated. Local amplitude around the dicrotic notch was calculated from the distal intracoronary pressure traces (?dPn/dt). A unidimensional arterial network model of blood flow was employed to simulate the intracoronary pressure traces at different flow rates. There was a strong correlation between ?dPn/dt values measured during hyperaemia and FFR (r = 0.88). Diagnostic performance of distal ?dPn/dt ? 3.52 for the prediction of FFR ? 0.80 was 91%. The correlation between the pressure gradient and the corresponding ?dPn/dt values obtained from all measurements independently of the physiological phase was also significant (r = 0.80). During simulation, the effect of flow rate on ?dPn/dt further supported the close correlation between the pressure ratios and ?dPn/dt. Discordance between the FFR and the ?dPn/dt can be used as an indicator of possible technical problems of FFR measurements. Hence, an online calculation of the ?dPn/dt may be helpful in avoiding some pitfalls of FFR evaluation.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Journal of Personalized Medicine. - 12 : 12 (2022), p. 1-9. -
További szerzők:Tar Balázs (1970-) (orvos) Ágoston András Sánta Péter Sánta János (orvos) Csippa Benjamin Wéber Richárd Gyürki Dániel Halász Gábor J. (1961-) (fizikus) Szabó Gábor Tamás (1982-) (kardiológus) Czuriga Dániel (1982-) (kardiológus) Kőszegi Zsolt (1962-) (kardiológus, belgyógyász)
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4.

001-es BibID:BIBFORM116641
035-os BibID:(Scopus)85177188045 (WoS)001105097500001
Első szerző:Kest, Michael
Cím:Angiography-based coronary microvascular assessment with and without intracoronary pressure measurements : a systematic review / Kest Michael, Ágoston András, Szabó Gábor Tamás, Kiss Attila, Üveges Áron, Czuriga Dániel, Komócsi András, Hizoh István, Kőszegi Zsolt
Dátum:2023
ISSN:1861-0684
Megjegyzések:Background: In recent years, several indices have been proposed for quantifying coronary microvascular resistance. We intended to conduct a comprehensive review that systematically evaluates indices of microvascular resistance derived from angiography. Objective: The objective of this study was to identify and analyze angiography-derived indices of microvascular resistance that have been validated against an invasive reference method. We aimed to compare their limits of agreement with their reference methods and explore their advantages and inherent limitations. Methods and results: We searched PubMed from inception until 2022 for studies on different techniques for quantifying microvascular resistance. Seven studies met the inclusion criteria. Five studies included techniques that applied calculations based solely on invasive angiography, and were validated against invasively measured thermodilution-derived index of microvascular resistance. The remaining two studies combined angiography with invasively measured intracoronary pressure data, and were validated against invasive Doppler measurements. We converted the ? 1.96 standard deviation limits of agreement with the reference method from the seven studies into percentages relative to the cut-off value of the reference method. The lower limits of agreement for angiography-based methods ranged from ? 122 to ? 60%, while the upper limits ranged from 74 to 135%. The range of the limits of agreement was considerably lower for the two combined angiography- and pressure-based methods, standing at ? 52 to 60% and ? 25 to 27%. Conclusion: Our findings suggest that combined angiography- and pressure-based methods provide a more reliable assessment of microvascular resistance compared to methods relying solely on angiography. Graphical Abstract: [Figure not available: see fulltext.] Central illustration. Comparative assessment of image-based methods quantifying microvascular resistance with and without intracoronary pressure measurements. Angiography-based methods rely on angiography alone to calculate the microvascular resistance by utilizing angiographic frame counting to extrapolate coronary flow (Q) and subsequently deriving distal coronary pressure using fluid dynamic equations. Combined angiography- and pressure-based methods utilize invasive intracoronary pressure gradients measured during rest and maximal vasodilation to determine coronary flow in their calculation of microvascular resistance. The combined methods showed more acceptable levels of agreement with their reference methods compared to angiography-based methods alone.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Angiographic microvascular assessment
Coronary blood flow
Coronary microvascular assessment
Coronary microvascular dysfunction
Index of microvascular resistance
Megjelenés:Clinical Research In Cardiology. - [Epub ahead of print] (2023). -
További szerzők:Ágoston András Szabó Gábor Tamás (1982-) (kardiológus) Kiss Attila Üveges Áron Czuriga Dániel (1982-) (kardiológus) Komócsi András Hizoh István Kőszegi Zsolt (1962-) (kardiológus, belgyógyász)
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5.

