[The role of transesophageal echocardiography in atrial septal defect detected in adults].

Abstract:

UNLABELLED:To assess the value of combined transesophageal echocardiography (TE) and transthoracic echocardiography (TTE) in the preoperative evaluation of atrial septal defect (ASD) 59 consecutive patients (aged 15-62, mean 38 yrs) with clinically or echocardiographically suspected ASD underwent TE and complete noninvasive hemodynamic study by TTE. ASD was found by TE in 48: fossa ovalis (FO) type in 36, sinus venosus (SV) type in 11 and primum type in 1. For FO and SV defect the sensitivity of clinical judgement was 83 and 0%, the specificity 39 and 100% resp., the sensitivity of TTE was 78 and 9%, the specificity 78 and 100%. The most frequently associated anomaly by TE was mitral valve prolapse (25%). SV defect was always associated with anomalous right upper pulmonary venous drainage, and left superior vena cava was found in 27% of SV defects. There was significant correlation between Qp/Qs measured by TTE and by catheterization (r = 0.64), but the Qp/Qs was not related to defect size. An excellent correlation was found between pulmonary artery systolic pressure measured by CW Doppler and catheterization (r = 0.98). IN CONCLUSION:1) TTE combined with TE is reliable in the preoperative assessment of ASD in adults, 2) TE is not necessary if there are unequivocal clinical and TTE signs of an FO defect with significant left-to-right shunt, 3) TE is indicated in patients with signs of right ventricular overload or pulmonary hypertension if an ASD cannot be ruled out by TTE, 4) catheterization is necessary if all 4 pulmonary veins cannot be visualized by TE.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Lengyel M,Temesvári A,Villányi J,Kassai I

subject

Has Abstract

pub_date

1991-11-10 00:00:00

pages

2467-71

issue

45

eissn

0030-6002

issn

1788-6120

journal_volume

132

pub_type

杂志文章,评审
  • [Community-acquired bacterial infections among type 2 diabetic and non-diabetic patients hospitalized on a general medical ward: a clinical comparison].

    abstract::Introduction: Previous data showed bacterial infections among diabetic patients to be more serious and frequent, with higher mortality rates in comparison with non-diabetics. Recent investigations, however, are contradictory. Aim: The goal of our prospective, observational study was to compare patients hospitalized on...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2019.31508

    authors: Barkai LJ,Sipter E,Csuka D,Baló T,Nébenführer Z,Máthé A,Karádi I,Pánczél P,Prohászka Z,Hosszúfalusi N

    更新日期:2019-10-01 00:00:00

  • [Favourable effects of kidney transplantation on vascular condition of patients: Potential prognostic significance of non-invasive measurement of arterial stiffness].

    abstract:INTRODUCTION:Development of atherosclerosis is accelerated in kidney transplant patients. Impaired metabolic pathways have complex effect on the arterial wall which can be measured by non-invasive techniques. Only few data are available on the change of stiffness parameters in the postoperative course. Therefore, in th...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Kovács DÁ,Asztalos L,Laczik R,Fedor R,Szabó L,Lőcsey L,Soltész P

    更新日期:2016-06-12 00:00:00

  • [Effectiveness of generic rosuvastatin in patients with ischaemic cerebrovascular disease].

    abstract:UNLABELLED:Statin therapy is the cornerstone of anti-atherosclerotic treatment, and it considered obligatory in the secondary prevention of atherosclerotic diseases. Rosuvastatin is well-known and efficacious lipid-lowering agent. Generic drugs are more frequently used instead of its ancestors. Generic rosuvastatin for...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2012.29390

    authors: Szapáry L,Fehér G

    更新日期:2012-06-03 00:00:00

  • [Percutaneous left atrial appendage closure after resolution of left atrial appendage thrombi with dabigatran].

    abstract::The "gold standard" of the prevention of atrial fibrillation related thromboembolic events is anticoagulation therapy with oral vitamin K antagonists. A certain proportion of high-risk patients with atrial fibrillation are not receiving effective antithrombotic therapy because of problems associated with its use. Reso...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2013.29550

    authors: Kis Z,Földesi C,Pál M,Som Z,Csillik A,Abrahám P,Temesvári A,Fontos G,Szatmári A,Andréka P,Kardos A

    更新日期:2013-02-17 00:00:00

  • [The regulation of body mass and its relation to the development of obesity].

