TY - JOUR AU - Kovács, Kitti Bernadett AU - Bencs, Viktor AU - Hudák, Lilla AU - Oláh, László AU - Csiba, László TI - Hemorrhagic Transformation of Ischemic Strokes JF - INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES J2 - INT J MOL SCI VL - 24 PY - 2023 IS - 18 PG - 20 SN - 1661-6596 DO - 10.3390/ijms241814067 UR - https://m2.mtmt.hu/api/publication/34238940 ID - 34238940 AB - Ischemic stroke, resulting from insufficient blood supply to the brain, is among the leading causes of death and disability worldwide. A potentially severe complication of the disease itself or its treatment aiming to restore optimal blood flow is hemorrhagic transformation (HT) increasing morbidity and mortality. Detailed summaries can be found in the literature on the pathophysiological background of hemorrhagic transformation, the potential clinical risk factors increasing its chance, and the different biomarkers expected to help in its prediction and clinical outcome. Clinicopathological studies also contribute to the improvement in our knowledge of hemorrhagic transformation. We summarized the clinical risk factors of the hemorrhagic transformation of ischemic strokes in terms of risk reduction and collected the most promising biomarkers in the field. Also, auxiliary treatment options in reperfusion therapies have been reviewed and collected. We highlighted that the optimal timing of revascularization treatment for carefully selected patients and the individualized management of underlying diseases and comorbidities are pivotal. Another important conclusion is that a more intense clinical follow-up including serial cranial CTs for selected patients can be recommended, as clinicopathological investigations have shown HT to be much more common than clinically suspected. LA - English DB - MTMT ER - TY - JOUR AU - Árokszállási, Tamás AU - Héja, Máté AU - Bagoly, Zsuzsa AU - Kovács, Kitti Bernadett AU - Orbán-Kálmándi, Rita Angéla AU - Sarkady, Ferenc AU - Tóth, Judit AU - Fekete, Klára AU - Fekete, István AU - Csiba, László TI - Prognostic value of various hemostasis parameters and neurophysiological examinations in spontaneous intracerebral hemorrhage: the IRONHEART study protocol JF - FRONTIERS IN NEUROLOGY J2 - FRONT NEUR VL - 12 PY - 2021 PG - 6 SN - 1664-2295 DO - 10.3389/fneur.2021.615177 UR - https://m2.mtmt.hu/api/publication/31997174 ID - 31997174 AB - Rationale: Stroke is the leading cause of death in all developed countries. In Hungary, more than 10000 patients die annually due to cerebrovascular diseases according to the WHO Mortality Database. 10-15 % of these patients suffer non-traumatic intracerebral hemorrhage (ICH). ICH results in a higher rate of mortality as compared to ischemic stroke and outcomes are difficult to predict. In the GINOP IRONHEART study, we aim to test various hemostasis parameters and clinical neurophysiological examinations in evaluating outcome in intracerebral haemorrhage. Methods: In this prospective, observational study, we plan to enroll consecutive patients with non-traumatic spontaneous intracerebral hemorrhage admitted to a single Stroke Center (Department of Neurology, University of Debrecen, Hungary). The protocol of the GINOP IRONHEART study includes the investigation of detailed clinical, laboratory investigations, and various neurophysiological examiniations. Stroke severity is quantified based on the National Institutes of Health Stroke Scale (NIHSS) on admisson and day 7, 14, 90 after the onset of stroke. Cranial CT is performed on admission, day 14, and 90 to estimate the ICH volume. Modified Rankin Score (mRS) is used for evaluating the long-term outcome (90 days post-event). Blood is drawn immediately on admission for specific hemostasis tests. Digital and quantitative EEG techniques and motor evoked