• Title/Summary/Keyword: 관상로

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A Study on the Analysis of Risk Factors and Correlations of Coronary Artery Disease of the Examinee taking Coronary Computed Tomography Angiography in a Comprehensive Health Improvement Center (종합검진 수검자의 관상동맥 전산화단층 혈관조영술 검사에서 관상동맥질환의 위험요인과 관련성 분석)

  • Choi, Min-Gyeong;Gwak, Jong-Hyeok;Kim, Gwang;Lee, Sam-Yol
    • Journal of the Korean Society of Radiology
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    • v.13 no.7
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    • pp.1005-1014
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    • 2019
  • The purpose of this study is to evaluate the usefulness of coronary computed tomography angiography of coronary artery disease for the purpose fo health screening according to gender and age. In addition the association between hematological factors (Glucose, total cholesterol, visceral fat, body mass index, triglycerides, high density lipoprotein (HDL), low density lipoprotein (LDL)) and coronary artery disease is investigated. A retrospective analysis of coronary computed tomography angiography with 299 subjects showed that the detection rate of coronary artery disease was higher in men over 50 years of age and it was statistically significant. In particular, the prevalence rate of men (37.9%) was about 2 times higher than that of women (17.0%). Glucose and HDL as hematological factors associated with coronary artery disease were statistically significant. The prevention and management of coronary artery disease seems to require the control of glucose and high density lipoprotein (HDL). Although it is not statistically significant with other hematological factors, the need for management of coronary artery disease was identified. the coronary computed tomography angiography of coronary artery has higher radiation doses than other CT scans. Therefore, for the purpose of screening, coronary computed tomography angiography should be considered in consideration of the sex and age of the examinee, and detection of coronary artery disease through other non-invasive tests should be prioritized over coronary computed tomography angiography.

Comparison of Multidetector Computed Tomography with Coronary Angiography for Evaluation of Coronary Artery Bypass Grafts (관상동맥조영술과 MDCT를 이용한 관상동맥 이식편의 비교평가)

  • Yoo, Byung-Su;Shin, Yoon-Cheol;Kim, Kun-Il;Kim, Eung-Jung;Chee, Hyun-Keun
    • Journal of Chest Surgery
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    • v.39 no.1 s.258
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    • pp.42-47
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    • 2006
  • Background: The new Multidetector Computed Tomography (MDCT) is useful in visualization of complex coronary artery anatomy. We investigated usefulness comparing of invasive coronary angiography with noninvasive MDCT in judgment of functional degree of coronary arteries grafts after coronary artery bypass graft operation. Material and Method: We analyzed the patency of 52 conduits from 15 patients whom consented to take both 32 Channel MDCT and coronary angiography from November 2003 to November 2004. Comparisons were performed for sensitivity, specificity, positive prediction value and negative prediction value between coronary angiography and 3 dimensional reconstruction image using MDCT. Result: The average graft used was 3.4 $\pm$ 0.8 per patient. Average heart rate during MDCT was 86/minute (Range, 60$\∼$110/minute) without administration of $\beta$-blocker. All patients could hold breath as much as necessary. The average graft patency obtained through corollary angiography was 96.2$\%$. In MDCT group, the sensitivity, the specificity, the positive predictive value and the negative predictive value for diagnosis was 100$\%$, 98.0$\%$, 100$\%$ and 66.6$\%$ respectively. Conclusion: The effectiveness of 32 Channel MDCT may be compared to coronary angiography in grasping about patency and bloodstream of graft conduits after coronary artery bypass graft. Also MDCT has the advantage of noninvasiveness and inexpensiveness compared to coronary angiography.

