• Title/Summary/Keyword: 울혈성 심부전

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A Convergence Study about Factors on Disease related Knowledge in Patients with Congestive Heart Failure (울혈성 심부전 환자의 심부전 관련 지식 영향 요인에 관한 융복합적 연구)

  • Yang, Yae-Seon;Shin, Na-Yeon
    • Journal of the Korea Convergence Society
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    • v.10 no.5
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    • pp.369-375
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    • 2019
  • Purpose: The purpose of this convergence study is to examine the factors influencing disease related knowledge in patients with congestive heart failure. Methods: A descriptive regression design was used and the participants were 100 patients with heart failure from one general hospital in 2015. Data analysis included .multiple regression. Results: The average scores were $9.59{\pm}1.77$ for disease related knowledge. The significant factors affecting disease related knowledge were severity(${\beta}=.32$, p<.001), duration of disease diagnosis(year) (${\beta}=.30$, p=.003). The regression model explained approximately 17.3 % of disease related knowledge. Conclusion: The findings recommend that nurses have to improve health related knowledge of patients with congestive heart failure by considering severity and duration of disease diagnosis.

Evaluation of Plasma D-Dimer Concentration in Dogs with Chronic Mitral Valve Insufficiency (만성 이첨판 폐쇄부전증에 걸린 개에서 혈장 D-dimer 농도 측정 연구)

  • Park, Joungsoon;Suh, Sang-Il;Oh, Yeonsu;Hyun, Changbaig
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.5-8
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    • 2015
  • D-dimer is a fibrin degradation product (FDP), a small protein fragment present in the blood after a blood clot is degraded by fibrinolysis. D-dimer concentration is widely used for determining thrombosis and thromboembolism. Because one major cause of thromboembolism is congestive heart failure in human, we investigated the degree and risk of thromboembolism in dogs with different stage of congestive heart failure caused by chronic mitral valvular insufficiency (CMVI). The plasma level of d-dimer was evaluated in 20 healthy dogs and 30 dogs with different stage of congestive heart failure caused by CMVI. The d-dimer concentrations were measured by a commercialized assay kit. The plasma levels of d-dimer were not significantly different between healthy and CMVI dogs. Furthermore, there was no association of d-dimer concentrations to left atrium to aorta (LA/Ao) ratio, left ventricular dimension at diastole to aorta (LVIDd/Ao) ratio and severity of heart failure in our study population. Our study results implied that the degree of thromboembolism in canine heart failure might be minimal or the plasma d-dimer test might not be reliable for detecting thromboembolism in dogs.

Self Care Compliance, Family Support, and Depression in Patients with Congestive Heart Failure (울혈성 심부전 환자의 자가관리 이행, 가족 지지 및 우울)

  • Lee Sun-Hee;Ahn Sung-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.2
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    • pp.186-194
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    • 2005
  • Purpose: The purpose of this study was to examine self care compliance, family support, and depression in patients with congestive heart failure. Method: The participants were 105 outpatients with congestive heart failure. Data were collected using a questionnaire survey on self care compliance, family support, and depression. The collected data were analyzed using the SPSS Win 10.0 program. Result: 1. The total score for Self care compliance was 78.34 out of a possible 120 and was significantly high for people in ages between 70-79 years and people who were not employed. Exercise compliance was significantly high in men and classifications I & II of the NYHA class. Compliance with smoking and alcohol cessation were significantly high in women. Medication compliance was significantly high in the group which had experience with hospitalization. Family support was 31.75 out of a possible 40 and showed significant differences depending on spouse status and religion. Depression was 30.18 out of a possible 64 and was significantly high in the group whose educational level was above college graduation or who were under 65 years of age. Conclusion: The results suggest that nurses have to emphasize smoking and alcohol cessation for men, exercise for women and total self care compliance for patients under 65 years of age.

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Case about cardiogenic general edema of Soeumin apoplexy patient (소음인(少陰人) 전신부종(全身浮腫)에 대한 증례(證例))

  • Shin, Mi-ran;Kim, Sun-hyung;Kim, Dal-rae
    • Journal of Sasang Constitutional Medicine
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    • v.12 no.1
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    • pp.265-270
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    • 2000
  • Occasionally, apoplexy is caused by functional or physiologic cardiopulmonary abnormality. In addition, theses may become the factor of aggravating apoplexy and involve complication. If patient has cardiopulmonary disease, progressing of apoplexy is commonly used to be accelerate and prognosis is deteriorative. There by the patient who has cardiopulmonary disease, should be particularly treated for cardiopulmonary disease. We got good result, during treat Soeumin cerebral vascular infarction patient who has pulmonary edema leaded from congestive heart failure, with Sasang Constitutional treatment. Therefore I reported them here. She was 68 years old, female patient. She visited our hospital for apoplexy with right side hemiparesis, dysphagia, dysphasia. After her admission into our hospital, we knew that she has congestive heart failure. The diagnosis is established. She presented with severe general edema and pulmonary edema. Although Soeumin edema usually classified as Taiyin Disease, we classified this as Shaoyin Disease, through diet, discharge, sleep, tongue and symptoms. We has prescribed Gungguichongsoyijung-tang(芎歸蔥蘇理中湯) in accordance with the principle of invigorating the Spleen and lower Yin(建碑而降陰). And her symptoms has improved.

