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한설혜(Seol Hye Han),임양희(Yang Hee Lim),박현주(Hyun Joo Park),신길자(Gil Ja Shin) 대한내과학회 1996 대한내과학회지 Vol.51 No.1
Objectives: Various factors have been implicated in the pathogenesis of left ventricular hypertrophy in patient with end stage renal disease. These include hypertension, anemia, coronary artery disease, parathyroid hormone. In present study, we used echocardiographically derived left venticular mass and relative wall thickness to assess the patterns of ventricular geometry, left ventricular load and contractile performance. And to evaluate the effect of age, duration of hypertension, anemia on left ventricular hypertrophy may help treatment of end stage renal failure. Methods: We measured systolic and diastolic function of left ventricle and left ventricular mass with M-mode, two dimensional, and Doppler echocardiography in 50 cases of end stage renal disease and 30 cases of healthy adults from July 1993 to March 19%. Results: 1) End stage renal diease group was 50 cases. Among the study patients, 12 cases(24%) had increased relative wall thickness with normal ventricular mass(concentric remodeling), 14 cases(28%) had increased relative wall thickness and ventricular mass(concentric hypertrophy), 24 cases(48%) had increased left ventricular mass with relative wall thickness(eccentrophic hypertrophy). There was no case of normal left ventricular mass and normal wall thickness. Among 30 cases of noraml control group, most of them showed normal left ventricular mass and normal wall thickness. 2) In concentric remodeling group, peripheral resistance was increased and left ventricular end diastolic dimension was decreased. Ejection fraction was preserved. 3) In group with concentric hypertrophy, high blood pressure was noted and end systolic wall stress was increased. Ejection fraction was decreased, So it reflects compensation of heart for hypertension. 4) In group with eccentric hypertrophy, the increase of left ventricular end diastolic dimension and post wall thickness was different from group with concentic hypertrophy. Left ventricular systolic function in eccentric hypertrophy was more decreased than concentric hypertrophy. So, concentric hypertrophy progresses to eccentric hypertrophy. 5) All the patients with end stage renal disease, diastolic dysfunction was noted. Conclusion: Appropriate treatment of hyper- tension and left ventricular hypertrophy according to each pattern may reduce performance and mortality of patients with end stage renal disease.
증례 / 수신증에 의해 고칼륨혈증과 고알도스테론증을 보인 1예
김응진(Eung Jin Kim),이성배(Sung Bae Lee),엄중호(Jung Ho Uhm),이근만(Keun Man Lee),왕길상(Kil Sang Wang),김영훈(Young Hoon Kim),한경아(Kyung Ah Han),민경완(Kyung Wan Min),한설혜(Seol Hye Han) 대한내과학회 1999 대한내과학회지 Vol.56 No.2
Renal tubular dysfunctions have been observed in hydronephrosis, resulting in metabolic acidosis, hyperkalemia and excessive free water diuresis. These findings are occasionally found in infant and children. Batle et al. first reported distal tubular acidosis associated with low potassium excretion resulting from aldosterone resistance in adults with obstructive uropathy. We have experienced a case of transient hyperkalemia and hyperaldosteronism secondary to hydronephrosis in 63-year-old female patient. The causes of hyperkalemia were examined under the impression of secondary adrenal insufficiency due to corticosteroid abuse or hyporeninemic hypoaldosteronism due to diabetic nephropathy. But it proved to be resulted from hyperaldosteronism due to hydronephrosis. The hyperkalemia resulting from hyperaldosteronism is rare in adults. It may result from aldosterone resistance at distal nephron due to obstructive uropathy or the defect of distal nephron in hydrogen and potassium secretion in the distal nephron rather than from aldosterone deficiency. After she underwent percutaneous nephrostomy, serum potassium was maintained within normal range. She performed total cystectomy with ureterocutaneostomy in purpose for treatment of bladder cancer. So we report this case with a review of literature.
전반적 좌심실비후에서 진행된 심첨부 비후형 심근증 1례 : 6년간의 경과 고찰 6 Year Follow Up
한설혜,유근배,김민수,이동수,임양희,박시훈,신길자 梨花女子大學校 醫科大學 醫科學硏究所 1996 EMJ (Ewha medical journal) Vol.19 No.4
저자들은 6년의 기간동안 전반적 좌심실 비대에서 심첨부 비후형 심근증으로 진행한 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. It is known that the morphologic expression or progression of hypertrophy in hyertrophic cardiomyopathy(HCMP) occurs mostly during childhood, when the body growth is considerable, but nearly not occurs in adult life. Apical hypertrophic cardiomyopathy is an uncommon variant of HCMP which is characteristic apical hypertrophy of the left ventricle showing characteristic ace of spade diastolic configuratioin of the left ventriculogram. It has not yet been clarified when the progression or development of hypertrophy occurs in apical HCMP. The possibliity of the morphologic changes in apical HCMP has been poposed in previous study, but not proved yet. We experienced a case of apical HCMP in 62-year-old female, which evolved during 6 years from mild, diffuse left ventricular hypertrophy to more progressed diffuse hypertrophy associated with marked hypertrophy of the apex of left ventricle showing ventriculopraphic picture of apical HCMP. The present case shows the morphologic change in HCMP with progression of hypertrophy during adult life.