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이석준(Suk Joon Lee),안정천(Jeong Cheon Ahn),인광호(Kwang Ho In),강경호(Kyung Ho Kang),유세화(Se Hwa Yoo),김준석(Jun Suk Kim),최명선(Myung Sun Choi) 대한내과학회 1992 대한내과학회지 Vol.43 No.1
Background: Small cell lung cancer is sensitive to chemotherapy and radiotherapy. Nevertheless, responders are still short-lived and succumb as a result of central nervous system metastases. Method: To improve the incidence of complete remission and the length of survival time we treated 17 patients with cyclophosphamide, vincristine, cisplatin and etoposide (COPE), combined with radiotherapy. Results: The four patients with limited disease had an 100% response rate (50% CR) and duration of response for 2 patient with CR were 64+weeks and 101+weeks. And duration of response for one evaluable patients with PR was 24 weeks. The 13 patients with extensive disease had an 92% response rate (38% CR) and duration of response of patients with CR was 17-130 weeks (median 58 week) and that of patients with PR was 17-48 weeks (median 18 week). The median duration of survival for all patients was 63 weeks. The durations of survival for 3 patients with LD were 64+ weeks, 101+ weeks and 104+ weeks, and median duration of survival for patients with ED was 60 weeks. Most of patients suffered from nausea, vomiting and alopecia but they were tolerable. Conclusion: We concluded that the COPE chemotherapy combined with radiotherapy has improved the incidence of complete remission and the length of survival time.
안젬마 ( Jem Ma Ahn ),이재민 ( Jae Min Lee ),황영재 ( Young Jae Hwang ),서영호 ( Young Ho Seo ),김용현 ( Yong Hyun Kim ),안정천 ( Jeong Cheon Ahn ),송우혁 ( Woo Hyuk Song ) 대한내과학회 2013 대한내과학회지 Vol.84 No.1
We report a rare case of acquired multiple coronary-cameral fistulae. A 46-year-old man presented to the cardiology department clinic complaining of recently aggravated exertional chest pain. He had been treated 10 years ago for an acute ST segment elevation myocardial infarction (STEMI) with percutaneous coronary intervention (PCI). During revascularization, diffuse multiple fistulae from the left anterior descending (LAD) artery to the left ventricle (LV) had been observed. The current chest pain was evaluated by elective coronary angiography but no significant stenosis was observed. However, newly developed diffuse fistulae from the distal right coronary artery (RCA) to LV were found during angiography, as well as LAD-LV coronary fistulae. Multiple coronary- cameral fistulae were thought to be causing chest pain. A beta-blocker was prescribed and, after 3 months of follow-up, exertional chest pain had subsided without further complication. (Korean J Med 2013;84:91-95)
급성심근경색증에서 Urokinase 정맥 투여에 대한 임상적 경험
임도선(Do Sum Lim),김영훈(Young Hoon Kim),나승운(Seung Woon Rha),안정천(Jeong Cheon Ahn),송우혁(Woo Hyuck Song),박창규(Chang Gyu Park),서홍석(Hong Seog Seo),심완주(Wan Joo Shim),오동주(Dong Joo Oh),노영무(Young Moo Ro) 대한내과학회 1997 대한내과학회지 Vol.53 No.1
Objectives: The most important therapeutic strategy in acute myocardial infarction(AMI) is early recanalization of infarct-related artery(IRA). In Korea the commonly used method for recanalization is urokinase infusion in early phase of disease. But total dosage and method of urokinase infusion are still arbitary. Thus this study was undertaken to evaluate the patency rate of infarct-related artery by urokinase in AMI patients. Methods: 42 acute myocardial infarction patients were treated with intravenous urokinase(40.000U/kg in 32 patients, 3,00,000U in 10 patients). IRA patency was evaluated with coronary angiography at 90 minutes and 7-10 days after intravenous urokinase. The clinical findings and coronary angiographic findings according to dose of urokinase or pain to time for urokinase injection were analysed prospectively. Results: Mean pain to Door time was 251 minutes and door to urokinase time was 74 minutes. Early patiency of IRA was 61.8%(21/42) and no difference was observed between the dosage of intravenous urokinase. In open IRA group(21 patients) the reocclusion was not observed at 7-10 days later. The ejection fraction on admission was similiar in patent or non-patent IRA group, but follow up ejection fraction was significantly lower in closed IRA group than open IRA group(P=0.0185). Life- threatened bleeding complications were developed in 2 cases(4.8%, I intracranial hemorrhage, 1 gastrointestinal bleeding). Conclusion: IRA patency was achieved in 61.8% of acute myocardial infarction by intravenous urokinase as evaluated by coronary angiography. The patency of IRA at 90 minutes was important in preserving the global left ventricular function in early recovery phase of acute myocardial infarction. But large, prospective study may be needed to determine optimal and effective intravenous urokinase dosage in acute myocardial infarction.
급성 심근경색증으로 일차 관동맥 스텐트 삽입술 후 조기 퇴원의 안전성에 대한 연구
이은미(Eun Mi Lee),오동주(Dong Joo Oh),강영선(Young Sun Kang),안정천(Jeong Cheon Ahn),김영훈(Young Hoon Kim),서홍석(Hong Seog Seo),심완주(Wan Joo Shim),노영무(Young Moo Ro) 대한내과학회 2000 대한내과학회지 Vol.59 No.6
Background : Primary coronary stenting results in reduced rates of reinfarction, recurrent ischemia, stroke and in-hospital mortality and may allow earlier hospital discharge compared with primary angioplasty for acute myocardial infarction(AMI). This study evaluated the hypothesis that primary coronary stenting, with subsequent discharge within 4 days after admission, is safe and cost-effective in low risk patients for AMI, prospectively. Methods : The study group consisted of low risk patients after susccessful primary stenting with conventional transfemoral intervention for AMI. Low risk status required be met all the following criteria : age≤75 years, no persistent arrhythmias, no recurrent ischemia and no symptomatic heart failure signs during admission after successful reperfusion. The total 41 patients were randomized into 2 groups{early discharge group(ED, hospital stay ≤4 days), N=25//conventional discharge group(CD, hospital stay ≥5 days), N=16}. Their demographic and angiographic characteristics, the rate of major adverse cardiac events, ejection fraction during 3 months, and total medical costs were analyzed. Results : The 25 patients(61%) were discharged on day 3 or 4. The peak level of CK-MB were not significantly lower in early discharge group than conventional discharge group(ED/CD;112.4±67.3/153.3±76.9 U/L, p=0.089). Comparing to conventional discharge group, in-hospital costs were significantly lower in patients of early dicharge group(ED/CD;7,109,118±1,068,861/8,766,336±1,688,707₩, p=0.001). Major adverse cardiac events were similar in both group(ED/CD;16/25%, p=0.329). Conclusion : Early identificaton of low risk patients after successful primary stenting by transfemoral intervention for AMI allowed safe omission of the intensive care phase and noninvasive testing, and early hospital discharge, resulting in substantial costs savings.(Korean J Med 59:626-633, 2000)