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관상동맥죽상경화증 환자에서 식생활요법 후 관상동맥경화증의 변화
정윤석(Yoon Sok Chung),김현만(Hyeon Man Kim),김한수(Han Su Kim),탁승제(Seung Jea Tahk),이웅구(Woong Ku Lee),정익모(Ick Mo Chung),조홍근(Hong Keun Cho),조승연(Seung Yun Cho),이현철(Hyun Chul Lee),허갑범(Kap Bum Huh),백인경(In Kyung Pa 대한내과학회 1995 대한내과학회지 Vol.48 No.2
Objectives: Coronary atherosclerosis is a life-style disease. Recently, Ornish et al. reported regression of coronary atherosclerosis in subjects with coronary artery disease who participated in a strict life-style modification program. We studied the effects of a life-style modification program on Korean patients with coronary atherosclerosis. Methods: Fourteen patients with angiographically documented coronary artery narrowing of over 50% in at least one vessel were studied prospectively. Subjects were divided into two groups. Subjects of group 1 (n=8) had a strict diet program composed of daily intake of less than 15% of fat and less than 100㎎ cholesterol; subjects of group 2 (n=6) had a usual diet program (American Heart Association step 1 diet) with daily intake of less than 30% fat and less than 300㎎ of cholesterol. All subjects were recommended with 200kcal per day exercise and instructed to stop cigarette smoking. Diet, anthropometric parameter, blood pressure measurements, serum lipid levels, and coronary angiography were recorded before and after the life-style modification program. Results: In group 1 (strict program) subjects, whose dietary intake of cholesterol and saturated fatty acid decreased, waist to hip circumference ratio and body fat decreased after the program. In contrast, there was no significant change in waist to hip circumference ratio and body fat of group 2 (usual program) subjects, whose dietary intake of cholesterol and saturated fatty acid did not decrease. In group 1, systolic blood pressure, serum total cholesterol and low density lipoprotein cholesterol levels decreased. There was no significant change in systolic blood pressure, serum total cholesterol, and low density lipoprotein cholesterol levels in group 2. Diameter stenosis of coronary artery regressed from 63.2±3.9% to 56.8±3.6% in group 1. There was no significant change (65.8±4.5% to 66.6±7.7%) in group 2. Conclusion: Coronary atherosclerosis significantly regressed in subjects who followed a strict life-style modification program, but not in subjects who continued their usual life-style program. Therefore, strict life-style change should be advised for coronary atherosclerotic patients.
경구 Prostacyclin 치료에 반응한 전신성 홍반성 낭창을 동반한 폐동맥 고혈암
김희선 ( Hee Sun Kim ),류연주 ( Yun Joo Ryu ),이지수 ( Ji Soo Lee ),신길자 ( Gil Ja Shin ),성순희 ( Sun Hee Sung ),정익모 ( Ick Mo Chung ) 대한내과학회 2002 대한내과학회지 Vol.63 No.5
A 36-year-old woman was admitted due to dyspnea and generalized edema, and was diagnosed as systemic lupus erythematosus and right ventricular heart failure due to accompanied pulmonary hypertension. The patient had been treated with diuretics, digoxin, high dose steroid and high dose nifedipine to treat right ventricular heart failure and pulmonary hypertension. Although the symptom and pulmonary hypertension responded transiently by these treatment, dyspnea was aggravated again and pulmonary arterial pressure was elevated in 1 week after high The combination therapy of oral prostacyclin analogue (Beraprost), high dose steroid, azathioprine, hydrochloroquine sulfate was tried subsequently and decrease of pulmonary hypertension and improvement of clinical symptoms was noted in 45 days after beraprost treatment. (Korean J Med 63:581-586, 2002) Key Words : Systemic lupus erythematosus, Pulmonary hypertension, Calcium channel blockers, Prostacyclin
비악성 상대정맥 증후군의 경피적 스텐트삽입술 중 발생한 급성 폐부종 1예
백은경 ( Eun Kyung Baek ),오지영 ( Ji Young Oh ),강민정 ( Min Jung Kang ),신길자 ( Gil Ja Shin ),이순남 ( Soon Nam Lee ),정익모 ( Ick Mo Chung ),편욱범 ( Wook Bum Pyun ) 대한내과학회 2008 대한내과학회지 Vol.74 No.2
The superior vena cava (SVC) syndrome results from the disturbance of blood flow in superior vena cava caused by the obstruction. The most common etiology of this condition is the external compression by a malignant tumor. Other causes include thrombus from a pacemaker, defibrillator or central venous catheters. The conventional treatment is radiation and chemotherapy. Recently stenting has been used as a first-line therapeutic strategy for non-malignant cases with balloon and self-expanding stents. In our report, a 77 year-old woman had the SVC syndrome without identification of an underlying disease. A percutaneous endovascular intervention was performed. The stent was placed successfully but just after the procedure, the venous return immediately increased and acute pulmonary edema developed. The patient improved after intravenous diuretics and oxygen. Here we report our experience and review the medical literatures for the management of the non-malignant SVC syndrome, with percutaneous endovascular intervention and the rare complication of pulmonary edema. (Korean J Med 74:192-197, 2008)