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우 Valsalva동에서 기시한 좌주관상동맥 기형과 합병된 동맥관개존증 1예
주형준 ( Hyung Joon Joo ),홍순준 ( Soon Jun Hong ),김진석 ( Jin Seok Kim ),박희남 ( Hui Nam Pak ),심완주 ( Wan Joo Shim ),신승용 ( Seung Yong Shin ),임도선 ( Do Sun Lim ) 대한내과학회 2008 대한내과학회지 Vol.74 No.2
The finding of a left main coronary artery arising from the right sinus of Valsalva is a rare congenital anomaly. The clinical course of patients with a congenital anomaly of the coronary artery may be compromised depending on its anatomic relationship with adjunctive structures. Some anomalous origins of the left main coronary arteries arising from right aortic sinus of Valsalva have been associated with angina pectoris and sudden death, especially if their pathways are between the pulmonary artery and the aorta. We report a rare case with a combined congenital anomalous origin of the left main coronary artery arising with the right coronary artery simultaneously from the right aortic sinus of Valsalva in a patient with a patent ductus arteriosus. The left main coronary artery was extremely long because its pathway went in front of the pulmonary artery. There was no evidence of artherosclerosis or dynamic stenosis on the angiogram. (Korean J Med 74:188-191, 2008)
급성 심근경색 환자에서 재관류 후 운동부하 심전도에서 T파의정상화 소견과 심근기능 회복과의 관계
김경진(Kyung Jin Kim),심완주(Wan Joo Shim),정성원(Seong Won Jung),박희남(Hui Nam Pak),이수진(Soo Jin Lee),송우혁(Woo Hyuk Song),김영훈(Young Hoon Kim),서홍석(Hong Seog Seo),오동주(Dong Joo Oh),노영무(Young Moo Ro) 대한내과학회 2001 대한내과학회지 Vol.60 No.1
Background : Several studies has been reported that T-wave normalization(TWN) in exercise ECG indicates the presence of viable myocardium. But the clinical implication of this phenomenon in patients with acute myocardial infarction who received proper revascularization therapy was not determined. The aim of this study was to investigate the relationship between TWN in exercise ECG and myocardial functional recovery after acute myocardial infarction. Methods : We studied 30 acute myocardial infarction patients with negative T waves in infarct related electrocardiographic leads and who received successful revascularization therapy. All patients performed exercise ECG, 10-14days after infarct onset using Naughton protocol. Patients were divided into 2 groups, according to presence (group I; n=14) or not (group II; n=16) of TWN in exercise ECG. Exercise parameters, coronary angiographic findings were compared between groups. Baseline and follow up (mean 11 months) regional and global left ventricular function was analyzed by echocardiography. Results : Exercise parameters was similar between groups. There were no difference in baseline ejection fraction and regional wall motion between group I and II (EF; 56±12% vs 52±11%, p=ns. WMS; 21±3 vs 23±4, p=ns) and it was improved at the tenth month by similar magnitude. (group I/group II, EF % change = 12±12% vs 7±6%, p=ns, WMS % change = 6±6% vs 7±5%, p=ns) The findings of no relation between TWN and functional recovery was observed also when the patients were analysed according to infarct location and presence of Q-waves. Conclusion : As the exercise induced TWN in patients with acute myocardial infarction was not related with better functional recovery of dysfunctional regional wall motion, TWN dose not appears to be a sign of myocardial viability.(Korean J Med 60:51-60, 2001)
혈중 Lipoprotein ( a ) 의 농도가 인체내 혈전 생성 및 용해 인자에 미치는 영향에 관한 연구
서홍석(Hong Seog Seo),오동주(Dong Joo Oh),이은미(Eun Mi Lee),한승환(Sung Whan Han),박희남(Hui Nam Pak),임도선(Do Sun Lim),박창규(Chang Kyu Park),김영훈(Young Hoon Kim),심완주(Wan Joo Shim),노영무(Young Moo Ro),권정아(Jung Ah Kwon),이갑 대한내과학회 1996 대한내과학회지 Vol.51 No.1
Objectives: Recently, lipoprotein (a) is known as an independent genetic risk factor for cardiovascular disease. Lipoprotein (a) contains a unique structure, apolipoprotein(a), that shares a partial homology with plasminogen without haboring enzymatic activity. Several in vitro studies reported that lipoprotein(a) competes with plgsminogen for their receptors showing inhibited thrombolysis and promoted thrombosis. We investigated whether evalvuated that lipoprotein(a) has same properties in vivo by determining the homeostatic relation between lipoprotein(a) concentration and several parameters of thrombosis and thrombolysis, and whether parameters of thrombosis and thrombolysis are different in atherosclerotic vascular diseases. Methods: Lipoprotein(a), fibrinogen, plasminogen, FDP-d, antithrombin-III, prothrombin time, activated partial thromboplastin time, tissue-type plasminogen activator, alpha-2 antiplasmin, plaminogen activator inhibitor-l, platelet counts, and other lipid profiles were measured and were compared each others by venous samles in 239 cases with atherosclerotic vascular disease which consisted of 146 cases of coronary heart disease, 39 cases of non-hemorrhagic cerebral infarction, and 10 cases of arteriosclerosis obliterans and in 185 cases without atherosclerotic vascular disease., Results: There was neither significant homeostatic relationship between lipoprotein(a) levels and paramets d thrombolysis, nor between lipids levels and parameters of thrombosis and thrombolysis. Serum lipoprotein(a) levels were higher in patients with myocardial infarction than in those with non- atherosclerotic vascular disease(30.0±28.2mg vs 23.8±21.4mg/dl). Among the thrombogenic and thrombolytic parameters, only tPA and FDP-d were significantly elevated in patients with atherosclerotic vascular disease. Conclusion: The findings that lipoprotien(a) was not correlated with thrombogenic and thrombolytic profiles in vivo suggests that lipoprotein(a) is not related to thrombogenicity in Korean people, al- though lipoprotein(a) is a independent genetic risk factor for carodiovascular disease.
비장티푸스성 살모넬라균에 의한 심율동전환제세동기 삽입부 감염
이동준 ( Dong Jun Lee ),이승현 ( Seung Hyun Lee ),한재현 ( Jea Hyun Han ),이승준 ( Seung Jun Lee ),박희남 ( Hui Nam Pak ),이문형 ( Moon Hyoung Lee ),정보영 ( Bo Young Joung ) 대한내과학회 2013 대한내과학회지 Vol.84 No.3
Non-typhoidal salmonella is rarely the cause of pacemaker infection. A 68-year-old man was referred to our hospital with tenderness and swelling at his cardiac resynchronization therapy defibrillator (CRT-D) implantation site. He had undergone CRT-D implantation because of sustained ventricular tachycardia and heart failure 7 years earlier, and the generator had been changed 2 months earlier. Twenty-four years earlier, he had undergone aortic valve replacement and mitral valve repair. We removed the generator and all of the CRT-D leads. After lead extraction, non-typhoidal salmonella serogroup B was cultured at the pocket and lead tip. The patient was managed successfully with lead extraction and antibiotic therapy. (Korean J Med 2013;84:418-422)