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Tricuspid and pulmonary valve endocarditis associated with double-chambered right ventricle
명진철,진정연,최진호,나영민,박준형 고신대학교(의대) 고신대학교 의과대학 학술지 2015 고신대학교 의과대학 학술지 Vol.30 No.1
We report a rare case of tricuspid valve and pulmonary valve endocarditis associated with a double-chambered right ventricle in an adult female with pulmonary artery aneurysm and septic pulmonary embolism by Streptococcus mitis. She was treated with aggressive antibiotic therapy followed by debridement of the infective lesion of tricuspid valve, pulmonary valve replacement using xenograft and resection of obstructing muscular bundles in right ventricle.
강기운,이성규,윤현수,진정연,명진철,김원호,박상현,최유정,정경태,정명호 대한비만학회 2013 The Korean journal of obesity Vol.22 No.4
Background: Previous reports have demonstrated that obese patients may have better clinical outcomes after percutaneous coronary intervention (PCI) than non-obesepatients; however this “obesity paradox” remains still unknown in young patients. Therefore, we investigated the influence of obesity on the outcomes of young patients with acute ST-segment elevation myocardial infarction (STEMI). Methods: A total of 541 young patients (≤ 45 year old) with acute STEMI undergoing urgent PCI were enrolled in the Korea Acute Myocardial Infarction Registry betweenJanuary 2008 and Aug 2011. These patients were categorized according to their body mass index (BMI, kg/m2) as non-obese (BMI < 27.5, N = 73), obese (27.5 ≤ BMI < 32.5,N = 183) and morbidly obese (BMI ≥ 32.5, N = 285). At follow-up, the major adverse cardiac events (MACE; defined as death, myocardial infarction, and target vesselrevascularization) were compared among the three groups. Results: The mean duration of follow-up was 384 ± 82 days. Among the three groups, age, sex, cardiovascular risk factors and left ventricular ejection fraction were similar andnumber of infarct-related artery or stenotic coronary artery was also similar. The length of stay in the coronary care unit was shorter among the obese and morbidly obese group compared with that of the non-obese group. In-hospital death and clinical outcomes among the three groups were not significantly different. At follow-up, the one-year MACE-free survival rate of those groups was not significantly different (93% in non-obese, 94% in obese and 95% in morbidly obese). Conclusion: In young patients with STEMI undergoing urgent PCI, influence of obesity on clinical outcomes was not observed as significant in the young Korean patients.
유지형 ( Jihyung Yoo ),김낙민 ( Nak Min Kim ),성우경 ( Wookyung Sung ),명진철 ( Jin Cheol Myeong ),윤수아 ( Su A Yun ),이동규 ( Dong Kyu Lee ),임미경 ( Mi Kyoung Lim ),신동혁 ( Dong Hyuk Sheen ) 대한류마티스학회 2015 대한류마티스학회지 Vol.22 No.4
베체트병에서 말초 신경계 침범은 아주 드물게 보고되었다. 저자들은 베체트병 환자에서 갑작스러운 근육 위약감이 발생하여 진행하는 증상과 신경전도검사에서 확인된 길랑-바레 증후군을 진단하였고, 약물 치료 후 증상이 호전됨을 경험하여 문헌으로 보고하는 바이다. Behcet’s disease (BD) is a multi-systemic inflammatory disease of unknown origin that affects nearly all organs including the nervous system. Although the neurological involvement is less frequent than other major presentations, it is important because it can produce severe disabilities. Peripheral nervous system manifestations are relatively rare in BD. Although few cases of peripheral neuropathy or myopathy have been reported in BD, they are cases of multiple neuropathies, sensorimotor peripheral neuropathy, or neuropathy autonomic dysfunction. Guillain-Barre syndrome (GBS), also known as an acute inflammatory demyelinating polyneuropathy, is an acute demyelinating polyradiculopathy of uncertain etiology. No case of GBS associated with BD in Korea has been reported. Herein we report on a patient of BD who suffered from weakness of extremities and was diagnosed as GBS. (J Rheum Dis 2015;22:246-249)