http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증례 : 18세 남자 환자에서 좌주간지 혈전이 동반된 급성 심근 경색 1예
윤성보 ( Seong Bo Yoon ),이상학 ( Sang Hak Lee ),박광혁 ( Kwang Hyuk Park ),한권우 ( Kweon Woo Han ),정재헌 ( Jae Hun Jung ),최승혁 ( Seung Hyuk Choi ),이남호 ( Nam Ho Lee ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
청소년기에 관동맥의 죽상 동맥 경화와 혈전에 의한 급성 심근 경색은 매우 드물며, 흡연 등 특징적인 위험 요인이 동반되는 것이 보통이다. 본 증례에서 저자들은 전통적인 위험 요인이 없는 18세 남자 환자에서 좌주간지 혈전을 동반한 급성 심근 경색을 진단하고 스텐트 삽입술을 이용하여 성공적으로 치료하였기에 이를 보고한다. Acute myocardial infarction in the adolescence is unusual. Moreover, the prevalence of left main coronary artery stenosis is rare in this population. We describe a case of acute ST elevation myocardial infarction in an 18 year-old male. He did not have history of congenital heart disease or other traditional risk factors for premature coronary disease. He was mildy overweight and showed normal laboratory tests except low high-density lipoprotein cholesterol level and modestly elevated plasma homocysteine level. Coronary angiography revealed totally occluded left anterior descending artery and thrombus at the bifurcation of left main coronary artery. He underwent emergency coronary stenting at distal left main coronary artery and proximal left anterior descending artery. He was discharged without in-hospital cardiac event. (Korean J Med 69:S807-S811, 2005)
경피적 관상동맥중재술 후 급성으로 발생한 스테로이드 치료로 회복한 심근 손상 후 증후군
김민정 ( Min-jeong Kim ),윤성보 ( Seong-bo Yoon ),이명동 ( Myong Dong Lee ),김시호 ( Si-ho Kim ),김영우 ( Young Woo Kim ) 대한내과학회 2018 대한내과학회지 Vol.93 No.6
PCIS는 심장 수술, 급성 심근경색 또는 경피적 관상동맥 중재술 등에 의하여 발생한 심장 손상 후 발생하는 합병증이다. 본 저자는 경피적 관상동맥중재술 이후 급성으로 발생한 PCIS를 스테로이드를 사용한 약물로 치료하였기에 이를 문헌고찰과 함께 보고하는 바이다. 비스테로이드항염제에 반응하지 않는 PCIS 환자에게 스테로이드의 조기 투약이 도움이 될 수 있고 장기적인 유지 요법이 도움이 될 수 있음을 말해주고 있다. Postcardiac injury syndrome (PCIS) is an inflammatory process that usually occurs within 1 to 6 weeks after an injury to the pericardium, epicardium, or myocardium. As more interventions are performed for complicated coronary artery obstructive lesions, there have been some recent reports on PCIS following percutaneous coronary intervention (PCI). The medical management of PCIS depends on nonsteroidal anti-inflammatory drugs (NSAIDs), in addition to colchicine or steroids. An 80-year-old male patient underwent a PCI. Unfortunately, the guidewire piercing failed but he showed no immediate signs of complication. However, 5 hours after the procedure, he complained of chest discomfort. An electrocardiogram showed widespread ST elevation. Chest X-ray and computed tomography showed pulmonary congestion with pleural effusion, while thoracic echocardiography showed a moderate amount of pericardial effusion. NSAIDs were initiated, but there was no improvement of symptoms. We describe an unusual case of atypical earl onset PCIS after PCI, recovered rapidly by steroids. (Korean J Med 2018;93:565-570)
오숙의 ( Sook Eui Oh ),정재헌 ( Jae Hun Jung ),윤성보 ( Seong Bo Yoon ),윤현영 ( Hyeon Young Yoon ),박종규 ( Jong Kyu Park ),이동훈 ( Dong Hun Lee ),홍성호 ( Sung Ho Hong ),우경희 ( Kung Hee Woo ),최성훈 ( Seong Hoon Choi ),이상학 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.62 No.3
Hyperhomocysteinemia is an independent risk factor for cardiovascular, cerebrovascular and peripheral vascular diseases that are complicated by atherosclerosis and a thromboembolism. An increased level of plasma homocysteine develops from a genetic defect in the of enzyme for the homocysteine metabolism or a vitamin deficiency. Hyperhomocysteinemia has direct toxic effect on the vascular endothelium and causes damages to the antithrombotic action of vascular endothelial cells. Most cases of hyperhomocysteinemia are asymptomatic, but cardiopulmonary or cerebrovascular incidents developin rare cases. In the case of a thromboembolism with an unknown cause, hyperhomocysteinemia should be considered in a differential diagnosis. The authors report a case of pulmonary thromboembolism in a patient with hyperhomocysteinemia with a review of the relevant literature. (Tuberc Respir Dis 2007; 62: 211-216)
변세진 ( Se Jin Byun ),강은규 ( Eun Kyu Kang ),박서화 ( Seo Hwa Park ),정현숙 ( Hyun Sook Jung ),윤성보 ( Seong Bo Yoon ),김영우 ( Yong Woo Kim ) 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.2
Acute thromboembolic occlusion of the superior mesenteric artery (SMA) is a life-threatening condition with high mortality, and the lack of accurate and readily available diagnostic clues often results in delay in diagnosis and treatment. We describe the case of a 68-year-old man suffering from SMA thromboembolism presenting as acute heart failure.
