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The Prognostic Implication of Metabolic Syndrome in Patients with Heart Failure
윤현주,안영근,김계훈,박종춘,최동주,Seongwoo Han,전은석,조명찬,Jae-Joong Kim,Byung-Su Yoo,신미승,성인환,Seok-Min Kang,Yung-Jo Kim,Hyung Seop Kim,채성철,오병희,Myung-Mook Lee,유규형 대한심장학회 2013 Korean Circulation Journal Vol.43 No.2
Background and Objectives: Metabolic syndrome (MetS) increases the risk of heart failure (HF). The purpose of this study was to identi-fy the prevalence of MetS in patients with HF and determine the syndrome’s association with HF in clinical and laboratory parameters. Subjects and Methods: A total of 3200 HF patients (67.6±14.5 years) enrolled in a nationwide prospective Korea HF Registry between Jan. 2005 and Oct. 2009. Patients were divided into two groups according to the presence or absence of MetS at admission: group I (pres-ence, n=1141) and group II (absence, n=2059). Results: The prevalence of MetS was 35.7% across all subjects and was higher in females (56.0%). The levels of white blood cells, platelets,creatinine, glucose, and cholesterol were significantly higher in group I than in group II. Left ventricular dimension and volume was smaller and ejection fraction was higher in group I than in group II. An ischemic cause of HF was more frequent in group I. The rates of valvular and idiopathic cause were lower in group I than in group II. The rate of mortality was lower in group I than in group II (4.9% vs. 8.3%, p<0.001). Conclusion: Despite the increased cardiovascular risks in MetS, MetS was found to be associated with decreased mortality in HF.
안영근 ( An Yeong Geun ),박주형 ( Park Ju Hyeong ),정명호 ( Jeong Myeong Ho ),조정관 ( Jo Jeong Gwan ),박종춘 ( Park Jong Chun ),강정재 ( Kang Jeong Jae ) 대한내과학회 1993 대한내과학회지 Vol.44 No.3
Background : Dilated cardiomyopathy is a progressive disease of uncertain origin and the prediction of the clinical course in an individual patient remained to be defined. Method : In order to understand the clinical manifestation, laboratory findings, clinical courses and prognostic factors of Korean patents with dilated cardiomyopathy, the medical recordings of 171 patients with dilated cardiomyopathy (103 primary, 68 secondary) were reviewed. Results : 1) Studied subjects were 110 male and 61 female patients and aged of 56.3±13.6 years. 2) NYHA functional class was 3.2±0.7 and duration of symptoms were shorter than one month in 38.6%, shorter than 6 month 61.4%, and longer than one year in 26.9%. 3) Most common complaints were exertional dyspnea (86.5%), orthopnea (28.7%), cough (21.1%), palpitation (18.7%), chest discomfort (17.1%), and paroxysmal nocturnal dyspnea (9.4%). 4) Physical findings were palpable liver, rales in lungs, pitting edema, gallop rhythm, increased jugular venous pressure (JVP), apical systolic murmur, etc. 5) Dysarrhythmias including atrial fibrillation (28.7%), premature ventricular contraction (17.0%), complete left bundle branch block (13.5%), paroxysmal supraventricular tachycardia (2.9%), and ventricular tachycardia (1.2%) were observed. Abnormal EKG findigs other than dysarrhythmias were left ventricular hypertrophy, left atrial hypertrophy, myocardial is-chemia, non specific ST-T change, and right atrial hypertrophy, etc. 6) The M-mode echocardiogram at the first examination revealed that the left ventricular end-diastolic and end-systolic dimensions were 6.9±0.9㎝, 5.9±1.1㎝, ejection fraction 36.7±12.8%, lefr atrial dimension 4.8±0.8㎝, mitral E point septal separation (EPSS) 25±9mm, total and rapid emptying fraction of left atrium 31.4±12.7%, 19.8±10.1%. 7) Associated diseases or factors which may contribute to damage myocardium in secondary form of dilated cardiomyopathy patients were hypertension, heavy alcohol abuse, diabetes mellitus, chronic obstructive pulmonary disease, chronic liver disease, acute viral hepatitis, peripartum, hyperthyroidism, and systemic lupus erythematosus, etc. 8) Most patients were treated by two or more combined drug regimens and clinical responses to the medical treatment during the follow-up period (mean 1.8±9.4 months) were improved in 63.3%, unchanged in 19.6%, deteriorated in 4.4%, and dead in 12.7%. 9) Caused of death were sudden in 12 patients, congestive heart failure 5, cerebrovascular accident 2, and acute renal failure after angiography one. There were no significant differences between primary and secondary form of dilated cardiomyopathy patients groups, statistically. 10) Multiple logistic regression analysis revealed that the important prognostic factors were intraventricular conduction disturbance, atrial hypertrophy in EKG, NYHA functional class more than Ⅲ, and elevated JVP. Conclusion : Clinical manifestations of dilated cardiomyopathy are not much different from those reported in western countries. The majority of the patients can be benefited with currently available medical treatment at least in a short term period. A prospective studies are necessary to identify the risk factors and long-term natural history in conjunction with periordic follow-up endomyocardial biopsies after treatment with various suggested regimens to elucidate their long-term benefit.
