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정상 남성에서 음주 및 흡연과 혈청 총 콜레스테롤치와의 관계
정의룡(Eui Ryong Cheong),류재근(Jae Kean Ryu),전상중(Sang Joon Jun),채성철(Shung Chull Chae),전재은(Jae Eun Jun),박의현(Wee Hyun Park) 대한내과학회 1996 대한내과학회지 Vol.50 No.4
Objectives : We conducted our study to establish the mean values of total serum cholesterol in healthy Korean male adults and find out the relationship between the cholesterol levels and life styles(eg. smoking and drinking habits). Methods: Eight hundred seventy-nine men involved in a health screening program in May, 1992, in Kyungpook University Hospital, were studied. The total cholesterol levels are determined by enzymatic method. And the life styles of the study groups were examined by answering written questionnaires. Results: The mean value of total cholesterol 189.6±30.6 mg/dl. The total cholesterol levels are higher in the age groups of fourth and fifth decades than in the age groups of second and third decades. The cholesterol levels show the tendency to increase according to age. The cholesterol levels are 189.8±30.7 mg/dl in smokers and 189.0±30.6 mg/dl in nonsmokers. They are not statistically different in either group. But heavy smokers who smoke more than 20 cigarettes per day have higher total cholesterol values than non-smokers. The cholesterol levels are 19431.0 mg/dl in heavy drinkers who drink alcoholic beverages 3-4 times per week and 187.2±31.7 mg/dl in non-drinkers. The group who are both heavy smoker and drinker have significantly higher cholesterol levels than in the group who do not smoke and drink alcoholic beverage. The cholesterol levels in the former and in the latter group are !?0629.0 mg/dl and 18331.2 mg/dl, respectively. Conclusion : The total cholesterol values somewhat related to the age and the life styles such as smoking and alcohol consumption. Generally speaking, the more increased levels of total cholesterol is shown when the person is getting older, the amounts of cigarettes smoked are increased and the frequencies of alcoholic drinks are increased.
Dipyridamole 부하 심장 풀 스캔을 이용한 관동맥질환의 평가
이규보(Kyu Bo Lee),이재태(Jae Tae Lee),김광원(Gwang Weon Kim),박의현(Wee Hyun Park),정병천(Byung Cheon Chung),최정일(Chung Il Choi),채성철(Shung Chull Chae),전재은(Jae Eun Jun),박희명(Hee Myung Park) 대한핵의학회 1991 핵의학 분자영상 Vol.25 No.1
N/A Thirty-one patients with coronary artery disease and twenty-six normal subjects underwent 99mTc-GBPS before and aft.er coronary vasodilatation was induced by dipyridamIe 0.54 mg/kg given IV over 4 min. LVKF, EF and regional wall motion by phase analysis were measured during rest and dipyridamole infusion. The results were as follows: 1) Mean LVEF of normal subjects was significantly higher than that of MI group (p=0.001), but similar to that of angina group during rest. Among Ml group, mean LVEF of anterior MI group was significantly lower than that of inferior MI group during rest (p=0,024). 2) The normal subjects had a significnat increase in mean LVEF during dipyridamole infusion (+ 12 +- 3,8), while the CAD group had no increase (+ 2=5.0) (p<0.001). If an increase of LVEF during stress is less than 5%., it suggests an abnormality. The sensitivity and specificity of LUEF changes aft:er dipyridamole infusion were 81%, 96%, respectively. 3) With phase analysis, LV mean phase angle af normal subjects and CAD patients was 143+20, 5, 132 +- 20.6 rc.spectively, durign rest (p=0.049). But an ncrease of LV mean phase angle during dipyridamole infusion in t.hese two groups was not signifieantly different. Dipyridarnole infusion did not affect standard deviation and FWHM of phase angle. 4) Regional wall motion was abnormal in 5 patients (16%) during dipyridamole infusion. 5) Side effects with dipyridamole infusion include; headache, angina pain, chest discomfirt, nausea, weakness sense. In conclusion, dipyridamole GBPS might be useful in detection and follow up of CAD.
