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Cho, Kyoung Im,Shin, Eun-Seok,Ann, Soe Hee,Garg, Scot,Her, Ae-Young,Kim, Jeong Su,Han, Jun Hee,Jeong, Myung Ho BMJ 2016 Journal of epidemiology & community health Vol.70 No.11
<P>Background There are limited data on the influence of gender on risk factors and clinical outcomes in young patients with acute myocardial infarction (AMI). Methods This prospective study stratified outcomes according to gender in patients of age <= 50 years with a diagnosis of AMI, and who were enrolled in the nationwide registry of the Korea Working Group of Myocardial Infarction. The end point was the incidence of major adverse cardiovascular events (MACEs) defined as the composite of cardiac death, recurrent myocardial infarction (MI), and repeat revascularisation at 30 days and 1 year after admission. Results The registry enrolled 30 001 patients with AMI, of whom 5200 met the study inclusion criteria; 4805 patients were male and 395 were female. Current smoking was significantly higher in men, while hypertension and diabetes mellitus were significantly more common in women. Women underwent less coronary revascularisation, and were less likely to be on optimal medical therapy compared with men despite having a higher Killip class at presentation and higher risk angiographic findings. Although women had higher rates of MACEs (3.8% vs 1.8%, p=0.018 at 30 days and 7.8% vs 4.7%, p=0.004 at 1-year follow-up) compared with men, female gender was not an independent predictor of MACEs after adjusting for propensity score. Conclusions There were significant gender differences in the risk factors for coronary artery disease and the short-term and long-term clinical outcomes of young patients with AMI. Continued preventive strategies should be focused on gender-different risk factor reduction in these young patients.</P>
Coronary artery spasm in a patient with iatrogenic hyperthyroidism
( Yoon Kyoung Kim ),( In Kyoung Shim ),( Jung Ho Heo ),( Kyoung Im Cho ),( Hyun Su Kim ),( Jae Woo Lee ),( Tae Joon Cha ) 대한내과학회 2013 대한내과학회 추계학술발표논문집 Vol.2013 No.1
Case We report the first case of coronary artery spasm with iatrogenic hyperthyroidism in Korea. Hyperthyroidism is a rare cause of coronary artery spasm and most of them is associated grave`s disease. Coronary artery spasm with iatrogenic hyperthyroidism is very rare. A 73-year-old woman was admitted to our cardiology department with resting chest pain. She was treated with L-thyroxin (dose 0.15 mg/day) for hypothyroidism because she underwent total thyroidectomy due to thyroid papillary cancer 10 months ago. She had been never smoke and alcohol. Her ECG was no significant change comparing with the ECG 10 months ago. Coronary angiography showed diffuse spasm in the right artery after intravenous ergonovine injection,which resolved with intracoronary nitrate application. Laboratory data showed the following: thyroid-stimulating hormone (TSH) was undetectable < 0.004 μIU/mL (normal range: 0.35-5.5 μIU/mL), Free T4 was 2.28 ng/dL (normal range: 0.78-1.54 ng/dL), T3 was 148.21 ng/dL (65-150 ng/dL). She was subsequently diagnosed with hyperthyroidism secondary to L-thyroxine which is thought to be the cause of the coronary spasm. Symptoms resolved upon treatment with diltiazem and isosorbide mononitrate. She was stable at the 2-year follow-up.
조경임(Kyoung Im Cho),윤철(Cheol Yoon),이홍기(Hong Gi Lee),김석주(Seok Joo Kim),장윤식(Yeun Sik Jang),이연재(Youn Jae Lee),이상혁(Sang Hyuk Lee),설상영(Sang Young Seol),정정명(Jung Myung Chung),강미선(Mi Seon Kang) 대한소화기학회 2000 대한소화기학회지 Vol.36 No.3
Peripheral cholangiocarcinoma which was originated from the small bile ducts and generally presents an infiltrative growth, intraductal growth in the peripheral large duct tributaries, is very unusual. Mucin-producing cholangiocarcinoma showing intraductal spread has been reported previously, and it is difficult to diagnose this type of cholangiocarcinoma definitely in early stage in spite of jaundice due to mucin impaction in the common bile duct. We experienced a 49-year-old male patient who had hepatic mass observed incidentally without any specific symptom. This patient was diagnosed as having mucin-producing cholangiocarcinoma by abdominal ultrasonography, computed tomography scan and ERCP. He received hepatic resection successfully. It was diagnosed as mucin-producing cholangiocarcinoma, intrahepatic variant. He is expected to have long term survival. We report this case because the case of asymptomatic mucin-producing cholangiocarcinoma diagnosed at such an early stage is rare. (Kor J Gastroenterol 2000;36:431 - 436)