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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6.

001-es BibID:BIBFORM075790
035-os BibID:(PMID)30526257
Első szerző:Pápai György
Cím:The transtelephonic electrocardiogram-based triage is an independent predictor of decreased hospital mortality in patients with ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention / György Pápai, Gábor Csató, Ildikó Rácz, Gábor Szabó, Tamás Bárány, Ágnes Rácz, Miklós Szokol, Balázs Sármán, István F. Édes, Dániel Czuriga, Rudolf Kolozsvári, István Édes
Dátum:2020
ISSN:1357-633X
Tárgyszavak:Orvostudományok Klinikai orvostudományok beszámoló
Megjelenés:Journal of Telemedicine and Telecare. - 26 : 4 (2020), p. 216-222. -
További szerzők:Csató Gábor Rácz Ildikó (1973-) (kardiológus) Szabó Gábor Tamás (1982-) (kardiológus) Bárány Tamás Rácz Ágnes (1983-) (orvos) Szokol Miklós (1971-) (kardiológus) Sármán Balázs (1976-) (kardiológus) Édes István Ferenc (1980-) (kardiológus) Czuriga Dániel (1982-) (kardiológus) Kolozsvári Rudolf (1976-) (kardiológus) Édes István (1952-) (kardiológus)
Pályázati támogatás:GINOP-2.3.2-15-2016-00043
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ÚNKP-18-4
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ÚNKP-18-4-DE-49
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Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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7.

001-es BibID:BIBFORM101808
035-os BibID:(cikkazonosító)1132 (WoS)000803448700001 (Scopus)85130014816
Első szerző:Sepp Róbert
Cím:The Genetic Architecture of Hypertrophic Cardiomyopathy in Hungary : analysis of 242 Patients with a Panel of 98 Genes / Sepp Róbert, Hategan Lidia, Csányi Beáta, Borbás János, Tringer Annamária, Pálinkás Eszter Dalma, Nagy Viktória, Takács Hedvig, Latinovics Dóra, Nyolczas Noémi, Pálinkás Attila, Faludi Réka, Rábai Miklós, Szabó Gábor Tamás, Czuriga Dániel, Balogh László, Halmosi Róbert, Borbély Attila, Habon Tamás, Hegedűs Zoltán, Nagy István
Dátum:2022
ISSN:2075-4418
Megjegyzések:Hypertrophic cardiomyopathy (HCM) is a primary disease of the myocardium most commonly caused by mutations in sarcomeric genes. We aimed to perform a nationwide large-scale genetic analysis of a previously unreported, representative HCM cohort in Hungary. A total of 242 consecutive HCM index patients (127 men, 44 11 years) were studied with next generation sequencing using a custom-designed gene-panel comprising 98 cardiomyopathy-related genes. A total of 90 patients (37%) carried pathogenic/likely pathogenic (P/LP) variants. The percentage of patients with P/LP variants in genes with definitive evidence for HCM association was 93%. Most of the patients with P/LP variants had mutations in MYBPC3 (55 pts, 61%) and in MYH7 (21 pts, 23%). Double P/LP variants were present in four patients (1.7%). P/LP variants in other genes could be detected in 3% of patients. Of the patients without P/LP variants, 46 patients (19%) carried a variant of unknown significance. Non-HCM P/LP variants were identified in six patients (2.5%), with two in RAF1 (p.Leu633Val, p.Ser257Leu) and one in DES (p.Arg406Trp), FHL1 (p.Glu96Ter), TTN (p.Lys23480fs), and in the mitochondrial genome (m.3243A>G). Frameshift, nonsense, and splice-variants made up 82% of all P/LP MYBPC3 variants. In all the other genes, missense mutations were the dominant form of variants. The MYBPC3 p.Gln1233Ter, the MYBPC3 p.Pro955ArgfsTer95, and the MYBPC3 p.Ser593ProfsTer11 variants were identified in 12, 7, and 13 patients, respectively. These three variants made up 36% of all patients with identified P/LP variants, raising the possibility of a possible founder effect for these mutations. Similar to other HCM opulations, the MYBPC3 and the MYH7 genes seemed to be the most frequently affected genes in Hungarian HCM patients. The high prevalence of three MYBPC3 mutations raises the possibility of a founder effect in our HCM cohort.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
hypertrophic cardiomyopathy
genetic analysis
genetic variant
Megjelenés:Diagnostics. - 12 : 5 (2022), p. 1-12. -
További szerzők:Hategan, Lidia Csányi Beáta Borbás János Tringer Annamária Pálinkás Eszter Dalma Nagy Viktória (1989-) (vegyész és kémia tanár) Takács Hedvig Latinovics Dóra Nyolczas Noémi Pálinkás Attila Faludi Réka Rábai Miklós Szabó Gábor Tamás (1982-) (kardiológus) Czuriga Dániel (1982-) (kardiológus) Balogh László (1976-) (kardiológus) Halmosi Róbert Borbély Attila (1978-) (kardiológus) Habon Tamás Hegedűs Zoltán Nagy István Péter (1964-) (vegyész, kémikus)
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8.

