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Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS). Endorsed by: Association for European Paediatric and

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Orvosi Hetilap
Authors: Orsolya Szenczi, Kristóf Karlócai, László Bucsek, and János Rigó

Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS) Endorsed by: Association for European Paediatric and

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Authors: Ronnie Ramlogan, Andrea Mina, Gindo Tampubolon, and J. Metcalfe


Innovation in medicine is a complex process that unfolds unevenly in time and space. It is characterised by radical uncertainty and emerges from innovation systems that can hardly be comprehended within geographical, technological or institutional boundaries. These systems are instead highly distributed across countries, competences and organisations. This paper explores the nature, rate and direction of the growth and transformation of medical knowledge in two specific areas of research, interventional cardiology and glaucoma. We analyse two large datasets of bibliometric information extracted from ISI and adopt an empirical network approach to try to uncover the fine structure of the relevant micro-innovation systems and the mechanisms through which these evolve along trajectories of change shaped by the search for solutions to interdependent problems.

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European Society of Cardiology (ESC) and the European Respiratory Society (ERS), endorsed by the International Society of Heart and Lung Transplantation (ISHLT) guideline. Eur. Heart J., 2009, 30 , 2493

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D.P. Zipes 2008 American Heart Association/American College of Cardiology Foundation/Heart Rhythm Society scientific statement on noninvasive risk stratification techniques for identifying patients at

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Magyar Sebészet
Authors: Hicham El-Meouch, Imre Nagy, Laura Simsay, Gábor Váradi, Magdolna Lőrincz, Nikoletta Hajszán, György Demján, and Károly Szentléleki


A szerzők egy 78 éves nőbeteg esetét ismertetik, aki kórházuk kardiológiai osztályára került felvételre pacemaker-beültetés elbírálásának céljából. Kivizsgálása során észlelt anaemia, illetve melena miatt végzett gastrocopos vizsgálat (felső panendoscopia) nagy duodenalis diverticulumot igazolt. A vizsgálat után acut has képe alakult ki, az elvégzett vizsgálatok a diverticulum perforatióját mutatták. Sürgős műtétet végeztek, a diverticulumot resecálták, ezt követően a beteg gyógyultan távozott. A szerzők tárgyalják a diverticulum ritka lokalizációját, a preoperatív diagnózis nehézségeit, a sikeres felismerést és kezelést, valamint az irodalmi adatokat.

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Acta Physiologica Hungarica
Authors: N Szegedi, E Zima, M Clemens, A Szekely, RG Kiss, G Szeplaki, L Geller, B Merkely, Z Csanadi, and G Duray


Catheter ablation is a proven therapy of focal atrial tachycardia. However limited information is available about the additional value of electroanatomical over conventional mapping methods for this specific arrhythmia.


Consecutive catheter ablation procedures of FAT were analyzed in two cardiology centres. Only conventional mapping was used in 30 of the 60 procedures whereas additionally CARTO mapping was performed in another 30 procedures. Acute, six-month success rate, and procedural data were analyzed.


Localization of ectopic foci is congruent with previously published data. There was no statistically significant difference between procedure time and fluoroscopy time using additionally CARTO mapping, compared to conventional mapping only. Acute success rate was higher in procedures guided by CARTO mapping than in procedures based on conventional mapping (27/30 vs. 18/30, p = 0.0081). During the 6-month follow-up period there was a better outcome (p = 0.045) in case of CARTO guided procedures (success: 11 cases, partial success: 12 cases, failure: 4 cases) compared to conventional mapping (success: 4 cases, partial success: 18 cases, failure: 7 cases).


Catheter ablation of focal atrial tachycardias using the CARTO electroanatomical mapping system seems to provide higher acute and 6-month success rate compared to ablation using conventional mapping methods only.

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In Hungary, ECG is a keystone of routine athletic screening. Its signifcance is based on simplicity, quickness and high informative value as well as the fact that appearance of pathological ECG signs can precede the formation of structural heart diseases. During screening of healthy athletes, we studied the incidence of athletic ECG changes and pathological ECG abnormalities. Methods: We performed detailed analysis of 12-lead ECG recordings of asymptomatic elite, non-elite and master athletes and controls. Results: 227 athletes (male: 180, age: 27.2±8.7 years) and 89 controls (male: 57, age: 28.1±6.8 years) were examined. Benign ECG signs: sinus bradycardia, early repolarization and isolated Voltage criteria of left ventricular hypertrophy were common and more often in athletes compared to controls. Potentially pathological ECG signs: ST- (6.6% vs. 1.1%, p < 0.05) and T-wave (15.0% vs. 5.6%, p < 0.05) changes and signs of pathological left ventricular hypertrophy (5.3% vs. 0%, p < 0.05) occurred more frequently in athletes compared to controls. Conclusions: Signs of pathological left ventricular hypertrophy and repolarization abnormalities are more often in athletes. No structural heart disease could be verifed in the background of the disorders. However, athletes having pathological ECG should be kept under tight cardiology control. Exact defnition and widespread knowledge of pathological ECG changes is essential in early recognition of high risk athletes.

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Interventional Medicine and Applied Science
Authors: Zsolt Komka, E. Bosnyák, E. Trájer, A. Protzner, Zs. Major, G. Pavlik, M. Tóth, and A. Udvardy

, with considerations for preparticipation screening and criteria for disqualification Cardiology Clinics 25 3 399 414 . 2

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Orvosi Hetilap
Authors: Eszter Mária Végh, Gábor Széplaki, Szabolcs Szilágyi, István Osztheimer, Tamás Tahin, Béla Merkely, and László Gellér

Camm, A. J., Kirchhof, P., Lip, Gy. és mtsai: Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology

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