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Clinical Efficacy of Pimobendan on Dogs with Chronic Mitral Valvular Diseases (만성 이첨판 폐쇄부전증 이환된 견에서 피모벤단의 임상적 효과)

  • Nam, So-Jeong;Park, In-Chul;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.26 no.1
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    • pp.17-22
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    • 2009
  • Pimobendan is a recently developed cardiac drug which is useful to control moderate to severe congestive heart failure (CHF) from chronic mitral valvular diseases (CMVI). Because of controversy related to the efficacy and safety of pimobendan in dogs, the optimal efficacy and safety of pimobendan was assessed in 20 dogs with CMVI in this study. Scores for quality of life, respiratory failure, circulatory failure and heart failure were evaluated along with radiographical and echocardiographical assessments for about 2 months period after the addition of pimobendan into the regular cardiac medications. This study proved clear evidence that pimobendan had beneficial therapeutic effects in dogs with advanced CMVI, without particular adverse effects. However, further studies are warranted to address the drug interaction with other cardiac therapeutics and to assess therapeutic effects in CHF from other type of heart diseases in dogs and other animals.

A Case Report on Cardiac Asthma due to Congestive Heart Failure (울혈성 심부전으로 인한 심장성 천식환자 치험 1례)

  • Jung Wun-Suk;Shin Jeong-In;Sea Un-Kyo
    • The Journal of Internal Korean Medicine
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    • v.24 no.4_2
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    • pp.1093-1102
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    • 2003
  • Congestive heart failure is a cardiac dysfunction that can't supply sufficient amount of blood. The disorder usually causes hypertension, ischemic cardiac disease and give rise to pulmonary congestion and pulmonary epileptic edema. The symptoms of the disease are dyspnea, palpitation, edema, etc. We treated a 82 year-old female patient who had severe dyspnea, nausea, and dizziness. At the point of differentiation of syndromes(辨證), the case was diagnosed as Su-Cheon(水喘) induced by Yang-deficiency of Both Spleen and Kidney(脾腎陽虛) and was administered Yerunpang(胃?湯). After two weeks of the treatment, we witnessed improvement in the symptoms of CHF and general depressed condition. This report describes the process and contents about the way the patient was treated.

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항부정맥 치료의 기본 원칙

  • Kim, Seong-Su
    • Journal of the korean veterinary medical association
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    • v.43 no.9
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    • pp.825-832
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    • 2007
  • 모든 부정맥이 치료를 필요로 하는 것은 아니지만, 다양한 부정맥들이 허약 (weakness), 실신 (syncope)을 유발하거나 울혈성 심부전을 악화시키며 일부의 부정맥들은 치명적인 심장 이상을 일으킨다. 일반적으로 임상증상을 유발하는 부정맥들과 급사의 지표가 될 수 있는 부정맥들은 치료한다. 불행하게도, 수의학 분야의 심장전문의들 사이에서 어떤 부정맥들을 치료해야만 하고 어떻게 관리하는 것이 최선인가에 관한 내용이 명확하게 일치하고 있지는 않다. 사실은 어떤 항부정맥 약물을 우선적으로 선택해야 하는가에 관해서 명확한 합의점이 없을 뿐만 아니라 어떤 범주의 약물이 효과적인가에 대해서도 논란의 여자기 있다. 예를 들어, 심각한 심실성 부정맥이 성공적으로 치료되지 않으면 현저한 이소성 박동(ectopy)이 지속적으로 남을 수도 있다. 또한 만일 임상증상들 (실신 등)이 해소되고 지속적인 심실성 부정맥이 잘 통제된 이러한 류의 질문들에 대한 대답은 대부분 명확하지 않고 신중하게 숙고한 의견에 불과할 수도 있다.

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당뇨병에서 고혈압의 치료 - 첫번째 이야기

  • 이형우
    • The Monthly Diabetes
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    • s.134
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    • pp.72-73
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    • 2001
  • 당뇨병 환자에서 고혈압의 빈도는 일반인에 비해 2배 이상 높고, 대개 환자의 약 40$\~$60$\%$에서 고혈압을 동반한다. 고혈압이 당뇨병과 같이 있는 경우는 대혈관 및 미세혈관 질환의 위험인자로서 작용하여 심장사, 관상동맥 질환, 울혈성 심부전, 뇌혈관질환, 그리고 말초혈관 질환의 발생 위험을 높여 당뇨병 환자 사망원인의 대부분을 차지하며, 고혈압이 동반되어 있지 않을 경우에는 장기생존률이 높다. 또한 당뇨병에서 확장기 및 수축기 혈압은 당뇨병성 신증과 망막증의 발생 및 경과 악화에도 영향을 미친다. 당뇨병에서 고혈압이 예후에 중대한 영향을 미치는 만큼, 고혈압을 동반한 당뇨병 환자에서, 혈당의 조절뿐 아니라 죽상경화증의 예방 및 고혈압의 치료가 당뇨병에 의한 혈관 합병증의 발생과 진행을 지연시키고 사망률을 감소시키는데 결정적이라 할 수 있다.

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