    abstract::Body mass--strictly speaking: the adipose tissue mass--is regulated in a feed-back system by the hypothalamus and brainstem, where adiposity signals (leptin, insulin, amylin) and intestinal peptides (ghrelin, PYY, PP, GLP-1, OXM, CCK) and the vagal nerve provide afferent information to the central controller on the si...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2007.28085

    authors: Juhász A,Katona E,Csongrádi E,Paragh G

    更新日期:2007-09-30 00:00:00

  • [Comparative study of ketotiphen and oxatomide (repeated skin- and nasal provocation)].

    abstract::The authors report a comparative study on the effects of ketotifen and oxatomide on repeated provocation of the skin and the nasal mucosa in 16 children (4 girls and 12 boys, average age 12.0 +/- 3.25 yr) with diagnosed seasonal allergic rhinitis. Preceding and following a 4-week ketotifen or oxatomide treatment, a qu...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Bittera I,Kadocsa E,Gyurkovits K

    更新日期:1990-02-18 00:00:00

  • [Primary, single-stage arterial switch operations at a newly-established, comprehensive congenital cardiac center performed in the neonatal age and beyond].

    abstract:INTRODUCTION:Outcome of arterial switch operation for transposition of the great arteries with/without ventricular septal defect is a service key-performance-indicator. AIM:The aim of the authors was to assess patient characteristics and parameters in the perioperative course. METHOD:In the setting of a newly-establi...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2015.30176

    authors: Király L,Tamás C

    更新日期:2015-06-21 00:00:00

  • [When does an autoimmune disease begin? Importance of the early diagnosis].

    abstract::In autoimmune diseases, such as type I diabetes mellitus, systemic autoimmune diseases and the early phase of rheumatoid arthritis, before the development of a definitive disease, clinical and laboratory alterations can be observed. Being aware of these symptoms is crucial both for family practitioners and specialists...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2007.28031

    authors: Bodolay E,Dérfalvi B,Gergely P,Poór G

    更新日期:2007-04-08 00:00:00

  • [Esophageal complications of gastroesophageal reflux disease: consequences or defensive reactions?]

    abstract::Gastroesophageal reflux disease affects more than 10% of the adult population. Most patients can be effectively treated with lifestyle changes and adequate acid-reducing therapy. However, about 10% of the patients remain symptomatic despite treatment and severe complications may develop. Interestingly, some of these c...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/650.2017.30759

    authors: Horváth ÖP,Bognár L,Papp A,Vereczkei A

    更新日期:2017-05-01 00:00:00

  • [Genetic evaluation of mental retardation].

    abstract::About 3% of the population is mentally retarded. Due to the progress in medical genetics, congenital origin of disability may be explored in an increasing number of affected children, however, the etiology can still not be determined in a large proportion of the cases, although this would be indispensable for a ration...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Méhes K,Kosztolányi G

    更新日期:1998-02-15 00:00:00

  • [Endoscopic ligation of bleeding esophageal varices].

    abstract::Endoscopic variceal ligation (EVL) is a new method for treating oesophageal varices, which was developed to reduce the high complication rate seen with endoscopic sclerotherapy. This technique consists of mechanical occlusion and thrombosis applying small elastic bands around the variceal channels in the distal oesoph...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Székely I,Székely A,József I,Fejes R,Solt I

    更新日期:1997-09-07 00:00:00

  • [Examination of attitudes towards transplantation among patients with chronic renal failure].

    abstract::The patients' attitudes towards kidney transplantation are significantly affected by the acceptance of the treatment to have a better quality of life. Exploration of the cognitive-emotional relation in patients with chronic renal failure. Our study included 285 kidney patients. We investigated three groups of patients...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2018.31283

    authors: Illés A,Nemes B,Kovács S,Bugán A

    更新日期:2018-11-01 00:00:00

  • [Novel therapeutic possibilities in systemic lupus erythematosus].

    abstract::Systemic lupus erythematosus (SLE) is an autoimmune disorder involving different organs and organ systems with consequent characteristic clinical and serologic symptoms. Despite of the improvement in lupus survival, approximately 10-20% of patients do not respond to traditional immune suppressive therapies. Relapses a...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2010.28863

    authors: Bazsó A,Poór G,Gergely P,Kiss E

    更新日期:2010-05-02 00:00:00

  • [Cystic struma ovarii, a rare form of ovarian tumor--case report, and review of the literature].

