• Title/Summary/Keyword: 심장 정지

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Idiopathic Atrial Standstill in an Old English Sheepdog Cross Dog (Old English Sheepdog Cross Dog에서의 특발성 심방정지)

  • Suh, Sang-il;Choi, Ran;Hyun, Changbaig
    • Journal of Veterinary Clinics
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    • v.32 no.4
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    • pp.330-333
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    • 2015
  • An 1 year old intact male mixed dog (weighing 20 kg) was presented with primary complaints of abdominal distension and severe exercise intolerance. Electrocardiogram found profound bradycardia (46-79 beats/min) with atrial standstill. Laboratory studies found no particular abnormalities. Serum cortisol and T4 concentration were within normal range. Diagnostic imaging studies revealed generalized cardiomegaly, ascites, dilation in all cardiac chambers, absence of atrial contraction, absence of transmitral A-peak, mitral and tricuspid valve insufficiency and normal left ventricular systolic dimension. Based on diagnostic findings, the case was diagnosed as idiopathic atrial standstill. The dog was treated with conventional therapy for heart failure.

Modified Norwood Procedure without Circulatory Arrest and Myocardial Ischemia - Report of 2 cases - (완전순환정지와 심근허혈 없이 시행한 변형 Norwood 술식 - 2 례 보고 -)

  • 백만종;김웅한;전양빈;김수철;공준혁;류재욱;오삼세;나찬영;김양민
    • Journal of Chest Surgery
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    • v.34 no.7
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    • pp.547-551
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    • 2001
  • The effects of deep hypothermia and circulatory arrest during aortic arch reconstruction are associated with potential neurologic and myocardial injury. We describe a surgical technique that two patients underwent a modified Norwood procedure without circulatory arrest and myocardial ischemia. One was 13-day-old female patient, weighing 3.1kg, having a variant of hypoplastic left heart syndrome and another was 38-day-old male patient, weighing 3.4 kg, diagnosed Taussig-Bing anomaly with severe aortic arch hypoplasia, coarctation of the aorta, and subaortic stenosis. The arterial cannula was inserted in innominate artery directly. During Norwood reconstruction, regional high-flow perfusion into the inominate artery and coronary perfusion were maintained and there were no neurologic, cardiac, and renal complications in two patients. This technique may help protect the brain and myocardium from ischemic injury in patients with hypoplastic left heart syndrome or other arch anomalies including coarctation or interruption.

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Study on the effect of 3 point belt on chest compression

  • Kim, Gyoung-Yong;Yang, Hyun-Mo
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.3
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    • pp.169-176
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    • 2020
  • This study suggested a method to increase the quality of chest compressions in patients with cardiac arrest during transport. When providing cardiopulmonary resuscitation to a cardiac arrest patient in the pre-hospital phase, the quality of chest compressions should be improved by using a three-point fixed belt to the ambulance. Because the quality of the chest compression was increased when the 119 paramedic wears a 3-point fixed belt in addition to the chest compression method. Also, paramedics are less likely to be at risk. Therefore, if a 3-point fixed belt is worn in an ambulance during transport, 119 paramedics will be able to secure safety and provide high-quality chest compressions to cardiac arrest patients.

Norwood Procedure on Beating Heart (심장 박동을 유지하면서 시행한 Norwood 술식)

  • 곽재건;최창휴;김진현;정요천;오세진;이정렬;김용진;노준량;김웅한
    • Journal of Chest Surgery
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    • v.37 no.9
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    • pp.793-795
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    • 2004
  • Modified Norwood procedure with maintaining cardiac beat was done in a 30-day-old neonate. Procedure was done with regional perfusion of innominate and coronary artery. Postoperative course was uneventful. Second-stage operation (bi-directional cavopulmonary shunt) was done 4 months later. The diameter of ascending aorta was more than 5 mm, Norwood procedure can be done in beating hearts.

Single Breath-held Right Coronary Artery Imaging by Cardiac Magnetic Resonance (심장자기공명영상을 이용한 호흡정지 우관상동맥영상)

  • Park, Jin-Ho;Kim, Pan-Ki;Ahn, Chang-Beom
    • Proceedings of the KIEE Conference
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    • 2011.07a
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    • pp.2031-2032
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    • 2011
  • 일반적으로 심장자기공명영상을 이용하여 우관상동맥을 영상화 하기 위해서 3차원 데이터를 얻는다. 그렇게 하는 경우 데이터를 받는 시간이 오래 걸리고, 받은 3차원 데이터에서 차원 원하는 부분만을 2차원으로 재구성하는 작업을 해야 하는 번거러움이 있다. 반면에 호흡 정지상태에서 우관상동맥의 위치를 잘 선택하게 되면 한번 숨을 참을 수 있는 시간안에 원하는 영상을 얻을 수 있는 이점이 있다. 그렇게 하기 위해서는 우관상동맥을 찾아서 그 부분만 영상화해야 하는데, 본 논문에서는 한 영상에 같이 나타내기 어려운 대동맥에서 시작하여 심장 뒤편으로 돌아 들어가는 전체 우관상동맥을 쉽게 찾고, 한번 호흡을 참는 시간안에 영상화 하는 방법을 제안한다.

