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Resistant hypertension: consensus document from the Korean society of hypertension
Park Sungha,Shin Jinho,임상현,김광일,Kim Hack-Lyoung,Kim Hyeon Chang,Lee Eun Mi,Lee Jang Hoon,Ahn Shin Young,Cho Eun Joo,Kim Ju Han,Kang Hee-Taik,Lee Hae-Young,Lee Sunki,Kim Woohyeun,Park Jong-Moo 대한고혈압학회 2023 Clinical Hypertension Vol.29 No.-
Although reports vary, the prevalence of true resistant hypertension and apparent treatment-resistant hypertension (aTRH) has been reported to be 10.3% and 14.7%, respectively. As there is a rapid increase in the prevalence of obesity, chronic kidney disease, and diabetes mellitus, factors that are associated with resistant hypertension, the prevalence of resistant hypertension is expected to rise as well. Frequently, patients with aTRH have pseudoresistant hypertension [aTRH due to white-coat uncontrolled hypertension (WUCH), drug underdosing, poor adherence, and inaccurate office blood pressure (BP) measurements]. As the prevalence of WUCH is high among patients with aTRH, the use of out-of-office BP measurements, both ambulatory blood pressure monitoring (ABPM) and home blood pressure monitoring (HBPM), is essential to exclude WUCH. Non-adherence is especially problematic, and methods to assess adherence remain limited and often not clinically feasible. Therefore, the use of HBPM and higher utilization of singlepill fixed-dose combination treatments should be emphasized to improve drug adherence. In addition, primary aldosteronism and symptomatic obstructive sleep apnea are quite common in patients with hypertension and more so in patients with resistant hypertension. Screening for these diseases is essential, as the treatment of these secondary causes may help control BP in patients who are otherwise difficult to treat. Finally, a proper drug regimen combined with lifestyle modifications is essential to control BP in these patients.
Kim, Sungha,Chung, Seung Eun,Lee, Sanghun,Park, Jeonghwan,Choi, Sunmi,Kim, Sungchul Informa UK (Informa Healthcare) 2016 Amyotrophic lateral sclerosis and frontotemporal d Vol.17 No.3
<P>The purpose of this study was to explore the life experience related to complementary and alternative medicine (CAM) use among patients with amyotrophic lateral sclerosis (ALS). Data were collected though semi-structured interviews of nine patients with ALS and seven family members, who have used CAM. Audio recordings of the interviews were transcribed verbatim and checked for accuracy. The Giorgi's method of phenomenology was used for data analysis. Five constituents forming the units of meaning were: facing the limits of conventional medicine; getting to know CAM; recognizing the ineffectiveness of CAM; using CAM for symptomatic treatment; and seeking new CAM endlessly for complete cure. The study results provide an in-depth understanding of experience with CAM among patients with ALS and their family members. Healthcare providers must give accurate information about the efficacy of CAM as well as its safety and possible adverse effects and should offer patient-centred treatment through active communication throughout the process of diagnosis and treatment.</P>
Kim, Byeong-Keuk,Kim, Dong Whan,Oh, Seungjin,Yoon, Se-Jung,Park, Sungha,Jeon, Dong Woon,Yang, Joo Young Lippincott Williams Wilkins, Inc. 2010 Coronary artery disease Vol.21 No.3
OBJECTIVE: We sought to evaluate whether the attainment of low-density lipoprotein cholesterol (LDL-C) goal of less than 70 mg/dl would affect clinical outcomes in Korean patients treated with drug-eluting stents (DES). BACKGROUND: The current cholesterol guideline has strongly recommended reducing LDL-C to less than 70 mg/dl as the goal of therapy for very high-risk patients. METHODS: From 2003 to 2006, a total of 1347 very high-risk patients were treated with DES. Among them, we identified 578 eligible patients with follow-up LDL-C within 6–8 months after DES and divided these patients into two groups based on the level of follow-up LDL-C: group A, follow-up LDL less than 70 mg/dl (n=234) and group B, LDL of at least 70 mg/dl (n=344). Then we analyzed the incidence of major adverse cardiac and cerebrovascular events [MACCE: death, myocardial infarction, target-vessel revascularization (TVR), non-TVR, cerebrovascular accidents] of both the groups. RESULTS: During the follow-up (mean duration=30±10 months), group A showed a significantly lower TVR (6%) and MACCE rate (14%), compared with group B (TVR: 12%, P=0.032; MACCE: 24%, P=0.002). However, there was no difference in the rate of death, myocardial infarction, or cerebrovascular accidents between the two groups. By multivariate analysis, follow-up LDL-C level of less than 70 mg/dl was one of the significant predictors for the occurrence of MACCE (odds ratio=0.39, 95% confidence interval: 0.21–0.72, P=0.003) or TVR (odds ratio=0.39, 95% confidence interval: 0.20–0.76, P=0.005). CONCLUSION: This study showed that the attainment of LDL-C goal of less than 70 mg/dl was significantly associated with a lower MACCE or TVR rate in very high-risk Korean patients treated with DES.
