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      • 심정지로 발현된 브루가다 증후군 1예

        민성용(Sung-Yong Min),안지예(Ji-Ye Ahn),최민선(Min-Seon Choi),이재희(Jae-Hee Lee),김은영(Eun-Young Kim),양은석(Eun-Seok Yang),문경래(Kyung-Rye Moon),박영봉(Yeong-Bong Park) 조선대학교 의학연구원 2020 The Medical Journal of Chosun University Vol.45 No.1

        Brugada syndrome is diagnosed in patients with typical ECG findings (coved ST elevation in leads V1-V3) plus at least one additional criterion from: a personal or family history of syncope, ventricular arrhythmias, or similar ECG findings in other family members. It is usually diagnosed in adulthood, and is very rarely diagnosed in children. A 15-year-old boy collapsed and lost consciousness while sitting at school. There was no significant previous history. An ECG showed ventricular fibrillation, which was successfully defibrillated with automated external defibrillator. 24-hour holter monitoring, coronary angiography, and electrophysiology tests did not show any specific findings. The flecainide-induced test showed RBBB with ST elevation in V1 to V2, suggesting Brugada syndrome type 1. He was successfully treated with implantable cardioverter defibrillator and was discharged.

      • 2018-2019 광주지역 계절성 인플루엔자: 단일기관 연구

        민성용(Sung-Yong Min),양은석(Eun-Seok Yang) 조선대학교 의학연구원 2020 The Medical Journal of Chosun University Vol.45 No.1

        Purpose: According to the WHO, about 290,000 to 650,000 people are killed each year by seasonal influenza virus, and the proportion of influenza-like illness (ILI) by age group for the 2015-2016 flu season in Korea accounts for 70% of all occurrences in the 0-18 year old age group. In this study, we compared the clinical features of influenza type A and B in children, and the difference between the oseltamivir and peramivir groups for further treatment. Methods: The medical records of 112 children with influenza-like symptoms from September 2018 to April 2019, and who underwent rapid influenza diagnostic test were retrospectively reviewed. Results: Influenza A positive patients showed the highest distribution in the 0-1 year old group, and influenza B positive patients had the highest distribution in the 7-18 year old group. Fever duration after administration of antiviral agents was longer in type B. Influenza type A and B were compared with hospitalization period and total fever duration, but there was no statistical significance. Conclusion: In this study, clinical symptoms and laboratory tests according to influenza A and B were not statistically significant. And there was no statistically significant difference between hospitalization and fever duration according to the type of antiviral agent. But, in type B, the age of patients was higher and the duration of fever after antiviral treatment was longer.

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