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말기 신부전 환자에서 시행한 관상동맥 조영술 소견과 치료에 대한 고찰
김재헌(Jae Heon Kim),윤수영(Soo Young Yoon),노현정(Hyun Jeong Roh),박형천(Hyung Cheon Park),강남규(Nam Gyu Kang),최동훈(Dong Hoon Choi),강신욱(Shin Wook Kang),장양수(Yang Soo Jang),신원흠(Won Heum Shim),조승연(Seung Yun Cho),이호영(H 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.4
Background - Disease of the heart remains the leading cause of death in patients treated for endstage renal disease(ESRD). In contrast to person with normal renal function, coronary risk factors or indicators could not yet clearly be defined in renal insufficiency. The aim of this study is to elucidate whether conventional risk factors are valid predictors of coronary artery disease(CAD) in ESRD patients and to examine the therapeutic outcome of percutaneous transluminal coronary angioplasty(PTCA) and coronary artery bypass graft(CABG) in chronic dialysis patients. Methods: Between 1997 and 1999, 44 ESRD patients were perfomed by echocardiography and coronary angiography. Results: 31 patients showed positive results in coronary angiography. In patients with CAD, there were statistically significantly older(45.4 vs 60.6 yrs), had higher LP(a> level(18.0 vs 37.5 mg/dL), lower HDL cholesterol level(42.5 vs 33.6 mg/dL), higher BMI (20.7 vs 22.6), and lesser degree of ejection fraction on echocardiography(58.6Yo vs 42.8Yo). And there were more patients who had DM(30.8 vs 64.5Fo) and previous myocardial infarction(MI) histories(7.796 vs 38.7 96) in CAD group. Logistic regression analysis suggested that old age, high Lp(a), and previous MI history could be risk factors for coronary artery disease in ESRD patients. Among the 31 patients had CAD, 10 in HD and 3 in CAPD group experienced PTCA, and another 2 in HD and 4 in CAPD group experienced CABG. Treatment modality and mortality were not different between the two groups. Follow up angiography were performed in 4 HD patients, and 2 of them had restenosis of previously involved vessels. Conclusion: Old age, previous MI history and high Lp(a) are independent risk factors for the presence of CAD in ESRD patients.
성인의 대동맥판 및 승모판 협착증에서 종합적 경피적 풍선 판막성형술
김성순,조승연,박승정,이웅구,신원흠,탁승제 대한내과학회 1988 대한내과학회지 Vol.35 No.6
A 50-year-old woman with combined aortic and mitral stenosis underwent double valve balloon dilatation simutaneously as an alternative to surgical valve replacement. After dilatation, the mean aortic and mitral gradient decreased from 89 to 24 mmHg and from 14 to 6 mmHg, with the area of the aortic and mitral valve increasing from 0,5 to 1,3 cm² and 0.8 to 1.4 cm², respectively. The procedure was well tolerated, and resulted in a reduction in symptoms of dyspnea on exertion and weakness. It is concluded that combined dilatation of the stenotic aortic and mitral valves can be accomplished percutaneously and may be considered for patents with combined valvular stenosis who refuse or are deferred from surgical intervention