potential (MEP) are performed to evaluate the prognosis of cerebral hemorrhage on admission (within 24-28h), immediately before discharge (??10?14 days later), and 3 months after the event. Outcomes: The following outcomes are investigated: 1/ Mortality by day 14 and day 90 2/ Long-term outcome at 90 days post-event: mRS 0-1 is defined as favorable long-term outcome. Discussion: If associations between outcomes and the investigated parameters (hemostasis and neurophysiological examinations) are confirmed, results might aid prognosis assessment in this subtype of stroke with particularly high mortality. Improving clinical grading systems on ICH severity and outcomes by including the investigated parameters could help to better guide the management of these patients in the future. LA - English DB - MTMT ER - TY - JOUR AU - Bagoly, Zsuzsa AU - Hajas, Orsolya AU - Urbancsek, Réka AU - Kiss, Alexandra AU - Fiak, Edit AU - Sarkady, Ferenc AU - Tóth, Noémi Klára AU - Orbán-Kálmándi, Rita Angéla AU - Kovács, Kitti Bernadett AU - Nagy, László Tibor AU - Nagy, Attila Csaba AU - Kappelmayer, János AU - Csiba, László AU - Csanádi, Zoltán TI - Uninterrupted Dabigatran Administration Provides Greater Inhibition against Intracardiac Activation of Hemostasis as Compared to Vitamin K Antagonists during Cryoballoon Catheter Ablation of Atrial Fibrillation JF - JOURNAL OF CLINICAL MEDICINE J2 - J CLIN MED VL - 9 PY - 2020 IS - 9 PG - 13 SN - 2077-0383 DO - 10.3390/jcm9093050 UR - https://m2.mtmt.hu/api/publication/31610168 ID - 31610168 LA - English DB - MTMT ER - TY - JOUR AU - Hajas, Orsolya AU - Bagoly, Zsuzsa AU - Tóth, Noémi Klára AU - Urbancsek, Réka AU - Kiss, Alexandra AU - Kovács, Kitti Bernadett AU - Sarkady, Ferenc AU - Nagy, Attila Csaba AU - Vargáné Oláh, Anna AU - Nagy, László Tibor AU - Clemens, Marcell AU - Csiba, László AU - Csanádi, Zoltán TI - Intracardiac Fibrinolysis and Endothelium Activation Related to Atrial Fibrillation Ablation with Different Techniques JF - CARDIOLOGY RESEARCH AND PRACTICE J2 - CARDIOL RES PRAC VL - 2020 PY - 2020 PG - 8 SN - 2090-0597 DO - 10.1155/2020/1570483 UR - https://m2.mtmt.hu/api/publication/31143304 ID - 31143304 N1 - 281437 LA - English DB - MTMT ER - TY - JOUR AU - Selmeczi, Anna AU - Gindele, Réka AU - Ilonczai, Péter AU - Fekete, Attila AU - Komáromi, István AU - Schlammadinger, Ágota AU - Rázsó, Katalin AU - Kovács, Kitti Bernadett AU - Bárdos, Helga AU - Ádány, Róza AU - Muszbek, László AU - Bereczky, Zsuzsanna AU - Boda, Zoltán AU - Oláh, Zsolt TI - Antithrombin Debrecen (p.Leu205Pro) - Clinical and molecular characterization of a novel mutation associated with severe thrombotic tendency JF - THROMBOSIS RESEARCH J2 - THROMB RES VL - 158 PY - 2017 SP - 1 EP - 7 PG - 7 SN - 0049-3848 DO - 10.1016/j.thromres.2017.07.023 UR - https://m2.mtmt.hu/api/publication/3321701 ID - 3321701 N1 - 116228, OTKA, Országos Tudományos Kutatási Alapprogramok OTKA K-106294, OTKA, Országos Tudományos Kutatási Alapprogramok PD101120, OTKA, Országos Tudományos Kutatási Alapprogramok ÚNKP-16, Emberi Eroforrások Minisztériuma LA - English DB - MTMT ER - TY - JOUR AU - Tóth, Noémi Klára AU - Csanádi, Zoltán AU - Hajas, Orsolya AU - Kiss, Alexandra AU - Nagy-Baló, Edina AU - Kovács, Kitti Bernadett AU - Sarkady, Ferenc AU - Muszbek, László AU - Bereczky, Zsuzsanna AU - Csiba, László AU - Bagoly, Zsuzsa TI - Intracardiac hemostasis and fibrinolysis parameters in patients with atrial fibrillation JF - BIOMED RESEARCH INTERNATIONAL J2 - BIOMED RES INT VL - 2017 PY - 2017 PG - 10 SN - 2314-6133 DO - 10.1155/2017/3678017 UR - https://m2.mtmt.hu/api/publication/3227929 ID - 3227929 LA - English DB - MTMT ER - TY - THES AU - Kovács, Kitti Bernadett TI - Ritka öröklött hemosztázis rendellenességek molekuláris genetikai és fehérje