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://www.ksh.hu/docs/hun/xstadat/xstadat_hosszu/h_wdsd001c.html?420 [Hungarian] 3 Ginter, E., Simko, V.: Dramatic decline of ischaemic heart disease mortality in post communist Central Europe: recovery from totality

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Acta Microbiologica et Immunologica Hungarica
Authors: G. Klausz, Andrea Tiszai, Zsuzsa Lénárt, Zsófia Gyulai, L. Tiszlavicz, Márta Hőgye, M. Csanády, J. Lonovics and Yvette Mándi

., Patti, G., Cuoco, L., Gasbarrini, A., Grillo, R. L., Fedeli, G., Gasbarrini, G., Maseri, A.: Association of virulent Helicobacter pylori strains with ischemic heart disease. Circulation 97 , 1675 (1998). Association of

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. 2000 132 270 278 Imaizumi, M., Akahoshi, M., Ichimaru, S. és mtsai: Risk for ischemic heart disease and

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chronic obstructive lung disease with underlying ischaemic heart disease, heart failure or hypertension. Thorax, 2012, 67 (11), 977–984. Tavazzi, L., Swedberg, K., Komajda, M., et al.: Clinical profiles and outcomes

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Orvosi Hetilap
Authors: Gyöngyi Petra Major, Szabolcs Halász, Tamás Simor, Orsolya Németh, Orsolya Pothárn and Lajos Nagy

Schvartzman, P. R., Srichai, M. B., Grimm, R. A., et al.: Nonstress delayed-enhancement magnetic resonance imaging of the myocardium predicts improvement of function after revascularization for chronic ischemic heart disease with left ventricular dysfunction

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Orvosi Hetilap
Authors: Tamás Nagykálnai, A. Csaba Nagy and László Landherr

., McGale, P., et al.: Risk of ischemic heart disease in women after radiotherapy for breast cancer. N. Engl. J. Med., 2013, 368 (11), 987–998. Boekel, N. B., Schaapveld, M., Gietema, J. A., et al.: Cardiovascular

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Abstract  

The Ca-concentration has been measured in daily shaven beard samples over a seven-year period. The Ca-concentration range in beard of single individuals is the same as that in the head hair of different groups. Inviduals belonging to the group with low Ca-level (Ca<700 ppm) in hair (endangered group from ischaemic heart diseases) may increase the Ca-level in their hair and get into the group with high Ca-level (Ca>700 ppm; defended group).

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Abstract

Objectives

The aim of this study is to report our experience on the postoperative outcome of surgical treatment of inflammatory abdominal aortic aneurysm (IAAA).

Materials and Methods

Between 1997–2014, 35 patients with IAAA underwent surgery. The mean age was 63 ± 18 years. Chronic renal failure was identified in 11 (31.4%) patients and confirmed ischemic heart disease in 15 (43%) patients. The mean aortic aneurysm diameter was 68 ± 25 mm. The abdominal aorta was clamped above the renal arteries in 6 (17%) patients.

Results

The hospital mortality was 5.7% (2 patients). Three patients developed an aortic pseudoaneurysm and underwent a redo operation. Another patient developed a femoral anastomotic pseudoaneurysm 7 years after operation and he was treated surgically. The actuarial free-reoperation actuarial survival at 1, 5 and 7 years was 94%, 62% and 50%, respectively. The Cox model revealed the delta erythrocyte sedimentation rate (p = 0.002), ischemic heart disease (p = 0.006) and renal failure (p = 0.036) as strong predictors for poor overall outcome.

Conclusion

Early postoperative outcome in terms of mortality and morbidity seems acceptable, however, patients with IAAA have an increased risk for reoperation due to pseudonaneurysm formation. Strong predictors for poor overall outcome seem to be the elevated erythrocyte sedimentation rate, ischemic heart disease and chronic renal failure.

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Absztrakt

A cukorbetegség korunk egyik legnagyobb népegészségügyi problémája. Felfedezésekor micro- és macroangiopathiás szövődmények meglétével, illetve azok korai megjelenésével is kezdettől számolni kell. 2-es típusú diabetesben a kardiológiai szövődmény jelentős részben a koszorúerek szintjén megjelenő atherosclerosis és ennek talaján kialakuló ischaemiás szívbetegség, klinikailag pedig az angina pectoris, illetve a myocardialis infarctus. Legalább ennyire gyakori a microangiopathia, illetve a szövetek szintjén kialakuló szekunder szívizom-károsodás. Az ischaemiás szívbetegség kezelésében az intervenciós beavatkozások mellett a koszorúér-tágító, a vérnyomást és szívfrekvenciát csökkentő gyógyszerek alkalmazása széles körben elterjedt. A szerzők egy olyan hemodinamikai hatásoktól mentes terápiára hívják fel a figyelmet, amely a szívizomsejt anyagcseréjére gyakorolt hatásai révén javítja a betegek életminőségét. Orv. Hetil., 2015, 156(19), 765–768.

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Abstract

Background: Although circular ventricle resection techniques are the gold standard of left ventricle restoration, these techniques can lead to suboptimal results. Postoperative systolic resection line can be inadequate, as it must be planned on a heart stopped in diastole. The impaired geometry and contractility may lead to increased short- and long-term mortality. Moreover, postoperative low cardiac output due to insufficient left ventricular volume results in a potentially unstable condition, and cannot be corrected. Our aim was to find a preoperative method to minimize risk and maximize outcome with left ventricle restoration. Methods: We have created a novel method combining surgery with modern imaging techniques to construct a preoperative 3D systolic heart model. The model was utilized to determine resection could be intraoperatively used to create the new left ventricle. Results: The computer assisted ventricle engineering technique is described step by step through a successful aneurysmectomy of a 61-year-old female patient with a complicated giant left ventricle aneurysm. Conclusions: Using this model we are able to find the optimal resection line providing excellent postoperative result, thus minimizing the risk of low cardiac output syndrome. This is the first report of our new combined approach to left ventricle restoration.

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