@article{MTMT:35526355, title = {Accidental extraction of a lead remnant with a leadless pacemaker delivery system. [case report]}, url = {https://m2.mtmt.hu/api/publication/35526355}, author = {Vámos, Máté and Benák, Attila and Sághy, László and Szili-Török, Tamás}, doi = {10.1016/j.hrcr.2024.10.023}, journal-iso = {HEARTRHYTHM CASE REP}, journal = {HEARTRHYTHM CASE REPORTS}, volume = {11}, unique-id = {35526355}, keywords = {intellectual disability; REMNANT; DELIVERY SYSTEM; TLE; TRANSVENOUS LEAD EXTRACTION; Leadless pacemaker; Micra}, year = {2025}, eissn = {2214-0271}, pages = {129-132}, orcid-numbers = {Szili-Török, Tamás/0000-0002-7165-8243} } @article{MTMT:35618315, title = {Upgrading Right Ventricular Pacing to Cardiac Resynchronization in HFrEF Patients Improves Symptoms and Functional Outcomes}, url = {https://m2.mtmt.hu/api/publication/35618315}, author = {Pólos-Merkel, Eperke Dóra and Hatala, Robert and Szigeti, Mátyás and Schwertner, Walter Richard and Lakatos, Bálint and Behon, Anett and Goscinska-Bis, Kinga and Milasinovic, Goran and Papp, Roland and Ruppert, Mihály and Sághy, László and Clemens, Marcell and Solomon, Scott D and Kutyifa, Valentina and Kovács, Attila and Kosztin, Annamária and Merkely, Béla Péter}, doi = {10.1016/j.jchf.2024.09.011}, journal-iso = {JACC HEART FAILURE}, journal = {JACC-HEART FAILURE}, volume = {13}, unique-id = {35618315}, issn = {2213-1779}, abstract = {In the BUDAPEST (Biventricular Upgrade on left ventricular reverse remodeling and clinical outcomes in patients with left ventricular Dysfunction and intermittent or permanent APical/SepTal right ventricular pacing)-CRT Upgrade randomized trial, the authors have demonstrated improved mortality and morbidity after cardiac resynchronization therapy (CRT) upgrade in patients with heart failure with reduced ejection fraction (HFrEF) with high right ventricular (RV) pacing burden.This substudy sought to examine the impact of CRT upgrade on symptoms, functional outcome, and exercise capacity.In the BUDAPEST-CRT Upgrade trial, 360 HFrEF patients with pacemaker or implantable cardioverter-defibrillator (ICD) and ≥20% RV pacing burden were randomly assigned (3:2) to cardiac resynchronization therapy with defibrillator (CRT-D) upgrade (n = 215) or ICD (n = 145). The prespecified tertiary endpoints were changes in quality of life (QoL) (EQ-5D-3L), NYHA functional class, 6-minute walk test, and N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels.Up to 12 months, NYHA functional class improved in the CRT-D upgrade arm compared with ICD only (adjusted OR: 0.50 [95% CI: 0.32-0.80]; P = 0.003). A remarkable decrease was observed in NT-proBNP levels in the CRT-D arm (adjusted difference -1,257 pg/mL [95% CI: -2,287 to -228]; P = 0.017). The progression of age-related worsening of QoL was moderated by CRT-D upgrade (EQ-5D-3L difference by each year: 0.015 [95% CI: 0.005-0.025]; P interaction = 0.003). However, exercise tolerance (6-minute walk test) remained unchanged in both groups.HFrEF patients with pacemaker/ICD and ≥20% RV pacing burden receiving CRT upgrade showed a substantial improvement in NYHA functional class and decrease in natriuretic peptide levels, as compared with ICD alone. Moreover, CRT-D upgrade could moderate the progression of worsening of QoL attributed to ageing in this vulnerable, elderly patient population. (Biventricular Upgrade on left ventricular reverse remodeling and clinical outcomes in patients with left ventricular Dysfunction and intermittent or permanent APical/SepTal right ventricular pacing [BUDAPEST]-CRT Upgrade trial).}, keywords = {NATRIURETIC PEPTIDES; Exercise capacity; NYHA; QoL; HFrEF; CRT upgrade}, year = {2025}, eissn = {2213-1787}, pages = {265-273}, orcid-numbers = {Schwertner, Walter Richard/0000-0002-6206-243X; Lakatos, Bálint/0000-0002-7627-5620; Behon, Anett/0000-0002-9852-2768; Kutyifa, Valentina/0000-0002-0016-289X; Kovács, Attila/0000-0003-2320-6434; Kosztin, Annamária/0000-0001-6647-2623; Merkely, Béla Péter/0000-0001-6514-0723} } @article{MTMT:35784598, title = {A bal kamrai Purkinje-hálózat distalis arborizációjának katéteres ablatiója a visszatérő kamrafibrilláció terápiájában [Catheter ablation of the distal arborization of the left ventricular Purkinje network in the therapy of recurrent ventricular fibrillation]. [esetismertetés]}, url = {https://m2.mtmt.hu/api/publication/35784598}, author = {Krányák, Dóra and Sághy, László and Pap, Róbert}, doi = {10.1556/650.2025.33209}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {166}, unique-id = {35784598}, issn = {0030-6002}, abstract = {Egyre több vizsgálat eredménye utal a Purkinje-hálózat és a Purkinje-myocardium-junctio szerepére malignus kamrai arrhythmiák kiváltásában. A bal kamrai Purkinje-hálózat distalis arborizációjának rádiófrekvenciás katéterablatiója befolyásolhatja a kamrafibrilláció ismétlődését. Három beteg (mind férfi, életkor: 52 ± 6,6 év) esetében került sor amiodaron ellenére gyakran visszatérő kamrafibrilláció miatt a distalis bal kamrai Purkinje-hálózat ablatiójára. Egyikük hypertrophiás, egy másik ischaemiás cardiomyopathiában szenvedett, a harmadik esetében idiopathiás kamrafibrilláció volt a diagnózis. A célpont azonosítása izoproterenolinfúzióval indukálható, Purkinje-eredetű kamrai extrasystole térképezése (2 beteg esetében) és a klinikai EKG-dokumentáció, illetve a beültethető kardioverter-defibrillátor által rögzített regisztrátumok alapján végzett ’pace-map’ révén (2 beteg) történt. A rádiófrekvenciás ablatio célpontja a Purkinje-potenciálok által azonosított, bal kamrai posterior fasciculus mellett egy esetben magában foglalta az anterior fasciculus distalis arborizációjának területét is. A beavatkozást követő 17 ± 11 hónapos utánkövetés során egy beteg esetében jelentkezett – a korábbiaknál ritkábban – malignus kamrai arrhythmia. Különböző eredetű, visszatérő kamrafibrilláció esetén a bal kamrai Purkinje-hálózat distalis arborizációjának katéteres ablatiója csökkentheti a malignus kamrai arrhythmiák ismétlődését. Orv Hetil. 2025; 166(8): 307–312.}, year = {2025}, eissn = {1788-6120}, pages = {307-312}, orcid-numbers = {Pap, Róbert/0000-0002-7009-5063} } @article{MTMT:36067221, title = {Does organized atrial tachycardia after a pulmonary vein isolation-only procedure portend better outcome of repeat ablation compared to recurrent atrial fibrillation?}, url = {https://m2.mtmt.hu/api/publication/36067221}, author = {Riesz, Tamás János and Bencsik, Gábor and Sághy, László and Pap, Róbert}, doi = {10.1002/joa3.70049}, journal-iso = {J ARRHYTHMIA}, journal = {JOURNAL OF ARRHYTHMIA}, volume = {41}, unique-id = {36067221}, issn = {1880-4276}, abstract = {Better outcome has been suggested for repeat procedures after atrial fibrillation (AF) ablation, when recurrence presented as organized atrial tachycardia (OAT) compared to recurrent AF. However, this contradicts the finding of more advanced atrial remodeling in patients with OAT recurrence and may be related to iatrogenesis by substrate modification during the index procedure. Therefore, we examined the prognostic significance of the type of recurrent arrhythmia after pulmonary vein isolation (PVI) without additional substrate modification.We included 185 patients (88 female, 64 ± 9 years) undergoing repeat ablation after index PVI for recurrent OAT (24%) or AF (76%). The recurrence rate, arrhythmia-free survival time, and the type of further recurrences were recorded.There was no difference in the rate and mean time of arrhythmia-free survival between patients with OAT versus AF recurrence after the first (49% vs. 52%, p = .72 and 51.08 ± 6.66 vs. 53.37 ± 4.75 months, p = .54, respectively) and last (60% vs. 58%, p = .80 and 63.2 ± 7.04 vs. 61.2 ± 5.32 months, p = .23, respectively) redo procedure. AF occurred in the majority of subsequently recurring patients in both groups. No significant difference was found in the outcome of redo procedures between patients with typical flutter and atypical OAT, but a higher rate of successful rhythm control was observed in those with paroxysmal, as compared to persistent AF recurrence.After a PVI-only index procedure, recurrent OAT is not associated with a better outcome of redo procedures compared to recurrent AF. After repeat ablations, both groups experience AF as the dominant further recurrence.