• 제목/요약/키워드: Cardiovascular system factor

검색결과 103건 처리시간 0.026초

베타차단제를 포함한 정신과적 약물 중독: 심혈관계 영향을 중심으로 (The Intoxication of Beta Blocker with Psychiatric Drugs Focused on the Cardiovascular Adverse Effects)

  • 주성우;민영기;최상천;박은정
    • 대한임상독성학회지
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    • 제14권2호
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    • pp.100-106
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    • 2016
  • Purpose: Beta blocker (BB) has been prescribed for anxiety and panic disorder. Patients intoxicated by psychiatric drugs have often been exposed to BB. Moreover, BB overdose has adverse effects including cardiovascular effects, which can be life-threatening. This study was conducted to identify the characteristics of BB intoxication with psychiatric drugs and the adverse effects on the cardiovascular system. Methods: A single center, retrospective study was performed from January 2010 to December 2015. A total of 4,192 patients visited the emergency department (ED) with intoxication, and 69 with BB intoxication were enrolled. Results: Overall, 64 patients (92.8%) of enrolled patients were intoxicated with drugs prescribed for the purpose of psychiatric disorders. Propranolol was the most common BB (62 cases, 96.2%), and the median dose was 140.0 mg (25%-75% 80.0-260.0). Twenty-four patients (37.5%) had experienced cardiovascular events, and these patients tended to have decreased mentality, hypotension and coingestion with quetiapine. An initial mean arterial pressure (MAP) below 65 mmHg (odds ratio 10.069, 95% confidence interval 1.572-64.481, p=0.015) was identified as a factor of cardiovascular event upon multiple logistic regression analysis. Conclusion: Initial MAP below 65 mmHg was a factor of cardiovascular adverse effect in patients of BB intoxication with psychiatric drugs.

방풍산(防風散)이 실험동물(實驗動物)의 심혈관계(心血管系)에 미치는 영향(影響) (Effects of Bangpoongsan on the Cardiovascular System in the Experimental Animals)

  • 허재혁;김세길
    • 대한한방내과학회지
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    • 제16권1호
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    • pp.181-196
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    • 1995
  • The present experiments were designed to investigate the effects of BangPoongSan on the cardiovascular system in the experimental Animals. And thus the change of blood pressure, auricular blood flow, artery contraction, death rate, platelet aggregation repression, plasma coagulation factor activity, plasma antithrombin activity, whole blood viscosity and plasma viscosity were studied. The result were summarized as the followings: 1. BangPoongSan dropped the blood pressure in the spontaneous hypertensive rat. 2. The drug increased the auricular blood flow in rabbit. 3. The drug relaxed the artery contraction by pretreated norepinephrine in white rat. 4. The drug inhibited the death rate of mouse which was led to thromboembolism by serotonin and collagen. 5. The drug inhibited the platelet aggregation in rat. 6. The drug prolonged the prothrombin time and activated partial thromboplastin time on the test of plasma coagulation factor activity in rat, but was not valuable. 7. The drug presented the antithrombin activity in rat. 8. The drug reduced the whole blood viscosity and plasma viscosity in rat, but the latter was not valuable. According to the results, Bangpoongsan increased the blood flow and dropped the blood pressure by dilatation of blood vessel smooth muscle. And the drug presented the antithrombin acivity, inhibited the platelet aggregation and reduced blood viscosity. Therefore these effects are assumed to improve the cardiovascular circulation disorder and prevent thrombosis.

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혈압파형에 초점을 맞춘 심혈관계 시뮬레이터의 개발 (Development of a Cardiovascular Simulator Focused on the Pressure Wave)

  • 이주연;장민;신상훈
    • 대한의용생체공학회:의공학회지
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    • 제34권1호
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    • pp.40-45
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    • 2013
  • The conventional simulators used the expensive commercial artificial heart with a limited performance, and focused on replicating the heart function. The arterial pressure is the key factor of the cardiovascular disease. The purpose of this study is to develop a simulator focused on the pressure wave. The simulator is composed of a step motor, slider-crank mechanism, piston-cylinder, two check valves, a elastic tube, and two reservoirs. With the changes of design parameters, the functions of the simulator were evaluated. The simulator shows the good agreement of the characteristics of the cardiovascular system.

