http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
급성하벽심근경색 환자에서 흉부유도 ST 절하강의 임상적 의의
이성구(Sung Ku Lee),백효종(Hyo Jong Baek),서상문(Sang Moon Suh),천병도(Byung Do Chun),이중기(Choong Ki Lee),김신우(Shin Woo Kim),우언조(Eon Jo Woo),강승완(Seung Wan Kang),채성철(Shung Chull Chae),전재은(Jae Eun Jun),박의현(Wee Hyun P 대한내과학회 1992 대한내과학회지 Vol.43 No.4
N/A The prognostic significance of precordial ST segment depression during early stages of acute inferior myocardial infarction is controversial. To examine this problem, electrocardiographic findings on admission were compared with the clinical variables in 50 patients with a first transmural inferior infarction. Patients were classified according to the admission ECG obtained an average of 7.0hours after the onset of chest pain. Twenty-five patients (group I) had≥1.0mm ST depression in at least one of leads V1 to V6 and 25 (group II) did not. There were no significant differences between the two groups in peak creatinine kinase activity, prevalence of in-hospital complications (i, e., congestive heart failure, hypotension, arrhythmias requiring treatment and death), and maximal ST elevation in inferior lead. A weak correlation existed between the quantities (mV) of inferior ST segment elevation and precordial ST depression (r=0.43, p<0.05). Thus, precordial ST depression during acute inferior infarction is not a reliable marker of the extent of myocardial damage or an adverse hospital course. Precordial ST segment depression might represent a benign electrical phenomenon.
( Ji Yeon Choi ),( Moo Suk Park ),( Song Lee Kim ),( Sang Hoon Lee ),( Eun Young Kim ),( Kyung Soo Chung ),( Ji Ye Jung ),( Young Ae Kang ),( Young Sam Kim ),( Joon Chang ),( Jin Gu Lee ),( Hyo Chae P 대한결핵 및 호흡기학회 2020 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.128 No.-
Background Lung transplantation (LTX) has been established as a current therapy for patients with end-stage lung disease. Despite year of experience with LTX, the rate of mortality still remains high. Calcineurin inhibitors sometimes have induced reactive hemophagocytic syndrome and influenced on mortality. Objective of this study was to search prognostic factors using modified reactive hemophagocytic syndrome diagnostic score (mrHScore) associated with mortality after LTX. Methods We conducted a retrospective analysis of 100 patients who underwent LTX at Severance Hospital from October 2012 to July 2018. We classified into two groups by high (n=52, mrHScore ≥78.5) and low mrHScore (n=48, mrHScore <78.5). The optimal cut-off value of mrHScore for the prediction of postoperative overall survival was set at 78.5 using receiver operating characteristics analysis. Five biologics (i.e., triglyceride, ferritin, serum glutamic oxaloacetic transaminase, fibrinogen and cytopenia) were used in calculating mrHScore. We analyzed the basal characteristics and mortality rates in low and high mrHScore groups as prognostic factors of LTX outcomes. Results The primary lung disease was idiopathic pulmonary fibrosis (n=51, 51%), interstitial lung disease (n=14, 14%), and bronchiectasis (n=5, 5%). High mrHScore group showed significantly cytopenia, hyperferritinemia, hypertriglyceremia, high LDH levels and high C-reactive protein levels compare to those of low mrHScore group. On Kaplan-Meier analysis, mortality rate was significantly increased in high mrHScore group than in low mrHScore group (hazard ratio: 2.074, p=0.015). Multivariate regression analysis showed that high mrHScore was significantly associated with postoperative mortality, even after adjusting for other confounding factors. Conclusion Our Results show that high mrHScore provides clues for adverse outcome during follow up period in LTX patients. The mrHScore can be used to estimate prognosis of post LTX patients, and provide useful information for predicting postoperative mortality.