    abstract::Struma ovarii represents less than 3% of ovarian teratomas. It can be associated with thyroid biology abnormalities, and in exceptionally rare cases it can be malignant. The authors report a case of a 31-year-old woman who underwent resection of a left ovarian cyst, presenting with the clinical features of an ovarian ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2007.28202

    authors: Ostör G,Tóth I,Hrubyné Tóth Z,Bazsa S

    更新日期:2007-12-02 00:00:00

  • [How do Hungarian family physicians think about Helicobacter pylori? Results of national survey].

    abstract:UNLABELLED:INTRODUCTION, AIMS: In spring of 2000 a national survey was conducted on the diagnostic and therapeutic attitudes of Hungarian family practitioners concerning Helicobacter pylori. RESULTS:Based on responses, endoscopy, urea breath test and serology are easily available to 98, 42 and 48% of family practition...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Magyar A,Papp J

    更新日期:2002-06-30 00:00:00

  • [Right ventricular outflow tract reconstruction in adolescents and adults after previous repair of congenital heart defects].

    abstract:UNLABELLED:Due to successful surgical treatment of congenital heart defects in infants and children, the number of patients who reach the adolescent/adult age is continuously increasing. AIMS:The authors sought to identify the short- and medium-term outcomes of reconstruction of right ventricular outflow tract in adol...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2012.29428

    authors: Hartyánszky I,Székely L,Szudi L,Mihályi S,Kádár K,Temesvári A,Bálint H,Szatmári A,Tóth A

    更新日期:2012-08-05 00:00:00

  • [Diagnosis and treatment of chronic hepatitis B and D. National consensus guideline in Hungary from 22 September 2017].

    abstract::Diagnosis and treatment of hepatitis B virus (HBV) and hepatitis D virus infection mean for the patient to be able to maintain working capacity, to increase quality of life, to prevent cancer, and to prolong life expectancy, while the society benefits from eliminating the chances of further transmission of the viruses...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2018.31004

    authors: Horváth G,Gerlei Z,Gervain J,Lengyel G,Makara M,Pár A,Rókusz L,Szalay F,Tornai I,Werling K,Hunyady B

    更新日期:2018-02-01 00:00:00

  • [Jet lag].

    abstract::It is known that time-zone fatigue (jet lag syndrome) a transient physiological and mental condition occurs when people travel by jet between zones with time differences of five hours or longer. Jet lag syndrome is considered to develop because of internal desynchronization that results from a sudden difference betwee...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Bálint Gábor S

    更新日期:1994-08-07 00:00:00

  • [Metastasized carcinoid tumor treated with interferon and octreotide].

    abstract::The carcinoid tumours are rare forms of the gastrointestinal tumours (they make up 2%), though lately they have shown an upward tendency. Among different types of treatments of the carcinoid tumours in non metastatised cases, the surgical intervention stands first on the list. But when symptoms emerge, most of the tum...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Szilvás A,Székely G,Szilvási I,Jakab F

    更新日期:1998-10-11 00:00:00

  • [Parameters of bed occupancy of intensive care units in Hungary].

    abstract::According to the Semmelweis Plan for Saving Health Care, "the capacity of the national network of intensive care units in Hungary is one but not the only bottleneck of emergency care at present". Author shows on the basis of data reported to the health insurance that not on a single calendar day more than 75% of beds ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2011.29137

    authors: Gresz M

    更新日期:2011-06-12 00:00:00

  • [Nicolau syndrome after ketazon injection].

    abstract::Nicolau syndrome is a rare complication, which occurs after intramuscular injections of various drugs, particularly antirheumatic drugs. During one year, the authors observed this syndrome in three patients, who had received intramuscular injections of Ketazon. The aetiology of the syndrome is not yet known, but it is...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Varga L,Asztalos L

    更新日期:1990-05-27 00:00:00

  • [Image-guided radiotherapy for muscle invasive bladder cancer with intravesical lipiodol injection. A new option for bladder sparing treatment].

    abstract:INTRODUCTION AND AIM:To implement lipiodol as a fiducial marker of the tumor bed for image-guided radiotherapy with simultaneous integrated boost technique as part of radiochemotherapy for muscle invasive bladder tumors. METHOD:Since April 2016, radiochemotherapy was performed in 3 male patients with muscle invasive, ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2017.30904

    authors: Kliton J,Polgár C,Tenke P,Kovács G,Major T,Stelczer G,Ágoston P

    更新日期:2017-12-01 00:00:00

  • [Cerebral blood flow studied by SPECT and transcranial Doppler sonography in subarachnoid hemorrhage].

    abstract::The detection of vasospasm plays an important role for the definition of the strategy of treatment in patients with subarachnoid hemorrhage (SAH). Besides the invasive contrast angiography, the non-invasive 99m-Tc-HMPAO brain perfusion SPECT and transcranial Doppler sonography (TCD) are recently used for this purpose....

