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이원재 ( Won Jae Lee ),조현수 ( Hyun Su Jo ),손장원 ( Jang Won Son ),윤준철 ( Jun Cheol Yoon ),손창우 ( Chang Woo Son ),박규환 ( Kyu Hwan Park ),이상희 ( Sang Hee Lee ),홍그루 ( Geu Ru Hong ),박종선 ( Jong Sun Park ),신동구 ( Dong 대한내과학회 2010 대한내과학회지 Vol.79 No.3
Background/Aims: In Korea, few studies have examined primary cardiac tumors, which have a reported incidence of 0.0017~0.19% in autopsy series. This study surveyed the status of primary cardiac tumors over the past 7 years in one region. Methods: A retrospective review examined all patients with primary cardiac tumors, except for confirmed thrombus, using hospital medical records from 2000 to 2006 at six community hospitals. Identified cases undergoing biopsy and surgery were selected for the study. Results: The operative mortality was 7.7%. Of the 71 patients (26 males) with identified primary cardiac tumors, 65 (91.5%) tumors were benign and 6 (8.5%) were malignant. The benign tumors were myxoma (78.9%), rhabdomyoma (4.2%), fibroelastoma (2.8%), fibroma (1.4%), and leiomyoma (1.4%). Two of the myxomas were present at multiple locations. The malignant tumors included sarcomas (67%) and lymphomas (33%). Most of the tumors were located in the left atrium (76%). The majority of patients presented with chest pain and dyspnea. During follow-up for an average of 26.8±21.3 months, all but one patient with benign tumors was alive; one myxoma patient died perioperatively (1.5%). Four of the patients with malignant tumors (67%) died. Conclusions: Cardiac myxomas and sarcomas were the most common primary benign and malignant tumors, respectively. Benign tumors had excellent postoperative survival rates, while malignant tumors had high mortality. (Korean J Med 79:271-276, 2010)
스트레스 유발성 심근증 환자들의 원내 사망과 좌심실 기능 회복의 예측인자
김소연 ( So Yeon Kim ),김장영 ( Jang Young Kim ),박용현 ( Yong Hyun Park ),홍경순 ( Kyung Soon Hong ),조경임 ( Kyoung Im Cho ),조현수 ( Hyun Su Jo ),홍그루 ( Gue Ru Hong ),손창우 ( Chang Woo Sohn ),손장원 ( Jang Won Sohn ),윤준철 대한내과학회 2011 대한내과학회지 Vol.81 No.1
Background/Aims: The reported frequency of stress-induced cardiomyopathy (SCMP, Takotsubo cardiomyopathy) is increasing; however, there are no data regarding predictors of in-hospital mortality and the recovery of left ventricular (LV) systolic function in patients with SCMP. Therefore, in this study, we sought to identify clinical predictors of in-hospital mortality and of the recovery of LV dysfunction in Korean patients with SCMP. Methods: From November 2004 to November 2010, 155 patients who fulfilled the clinical diagnostic criteria of the Mayo clinic for SCMP were enrolled retrospectively from eight medical centers in Korea. We checked in-hospital deaths and compared the LVejection fraction (LVEF) and wall-motion score index (WMSI) upon enrollment for each patient with that after 1 week using echocardiograms. A total of 55 continuous variables and 52 nominal variables were analyzed to find variables associated with in-hospital mortality and the recovery of LV dysfunction. All significant variables were entered into a logistic regression analysis. Results: The mean age of the patients was 64±15 years; 118 (76.1%) patients were female. The in-hospital mortality rate was 5.2% (n=8). An elevated initial platelet count was identified as a predictor of in-hospital mortality (odds ratio [95% CI]: 0.99 [0.99-1.00]). There were no predictors of the recovery of LVEF. Predictors of the recovery of WMSI were an absence of arrhythmic events (odds ratio [95% CI]: 22.89 [1.98-265.34]) and an elevated initial LV end-systolic diameter (odds ratio [95% CI]: 0.86 [0.74-1.00]). Conclusions: An initial absence of arrhythmic events and elevated LV end-diastolic pressure in patients with SCMP may be predictors of the timely recovery of LV dysfunction. (Korean J Med 2011;81:64-72)