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이정유(Jung Yoo Lee),차광수(Kwang Su Cha),이종수(Jong Su Lee),김진도(Jin Do Kim),이형유(Hyung Yoo Lee),송철수(Chul Soo Song),신영우(Yung Uoo Shin),신영기(Yeong Kee Shin) 대한내과학회 1991 대한내과학회지 Vol.41 No.3
N/A The Authors investigated the serial change of serum lipids in the early period of acute myocardial infarction and its relation to several clinical parameters. The level of serum total cholesterol was lowest in the period of 2 to 5days after an attack of acute myocardial infarction, especially on the fourth day and thereafter increased gradually until 2 to 3weeks of the observation period. On the other hand the serum triglyceride level was lowest in the first 2days, especially the first day, and thereafter increased gradually until 2 to 3weeks of the observation period. The extent of the cholesterol change was very small compared with that of the triglyceride. The level of change in the serum cholesterol was not related to the ejection fraction, the frequency of ventricular arrhythmia, Killip class or fatality rate. On the otherhand the level of change in the serum triglyceride had a significant adverse influence on the ejection fraction, the frequency of ventricular arrhythmia, Killip class and fatality rate, respectively. Thus it seems that the initial change of serum triglyceride is somewhat helpful in foreseeing the outcome of acute myocardial infarction.
경요골동맥 관상동맥 조영술을 시행하는 환자에서 요골동맥 사행성의 빈도 및 예측인자
박민아 ( Min Ah Park ),박태호 ( Tae Ho Park ),최재혁 ( Jae Hyuk Choi ),박선이 ( Sun Yi Park ),이수이 ( Su Ee Lee ),임태형 ( Tae Hyung Lim ),유정남 ( Jung Nam Yoo ),차광수 ( Kwang Soo Cha ),김무현 ( Moo Hyun Kim ),김영대 ( Young Da 대한내과학회 2006 대한내과학회지 Vol.71 No.4
목적: 경요골동맥 관상동맥조영술 시행시 요골동맥 사행성은 혈관 박리와 같은 중대한 혈관 합병증을 초래할 수 있지만 요골동맥 사행성을 시술 전에 예측할 수 있는 인자들은 아직 잘 알려져 있지 않다. 따라서 본 연구는 경요골동맥 관상동맥조영술을 시행할 환자들을 대상으로 요골동맥 사행성의 빈도 및 시술 전에 사행성을 예측할 수 있는 인자들을 확인하고자 하였다. 방법: 본 연구는 2004년 12월부터 2005년 6월까지 본원 순환기내과에 경요골동맥 관상동맥조영술 및 중재술을 시행받기 위하여 입원한 158명을 대상으로 하였다. 요골동맥 사행성을 요골동맥조영술로 평가하여 그 빈도를 확인하였다. 요골동맥 사행성을 예견할 수 있는 인자들은 사행성이 관찰되었던 환자군과 관찰되지 않았던 환자군에서 임상 및 시술에 관련된 특징들을 비교하여 분석하였다. 결과: 요골동맥조영술은 154명(97.5%)의 환자에서 시행하였고, 관상동맥조영술은 149명(94.3%)의 환자에서 성공적으로 시행할 수 있었다. 요골동맥 사행성의 빈도는 전체 환자의 22%에서 관찰되었고, 다변량 분석에서 요골동맥의 사행성을 예측할 수 있는 독립적인 인자들은 고령과 미니 유도철선의 진입장애 및 고혈압이었다. 결론: 경요골동맥 관상동맥조영술이 예정된 환자에서 시술 전에 요골동맥 사행성을 예측할 수 있는 인자들로는 고령과 미니 유도철선의 진입장애 및 고혈압 등이었다. 따라서 요골동맥 사행성이 있을 가능성이 높은 환자들은 관상동맥조영술 전에 요골동맥 사행성 유무를 확인하는 것이 안전한 시술을 위하여 필요하리라 생각된다. Background: It is well known that the presence of a tortuous radial artery, in patients undergoing transradial coronary angiography (CAG), may cause undesirable results such as access failure and arterial dissection. Thus, our aim was to investigate the prevalence and predictors of the presence of a tortuous radial artery in patients undergoing transradial CAG. Methods: We prospectively investigated the tortuosity of the radial artery in 158 consecutive patients. The tortuosity of the radial artery was determined by radial angiography. A tortuous radial artery was defined as one with a maximal angulation of more than 45 degrees. To determine the predictors of a tortuous artery, we examined clinical and intra- procedural characteristics. Results: A right radial angiography was easily performed in 154 patients (97.5%) without any complications. A tortuous radial artery was identified in 34 patients (22%). On the univariate analysis, advanced age, female gender, short stature, underweight, hypertension, and absence of progression of the mini-guide wire were significantly associated with the presence of a tortuous radial artery. Significant independent predictors of a tortuous radial artery by multivariate analysis were: advanced age, absence of progression of the mini-guide wire and hypertension. Conclusions: These data showed that the presence of a tortuous radial artery could be predicted by advanced age, absence of progression of the mini-guide wire and a history of hypertension. Thus, identification of a tortuous radial artery prior to coronary angiography may be helpful for a safe transradial CAG in patients at high risk for a tortuous radial artery.(Korean J Med 71:381-387, 2006)
김동수,김용기,박인철,손덕현,이일두,정희,차광수,강필중,이정유 대한내과학회 1990 대한내과학회지 Vol.39 No.5
Rhinocerebral mucormycosis is a serious and commonly fatal fungal infection. The causative organism. ordinarily a saprophyte, becomes pathogenic in person who are made susceptible by coexisting. debilitating disease such as diabetic ketoacidosis and immunosup-pressed condition. We report a well-documented case of rhinocerebral mucormycosis in not controlled diabetic woman, Her condition rapidly deteriorated. The diagnosis was con- firmed by demonstration of the characteristic broad, branching, nonseptate hyphae by histopathology. And the mucormycete Rhizopus was isolated from the infected tissue culture.
신혈관 협착이 동반된 Takayasu 동맥염에서 신동맥내 stent 삽입 1예
김영대,김무현,박태호,김종성,이현수,차광수,장세준,서봉근,이성원 대한내과학회 2002 대한내과학회지 Vol.62 No.3
Takayasu`s arteritis is a common etiology of renovascular hypertension in orientals. We report a case of renovascular hypertension caused by Takayasu`s arteritis in a 18-year-old male patient. The narrowed renal artery was treated by renal artery stenting and blood pressure was normalized after the procedure. Restenosis was suspected after 7 months follow-up because his blood pressure was elevated.(Korean J Med 62:289-292, 2002)