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인공 승모판 대치술후 정식도 심초음파도로 발견된 좌심방 혈전의 치험
양종목 ( Yang Jong Mog ),장창훈 ( Jang Chang Hun ),백상홍 ( Baeg Sang Hong ),정욱성 ( Jeong Ug Seong ),전승석 ( Jeon Seung Seog ),최규보 ( Choe Gyu Bo ),홍순조 ( Hong Sun Jo ) 대한내과학회 1992 대한내과학회지 Vol.42 No.4
Thrombi located in the left atrial appendage (=LAA) are frequently not detected with conventional two dimensional echocardiography (=TTE). The transesophageal echocardiographic (TEE) approach readily visualizes left atrial morphology and may be used a s an alternative. We report a case of LAA thrombus detected by TEE but not TTE. The patient was treated with Saint Jude Medical prosthetic valve (31 mm) for severe mitral stenosis and moderate mitral regurgitation. Thereafter LAA thrombus was detected by TEE. Intravenous urokinase was used. But right distal popliteal arterial obstruction was developed during intravenous urokinase infusion. Intraarterial urokinase was used. LAA thrombus was disappeared, and right distal popliteal arterial obstruction was partially lysed. The results were as follows: 1) Left atrial thrombi, which was not visualized by TTE, were detected by TEE. 2) Urokinase was useful for newly formed thrombus.
Head - up Tilt Test 로 진단된 혈관 미주 신경성 실신 치험 1 예
윤호중(Ho Joong Youn),양종목(Jong Mog Yang),정욱성(Wook Sung Chung),노태호(Tae Ho No),채장성(Jang Seong Chae),김재형(Jae Hyung Kim),최규보(Kyu Bo Choi),홍순조(Soon Jo Hong) 대한내과학회 1992 대한내과학회지 Vol.43 No.1
Vasovagal syncope is a common cause of unexplained syncopes. Rut even after clinical and invasive testing, a definite diagnosis is frequently not est8blished. We experienced a case of vasovagal syncope, diagnosed by head-up tilt test and treated by dual chamber pacemaker and beta blocker. The head-up tilt test may be a useful procedure in the investigation of vasovagal syncope, and bradyarrhythmia associated with vasavagal syncope may be suitable for treatment by permanent dual chamber pacemaker and β-blocker.
백상홍 ( Baeg Sang Hong ),양종목 ( Yang Jong Mog ),정욱성 ( Jeong Ug Seong ),전승석 ( Jeon Seung Seog ),노태호 ( No Tae Ho ),박인수 ( Park In Su ),김재형 ( Kim Jae Hyeong ),최규보 ( Choe Gyu Bo ),홍순조 ( Hong Sun Jo ) 대한내과학회 1992 대한내과학회지 Vol.42 No.4
In this study, the frequency of mechanisms of supraventricular tachycardia (SVT) were evaluated by analyzing the electrophysiologic findings of 26 patients with SVT without preexicitation between November 1987 and August 1990. The induction of tachycardia by programmed electrical stimulation and the determination of mechanism of SVT were performed by baseline electrophysiologic (EP) study in drug free status. The study group included 14 males and 12 females with ages rangiang from 16 to 54 years (mean±SD; 35.6±12.8). All patients had structurally normal heart except the 7 mitral value prolapse. We also compared the clinical findings, surface EKG during tachycardia and EP study findings according to the mechanism of SVT. The results were as follows: 1) In EP study, programmed stimulation induced sustained SVT was 20 of the 26 patients(induction rate 76 %). 2) Atrioventricular reentrant tachycardia (AVRT) using concealed bypass tract was the most common mechanism of SVT (80%), atrioventricular nodal reentrant tachycardia (AVNRT) was the second (15%) and the remainder was increased automaticity of the atrium (5%). 3) The age of the patients and their heart rates during tachycardia were not significantly different among the mechanism of SVT. 4) Functional bundle branch block during reciprocating tachycardia appeared in the AVRT group (4/16 cases). 5) The alternations of QRS during reciprocating tachycardia appeared in the AVRT group (3/16 cases). 6) The relationship between P wave and QRS complex (RP/RR) during tachycardia was useful in differentiating the mechanism of SVT (p<0.05). 7) The ventriculoatrial interval on His-bundle electrogram was more than 70 msec in the AVRT group, whereas this was less than 60 mesc in the AVNRT group. 8) In the AVRT group. P wave morphology and axis in the lead I was useful to determine the site of accessory pathway.
만성 신부전증 혈액투석 및 CAPD 환자에서 산염기 균형의 변화
김인식,강성구,장윤식,윤영석,방병기,이흥현,표석주,양종목 대한내과학회 1986 대한내과학회지 Vol.30 No.1
To evaluate the changes of acid-base balance in chronic uremia, we performed analysis of arterial blood gas in 22 subjects on non-dialytic chronic renal failure(CRF), 13 subjects on continuous ambulatory peritoneal dialysis(CAFD), and 15 subjects on maintenance hemodialysis(HD). The results were as follows: 1) The high values of arterial Ph(p$lt;0.001, respectively), HCO3 -(p$lt;0,01, p$lt;0.001) and low value of base excess(p$lt;0. 001, respectively) were showed in CAPD group compared with non-dialytic CRF group & pre-4ialytic HD group. 2) There was no statistical differences of value of arterial Ph, HCO3- & base excess between nondialytic CRF group & pre-dialytic HD group. Also, same fin4ings of their values were noted between CAPD group k post-dialytic HD group. 3) The value of arterial Ph in post-dialytic HD group was significantly higher than that of non-dialytic CRF group & predialytic HD group(p$lt; 0.001, respectively). However, the value of arterial Hco-3 between above two groups was not different. 4) The value of arterial PCO in post-dialytic HD group was lower than that of non-dialytic HD group & predialytic HD group(p$lt;0. 01, respectively). However, there was no difference of arterial PCO2 values between each other group. 5) The arterial PO2 value was not significantly different between each group. In conclusion, the acid-base status in patient with chronic uremia were effectively corrected & sustained in CAPD group than those of maintence HD and non-dialytic CRF group.