( Sungha Kim ),( Sooweon Lim ) 한국체육학회 2016 국제스포츠과학 학술대회 Vol.2016 No.1
Purpose: The purpose of this study is to understand the roles of the international coordinators who were selected and supported financially by the Korean Olympic Committee (KOC), and who are working in the national sports federations in Korea to reinforce the international cooperation of sports and administration. In addition, this study suggests alternatives for the future improvement of international sports cooperation through their strengthened roles and professionalism. Method: The method used in the study is a qualitative research. Eight research participants were selected via criterion-based sampling. The data was collected through in-depth interviews with the participants, and it was then analyzed using textual analysis. Result: National sports federations of Korea have strengthened their lack of manpower through international coordinators, not only for international cooperation but also for its own administration. Also, sports diplomacy and international cooperation have been improved by the international coordinators since they have created constructive communication channels with other international sports organizations, thanks to their multi-language skills and deep understanding of international relations. However, there are a few problems. The coordinators do not have enough opportunities to foster their professional skills due to the poor working environment of the national sports federations, and there is a lack of budget and time to receive proper education and fully develop their career. Secondly, there is a problem of job instability due to the limitations and conditions of the government subsidy. These problems hinder the potential development of sports diplomacy through international coordinators. Conclusion: National sports federations and the KOC should help international coordinators develop their professional skills with professional and educational programs. Also, the government subsidy for the international coordinators needs to remove the limitations and conditions of the period. With increased job stability and by strengthening their professional skills, the sports diplomacy and international cooperation of Korea will be much more effective through the young and talented international coordinators.
(Original Articles) Effects of Nattokinase on Blood Pressure: A Randomized, Controlled Trial
KIM, Ji Young,KIM, Kyong-Chol,OGASAWARA, Kazuya,INOUE, Kenichi,PARK, Sungha,JANG, Yangsoo,LEE, Jong Ho,LIM, Hyo Hee,GUM, Si Nae Japanese Society of Hypertension 2008 Hypertension research Vol.31 No.8
The objective of this study was to examine the effects of nattokinase supplementation on blood pressure in subjects with pre-hypertension or stage 1 hypertension. In a randomized, double-blind, placebo-controlled trial, 86 participants ranging from 20 to 80 years of age with an initial untreated systolic blood pressure (SBP) of 130 to 159 mmHg received nattokinase (2,000 FU/capsule) or a placebo capsule for 8 weeks. Seventy-three subjects completed the protocol. Compared with the control group, the net changes in SBP and diastolic blood pressure (DBP) were ?5.55 mmHg (95% confidence interval [CI], ?10.5 to ?0.57 mmHg; p<0.05) and ?2.84 mmHg (CI, ?5.33 to ?0.33 mmHg; p<0.05), respectively, after the 8-week intervention. The corresponding net change in renin activity was ?1.17 ng/mL/h for the nattokinase group compared with the control group (p<0.05). In conclusion, nattokinase supplementation resulted in a reduction in SBP and DBP. These findings suggest that increased intake of nattokinase may play an important role in preventing and treating hypertension.