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관상동맥조영술상 정상인 비심장성 흉통환자에서의 식도운동질환
이상곤(Sang Gon Lee),강영우(Young Woo Kang),김기식(Ki Sik Kim),김윤년(Yun Nyun Kim),김권배(Kown Bae Kim),김영국(Young Kook Kim),박송국(Soong Kook Park) 대한내과학회 1994 대한내과학회지 Vol.46 No.4
N/A Backgroud: Patients with angina-like chest pain, normal coronary arteries and normal cardiac function are in clinically important dilemma. So we evaluated the frequency of esophageal motility diusorder in patient with angina-like chest pain who had no abnormalities on coronary angiogram, Methods: 16 patients with normal ocronary angiography and angina-like chest pain had been underwent esophageal manometric study, bernstein test and edrophonium provocation test in Dongsan Hospital from Aug. 1988 to Oct. 1993. Results: Sixth decade was the most common age and sex distribution was equal. Common esophageal motility disorder in patients with noncardiac chest pain was nonspecific esophagal motility disorder (25.0%) and nutcracker esophagus (18.8%). Of the 16 cases with noncardiac chest pain, 8 cases (50.0%) had abnormal esophageal motility, which increased to 10 cases (62.5%) with combined provocation tests such as edrophonium and bernstein test. Conclusion: Combined tests of esophageal manometry, Bernstein test and Edroponium test should be done to evaluate esophageal motility disorders in patients with noncardiac chest pain.
金貴子,李圭寶,金權培 慶北大學校 醫科大學 1984 慶北醫大誌 Vol.25 No.3
正常人 32例와 各種 貧血症 5例에서 ECG gated cardiac chamber scan을 施行하여 LVEF를 求하여 貧血과 關係를 檢討하였다. 正常人에서 LVEF 平均値는 64.0±6.19%(M±SD)였고, 貧血症例에서 57.3±7.77%로서 兩者間의 有意한 差異는 없었다. 貧血症 例中에서 甚한 貧血(Hb<7g/dl)에서는 LVEF가 平均 59.3±5.41%였고, 輕한 貧血에서(Hb≥7g/dl)는 56.0±8.80%로서 有意한 差異가 없었다. 血色素直의 程度(g/dl)와 LVEF(%) 間의 相關係數는 -0.0174로서 有意한 相關係數는 없었다. 貧血症例 中에서 症狀의 發現이 1個月 未滿이며, 또한 急性 出血이 現症이 同伴된 6例에서는 LVEF가 平均 49.8±4.96%로서, 症狀이 1個月 以上되고, 急性 出血이 없는 9例의 LVEF는 62.3±4.22%에 比하여 有意한 減少가 있었다(p<0.001). The author evaluated the left ventricular ejection fraction(LVEF) in 32 normal individuals and 15 patients with anemia of various origins by ECG gated cardiac chamber scans. Normal persons revealed a LVEF of 64.0±6.19%(M±SD), while the patients with anemia 57.3±7.77%. Among the patients with anemia, severe cases had LVEF of 59.3±5.41%, and mild cases LVEF of 56.0±8.80%. The correlation between hemoglobin level and LVEF was not significant(r=-0.0174). The anemic patients without active bleeding and who have had anemic symptoms for one month or more revealed LVEF of 62.3±4.22%, whereas those with active bleeding and a duration of symptoms less than one month showed LVEF of 49.8±4.96%, which was a significant reduction(p<0.001).