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- 저자 : 허승호(Seoung Ho Hur) (검색결과 2 건)
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이영수(Young Soo Lee),권택근(Tak Gun Guen),김성열(Sung Yel Kim),손봉준(Bong Jun Son),조봉기(Bong Gi Jo),한성욱(Seong Wook Han),허승호(Seoung Ho Hur),김윤년(Yoon Nyun Kim) 대한내과학회 2002 대한내과학회지 Vol.63 No.4
목적 : WPW증후군 환자에서 고주파 전극 도자 절제술을 시행한 후 mapping이 정확해짐에 따라 과거에는 드물었던 다발성 부전도로의 발견이 많아졌으며 저자들은 본원에서 경험한 다발성 부전도로를 가진 환자의 임상양상과 다발성 부전도로의 전기 생리적 특성에 대해서 알아보고자 하였다. 방법 : 1993년 2월부터 2000년 6월까지 계명대학교 동산의료원에 심계항진을 주소로 내원한 환자 중에서 심장 전기생리학적 검사를 시행하여 부전도로를 가진 환자는 452예였고, 그 중에서 다발성 부전도로를 확인하고 고주파 전극 도자 절제술을 시행한 19예를 대상으로 하였다. 결과 : 모든 환자는 각각 2개씩의 부전도로가 있었으며 유병율은 4.2%(19/452)였고, 부전도로의 분포는 좌심실 유리벽(71.1%), 우심실 유리벽(18.4%), 후중격벽(10.4%)의 순이었고, 조합 형태는 좌심실 유리벽에 2개가 있었던 경우(57.9%)가 가장 많았으며, 더 자세한 해부학적인 위치는 좌심실 좌측벽과 좌심실 후벽(36.8%)에서 가장 많았다. 성공률은 84.2%였으며, 또한 1차 시술 후 5예에서 재발하였고, 가장 흔한 재발 장소는 좌심실 유리벽에서 3예였다. 결론 : 다발성 부전도로의 양상과 특성은 이미 보고된 외국의 결과와 비교하며 비슷한 결과를 보였다. 그러나 대상 환자의 수가 적어 우리나라에서의 다발성 부전도로의 특성을 대변하지는 못하므로 더 많은 대상 환자에 대한 조사가 필요하며 또한 심장 전기생리학적 검사의 가장 큰 문제점인 방사선 피폭 시간을 줄이기 위한 노력이 필요하겠다. Background : The purpose of this study was to investigate the clinical and electro physiologic characteristics of patients with multiple accessory pathways. Recently as endocardial mapping has become more and more accurate, multiple accessory pathways which were considered to be rare in the past, have become more commonly reported in patients with Wolff-Parkinson-White syndrome. Methods : From February 1993 to June 2000, there were a total of 452 patients, who were confirmed to have accessary pathway mediated-tachyarrhythmias diagnosed by electrophysiologic study. Among those, 19 patients had multiple accessory pathways, and were enrolled in this study. Results : Among the 19 patients, thirteen patients were male and six were female, and their mean age was 36.5±16.17 years. All patients had 2 accessory pathways. The distribution of the location of the accessory pathways was at the left free wall (71.1%), right free wall (18.4%) and posteroseptal wall (10.5%). The most common combination pattern was the left free wall and left free wall (57.9%) and the most common anatomical areas were the left lateral wall and left posterior wall (36.8%). The success rate of the catheter ablation was 84.2% (16/19). The recurrence rate after the radiofrequency catheter ablation was 31.3% (5/16) and the most common recurrence site was left free wall (60.0%, 3/5). Conclusion : These results indicated that the clinical and electrophysiologic characteristics of the multiple accessory pathway patients with WPW syndrome in our study were similar to those of western countries.(Korean J Med 63:394-401, 2002)
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김윤년,허승호,김권배,신경목,김기식,김경환 啓明大學校 醫科大學 1996 계명의대학술지 Vol.15 No.3
The improvement of nutritional status, the change of life style, and medical progress have changed the pattern of cardiovascular disease. There were many epidemiologic studies on cardiovascular disease in 1970s and 1980s, but rare in recent years in Korea. The purpose of this study was to investigate the recent change of the cardiovascular disease by examining of the echocardiographic diagnosis of these 15 years. Echocardiography data of 23,339 successive cases that were done at Keimyung University Dongsan Hospital, from January 1981 to December 1995 were reviewed and classified into twelve disease group and a normal group. Major findings of this study were as follows: The mean age of patients who received echocardiogram tended to increase by more than 10 years through this period. The frequency of ischemic heart disease, hypertensive heart disease, and arrhythmia had increased throughout the period, and adult congenital heart diseased, valular heart disease, infective endocarditis, pericardial disease were of decreasing tendency in relative frequency of cardiovascular area. Frequency of cardiovascular disease, such as hypertension, ischemic heart disease, was higher in female than in male. The mean ages of each cardiovascular disease group were increasing except ischemic heart disease and cor pulmonale. On consideration of above findings, the detailed epidemiologic study for cardiovascular diseases might be recommented, and now, we should plan for the effective management of ischemic heart disease and hypertensive heart disease that are increasing in these years.
KCI
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