• Title/Summary/Keyword: 동맥질환

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Software Development for Image Analysis of Luminal Cross-Section in Elastic Stained Coronary Image (관상동맥 내강 절단면의 영상분석을 위한 소프트웨어 개발)

  • 최익환;양우익;최흥국
    • Proceedings of the Korea Multimedia Society Conference
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    • 2002.05c
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    • pp.145-148
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    • 2002
  • 본 논문에서는 관상동맥 질환의 객관적 분석을 위해, 혈관단면영상에서의 ROI(Lumen, Media, Plaque)에 대한 정확한 분할과 분할한 영역에서 질병을 유발시키는 요소들에 대한 정량적 분석을 위한 소프트웨어를 개발하였다. 본 시스템은 Visual C++ 6.0을 이용하여 개발하였으며, 현미경으로부터 획득한 관상동맥 단면영상에 적용하여 Lumen, Media와 Plaque를 분할하고, 각 영역의 형태학적 특징을 추출하여 분석 결과를 파일로 저장할 수 있도록 구현하였다. 분석된 결과는 심장질환의 객관적 진단을 위한 보조판단근거로써 사용될 것으로 기대한다.

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Dual-Isotope SPECT Imaging with Thallium-201 and Technetium-99m MIBI in Detecting Coronary Artery Disease (관상동맥질환 진단에서 Thallium-201과 Technetium-99m MIBI를 이용한 Dual-Isotope SPECT 영상)

  • Lee, Gyu-Gwang;Cho, Ihn-Ho;Lee, Hyoung-Woo;Park, Jong-Sun;Won, Kyu-Chang;Sin, Dong-Gu;Kim, Young-Jo;Shim, Bong-Sup
    • Journal of Yeungnam Medical Science
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    • v.16 no.1
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    • pp.101-107
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    • 1999
  • We evaluated the results of sequential SPECT dual-isotope imaging with Tl-201 and Tc-99m MIBI in 24 patients. all of whom also had coronary angiography within the past one month. Coronary angiography showed that 12 patients had no CAD, 4 patients had one-vessel CAD, 7 patients had two-vessel CAD and 1 patient had three-vessel CAD. Serial studies of resting Tl-201 and dipyridamole stress Tc-99m MIBI were completed within 2 hours. When more than 50% of coronary artery narrowing was considered significant, the overall sensitivity and specificity of CAD detection were 91.7%. The sensitivity of CAD detection in patients with one-vessel and multi-vessel diseases was 75% and 100%. respectively. Therefore, sequential dual-isotope SPECT demonstrated high sensitivity and specificity for CAD detection. In conclusion, sequential dual-isotope imaging is feasible and can be completed in a short time and may therefore enhance laboratory throughput and patient convenience.

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특집 예고 없이 찾아오는 심장질환, 생명을 위협한다! - 심장질환 어떻게 진단하고 치료하나? _좁아지고 막힌 혈관 약물과 수술로 뚫어줘야

  • Jeong, Myeong-Ho
    • The Monthly Diabetes
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    • s.256
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    • pp.22-24
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    • 2011
  • 동맥경화가 심장의 관상동맥에 일어나면, 혈관이 좁아져 피가 잘 흐르지 못하고, 심장근육에 산소부족이 일어나 가슴이 조여 들고 무거운 듯한 통증을 느끼게 된다. 평소에 느끼지 못했던 통증이 가슴 혹은 복부 등에 나타나면 병원을 찾는 것이 좋겠고 특히 통증이 15분 이상 진행될 때는 가까운 응급실에서 곧바로 심장을 검사하는 것이 심근경색 등에 의한 치사율 감소에 큰 도움이 된다.

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A Hybrid Procedure for Coronary Artery Disease with Left Subclavian Artery Stenosis (쇄골하 동맥협착이 동반된 관상동맥질환 환자에서의 하이브리드 술식)

  • Chang, Yong-Jin;Lee, Jae-Won;Jung, Sung-Ho;Je, Hyoung-Gon
    • Journal of Chest Surgery
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    • v.42 no.2
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    • pp.252-255
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    • 2009
  • We performed a hybrid procedure for a 58-year-old man with coronary artery disease and a left subclavian artery stenosis. He underwent left subclavian artery stenting and off-pump coronary artery bypass surgery, including grafting the in situ left internal mammary artery to the left anterior descending coronary artery. The post-operative coronary angiogram and computed tomography showed good patency of the graft and stent. He discharged at postoperative 8 days and he has been followed up for six month with an excellent clinical condition.