Prognostic Factors in Stage IIB Non-Small Cell Lung Cancer according to the 8th Edition of TNM Staging System

  • Shin, Jin Won;Cho, Deog Gon;Choi, Si Young;Park, Jae Kil;Lee, Kyo Young;Moon, Youngkyu
    • Journal of Chest Surgery
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    • 제52권3호
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    • pp.131-140
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    • 2019
  • Background: The purposes of this study were to evaluate the appropriateness of the stage migration of stage IIA non-small cell lung cancer (NSCLC) in the seventh edition of the tumor, node, and metastasis classification for lung cancer to stage IIB lung cancer in the eighth edition, and to identify prognostic factors in patients with eighth-edition stage IIB disease. Methods: Patients with eighth-edition stage IIB disease were subclassified into those with seventh-edition stage IIA disease and those with seventh-edition stage IIB disease, and their recurrence-free survival and disease-specific survival rates were compared. Risk factors for recurrence after curative resection were identified in all included patients. Results: Of 122 patients with eighth-edition stage IIB NSCLC, 101 (82.8%) had seventh-edition stage IIA disease and 21 (17.2%) had seventh-edition stage IIB disease. Nonsignificant differences were observed in the 5-year recurrence-free survival rate and the 5-year disease-specific survival rate between the patients with seventh-edition stage IIA disease and those with seventh-edition stage IIB disease. Visceral pleural invasion was a significant risk factor for recurrence in patients with eighth-edition stage IIB NSCLC. Conclusion: The stage migration from seventh-edition stage IIA NSCLC to eighth-edition stage IIB NSCLC was appropriate in terms of oncological outcomes. Visceral pleural invasion was the only prognostic factor in patients with eighth-edition stage IIB NSCLC.

심장혈관학 분야의 지적구조 규명에 관한 연구 - 국내와 미국을 중심으로 - (A Comparative Analysis on Cardiovascular Research in Korea and the United States)

  • 임지영;정은경
    • 한국비블리아학회지
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    • 제27권1호
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    • pp.111-134
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    • 2016
  • 본 연구는 저자동시인용분석 기법을 이용하여 국내와 미국의 심장혈관학(Cardiovascular Research) 분야의 지적구조 규명을 목적으로 하였다. 이를 위해서 2008년부터 2014년까지 국내의 "대한심장학회지"와 미국의 Circulation, Circulation Research를 선정하여 인용빈도 기준으로 각각 45명과 53명의 저자를 추출하였다. 저자동시인용 행렬을 기반으로 다차원척도분석, 군집분석, 요인분석을 실시하였다. 분석결과는 심장혈관학 분야에서 국내와 미국 연구자들은 공통적으로 여러 분야에 걸쳐 다양한 세부 분야에서 연구 활동을 하는 경향을 보였다. 국내와 미국의 심장혈관학 분야는 핵심연구 영역으로 '심혈관질환 치료', '심혈관질환 진단', '심혈관질환 기초과학', '심혈관질환 예방'으로 나타났다. 국내와 미국의 가장 큰 차이로 볼 수 있는 것은 국내 연구는 임상 중심이며, 미국 연구는 기초 의학 중심인 것으로 나타났다. 국내의 경우는 '리듬장애' 분야가 나타났으며, 이에 반해 미국은 '심혈관계 작용약물' 분야를 찾아볼 수 있다. 또한 미국의 분석결과에서는 기초의학 분야의 세부분야인 '역학', '생물학', '생화학', '생리학' 분야가 뚜렷하게 구분되어 나타났다.

Enhanced Calreticulin Expression Promotes Calcium-dependent Apoptosis in Postnatal Cardiomyocytes

  • Lim, Soyeon;Chang, Woochul;Lee, Byoung Kwon;Song, Heesang;Hong, Ja Hyun;Lee, Sunju;Song, Byeong-Wook;Kim, Hye-Jung;Cha, Min-Ji;Jang, Yangsoo;Chung, Namsik;Choi, Soon-Yong;Hwang, Ki-Chul
    • Molecules and Cells
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    • 제25권3호
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    • pp.390-396
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    • 2008
  • Calreticulin (CRT) is one of the major $Ca^{2+}$ binding chaperone proteins of the endoplasmic reticulum (ER) and an unusual luminal ER protein. Postnatally elevated expression of CRT leads to impaired development of the cardiac conductive system and may be responsible for the pathology of complete heart block. In this study, the molecular mechanisms that affect $Ca^{2+}$-dependent signal cascades were investigated using CRT-overexpressing cardiomyocytes. In particular, we asked whether calreticulin plays a critical role in the activation of $Ca^{2+}$-dependent apoptosis. In the cells overexpressing CRT, the intracellular calcium concentration was significantly increased and the activity of PKC and level of SECAR2a mRNA were reduced. Phosphorylation of Akt and ERKs decreased compared to control. In addition the activity of the anti-apoptotic factor, Bcl-2, was decreased and the activities of pro-apoptotic factor, Bax, p53 and caspase 8 were increased, leading to a dramatic augmentation of caspase 3 activity. Our results suggest that enhanced CRT expression in mature cardiomyocytes disrupts intracellular calcium regulation, leading to calcium-dependent apoptosis.