biokémiai vizsgálata PY - 2015 UR - https://m2.mtmt.hu/api/publication/2974160 ID - 2974160 N1 - Tudományág: klinikai orvostudományok Témavezető: Bereczky Zsuzsanna Beadás éve: 2015 A védés időpontja: 2015-05-26 13:00 A fokozat odaítélésének dátuma: 2015-06-15 Debreceni Egyetem, Laki Kálmán Doktori Iskola Debrecen, Magyarország LA - Hungarian DB - MTMT ER - TY - JOUR AU - Kovács, Kitti Bernadett AU - Pataki, István AU - Bárdos, Helga AU - Fekete, Attila AU - Pfliegler, György AU - Haramura, Gizella AU - Gindele, Réka AU - Komáromi, István AU - Balla, György AU - Ádány, Róza AU - Muszbek, László AU - Bereczky, Zsuzsanna TI - Molecular characterization of p.Asp77Gly and the novel p.Ala163Val and p.Ala163Glu mutations causing protein C deficiency JF - THROMBOSIS RESEARCH J2 - THROMB RES VL - 135 PY - 2015 IS - 4 SP - 718 EP - 726 PG - 9 SN - 0049-3848 DO - 10.1016/j.thromres.2015.01.011 UR - https://m2.mtmt.hu/api/publication/2816945 ID - 2816945 LA - English DB - MTMT ER - TY - JOUR AU - Katona, Éva AU - Muszbek, László AU - Devreese, K AU - Kovács, Kitti Bernadett AU - Bereczky, Zsuzsanna AU - Jonkers, M AU - Shemirani, Amir Houshang AU - Mondelaers, V AU - Ermens, AAM TI - Factor XIII deficiency: complete phenotypic characterization of two cases with novel causative mutations JF - HAEMOPHILIA J2 - HAEMOPHILIA VL - 20 PY - 2014 IS - 1 SP - 114 EP - 120 PG - 7 SN - 1351-8216 DO - 10.1111/hae.12267 UR - https://m2.mtmt.hu/api/publication/2515572 ID - 2515572 N1 - Megjegyzés-23700690 N1 Molecular Sequence Numbers: GENBANK: NG_008107; AB - Coagulation factor XIII (FXIII) exists as heterotetramer (FXIII-A(2)B(2)) in the plasma and as dimer (FXIII-A(2)) in cells. Activated FXIII mechanically stabilizes fibrin and protects it from fibrinolysis by cross-linking fibrin chains and (2)-plasmin inhibitor to fibrin. FXIII is essential to maintaining haemostasis, and its deficiency causes severe bleeding diathesis. Due to improper laboratory practices, FXIII deficiency is considered the most under-diagnosed bleeding disorder. The aim of this study was to demonstrate in two cases how FXIII deficiency is properly diagnosed and classified, and to compare results of laboratory analysis and clinical symptoms. FXIII activity from plasma and platelets was measured by a modified ammonia release assay, while FXIII-A(2)B(2), FXIII-A and FXIII-B antigens were determined by ELISA. The exon-intron boundaries and the promoter region of F13A1 gene were amplified by PCR and the amplified products were analysed by direct fluorescent sequencing. FXIII-A mRNA in platelets was determined by RT-qPCR. Two children with severe bleeding symptoms were investigated. In both cases FXIII activity and FXIII-A antigen were undetectable in the plasma and platelet lysate. In the plasma no FXIII-A(2)B(2) antigen was found, while FXIII-B antigen was >30% in both cases. Proband1 was a compound heterozygote possessing a known missense mutation (c.980G>A, p.Arg326Gln) and a novel splice-site mutation (c.1112+2T>C). Proband2 was homozygote for a novel single nucleotide deletion (c.212delA) leading to early stop codon. The discovered mutations explain the severity of clinical symptoms and the laboratory data. Methods precise in the low activity/antigen range are required to draw valid conclusion on phenotype-genotype relationship. LA - English DB - MTMT ER - TY - JOUR AU - Bereczky, Zsuzsanna AU - Kovács, Kitti Bernadett AU - Muszbek, László TI - Protein C and protein S deficiencies: similarities and differences between two brothers playing in the same game JF - CLINICAL CHEMISTRY AND LABORATORY MEDICINE J2 - CLIN CHEM LAB MED VL - 48 PY - 2010 IS - S1 SP - S53 EP - S66 SN - 1434-6621 DO - 10.1515/CCLM.2010.369 UR - https://m2.mtmt.hu/api/publication/1450128 ID - 1450128 LA - English DB - MTMT ER -