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오용구,이만길,차호,정영채,임진우 대한내과학회 1987 대한내과학회지 Vol.32 No.1
Acute myocardial infarction may occur in patients with angiographically normal coronary arteries. These patients are generally younger and frequently develop subendocardial infarction. Coronary spasm may be a significant factor in the pathogenesis of this type of infarction. The prognosis is considered to be good. Recently we experienced a case of acute myocardial infarction with normal coronary arteries. He was a 33 year old male who developed severe chest pain on the day of the admission at local hospital. He was admitted to our hospital for further evaluation and treatment Cardiac catheterization, coronary arteriogram and left ventriculogram showed dyskinesia of inferior wall and normal coronary arteries.
남수현,오용구,박경욱,윤영길 慶北大學校 醫科大學 1981 慶北醫大誌 Vol.22 No.1
당뇨병환자에서 자율신경 기능장애를 알아내기 위한 검사로서 심호기 심흡기율이 건강인에 비해 떨어져 있음을 심전도를 이용하여 검사하므로서 환자 침대에서 간단하게 그리고 정확하게 검사할 수 있었다. 당뇨병환자는 안정시 정상인에 비해 빈맥이 있으며, 심박수의 감소 또한 유의하게 적었다. 특히 건반사가 이상이 있는 당뇨병환자에서 건반사가 정상인 환자에 비해 심박수의 변화가 유의하게 적었으며 건반사가 이상인 환자에서 심흡기 심호기율이 1.10 이하는 56명중 49명으로 88%나 되었다. Retinopathy가 있는 환자에서 역시 심박수의 변화는 유의하게 적었고 심흡기 심호기 율이 1.10 이하인 예가 47명중 38명으로 78%나 되었다. 또한 단백뇨가 있는 환자에서도 심박수의 변화는 그 정도는 낮았으나 유의하게 적었다. 당뇨병의 병력기간이 길수록 심흡기 심호기율은 더 작아지는 경향은 확실하며 저자의 예에서는 병력기간이 1년이상 5년이하까지는 1.11±0.21 이였고, 5년이 넘어서서 10년 이하에서 1.07±0.03으로 1.10을 하회(下廻)하였다. 이와 같은 성적으로 미루어 보아 심호흡시 흡기 호기의 율을 계산함으로써 외과수술환자의 급성심폐부전에 의한 높은 사망율을 줄이는 데는 많은 도움이 될 것이다. To find a simple and accurate test of autonomic nervous dysfunction in diabetes mellitus, we performed maximal deep breathing procedures while undergoing electrocardiographic recording at bed side. Normal indivisuals at rest show variation in heart rate induced by respiration. During maximal deep breathing these changes are accelltuated and electrocardiographic recording will show the increase in heart rate during inspiration and the decrease during expiration. This variation is reduced or abscent in diabetics with autonomic neuropathy. Forty eight of the 56 with sensory neuropathy(88%) had an DE/Dl ratio below of 1.10. Diabetics with retinopathy also had significantly smallest variation and thirthy eight of the 47 with retinopathy(78%) had an DE/DI ratio below of 1.10. Also diabetics with proteinuria had significantly smaller variation. Relation between duration of diabetics and DE/DI ratio was inverse proportion accurately. For example in diabeticc of duration which above 1 year and below 5 years DE/DI ratio was 1.11±0.21 and in diabtiecs with below 10 years duration was 1.07±0.03. Our study cleary shows that diabetics with sensory neuropathy have a high prevalence of autonomic dysfunction, with may be important clinically. Since sudden cardiorespiratory deaths are common in diabetics with autonomic neuropathy during and after sugery, the determination of the DE/DI ratio might be a suitable preoperative test for those diabetics at risk. Patients with an abnormal ratio should probably be closely monitered in an intensive care unit after operation.
김의현,오용구,임진우,채종률,이민희,최윤건 대한내과학회 1988 대한내과학회지 Vol.35 No.4
An aneurysm of the sinus of Valsalva is relatively rare. From May 1986 to April 198S, we found three patients with this pathology at our institution. In all patients, diagnosis was suspected by echocardiography before cardiac catheterization and angiography. The final diagnosis was confirmed at surgery. This case report describes the echocardiographic findings in our patients with a rcview of the literature about echocardiographic manifestations of sinus of Valsalva aneurysms with or without rupture. Echocardiography is useful in detecting abnormalities of the aortic root and provides important information prior to cardiac catheterization and surgery. One patient had a 60 mmHg peak systolic pressure gradient between the right ventricle and pulmonary artery; the obstruction was caused in part by the bulging of the sinus of Valsalva aneurysm into the right ventricular outflow tract as well as by infundibular pulmonic stenosis. The corrective surgery was performed without complication and the postoperative course was uneventful.