}, keywords = {Recurrence; Atrial Fibrillation; Pulmonary vein isolation; organized atrial tachycardia}, year = {2025}, eissn = {1883-2148}, orcid-numbers = {Riesz, Tamás János/0000-0003-1615-2765; Pap, Róbert/0000-0002-7009-5063} } @article{MTMT:36149331, title = {Pacemaker és ICD elektróda endocarditis asszociált vegetációk perkután mechanikus aspirációja fix görbületű hüvely segítségével = Percutaneous mechanical aspiration of lead endocarditis-associated vegetations with fixed curvature sheath}, url = {https://m2.mtmt.hu/api/publication/36149331}, author = {Benák, Attila and Ruzsa, Zoltán and Vámos, Máté and Makai, Attila and Szili-Török, Tamás and Sághy, László}, journal-iso = {CARDIOL HUNG}, journal = {CARDIOLOGIA HUNGARICA}, volume = {55}, unique-id = {36149331}, issn = {0133-5596}, year = {2025}, eissn = {1588-0230}, pages = {A200-A200}, orcid-numbers = {Ruzsa, Zoltán/0000-0002-2474-5723; Szili-Török, Tamás/0000-0002-7165-8243} } @article{MTMT:36149358, title = {Egy- és kétüregi ICD diszkriminátorok hatékonyságának vizsgálata távellátásba bevont betegeken = Single- versus dual-chamber ICD discriminators for tachyarrhythmia detection: A remote monitoring based, single-center study}, url = {https://m2.mtmt.hu/api/publication/36149358}, author = {Gausz, Flóra Diána and Fodor, Dániel and Miklós, Márton and Benák, Attila and Krányák, Dóra and Makai, Attila and Bencsik, Gábor and Pap, Róbert and Sághy, László and Nemes, Attila and Szili-Török, Tamás and Vámos, Máté}, journal-iso = {CARDIOL HUNG}, journal = {CARDIOLOGIA HUNGARICA}, volume = {55}, unique-id = {36149358}, issn = {0133-5596}, year = {2025}, eissn = {1588-0230}, pages = {A202-A202}, orcid-numbers = {Gausz, Flóra Diána/0000-0002-4058-7710; Pap, Róbert/0000-0002-7009-5063; Nemes, Attila/0000-0002-7570-6214; Szili-Török, Tamás/0000-0002-7165-8243} } @article{MTMT:36159495, title = {A fekvőkerékpár-terheléses vizsgálat és a biomarkerek jelentősége szisztémás szklerózisban = The significance of semi-recumbent bicycle stress echocardiography and biomarkers in systemic sclerosis}, url = {https://m2.mtmt.hu/api/publication/36159495}, author = {Morvai-Illés, Blanka and Sághy, László and Jdid Mahmoud, Saddik and Ladóczky-Hulló, Daniella and Szabados, Tamara and Szili-Török, Tamás and Varga, Albert and Kovács, László and Bencsik, Péter and Ágoston, Gergely}, journal-iso = {CARDIOL HUNG}, journal = {CARDIOLOGIA HUNGARICA}, volume = {55}, unique-id = {36159495}, issn = {0133-5596}, year = {2025}, eissn = {1588-0230}, pages = {A230-A230}, orcid-numbers = {Szabados, Tamara/0000-0001-8920-1666; Szili-Török, Tamás/0000-0002-7165-8243; Varga, Albert/0000-0002-8879-3927; Kovács, László/0000-0003-4457-1430; Bencsik, Péter/0000-0003-1936-6232; Ágoston, Gergely/0000-0002-8513-5750} } @article{MTMT:36159500, title = {Az effort dyspnae pathomechanizmusának modellezése HFpEF-ben = Modeling the pathomechanism of effort dyspnea in HFpEF}, url = {https://m2.mtmt.hu/api/publication/36159500}, author = {Sághy, László and Morvai-Illés, Blanka and Jdid Mahmoud, Saddik and Kiss-Kovács, Róbert and Varga, Albert and Ágoston, Gergely}, journal-iso = {CARDIOL HUNG}, journal = {CARDIOLOGIA HUNGARICA}, volume = {55}, unique-id = {36159500}, issn = {0133-5596}, year = {2025}, eissn = {1588-0230}, pages = {A231-A231} } @article{MTMT:36159512, title = {Izolált pulmonális vénában folytatódó lokális fibrilláció: a pitvarfibrilláció sikeres ablációjának jele? = Confi ned fi brillation within isolated pulmonary veins: Fortuitous finding or indicator of successful ablation of atrial fibrillation?}, url = {https://m2.mtmt.hu/api/publication/36159512}, author = {Pap, Róbert and Krányák, Dóra and Bencsik, Gábor and Vámos, Máté and Pataky, Noémi and Sághy, László}, journal-iso = {CARDIOL HUNG}, journal = {CARDIOLOGIA HUNGARICA}, volume = {55}, unique-id = {36159512}, issn = {0133-5596}, year = {2025}, eissn = {1588-0230}, pages = {A253-A253}, orcid-numbers = {Pap, Róbert/0000-0002-7009-5063} } @article{MTMT:36160091, title = {Különböző vezetőrendszeri ingerlési pozíciók hatása a QRS szélességre = The effect of different conduction system pacing positions on QRS width}, url = {https://m2.mtmt.hu/api/publication/36160091}, author = {Gulácsi, Levente Frigyes and Benák, Attila and Pap, Róbert and Miklós, Márton and Bencsik, Gábor and Makai, Attila and Krányák, Dóra and Gausz, Flóra Diána and Szili-Török, Tamás and Sághy, László and Vámos, Máté}, journal-iso = {CARDIOL HUNG}, journal = {CARDIOLOGIA HUNGARICA}, volume = {55}, unique-id = {36160091}, issn = {0133-5596}, year = {2025}, eissn = {1588-0230}, pages = {A436-A436}, orcid-numbers = {Pap, Róbert/0000-0002-7009-5063; Gausz, Flóra Diána/0000-0002-4058-7710; Szili-Török, Tamás/0000-0002-7165-8243} }