협심증과 심근경색증 환자에서 운동전후 Signal Averaged EKG 소견
이기운 ( Lee Gi Un ),안영근 ( An Yeong Geun ),박주형 ( Park Ju Hyeong ),조길우 ( Jo Gil U ),조정관 ( Jo Jeong Gwan ),박종춘 ( Park Jong Chun ),강정채 ( Kang Jeong Chae ) 대한내과학회 1992 대한내과학회지 Vol.42 No.5
Background: Major cause of sudden death in patients with ischemic heart disease is ventricular arrhythmia and associated with exercise. Recently signal averaged EKG (SA-EKG) is developed to record microelectrical potential that can t be detected in surface EKG and have been used evaluating the risk of sudden death in patients with ischemic heart disease, but few studies are reported for the effect of exercise on this. Method : To investigate the findings of signal averaged EKG (SA-EKG) in normal subjects(n=189), angina pectoris paitents(n=82) and myocardial infarction patients(n=49) and the effect of isotonic exercise on them, we analysed SA-EKG s recorded before and after treadmill exercise test. Result : In group A root mean square voltage (RMS) was significantly increased (p< 0.05) while duration of high frequency low amplitude activity (HFLA) was significantly decreased (p<O. 05) after exercise and duration of filtered QRS (f-QRS) was insignificantly decreased. In group B and group C, f-QRS and HFLA were insignificantly decreased while RMS was increased insignificantly. In considerable proportion of the subjects, the positive late potential (LP) was converted to negative LP after exercise, i.e. 52.4% in group A, 37.5% in group B, and 40.0% in group C and also the abnormal SA-EKG converted to normal SA-EKG, i.e. 48.3% in group A, 22.2% in group B, and 45.5% in group C. On the contrary in smaller proportion of the subjects the negative LP was converted to positive LP after exercise, i.e. 2.4% in group A, 6.1% in group B, and 2.6% in group C, and the normal SA-EKG converted to abnormal SA-EKG, i.e. 1.9% in group A, 4.7% in group B, and 2.6% in group C. There was no significant differences among groups in the conversion rates of SA-EKG findings after exercise. Conclusion : Slow conduction demonstrated by SA-EKG could be improved after isotonic exercise whether it is associated with ischemic heart disease or not.
진단적 관상동맥 조영술 도중에 발생한 나선형 관상동맥 박리증
임상엽 ( Im Sang Yeob ),정명호 ( Jeong Myeong Ho ),김원 ( Kim Won ),안영근 ( An Yeong Geun ),조정관 ( Jo Jeong Gwan ),박종춘 ( Park Jong Chun ),강정채 ( Kang Jeong Chae ) 대한내과학회 2003 대한내과학회지 Vol.65 No.3
Severe, occlusive spiral dissection during diagnostic coronary angiogram is very rare. A 41-year old female patient was admitted because of chest pain at night. Her left coronary angiogram revealed no significant stenosis with diffuse luminal narrowing. I
경피적 관동맥 성형술의 임상적 경험 - 최초 성공율을 중심으로 -
이기운 ( Lee Gi Un ),안영근 ( An Yeong Geun ),박주형 ( Park Ju Hyeong ),조길우 ( Jo Gil U ),정명호 ( Jeong Myeong Ho ),조정관 ( Jo Jeong Gwan ),박종춘 ( Park Jong Chun ),강정채 ( Kang Jeong Chae ) 대한내과학회 1992 대한내과학회지 Vol.42 No.4
Background: Percutaneous transluminal coronary angioplasty (PTCA) has been applied to some patients with symptomatic coronary artery disease and become recently an alternative to coronary artery bypass graft in selected cases. So we reviewed the results of our cases of PTCA. Method: PTCA was performed for 103 coronary arterial lesions in 78 patients (66 male, 12 female: 56.4±9.1 years) at Chonnam University Hospital from Aug. 1987 to April 1991. The acute results were assessed. Subjects: Eleven patients had stable angina, 32 unstable angina, 31 acute myocardial infarction, and four old myocardial infarction. Fortyfour patients had single vessel disease, 21 two vessel disease, and 13 three vessel disease. Results: Primary angiographic success rate was 74.8% (77/103) in the total 103 attempted lesions: 82.6% (38/46) in type A, 71.7% (38/53) in type B, and 25.0% (1/4) in type C according to ACC/AHA classification of the attempted coronary arterial lesions. The angiographic diameter stenosis reduced from 70.7±17.2% to 19.2±13.8% after successful PTCA. Complications associated with PTCA were seven intimal dissections (1 occlusive, 6 non-occlusive), one coronary occlusion by thrombosis, one coronary artery rupture, one guide wire impaction and fracture, and two deaths. There was no case requiring emergency CABG. Conclusion: Percutaneous transluminal coronary angioplasty (PTCA) can be an effective treatment in variable coronary artery disease and become an alternative to coronary artery bypass graft.
