• Childhood Kidney Diseases
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• v.27 no.2
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• pp.105-110
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• 2023

Purpose: To analyze electrocardiograms (ECGs) of patients with a salt-losing tubulopathy (SLT) and to determine the frequency and risk factors for long QT and arrhythmia. Methods: A total of 203 patients aged <19 years with SLT, specifically Bartter syndrome and Gitelman syndrome, who had a 12-lead ECG were included in this retrospective study. We analyzed the presence of an arrhythmia or prolonged corrected QT (QTc) on ECGs obtained for these patients. Demographic and laboratory data were compared between patients with abnormal and normal ECG findings. Results: Out of the 203 SLT patients, 38 (18.7%) underwent electrocardiography and 10 (40.0%) of 25 patients with inherited SLT had abnormal ECG findings, including prolonged QTc and arrhythmias. The abnormal ECG group had significantly lower serum potassium levels than the normal group (median [interquartile range]: 2.50 mmol/L [2.20-2.83] vs. 2.90 mmol/L [2.70-3.30], P=0.036), whereas other serum chemistry values did not show significant differences. The cutoff level for a significant difference in QTc interval was serum potassium level <2.50 mmol/L. One cardiac event occurred in a 13-year-old boy, who developed paroxysmal supraventricular tachycardia and underwent cardiac ablation. No sudden cardiac deaths occurred in this cohort. Conclusions: The incidence of ECG abnormalities in patients with inherited SLT was 40.0%, whereas the ECG screening rate was relatively low (18.7%). Therefore, we recommend ECG screening in patients with inherited SLT, especially in those with serum potassium level <2.50 mmol/L.

• Biomedical Science Letters
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• v.21 no.4
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• pp.208-217
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• 2015

The exact diagnosis of left ventricular hypertrophy (LVH) is very important in the treatment of hypertension. The purpose of our study is to determine the relationship between left ventricular remodeling patterns and electrocardiography (ECG) findings in hypertensive patients. We divided 137 patients into four groups according to left ventricular mass index (LVMI) and the relative wall thickness: normal, concentric remodeling, concentric hypertrophy, eccentric hypertrophy. LVH on the ECG was defined by three ECG criteria: Sokolow-Lyon voltage criteria, Cornell voltage criteria and Romhilt-Estes point score. LVH on the echocardiography was defined by LVMI. The prevalence of ECG LVH was increased in concentric hypertrophy and eccentric hypertrophy group. The QRS voltages by Sokolow-Lyon voltage criteria (r = 0.494, P = 0.002) and Cornell voltage criteria (r = 0.628, P < 0.001), and Romhilt-Estes point score (r = 0.689, P < 0.001) were positively correlated with LVMI. Also, the QRS voltages and point scores were significantly increased in the concentric hypertrophy and eccentric hypertrophy group with increased LVMI. The QRS voltage and Romhilt-Estes point scores were positively correlated with LVMI. The QRS voltages and Romhilt-Estes point scores were also increased in the left ventricular remodeling groups with increased LVMI.

• Journal of Veterinary Clinics
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• v.15 no.2
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• pp.325-330
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• 1998

The purpose of this study is to investigate the effect of acupuncture after the induction of acute kidney disease in dogs by ethylene glycol. Twenty four mixed breed, adult cats were used in the experiment. Ethylene glycol was administered orally at 1 ml/kg in 24 cats, and then 6 cats were treated by acupunchuture 6 cats were treated by electroacupuncture, 6 cats were treated by acupuncture and 6 cats were not treated as a control group. Treatment was done once daily far 4 dsys. The acupoint used were Gan-shu and Tai-xi. The effect of acnpuncture was evaluated by clinical symptom, blood chemical values, electrocardiogram (ECG) and histopathologkal findings. After treatement, acupuncture group revealed relatively fast recovery compared with other groups, in clinical symptoms, blood chemical values, ECG waves and histopathological findings. Laserpuncture group revealed secondly fast recovery compared with control group.

• Journal of Yeungnam Medical Science
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• v.4 no.2
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• pp.23-27
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• 1987

Mass electrocardiographic (ECG) examination was performed on 13,801 children (male 7,526 and female 6,275) of elementary and middle school in Taegu from May 1. 1986. to April 30. 1987. We read their ECG according to the "Pediatric Electrocardiography." The results were as following; The Incidence of ECG abnormality was 1.05%(male 1.3% and female 0.75%). Fifty eight children (0.42%) had atrial and ventricular hypertrophy; two right atrial hypertrophy, five left atrial hypertrophy, thirty five fight ventricular hypertrophy and sixteen left ventricular hypertrophy respectively. Ectopic beats occurred in 25 children (0.18%) ; They were atrial in 12 children, ventricular in 8 children and junctional in 5 children. There were 62 children (0.45%) of conduction disturbance ; They were first degree atrioventricular (A-V) block in 21 children, type I second degree A-V block in 1 child, A-V dissociation in 1 child, right bundle branch block in 36 children, left bundle branch block in 1 child and WPW syndrome in 2 children. Nonspecific ST, T changes and sinus tachycardia were found in 3 and one children respectively.