Surgical Treatment of Peripheral Artery Occlusive Disease (말초동맥 폐쇄질환에 대한 외과적 고찰)

  • 김해균;윤용한;이두연;문동석;이택연;홍윤주
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.262-265
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    • 1998
  • A retrospective analysis was performed on the 72 cases of peripheral artery occlusive disease treated at Yonsei Medical School Yongdong Severance Hospital, from March 1, 1990, through July 31, 1992, focusing on the operative procedures, surgical results and perioperative complications. The etiologic causes of vascular obstruction were atherosclerosis in 28 cases, Buerger's disease in 31, traumatic orgin in 7, operative complications in 4, and malignancy and arteritis in one case each. Treatment modalities, actually performed include bypass graft.(27), infusion of PGE1 (23), Embolectomy (16), Sympathectomy (4) and end-to-end anastomosis (2). There were 21 satisfactory cases and 9 unsatisfactory cases of atherosclerotive occlusive disease, defining the operative outcome as“satisfactory”if the obstructive symptoms disappeared completely and “unsatisfactory”if they did not. The patients of TAO induced Buerger's disease with preoperative Foutain class III or IV were surgically converted to class 0 in 14 cases, class I in 12 and class II in 3.

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Imaging Findings of Peripheral Arterial Disease on Lower-Extremity CT Angiography Using a Virtual Monoenergetic Imaging Algorithm (가상의 단일 에너지 영상 재구성 기법을 이용한 하지 단층촬영 혈관조영술에서 말초 동맥 질환 영상 소견)

  • Jun Seong Kim;So Hyun Park;Suyoung Park;Jung Han Hwang;Jeong Ho Kim;Seong Yong Pak;Kihyun Lee;Bernhard Schmidt
    • Journal of the Korean Society of Radiology
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    • v.83 no.5
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    • pp.1032-1045
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    • 2022
  • Peripheral arterial disease (PAD) is common in elderly patients. Lower-extremity CT angiography (LE-CTA) can be useful for detecting PAD and planning its treatment. PAD can also be accurately evaluated on reconstructed monoenergetic images (MEIs) from low kiloelectron volt (keV) to high keV images using dual-energy CT. Low keV images generally provide higher contrast than high keV images but also feature more severe image noise. The noise-reduced virtual MEI reconstruction algorithm, called the Mono+ technique, was recently introduced to overcome such image noise. Therefore, this pictorial review aimed to present the imaging findings of PAD on LE-CTA and compare low and high keV images with those subjected to the Mono+ technique. We found that, in many cases, the overall and segmental image qualities were better and metal artifacts and venous contamination were decreased in the high keV images.

The Comparison of Anger between Patients with Coronary Artery Disease and Healthy Individuals (관상동맥질환 환자들과 정상인 간 분노의 비교)

  • Koh, Kyung-Bong;Lee, Sang-Hyuk;Kim, Jang-Woo;Roh, Kyu-Sik
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.23-29
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    • 2004
  • The objective of this study was to make a comparison on anger level between patients with coronary artery diseases and healthy individuals. 233 patients with coronary artery diseases and 215 normal controls were enrolled in this study. The Anger Expression Scale, the anger and aggression subscales of the Stress Response Inventory(SRI) and the hostility subscale of the Symptom Checklist-90-revised(SCL-90-R) were used to assess the level of anger. The patients with coronary artery diseases scored significantly higher on the anger-out and anger total subscales of the anger expression scale, the anger and aggression subscales of the SRI than the normal controls. The patients with angina pectoris had significantly higher scores in the anger-out and anger-total subscale than those with myocardial infarction. Male subjects scored significantly higher on the anger-in subscale than females, whereas female subjects scored significantly higher on the anger-out subscale than male subjects. These results suggest that patients with coronary artery diseases are likely to have a higher level of anger or anger expression than normal controls and that there may be difference in anger expression between male and female patients. It is emphasized that anger management is needed to prevent the coronary artery disease patients from aggravating the illness.

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Simultaneous Aortobifemoral and Bilateral Femoropopliteal Artery Bypass Graft for Multilevel Lower Extremity Occlusive Disease - 2 cases report - (다단계 폐쇄성 하지동맥경화증에서 복부대동맥-양측 대퇴동맥 및 양측 대퇴동맥-슬와동맥간 우회술의 동시 시행 - 2예 보고 -)

  • 박진홍;김응중;지현근;신윤철
    • Journal of Chest Surgery
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    • v.36 no.5
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    • pp.371-374
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    • 2003
  • Atherosclerosis has more than 60% of the causes of arterial occlusive diseases. The abdominal aorta and lower extremity arteries are the most common sites of occlusion. We have treated surgically 2 cases who had intermittent claudication and were diagnosed as simultaneous aortobifemoral and bilateral femoropopliteal obstruction by angiography, but had ineffective results from medical treatment or angioplasty. Simultaneously aortobifemoral bypass using Hemashield Y graft and bilateral femoropopliteal bypass using autologous greater saphenous vein were done. After operations, the symptom disappeared and there were no specific post-operative complications except abdominal wound dehiscence. In postoperative angiography, we had obtained good patency of bypass graft. We are following up patients through the out patient department without recurrence up to 16 months.