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Ambrus E,Pávics L,Barzó P,Vörös E,Almási L,Bodosi M,Csernay L

    更新日期:1996-08-18 00:00:00

  • [Acute pancreatitis. Evidence-based practice guidelines, prepared by the Hungarian Pancreatic Study Group].

    abstract::Acute pancreatitis is one of the most common diseases of the gastrointestinal tract associated with significant morbidity and mortality that requires up-to-date and evidence based treatment guidelines. The Hungarian Pancreatic Study Group proposed to prepare evidence based guideline for the medical and surgical manage...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,实务指引,评审

    doi:10.1556/OH.2015.30059

    authors: Hritz I,Czakó L,Dubravcsik Z,Farkas G,Kelemen D,Lásztity N,Morvay Z,Oláh A,Pap Á,Párniczky A,Sahin-Tóth M,Szentkereszti Z,Szmola R,Szücs Á,Takács T,Tiszlavicz L,Hegyi P,Magyar Hasnyálmirigy Munkacsoport, Hungarian Pancr

    更新日期:2015-02-15 00:00:00

  • [Eradication of Helicobacter pylori infection in Europe: a meta-analysis based on congress abstracts, 1997-2002].

    abstract:BACKGROUND:Meta-analyses evaluated several aspects of Helicobacter pylori eradication based on the randomised controlled trials. AIM:to perform a meta-analysis of the papers presented at the European Helicobacter Pylori Study Group and United European Gastroenterology Week meetings from 1997 to 2002. METHODS:Abstract...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,meta分析

    doi:

    authors: Buzás GM,Józan J

    更新日期:2004-10-03 00:00:00

  • [Body image and body image distortion].

    abstract::The aim of this literature review is to integrate the results of various studies regarding body image and body image distortion into a unified framework. The concept of body image is complex and can be interpreted from multiple points of view. The first part of the study touches upon different age characteristics, att...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/650.2017.30752

    authors: Ábrahám I,Jambrik M,John B,Németh AR,Franczia N,Csenki L

    更新日期:2017-05-01 00:00:00

  • [Detection of lactoferrin in feces for differential diagnosis in diarrhea].

    abstract:INTRODUCTION:Routine stool culture is used to evaluate patients with diarrheal illness. However, the results are often delayed, and the tests are very expensive. Therefore a rapid, simple method for screening would be a helpful adjunct in a diagnostic algorithm. Fecal leukocytes are found in diarrhea patients with diff...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Fried K,Tárkányi K,Prinz G,Bán E

    更新日期:2002-09-15 00:00:00

  • [Proctitis caused by Chlamydia trachomatis].

    abstract::The authors report a case of a 32-year-old patient who has been treated for idiopathic proctitis for 10 years. The inflammation did not react to Salazopyrin and corticosteroid therapy. Significant stenosis has developed. The probability of Chlamydia infection has emerged because of the atypical morphological appearanc...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Kalmár J,Várkony M,Székely I,Erckövi E

    更新日期:1995-03-19 00:00:00

  • [Fetal damage caused by contraceptive tablets].

    abstract::When taken during pregnancy, the earlier types of contraceptive pills had a direct teratogenic effect on the female fetus, causing the masculinization syndrome. Presently available pills, which are of different composition and given in smaller doses, do not have a direct teratogenic effect when taken during pregnancy...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Czeizel E

    更新日期:1980-01-06 00:00:00

  • [A cross sectional study of titanium plates surface-treated with anodic oxidation].

    abstract::It is an important modern trend to try to modify the surface properties of titanium implants with titanium oxide produced in various ways. One possibility of surface modification is the formation of an oxide layer by heat and electric treatment. The authors examined three osteosynthesis plates treated with anodic oxid...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Velich N,Kovács L,Németh Z,Szabó G

    更新日期:2006-03-05 00:00:00