Electrolysis of Physiological Salt Solution Generates a Factor that Relaxes Vascular Smooth Muscle

  • Song, Pil-Oh;Chang, Ki-Churl
    • The Korean Journal of Physiology and Pharmacology
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    • 제2권2호
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    • pp.217-223
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    • 1998
  • Oxygen-derived free radicals have been implicated in many important functions in the biological system. Electrical field stimulation (EFS) causes arterial relaxation in animal models. We found that EFS applied to neither muscle nor nerve but to Krebs solution caused a relaxation of rat aorta that had been contracted with phenylephrine. In the present study, therefore, we investigated the characteristics of this EIRF (electrolysis-induced relaxing factor) using rat isolated aorta. Results indicated that EIRF acts irrespective of the presence of endothelium. EIRF shows positive Griess reaction and is diffusible and quite stable. EIRF-induced relaxation was stronger on PE-contracted aorta than on KCl-contracted one, and inhibited by the pretreatment with methylene blue. Zaprinast, a cGMP-specific phosphodiesterase inhibitor, potentiated the EIRF-induced relaxation. $N^G-nitro-L-arginine$, NO synthase inhibitor, did not inhibit the EIRF-induced relaxation. Deferroxamine, but not ascorbic acid, DMSO potentiated the EIRF-induced relaxation. These results indicate that electrolysis of Krebs solution produces a factor that relaxes vascular smooth muscle via cGMP-mediated mechanism.

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CJ-50001 (rG-CSF)의 일반약리작용 (Giniral pharmacology of CJ-50001 (rG-CSF))

  • 정성목;김영훈;신재규;최재목;고형곤;김제학;김현수
    • Biomolecules & Therapeutics
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    • 제5권3호
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    • pp.316-322
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    • 1997
  • CJ-50001 is a recombinant granulocyte-colony stimulating factor (rG-CSF) synthesized by recombi-nant DNA technology using E. coli as an expression system. The general pharmacological properties of CJ-50001 were evaluated in mice, rats, dogs and isolated guinea pig ileum. The doses are 100, 300 and 1, 0007g/kg, i.v. for mice and rats, 1, 10 and 100$\mu$g/kg, 1.v. for dogs and 1 and 10$\mu$g/ml for isolated guinea pig ileum. Intravenous administration of CJ-50001 at this dose range did not affect general behavior, central nervous system, smooth muscles, gastrointestinal system, cardiovascular and respiratory system and water and electro-lytes excretion. In summary, CJ-50001 had no harmful pharmacological erect in these studies even up to the 200-fold expected clinical dose, 2507g/man.

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A Tale of Two Models: Mouse and Zebrafish as Complementary Models for Lymphatic Studies

  • Kim, Jun-Dae;Jin, Suk-Won
    • Molecules and Cells
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    • 제37권7호
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    • pp.503-510
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    • 2014
  • Lymphatic vessels provide essential roles in maintaining fluid homeostasis and lipid absorption. Dysfunctions of the lymphatic vessels lead to debilitating pathological conditions, collectively known as lymphedema. In addition, lymphatic vessels are a critical moderator for the onset and progression of diverse human diseases including metastatic cancer and obesity. Despite their clinical importance, there is no currently effective pharmacological therapy to regulate functions of lymphatic vessels. Recent efforts to manipulate the Vascular Endothelial Growth Factor-C (VEGFC) pathway, which is arguably the most important signaling pathway regulating lymphatic endothelial cells, to alleviate lymphedema yielded largely mixed results, necessitating identification of new targetable signaling pathways for therapeutic intervention for lymphedema. Zebrafish, a relatively new model system to investigate lymphatic biology, appears to be an ideal model to identify novel therapeutic targets for lymphatic biology. In this review, we will provide an overview of our current understanding of the lymphatic vessels in vertebrates, and discuss zebrafish as a promising in vivo model to study lymphatic vessels.

취약계층 당뇨병 여성노인의 대사증후군지표와 심혈관 위험정도가 우울증상 여부에 미치는 요인 (Influencing Factors of the Metabolic Index and Cardiovascular Risk Factors on Depressive and Non-depressive Groups in the Vulnerable Diabetic Elderly Women)

  • 성기월
    • Journal of Korean Biological Nursing Science
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    • 제21권2호
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    • pp.123-132
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    • 2019
  • Purpose: The purpose of this study was to identify influencing factors of metabolic index and cardiovascular risk factors, on depressive and non-depressive groups, in vulnerable diabetic elderly women. Methods: Participants were 137 vulnerable diabetic elderly women, using health centers in D city. Data were collected through interviews September though December 2017. The metabolic index was measured using National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III), and cardiovascular risk factors were measured using Framingham Risk Score (FRS). Depressive and non-depressive groups were divided by the score of Geriartric Depress Scale Short Korea Version (GDSSF). Collected data were analyzed using a x2 test, independent t-test, and binary logistic regression, with the SPSS/WIN 25.0 program. Results: Vulnerable diabetic elderly women, did not exercise in the depressive groups, and had higher triglyceride (TG), total cholesterol (TC) and larger waists, than in the non-depressive group. Results show that lack of exercise (OR= 6.30), is the highest risk factor, influencing the depressive symptom in vulnerable diabetic elderly women. Conclusion: These results suggest that to reduce depressive symptom levels among vulnerable diabetic elderly women, nursing interventions are needed to increase exercise and decrease TG, TC, and waist size, particularly in improving exercise of vulnerable diabetic elderly women.