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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.
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
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.