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RISS 인기검색어
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- 저자 : 노영무 ( No Yeong Mu ) (검색결과 5 건)
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노영무,No, Yeong-Mu 한국건강관리협회 2004 한국건강관리협회지 Vol.2 No.1
The Metabolic syndrome is a constellation of lipid and non-lipid factors of metabolic origin. The presence of any 3 of the following factors is considered sufficient for diagnosis : hypertension(BP <130/85mmHg), low HDL-cholesterol (<40mg% in men, <50mg% in woman), high triglyceride(>150mg%) and abdominal obesity(abdominal girth >102cm in men, 88cm in woman). The major adverse consequence of the metabolic syndrome is cardiovascular disease. Several studies have shown an association between metabolic syndrome and increased cardiovascular events. In Korea, the prevalence of the factor of metabolic syndrome has been increasing since 20 years previously when the Korean economy began to grow rapidly, with a resultant change in lifestyle, toward that of western countries. Thus, the management of the metabolic syndrome is an important social and medical issue in terms of the national health problem. This review will consider each factor in turn, providing insight for health care providers in an effort to prevention of cardiovascular events and maintenance of quality of life in persons with metabolic syndrome was discussed.
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전승준 ( Jeon Seung Jun ),주영만 ( Ju Yeong Man ),이만호 ( Lee Man Ho ),안태훈 ( An Tae Hun ),노영무 ( No Yeong Mu ) 대한내과학회 1992 대한내과학회지 Vol.42 No.3
허혈성 심장질환의 빈도가 높을 수 있는 관상동맥 조영술이나 동위원소 심근관류 검사를 시행한 예를 대상으로한 금번 관찰에서 심전도 전흉부 유도에서 보인 Q-파와 심근경색과의 일치율은 V₁에서의 Q-파는 21.9%에서 전중격 심근경색증과 일치하였으며 V₁, V₂에서는 60.0%, V₁, V₂, V₃에서는 93.3%, V₁, V₂, V₃, V₄에서는 84.6%에서 심근경색증과 일치하였다. 기타 V_(1∼5), V_(1∼6) 그리고 V₂ 이후에서의 Q-파는 100%에서 심근경색과 일치하였다. V₁과 V_(1∼2)에서 보인 심근경색과의 일치율은 다른 보고에 비하여 높으나 이는 금번 대상이 허혈성 심장질환이 높을 수 있는 예를 대상으로 하였기 때문으로 여겨진다. 또한 비경색 Q-파를 보였던 33예중 고혈압성 심혈관 질환이 27.3%, 협심증 18.2%, 판막성 심장질환이 27.3%, 만성폐색성 폐질환이 3.0%, 당뇨병이 6.1%, 심근병중이 21.2%이었으며 이들이 심전도 소견상 이상 Q-파 이외의 이상소견으로서는 ST-T절의 변화, 좌심비대, 자각차단, 방실차단, 기타 심방세동, 심실기외수축, 상심실성 빈맥등이 관찰되었다. 제한된 예에서의 관찰이기는 하나 심전도 전흉부 유도의 Q-파는 심근경색의 가능성을 먼저 생각하게 하는 것이기는 하나 다른 질환에서도 나타날 수 있으므로 기타 동반되는 이상 심전도 소견들을 면밀히 관찰함으로써 전 흉부 유도에서 나타나는 Q-파의 의미를 이해할 수 있어야 할 것으로 생각된다. To investigate the significance of a Q-wave in precordial leads of ECG, 101 patients (male 80, female 21, age 56±9.9 year) with abnormal Q-wave in one or more precordial leads who underwent coronary angiography of thallium-201 myocardial perfusion scan (MPS) as part of evaluation of chest pain were retrospectively studied. To determine whether or not Q-wave in precordial leads represents myocardial infarction (MI), MI was confirmed by the criteria of either presence of LAD lesion by coronary angiography and anterior wall motion abnormality by left ventriculography or irrerversible perfusion defect by thallium-201 MPS. The results are summarized as follows; 1) Of 101 patients with Q-wave in precordial leads, 68 (67.3%) patients were proved to have MI and 33(32.7%) patients were not. The incidence of MI were: 21.9% with Q-wave in V₁ only, 60.0% in V_(1∼2), 93.3% in V_(1∼3), 84.6% in V_(1∼4), 100% in V_(1∼5) and V_(1∼6), 100% in V_(2∼3), V_(2∼4), V_(2∼5), V_(3∼4), and V_(3∼6). 2) Among 33 patients with non-MI Q-wave, 6.0% was normal, but 94% had one or two heart diseases such as hypertensive heart (29.0%), angina pectoris (16.2%), valvular disease (29.0%), and cardiomyopathy (22.6%) or non-cardiac pulmonary disease (COPD, 3.2%). 3) Concomitant abnormal ECG findings in non-MI heart disease with Q-wave were left ventricular hypertrophy, arrhythmias such as atrial fibrillation and ventricular premature beats, non-specific ST-T changes, A-V block and/or intra-ventricular block. These findings suggests that, in a limited series of patients referred for coronary angiography or Thallium-201 MPS as part of evaluation of cardiac symptoms, the incidence of MI in patients with Q-waves in V₁ and V_(1∼2) leads in higher than those of published data obtained from patients with only Q-waves in V1 and V1-2 leads. Those patients with heart disease with non-MI Q-waves accompany more frequently other abnormal ECG findings than those with MI only.
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