Understanding Contemplative Prayer in the Korean Protestant Context (한국적 상황에서 관상기도 이해)

  • Kwon, Jingu
    • Journal of Christian Education in Korea
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    • v.69
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    • pp.163-192
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    • 2022
  • In the early 20th century, Korean Protestant Christians began two forms of prayer, Tongsung Kido and Dawn Prayer. The two prayers have been loved and performed by Korean Protestants for over 100 years. Speaking in tongues was introduced in the 1950s and became one of the most popular prayers along with Tongsung Kido and dawn prayer. Korean Protestant churches started Bible meditation in the 1970s through journals like the Daily Bible of the Scripture Union Korea. Now contemplative prayer appears as an unfamiliar and strange style of prayer, given the history of prayer so far in Korean churches. Protestant scholars and pastors have made this into a controversy; contemplative prayer is the first non-protestant prayer that has become controversial. The controversy is mainly about biblical origin, theological relevance, and historical and traditional conformity. This study asks and answers why this controversy is important for Korean Protestant churches. This study introduces the controversy and explores why one group accepts the prayer and others do not. Then, this study recounts the history of Korean Protestant prayers and shows the meanings of the encounter of Korean Protestant prayers and contemplative prayer. This study argues that Korean Protestant Christians, through the controversy, can learn that Korean Protestant churches have the potential to create a new prayer culture and tradition and need spiritual discipline through silence.

Use of Coronary CT Angiography as a Screening Tool for Coronary Artery Disease in Asymptomatic Healthy Individuals or Patients (무증상 정상인 또는 환자의 관상동맥 질환 선별 검사로서 관상동맥 전산화단층촬영 혈관조영술의 유용성)

  • Gong Yong Jin
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.54-69
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    • 2022
  • Early detection of potential asymptomatic coronary artery disease is very important, as patients with sudden cardiac death often do not show symptoms such as chest pain or motor dyspnea. Coronary CT angiography (CCTA) has long been unjustified as a screening tool for asymptomatic patients because of the risks posed by radiation exposure. However, there are still various opinions regarding the usefulness of CCTA for screening for coronary artery disease (CAD) in asymptomatic healthy individuals or patients. This review investigated the usefulness of coronary artery calcium score and CCTA as screening tests for CAD in asymptomatic healthy individuals or patients through various literature reviews. With the development of CT technology, recent studies have been conducted in asymptomatic CAD patients with a reduced radiation dose of less than 1 mSv. A total of 2.6% of asymptomatic subjects on CCTA found significant CAD over 70%, and it was concluded that screening CCTA for CAD showed prognostic power in predicting the future occurrence of CAD in asymptomatic people. However, after the completion of the current NIH SCOT-HEART 2 study, it may be possible to determine whether CCTA is appropriate as a screening tool for CAD in asymptomatic healthy individuals.

"On-Pump" CABG on the Beating Heart - Two case report - (심폐바이패스하의 심박동상태에서 시행한 관상동맥우회로술)

  • 신종목;김기봉
    • Journal of Chest Surgery
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    • v.32 no.5
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    • pp.480-483
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    • 1999
  • The widely accepted method for coronary artery bypass grafting(CABG) is performing the distal coronary artery anastomoses on the flaccid and nonbeating heart with the aid of cardiopulmonary bypass(CPB) and cardioplegic arrest. However, current cardioplegic techniques are not consistent in avoiding myocardial ischemic damages especially in high risk patients undergoing CABG. In this regard, "Off-Pump" seems to be an ideal method for preventing myocardial ischemic damage and adverse effects during CPB. However, "Off-pump" CABG is not always technically feasible. We report 2 cases of "On-pump" CABG performed on the beating heart in high risk patients; The first patient had left ventricular dysfunction(Ejection Fraction=25%), and the second patient had cardiogenic shock after percutaneous transluminal coronary angioplasty.

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A Study on Facial Visualization System based on one's Personality applied with the Oriental Physiognomy (동양 관상학을 적용한 성격별 얼굴 설계 시스템에 관한 연구)