001-es BibID:BIBFORM093939
035-os BibID:(cikkazonosító)1910 (WoS)000650426000001 (Scopus)85113191866
Első szerző:Szabó Gábor Tamás (kardiológus)
Cím:The Holistic Coronary Physiology Display : calculation of the Flow Separation Index in Vessel-Specific Individual Flow Range during Fractional Flow Reserve Measurement Using 3D Coronary Reconstruction / Gábor Tamás Szabó, Áron Üveges, Balázs Tar, András Ágoston, Azzaya Dorj, Csaba Jenei, Rudolf Kolozsvári, Benjamin Csippa, Dániel Czuriga, Zsolt Kőszegi
Dátum:2021
ISSN:2077-0383
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Journal of Clinical Medicine. - 10 : 9 (2021), p. 1-14. -
További szerzők:Üveges Áron Tar Balázs (1970-) (orvos) Ágoston András Dorj, Azzaya Jenei Csaba (1976-) (kardiológus) Kolozsvári Rudolf (1976-) (kardiológus) Csippa Benjamin Czuriga Dániel (1982-) (kardiológus) Kőszegi Zsolt (1962-) (kardiológus, belgyógyász)
Pályázati támogatás:ÚNKP-20-03
Egyéb
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9.

001-es BibID:BIBFORM091394
035-os BibID:(cikkazonosító)969
Első szerző:Szabó Gábor Tamás (kardiológus)
Cím:Predictors of Hospital Mortality in Patients with Acute Coronary Syndrome Complicated by Cardiogenic Shock / Szabó Gábor Tamás, Ágoston András, Csató Gábor, Rácz Ildikó, Bárány Tamás, Uzonyi Gábor, Szokol Miklós, Sármán Balázs, Jebelovszki Éva, Édes István Ferenc, Czuriga Dániel, Kolozsvári Rudolf, Csanádi Zoltán, Édes István, Kőszegi Zsolt
Dátum:2021
ISSN:1424-8220
Megjegyzések:As demonstrated by earlier studies, pre-hospital triage with trans-telephonic electrocardiogram (TTECG) and direct referral for catheter therapy shows great value in the management of out-of-hospital chest pain emergencies. It does not only improve in-hospital mortality in ST-segment elevation myocardial infarction, but it has also been identified as an independent predictor of higher in-hospital survival rate. Since TTECG-facilitated triage shortens both transport time and percutaneous coronary intervention (PCI)-related procedural time intervals, it was hypothesized that even high-risk patients with acute coronary syndrome (ACS) and cardiogenic shock (CS) might also benefit from TTECG-based triage. Here, we decided to examine our database for new triage- and left ventricular (LV) function-related parameters that can influence in-hospital mortality in ACS complicated by CS. ACS patients were divided into two groups, namely, (1) hospital death patients (n = 77), and (2) hospital survivors (control, n = 210). Interestingly, TTECG-based consultation and triage of CS and ACS patients were confirmed as significant independent predictors of lower hospital mortality risk (odds ratio (OR) 0.40, confidence interval (CI) 0.21?0.76, p = 0.0049). Regarding LV function and blood chemistry, a good myocardial reperfusion after PCI (high area at risk (AAR) blush score/AAR LV segment number; OR 0.85, CI 0.78?0.98, p = 0.0178) and high glomerular filtration rate (GFR) value at the time of hospital admission (OR 0.97, CI 0.96?0.99, p = 