Ho-166 부착풍선도자를 이용한 방사선 조사의 돼지 관상동맥 스텐트 재협착 예방 효과
김원 ( Kim Won ),정명호 ( Jeong Myeong Ho ),박옥영 ( Park Og Yeong ),정우곤 ( Jeong U Gon ),박우석 ( Park U Seog ),김주한 ( Kim Ju Han ),안영근 ( An Yeong Geun ),조정관 ( Jo Jeong Gwan ),박종춘 ( Park Jong Chun ),강정채 ( Kang Je 한국지질동맥경화학회 ( 구 한국지질학회 ) 2002 韓國脂質學會誌 Vol.12 No.1
배경 : 국내에서 개발된 방사선 동위원소 Holmium-166 (166Ho)은 주로 베타선을 방출하며, 166Ho을 부착한 풍선도자를 이용하여 돼지 관상동맥 재협착 모형에서 풍선확장술 후 신생내막 증식을 전신적 부작용 없이 안전하고 효과적으로 억제하였음을 보고한 바 있다. 본 연구에서는 돼지 관상동맥 스텐트 재협착 모형에서 스텐트 시술 후 신생내막 증식에 의한 재협착 병변을 166Ho 부착 풍선도자를 이용하여 치료하여 그 효과를 관찰하고자 하였다. 방법
당뇨병 환자에서 관상동맥 우회술과 관상동맥 스텐트 시술 후 장기 임상 결과
심두선 ( Sim Du Seon ),정명호 ( Jeong Myeong Ho ),김원 ( Kim Won ),류제영 ( Lyu Je Yeong ),염주협 ( Yeom Ju Hyeob ),김주한 ( Kim Ju Han ),안영근 ( An Yeong Geun ),조정관 ( Jo Jeong Gwan ),박종춘 ( Park Jong Chun ),안병희 ( An Bye 대한내과학회 2003 대한내과학회지 Vol.65 No.2
Background : Diabetes is a major risk factor for restenosis after percuataneous coronary intervention (PCI) and coronary artery bypass surgery (CABG) has been considered desirable in diabetics with multivessel disease. However, recent developments in devi
관상동맥 중재술 시술시 혈소판 당단백 Ⅱb/Ⅲa 수용체 차단제를 사용한 70세 이상 고령 급성 심근경색증 환자의 임상경과: 70세 미만 환자와 비교
심두선 ( Doo Sun Sim ),정명호 ( Myung Ho Jeong ),이민구 ( Min Goo Lee ),홍영준 ( Young Joon Hong ),박형욱 ( Hyung Wook Park ),김원 ( Weon Kim ),김주한 ( Ju Han Kim ),안영근 ( Young Keun Ahn ),조정관 ( Jeong Gwan Cho ),박종춘 ( Jo 대한내과학회 2004 대한내과학회지 Vol.67 No.6
Background : This study was designed to evaluate the safety and clinical benefits of a glycoprotein IIb/IIIa receptor inhibitor, ReoPro(R) in the elderly patients with acute myocardial infarction (AMI) (≥70 years of age) undergoing percutaneous coronary i