비전형적인 가와사키 병 환자에서 발생한 좌주간지 거대 동맥류를 동반한 급성심근경색
김민욱 ( Min Wook Kim ),김현수 ( Hyun Soo Kim ),이명동 ( Myung Dong Lee ),정현숙 ( Hyun Sook Jung ),윤성보 ( Seong-bo Yoon ),김영우 ( Young Woo Kim ) 영남대학교 의과대학 2017 Yeungnam University Journal of Medicine Vol.34 No.1
Kawasaki disease (KD) is an acute vasculitis of small and medium sized arteries. Even many years after onset, aneurysms and stenosis in coronary arteries may lead to an acute myocardial infarction, which is described as atypical or missed KD in childhood. KD is an underlying disease of young adults with acute myocardial infarction. We report on a rare case involving a total occlusion in the proximal left anterior descending coronary artery combined with a giant left main aneurysm in a young adult patient with acute myocardial infarction ascribed to antecedent KD that is undefined but almost certain.
보존적 치료로 성공한 양측성 자발성 신동맥 박리에 의한 신경색 증례
박기현 ( Ki Hyun Park ),강은규 ( Eun Gyu Kang ),박서화 ( Seo Hwa Park ),김민욱 ( Min Wook Kim ),김현수 ( Hyun Soo Kim ),윤성보 ( Seong Bo Yoon ),김영우 ( Young Woo Kim ) 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.2
Spontaneous renal artery dissection (SRAD) is a rare condition that precedes renal infarction. Most cases of the previously reported SRAD were unilateral renal artery dissection. We report a case of a 56-year-old man who had bilateral spontaneous renal artery dissection with renal infarction. Enhanced abdominal computed tomography (CT) demonstrated wedge-shaped low density lesions in both kidneys. Selective renal angiography disclosed faint distal flow into true lumen of left renal artery and total occlusion of right renal artery. The patient was managed with medical treatment, and he was discharged with an uneventful clinical course.
640절편 MDCT를 이용한 좌심실 박출률과 좌심실 용적 측정: 2차원 심장초음파 비교
박기현 ( Ki Hyun Park ),변세진 ( Se Jin Byun ),강은규 ( Eun Gyu Kang ),박서화 ( Seo Hwa Park ),김현수 ( Hyun Soo Kim ),김민욱 ( Min Wook Kim ),이병호 ( Byung Ho Lee ),정현숙 ( Hyun Sook Jung ),윤성보 ( Seong Bo Yoon ),김영우 ( You 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.2
Objectives: The assessment of global left ventricular function and volumes is important in patients with coronary artery disease (CAD) and serves as a valuable diagnostic and prognostic marker. The purpose of this study was to compare left ventricular ejection fraction (LVEF) and volume parameters as measured by 640-slice multidetector CT (MDCT) and two-dimensional transthoracic echocardiography (2D-TTE). Methods: We retrospectively analyzed 125 consecutive patients (Men=56%, mean age, 62.0±12.9 years) who underwent 640-slice MDCT to evaluate known or suspected CAD between October 2011 and March 2012. Agreement for the LVEF and volume parameters by 640-slice MDCT and 2D-TTE was assessed by Pearson’s correlation coefficient for linear regression and Bland-Altman analysis. Results: On 640-slice MDCT, average LVEF was 61.6 ± 12.6 %. On 2D-TTE, average LVEF was 62.8 ± 14.9%. Correlations between 640-slice MDCT and 2D-TTE were that LVEDV (r: 0.801, p<0.001); LVESV (r: 0.929, p<0.001) and LVEF (r: 0.862, p<0.001). Conclusions: There was a good correlation between 640-slice MDCT and 2D-TTE in the evaluation of left ventricular function and volume parameters in practical and clinical situation.