0.0042) were the most crucial independent predictors of a decreased risk of in-hospital mortality in this model. At the same time, a prolonged time interval between symptom onset and hospital admission, successful resuscitation, and higher peak creatine kinase activity were the most important independent predictors for an increased risk of in-hospital mortality. In ACS patients with CS, (1) an early TTECG-based eleconsultation and triage, as well as (2) good myocardial perfusion after PCI and a high GFR value at the time of hospital admission, appear as major independent predictors of a lower in-hospital mortality rate.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Sensors. - 21 : 3 (2021), p. 1-13. -
További szerzők:Ágoston András Csató Gábor Rácz Ildikó (1973-) (kardiológus) Bárány Tamás Uzonyi Gábor Szokol Miklós (1971-) (kardiológus) Sármán Balázs (1976-) (kardiológus) Jebelovszki Éva Édes István Ferenc (1980-) (kardiológus) Czuriga Dániel (1982-) (kardiológus) Kolozsvári Rudolf (1976-) (kardiológus) Csanádi Zoltán (1960-) (kardiológus) Édes István (1952-) (kardiológus) Kőszegi Zsolt (1962-) (kardiológus, belgyógyász)
Pályázati támogatás:GINOP-2.3.2-15-2016-00043
GINOP
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10.

001-es BibID:BIBFORM088246
Első szerző:Szabó Gábor Tamás (kardiológus)
Cím:Hypothetical dysfunction of the epithelial sodium channel may justify neurohumoral blockade in coronavirus disease 2019 / Szabó Gábor Tamás, Kiss Attila, Csanádi Zoltán, Czuriga Dániel
Dátum:2021
ISSN:2055-5822
Megjegyzések:Since the outbreak of the COVID-19 pandemic, substantial effort has been made to understand the mechanism behind increased mortality in infected patients with pre-existing cardiovascular (CV) conditions. As the angiotensin-converting enzyme 2 (ACE2) on the host cell membrane serves as a known cellular entry point for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the use of renin-angiotensin-aldosterone system (RAAS) inhibitors seemed to pose an increased risk due to the potential upregulation of ACE2. In fact, initial assumptions concerning this issue were proven wrong when data regarding the beneficial effects of these drugs in SARS-CoV-2-infected cardiac patients surfaced. Here, we raise a novel hypothesis on the role of the epithelial sodium channel (ENaC) in the cascade of RAAS-mediated CV regulation in COVID-19 cases. Our assumption is based on the potentially reduced bioavailability of the endoprotease furin, leading to insufficient ENaC activation and consequently, RAAS upregulation. This unique mechanism may, in part, be responsible for the advantages of RAAS inhibition in the treatment of COVID-19 patients.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
EPITHELIAL SODIUM CHANNEL
CORONAVIRUS DISEASE
ACE2
COVID-19
Megjelenés:ESC Heart Failure. - 8 : 1 (2021), p. 171-174. -
További szerzők:Kiss Attila Csanádi Zoltán (1960-) (kardiológus) Czuriga Dániel (1982-) (kardiológus)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
Borító:

11.