• Journal of the Korean Society of Safety
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• v.30 no.2
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• pp.56-62
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• 2015

The purpose of this study was to identify the relationship between the index of Electrocardiography(LF/HF) and the occurrence of drowsiness driving while driving in a simulated situation. Participants were 31 undergraduate students with an experience in driving and they participated 30 minutes driving under enough sleep condition and 1 hour under the sleep deprivation condition. The Euro Truck Simulator II was used for driving simulation task and ECG and perceived drowsiness of each participants were measured during two driving conditions. Perceived sleepiness recorded by the checklist every 10 minutes and ECG data extracted before and after 15 seconds of every 10 minutes to verify the relationship between two variables. The results showed that the level of perceived sleepiness under sleep deprivation condition was higher than that under the enough sleep condition, and the level of LF/HF under sleep deprivation condition was lower than that under the enough sleep condition. In addition, the result of analysis of repeated measure ANOVA for ECG indicated that authentic sleepiness revealed in 20 minutes after the start of driving under the sleep deprivation condition. However, the result of perceived drowsiness indicated that authentic sleepiness revealed in 30 minutes after the start of driving. These result suggest that the time difference between biological and perceived response on drowsiness may be exist. Finally, the significant negative correlation between the LF/HF level and perceived drowsiness was observed. These findings suggest that ECG(LF/HF) can be an possible index to measure drowsiness driving.

• Biomedical Science Letters
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• v.21 no.3
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• pp.135-143
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• 2015

Electrocardiogram measures the electric impulses generated by the heart during its cycle. Recently genome-wide association studies on electrocardiogram traits revealed many relevant genetic loci. Therefore, these findings need to be validated and investigated to determine the underlying mechanisms using mouse models. Invasive radiotelemetry has been widely used to record the electrocardiogram in mice because it has several advantages over non-invasive measurements. However, radiotelemetry is expensive and requires complicated surgery. On the other hand, a non-invasive method using 3 electrodes (one for earth) for lead II is easy to establish and allows for rapid measurement. In this study, eleven mice were measured with this non-invasive method and no statistical difference among them was found in any ECG measurements. In addition, repeat measurement in the same mouse was performed in 9 sets of experiment and the results indicated that non-invasive method was reliable for reproducibility. Further it was shown that measurements for 1, 5, 10, and 15 minutes were not different so that a short recording such as 5 minutes was enough to estimate the ECG values including heart rate. Further this method was validated by measuring the ECG of Balb/c and FVB that were previously shown to differ in ECG values by radiotelemetry. Significant differences were found in heart rate, PR interval and corrected QT interval between these mouse strains. This study partially proved that non-invasive method also could provide the accuracy and reproducibility. Based on these results, the non-invasive ECG recordings of lead II is recommended as a useful method for quick test in mouse model.

• The Korean Nurse
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• v.15 no.4 s.84
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• pp.53-60
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• 1976

This study was conducted to find out distribution of age and rank, subjective, symptoms, family history, findings of funduscopy and ECG. and nursing activities by charts in 100 patients who had been discharged and retired after treatment under the diagnos

• Clinical and Experimental Pediatrics
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• v.56 no.7
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• pp.308-311
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• 2013

In this report, we present a pediatric case of severe symptomatic hypermagnesemia resulting from the use of magnesium oxide as a laxative in a child undergoing continuous cyclic peritoneal dialysis for end-stage renal disease. The patient showed abnormal electrocardiography (ECG) findings, such as tall T waves, a widened QRS complex, and irregular conduction, which were initially misdiagnosed as hyperkalemia; later, the correct diagnosis of hypermagnesemia was obtained. Emergent hemodialysis successfully returned the serum magnesium concentration to normal without complications. When abnormal ECG changes are detected in patients with renal failure, hypermagnesemia should be considered.

• Clinical and Experimental Pediatrics
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• v.64 no.11
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• pp.582-587
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• 2021

Background: Syncope is a common problem in children and adolescents. However, a large proportion of syncope cases have no underlying cause. Purpose: This study aimed to identify the factors affecting the severity of syncope using tissue Doppler imaging (TDI). Methods: This retrospective study included 61 children and adolescents with syncope who underwent echocardiography. The head-up-tilt test (HUT) was performed when there was a more severe syncopal event. We compared the echocardiographic findings between the execute HUT and nonexecute HUT, negative HUT result and positive HUT result, and normal electrocardiogram (ECG) and abnormal ECG groups. Data were analyzed using an unpaired t test post hoc analysis. Results: In the execute and nonexecute HUT groups, the odds ratios were 0.55 for medial E/E' (P=0.040) and 0.64 for lateral E/E' (P=0.049). Comparison of the results of the decreased, normal, and increased groups for lateral E/E' revealed a significant difference in the execution HUT and nonexecute HUT groups (overall, P=0.004; decreased vs. increased, P=0.003; normal vs. increased, P=0.050). Conclusion: Medial E/E' and lateral E/E' were decreased in patients with severe syncopal events. These findings suggest that the presence of left ventricular diastolic deterioration may cause hypoperfusion even in the absence of organic causes and, consequently, increase syncope severity and frequency. The TDI measured by echocardiography can be used as an index to predict syncope recurrence and/or severity.

• Journal of Magnetics
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• v.17 no.2
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• pp.133-137
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• 2012

We investigated the effects of pulsed magnetic fields (PMF) stimulus on electroencephalogram (EEG) alpha activity and heart rate variability (HRV) from electrocardiogram (ECG) measurements with various stimulus durations at acupoint PC9. The alpha activity in the EEG and the ratio of low frequency power and high frequency power (LHR) in the HRV, a reflection of sympathovagal activity, were increased and decreased, respectively, after PMF stimulus of 3 min. Our spectral analysis quantitatively proved that the changes in the EEG alpha activity were consistent with an autonomic function in the ECG. These findings suggest that appropriate PMF stimulus results in the same effect as that of acupuncture applied to the acupoint PC9, which is closely related to the parasympathetic activity of the autonomic nervous system.