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      • KCI등재후보

        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.

      • 貧血患者의 左心室驅血係數

        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).

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