001-es BibID:BIBFORM102029
Első szerző:Tar Balázs (orvos)
Cím:Pressure- and 3D-Derived Coronary Flow Reserve with Hydrostatic Pressure Correction : comparison with Intracoronary Doppler Measurements / Balázs Tar, András Ágoston, Áron Üveges, Gábor Tamás Szabó, Tibor Szűk, András Komócsi, Dániel Czuriga, Benjamin Csippa, György Paál, Zsolt Kőszegi
Dátum:2022
ISSN:2075-4426
Megjegyzések:Purpose: To develop a method of coronary flow reserve (CFR) calculation derived from three-dimensional (3D) coronary angiographic parameters and intracoronary pressure data during fractional flow reserve (FFR) measurement. Methods: Altogether 19 coronary arteries of 16 native and 3 stented vessels were reconstructed in 3D. The measured distal intracoronary pressures were corrected to the hydrostatic pressure based on the height differences between the levels of the vessel orifice and the sensor position. Classical fluid dynamic equations were applied to calculate the flow during the resting state and vasodilatation based on morphological data and intracoronary pressure values. 3D-derived coronary flow reserve (CFRp-3D) was defined as the ratio between the calculated hyperemic and the resting flow and was compared to the CFR values simultaneously measured by the Doppler sensor (CFRDoppler). Results: Haemodynamic calculations using the distal coronary pressures corrected for hydrostatic pressures showed a strong correlation between the individual CFRp-3D values and the CFRDoppler measurements (r = 0.89, p < 0.0001). Hydrostatic pressure correction increased the specificity of the method from 46.1% to 92.3% for predicting an abnormal CFRDoppler < 2. Conclusions: CFRp-3D calculation with hydrostatic pressure correction during FFR measurement facilitates a comprehensive hemodynamic assessment, supporting the complex evaluation of macro-and microvascular coronary artery disease.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
stable angina
fractional flow reserve (FFR)
coronary flow reserve (CFR)
quantitative coronary angiography
coronary microvascular disease
microvascular resistance reserve (MRR)
Megjelenés:Journal of Personalized Medicine. - 12 : 5 (2022), p. 1-13. -
További szerzők:Ágoston András Üveges Áron Szabó Gábor Tamás (1982-) (kardiológus) Szűk Tibor (1967-) (kardiológus) Komócsi András Czuriga Dániel (1982-) (kardiológus) Csippa Benjamin Paál György Kőszegi Zsolt (1962-) (kardiológus, belgyógyász)
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

12.

001-es BibID:BIBFORM088395
Első szerző:Tar Balázs (orvos)
Cím:Hyperemic contrast velocity assessment improves accuracy of the image-based fractional flow reserve calculation / Balázs Tar, Csaba Jenei, Áron Üveges, Gábor Tamás Szabó, András Ágoston, Csaba András Dézsi, András Komócsi, Dániel Czuriga, Attila Juhász, Zsolt Kőszegi
Dátum:2021
ISSN:1897-5593
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Cardiology Journal. - 28 : 1 (2021), p. 163-165. -
További szerzők:Jenei Csaba (1976-) (kardiológus) Üveges Áron Szabó Gábor Tamás (1982-) (kardiológus) Ágoston András Dézsi Csaba András Komócsi András Czuriga Dániel (1982-) (kardiológus) Juhász Attila Kőszegi Zsolt (1962-) (kardiológus, belgyógyász)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
DOI
Borító:
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