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Steroid Effect on the Brain Protection During OPen Heart Surgery Using Hypothermic Circulatory Arrest in the Rabbit Cardiopulmonary bypass Model (저체온순환정지법을 이용한 개심술시 스테로이드의 뇌보호 효과 - 토끼를 이용한 심폐바이패스 실험모델에서 -)

  • Kim, Won-Gon;Lim, Cheong;Moon, Hyun-Jong;Chun, Eui-Kyung;Chi, Je-Geun;Won, Tae-Hee;Lee, Young-Tak;Chee, Hyun-Keun;Kim, Jun-Woo
    • Journal of Chest Surgery
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    • v.30 no.5
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    • pp.471-478
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    • 1997
  • Introduction: The use of rabbits as a cardiopulmonary bypass(CPB) animal model is extremely dif%cult mainly due to technical problems. On the other hand, deep hypothermic circulatory arrest(CA) is used to facilitate surgical repair in a variety of cardiac diseases. Although steroids are generally known to be effective in the treatment of cerebral edema, the protective effects of steroids on the brain during CA are not conclusively established. Objectives of this study are twofold: the establishment of CPB technique in rabbits and the evaluation of preventive effect of steroid on the development of brain edema during CA. Material '||'&'||' Methods: Fifteen New Zealan white rabbits(average body weight 3.5kg) were divided into three experimental groups; control CA group(n=5), CA with Trendelenberg position group(n=5), and CA with Trendelenberg position + steroid(methylprednisolone 30 mglkg) administration group(n=5). After anesthetic induction and tracheostomy, a median sternotomy was performed. An aortic cannula(3.3mm) and a venous ncannula(14 Fr) were inserted, respectively in the ascending aorta and the right atrium. The CPB circuit consisted of a roller pump and a bubble oxygenator. Priming volume of the circuit was approximately 450m1 with 120" 150ml of blood. CPB was initiated at a flow rate of 80~85ml/kg/min, Ten min after the start of CPB, CA was established with duration of 40min at $20^{\circ}C$ of rectal temperature. After CA, CPB was restarted with 20min period of rewarming. Ten min after weaning, the animal was sacrif;cod. One-to-2g portions of the following tissues were rapidly d:ssected and water contents were examined and compared among gr ups: brain, cervical spinal cord, kidney, duodenum, lung, heart, liver, spleen, pancreas. stomach. Statistical significances were analyzed by Kruskal-Wallis nonparametric test. Results: CPB with CA was successfully performed in all cases. Flow rate of 60-100 mlfkgfmin was able to be maintained throughout CPB. During CPB, no significant metabolic acidosis was detected and aortic pressure ranged between 35-55 mmHg. After weaning from CPB, all hearts resumed normal beating spontaneously. There were no statistically significant differences in the water contents of tissues including brain among the three experimental groups. Conclusion: These results indicate (1) CPB can be reliably administered in rabbits if proper technique is used, (2) the effect of steroid on the protection of brain edema related to Trendelenburg position during CA is not established within the scope of this experiment.

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The Recovery of Brain Damage Caused by Cardiac Arrest during Induction of General Anesthesia (전신 마취 도입 중 발생한 급성 심장정지에 의한 뇌 손상 회복의 일례)

  • 양승희;민복기
    • The Korean Nurse
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    • v.10 no.6 s.56
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    • pp.22-25
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    • 1971
  • The recovery of process of brain damage caused by an acute severe cerebral hypoxia has been reported in various literatures. And the possibility of complete recovery of such case was said to be good in younger age group than in adult''s group. We experien

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Cardiac Surgery for the Patient with VVI Unipolar Pacing System -One Case- (VVI 단극유도의 심박조율치를 가진 환자의 개심술 -1례 치험-)

  • 정해동;최종범;최형호
    • Journal of Chest Surgery
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    • v.31 no.4
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    • pp.398-401
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    • 1998
  • A 56-year-old female with a permanent unipolar pacing(VVI) system underwent elective coronary bypass surgery and mitral valve replacement. Because the unipolar sensing is subject to considerable nonmyocardial electrical noise, the pacing function may be disturbed by the use of electrocautery. Temporary atrial and ventricular bipolar epicardial leads and external generator were used for maintaining A-V sequential pacing during the use of electrocautery. Before aortic cross-clamp was released after cardiac operation, regular cardiac rhythm could spontaneously be resumed with an integrated cardioplegic strategy, avoiding the use of defibrillator

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