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운동부하검사 중 과도한 수축기 혈압상승을 보이는 환자에서 Nitric Oxide/cyclic-GMP경로를 통한 내피세포 기능의 장애
박인휘 ( In Whee Park ),장혁재 ( Hyuk Jae Chang ),정재훈 ( Jae Hoon Chung ),신준한 ( Joon Han Shin ),최태영 ( Tae Young Choi ),최소연 ( So Yeon Choi ),윤명호 ( Myung Ho Yoon ),황교승 ( Gyo Seung Hwang ),탁승제 ( Seung Jae Tahk 대한내과학회 2003 대한내과학회지 Vol.65 No.1
Background : The diagnostic and prognostic implication of exaggerated blood pressure response to exercise has not been well characterized. Endothelial dysfunction has been demonstrated in patients with atherosclerosis or with risk factors for coronary art
신정숙 ( Jeoung Sook Shin ),김기찬 ( Ki Chan Kim ),김동훈 ( Dong Hoon Kim ),김세란 ( Sei Rhan Kim ),박진주 ( Jin Ju Park ),신준한 ( Joon Han Shin ),황교승 ( Gyo Seung Hwang ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.2
J wave syndrome is a deflection with the dome or the hump morphology in the same direction as R wave and immediately followed the QRS complex on the surface ECG. It is known as an abnormalities in the manifestation of the transient outward current (Ito)-mediated J wave. It includes Brugada syndrome, early repolarization syndrome, arrhythmia associated hypothermia and the ST-segment elevation myocardial infarction. Several lines of evidence have suggested that J wave syndrome closely associated with idiopathic Ventricular tachycardia (VT) and Ventricular fibrillation (VF). We report one case of J wave syndrome in a 50 years old male who was a survivor of sudden cardiac death. He had suffered 2 times sudden cardiac death previously. At the visiting day, his electrocardiography (ECG) exhibited J waves in precordial leads (V1-V6), II, II, aVF and J-ST elevation at the same leads. Considering, recurrent sudden cardiac arrest, J wave on inferior, lateral lead on ECG, we conclude he has a J wave syndrome.
급성 심근경색 환자에서 심전도상 ST 분절 상호 하강(reciprocal depression)의 임상적 의의 : 심근경색 후 경과시간에 따른 분석
장혁재 ( Hyuk Jae Chang ),박인휘 ( In Whee Park ),김정은 ( Jung Eun Kim ),이종우 ( Jong Woo Lee ),최소연 ( So Yeon Choi ),황교승 ( Gyo Seung Hwang ),윤명호 ( Myeong Ho Yoon ),신준한 ( Joon Han Shin ),탁승제 ( Seung Jea Tahk ),최 대한내과학회 2003 대한내과학회지 Vol.64 No.1
배경 : 급성 심근경색 환자에서 관찰되는 초기 심전도상의 ST 분절 상호 하강의 임상적 의의를 알아보고 특히 심근경색 발생 후 심전도 기록까지 걸린 시간에 따라 ST 분절 상호 하강의 의의가 차이를 보이는지 알아보고자 하였다. 방법 : 1999년 1월에서 2001년 5월 사이 진단받고 심전도상 ST 분절의 상승이 있었으며, 관동맥 조영술을 받은 급성 심근경색 환자 198명을 대상으로 하였다. 이들을 심근경색 부위에 따라 구분하였으며 심전도상 ST 분절 Background : To investigate the clinical significance of reciprocal ST segment depression on the presenting electrocardiogram (ECG) in patients with acute myocardial infarction (MI), in particular, this study focuses whether there is any difference accord