관상동맥 질환에서의 Adenosine 부하 99mTc - MIBI 심근 스캔의 진단적 가치 : 운동 부하 99mTc - MIBI 심근 스캔과의 비교
이규보(Kyu Bo Lee),이재태(Jae Tae Lee),박의현(Wee Hyun Park),정병천(Byung Cheon Chung),최정일(Chung Il Choi),전재은(Jae Eun Jun),채성철(Sung Chull Chae),강승완(Seung Wan Kang),우언조(Eon Jo Woo) 대한핵의학회 1992 핵의학 분자영상 Vol.26 No.1
N/A Pharmacologic coronary vasodilation in conjunction with myocardial scintigraphy has become an accepted alternative to dynamic exercise testing for the diagnosis of coronary artery disease. Although dipyridamole has traditionally been used for this purpose, it causes frequent side effect, which at times can be life-threatening. Moreover, dipyridamole dose not elicit maximal coronary vasodilation in a substantial number of patients receiving the usual i.v. dose. Adenosine is an endogenously produced compound that has significant effects as a coronary vasodilator and rapid onset action and extremely short half-life ((10 seconds). The diagnostic accuracy and safety profile of adenosine Tc-99m-MIBI myocardial scintigraphy were evaluated and comparison with exercise Tc-99m-MIBI was performed. Twenty-eight subjects underwent Tc-99m-MIBI imaging after adenosine infusion and exercise Tc-99m-MIBI imaging. Adenosine was infused intravenously at a dose of 0.14 mg/kg/body weight per minute for 6 min and MIBI was injected at 3 minute. Adenosine caused an incerease in heart rate (64±12 at baseline versus 74±16 beats/min at peak effect, p〈0.001), a mild decrease in systolic and diastolic blood pressure and a slightly increase in PR interval(p; NS). Side effects were reported in 92% of patients and were mostly mild in nature and promptly resolved within 1 or 2 minutes of termination of adenosine infusion. Facial flushing (53%), chest pain (36%), mild dyspnea (39%), headache (21%), throat discomfort (21%) were frequent symptoms. ST segment depression(〉1mm) and second degree AV block in electrocardiography occured in 11% of thepatients, respectively. The overall sensitivity and specificity for individual coronary stenoses in 16 patients underwent coronary angiography were 88% and 95%, respectively. The agreement ratio of segmental perfusion between adenosine and exercise images was 92% (Kappa index=0.82). In conclusion, Tc-99m-MIBI myocardial perfusion scintigraphy with intravenous adenosine is a feasible, safe and highly accurate noninvasive technique for the detection of coronary artery disease and results are at least comparable with those of exercise Tc-99m-MIBI scintigraphy.
홍경순(Kyoung Soon Hong),정진홍(Jin Hong Chung),전상중(Sang Joong Jun),전재은(Jae Eun Jun),박의현(Wee Hyun Park),박희명(Hi Myung Park) 대한내과학회 1988 대한내과학회지 Vol.34 No.3
N/A Hemodynamic parameters and mitral valve areas were determined in patients with mitral stenosis from continuous wave Doppler echocardiograms recorded by an apical approach. The study population consisted of 16 pure or predominant mitral stenosis and 15 combined with regurgitation, and also 15 normals for comparison. In patients with mitral vale diseases, various parameters derived from diastolic Doppler spectrums revealed distinct hemodynamic alterations, and showed close correlations with the mitral valve areas obtained from 2-dimensional echocardiograms. Furthermore, the mitral valve areas determined both by Doppler and 2-dimensional methods were significantly correlated each other. These facts suggest that Doppler echocardiography is one of useful tools for the diagnosis and evaluation of the severity of mitral stenosis as well as for the estimation of the mitral valve areas even in patients with combined regurgitation.