  • Kang, Seon-Hee;Kim, Hyo-D.;Lee, Kyung-Won
    • 한국HCI학회:학술대회논문집
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    • 2008.02b
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    • pp.346-357
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    • 2008
  • 관상학(Physiognomy)이란 사람의 얼굴을 보고 그의 운명, 성격, 수명 따위를 판단하는 방법을 연구하는 학문을 말한다. 이 논문에서 언급하는 관상학은 동양에서 말하는 관상학, 특히 얼굴의 부분적 특성이나 전체적인 조화를 통해 성격과 운영을 예측하는 학문을 의미한다. 이 연구는 동양 관상학을 적용한 성격별 얼굴 설계 시스템 구축에 관한 것으로, 첫째, 보편적인 성격 분류를 위해 MBTI에서 다루는 성격 어휘 161개를 군집분석을 통해 39개의 대표 어휘로 추출하였다. 추출된 대표 성격 어휘의 의미상 거리를 나타내기 위하여 서베이를 통해 얻은 데이터를 다차원 척도법을 통해 2차원 공간상에 성격 어휘의 관계를 분석하였다. 둘째, 얼굴 시각화를 위해 먼저 얼굴의 형태적 특성을 결정짓는 요소를 크게 얼굴형, 눈, 코, 입, 이마, 눈썹으로 분류하고, 분류된 6가지 얼굴 형태의 29가지 하위요소 별 성격을 한국인의 얼굴 특성을 기준으로 관상학적 정리 및 숫자형식 코드화를 하였다. 추출된 대표 성격 어휘별 얼굴 요소의 형태를 앞서 정리된 코드에 따라 하나의 얼굴 형태로 조합하여 39가지 얼굴을 시각화 하여 마지막으로, 성격별 얼굴 설계 시스템 'FACE'를 제작하였다. 이 연구는 사람의 성격 특성에 따라 그에 맞는 얼굴 형태를 구현하는 시스템을 제작하여 일반 사용자 뿐 아니라 애니메이션 캐릭터 개발자에게 객관적인 도움을 줄 수 있으며 또한 예로부터 내려오는 관상학의 적용 범위를 넓힐 수 있는 가능성을 보여주었다고 할 수 있다.

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Proximal Coronary Artery Stenosis after Direct Coronary Artery Ostial Perfusion -Report of 3 Cases - (관상동맥 개구부 직접 관류 후에 발생한 관상동맥 근위부 협착 -3예 보고-)

  • Kim Jae-Hyun;Oh Sam-Se;Yie Kil-Soo;Shinn Sung-Ho;Na Chan-Young
    • Journal of Chest Surgery
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    • v.39 no.9 s.266
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    • pp.706-709
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    • 2006
  • Proximal coronary artery stenosis after direct coronary artery ostial perfusion is an infrequent but life-threatening complication. We had been experienced 3 cases of proximal coronary artery stenosis related to direct ostial perfusion since September, 2000. And now we report the cases.

CABG for an Adult with Coronary Disease due to Kawasaki Disease (성인기 가와사키병에 합병된 관상동맥 질환에서의 관상동맥 우회술)

  • Song, Hyun;Kim, Sang-Pil;Ryu, Sang-Wan
    • Journal of Chest Surgery
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    • v.32 no.9
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    • pp.831-834
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    • 1999
  • The Kawasaki disease has been reported worldwide since the first description in 1967 in Japan. Approximately 20% of the children with untreated Kawasaki disease are believed to develop coronary artery aneurysm of which 2-3% progress to coronary artery stenosis. The Kawasaki disease rarely affects adults and accordingly, there have been only a few cases reported in literatures. The present case describes a successful surgical treatment of a 43-year-old female patient with coronary artery aneurysm and stenosis, which resulted from an episode of the Kawasaki disease that occurred 20 years earlier. The patient was well at 5 months followup.

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Type 4 Dual Left Anterior Descending Artery: A Case Report of a Rare Congenital Coronary Anomaly (제4형 이중 좌전하행 관상동맥: 드문 선천성 관상동맥 기형에 대한 증례 보고)

  • Seon Woong Jang;Ki Hwan Kim;Byung Hoon Lee
    • Journal of the Korean Society of Radiology
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    • v.85 no.2
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    • pp.428-433
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    • 2024
  • Dual left anterior descending artery (LAD) is a rare congenital coronary artery anomaly with a prevalence of approximately 1% in the general population. To date, 10 types of dual LAD artery anomalies have been reported. Among these, type 4 is one of the rarest. Knowledge and recognition of the dual LAD artery are important for correct diagnosis and planning of coronary bypass surgery and percutaneous coronary intervention. We report a case of a 59-year-old male with type 4 dual LAD artery who presented with dyspepsia and sweating for several months and had approximately 50%-70% stenosis in a major diagonal branch off the short LAD artery.