• Title/Summary/Keyword: Fibrillation

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Risk Factors of Atrial Fibrillation after Coronary Artery Bypass Grafting (관상동맥우회술 후 발생하는 심방 세동에 대한 분석)

  • Hwang, Yeo-Ju;Park, Chul-Hyun;Jeon, Yang-Bin;Choi, Chang-Hyu;Lee, Jae-Ik;Park, Kook-Yang
    • Journal of Chest Surgery
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    • v.40 no.2 s.271
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    • pp.90-96
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    • 2007
  • Background: Postoperative atrial fibrillation is the most frequently arrhythmic complication associated with coronary artery bypass graft surgery. This study was designed to investigate the incidence of atrial fibrillation in patients undergoing OPCAB and on-pump CABG and to identify the risk factors associated with its development. Material and Method: 247 consecutive patients were evaluated among 306 patients who underwent the coronary artery bypass graft surgery between January, 2002 and December, 2005. 178 patients underwent OPCAB (OPCAB group) and 69 patients underwent On-pump CABG (On-pump CABG group). The incidence and the risk factors of atrial fibrillation in two groups were determined. Result: There were no significant differences between two groups with respect to the preoperative demographic characteristics of the patients. The incidences of postoperative atrial fibrillation were 25 cases (14%) in OPCAB group and 15 cases (21%) in On-pump CABG group. Age over 65 years, net positive fluid imbalance for postoperative 3 days, and chest tube bleeding for postoperative 3 days were independent predictive factors in OPCAB group. Age over 65 years and net positive fluid imbalance for postoperative 3 days were independent predictive factors in On-pump CABG group. In multivariate analysis, age over 65 years was the only risk factor of postoperative atrial fibrillation in both groups. Conclusion: Atrial fibrillation is a common complication after procedures of myocardial revascularization. There wasn't a low incidence of postoperative atrial fibrillation in OPCAB, compared with On-pump CABG. Age over 65 years was associated with postoperative atrial fibrillation irrespective of the use of cardiopulmonary bypass.

Effect of Mechanical Impact Treatment on Fiber Morphology and Handsheet Properties

  • Yung B. Seo;Kim, Dukki;Lee, Jong-Hoon;Yang Jeon
    • Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
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    • 2001.11a
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    • pp.183-199
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    • 2001
  • Alternative way of shaping fibers suitable for papermaking was introduced. Impact refining, which was done simply by hitting wet fibers with a metal weight vertically, was intended to keep the fibers from shortening and to cause mostly internal fibrillation. Virgin chemical pulp, its recycled one and OCC were used in the experiment. It was noticed from the experiment that impact refining on virgin chemical pulp kept the fiber length and Increased bonding properties greatly, However, in the recycled fibers from the chemical pulp, fiber length and bonding properties were decreased. In OCC, which seems to contain fractions of semi-chemical pulp and mechanical pulp (GP), and which is recycled pulp from corrugated boxes, fiber length and bonding properties were decreased disastrously. We believe recycled cellulosic fibers (recycled chemical pulp and OCC in this case), which went through hornification, were less resistant to the mechanical impact than virgin chemical pulp. For virgin chemical pulp, impact refining allowed no significant fiber length shortening, high WRV, and high mechanical strength.

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A Study on Fibrillation of Tencel Material(Part I) -Based on Change of Properties of Tencel by Cellulase- (텐셀소재의 fibrillation에 관한 연구(제I보) -셀룰라제로 처리한 텐셀의 물성변화를 중심으로-)

  • 정영희;송경헌;양진숙
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.3
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    • pp.507-515
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    • 2001
  • Tencel is a high quality cellulosic fiber, which is controlled and processed by an environmentally sound route. But, the point about tencel and the reason why it achieves its unique touch in its finished state is that it is a fibrillating fiber. That means it can take a great deal of punishment during the finishing process, which raise the fiber to produce the characteristics handle, without destroying the cloth. The aim of cellulase treatment is to improve appearence of tencel, plus the fiber ends protruding from the fabric surface. But enzymatic hydrolysis can weakens the fiber ends and changes the properties of fabrics. This study examined about the changes of properties according to several conditions and effect of cellulase to fibril of tencel. The results are as follows. The weight loss was occurred, tensile strength was decreased, softness was increased. And cellulase treatment reduced amount of fibril.

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Prediction of Paroxysmal Atrial Fibrillation using Time-domain Analysis and Random Forest

  • Lee, Seung-Hwan;Kang, Dong-Won;Lee, Kyoung-Joung
    • Journal of Biomedical Engineering Research
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    • v.39 no.2
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    • pp.69-79
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    • 2018
  • The present study proposes an algorithm that can discriminate between normal subjects and paroxysmal atrial fibrillation (PAF) patients, which is conducted using electrocardiogram (ECG) without PAF events. For this, time-domain features and random forest classifier are used. Time-domain features are obtained from Poincare plot, Lorenz plot of ${\delta}RR$ interval, and morphology analysis. Afterward, three features are selected in total through feature selection. PAF patients and normal subjects are classified using random forest. The classification result showed that sensitivity and specificity were 81.82% and 95.24% respectively, the positive predictive value and negative predictive value were 96.43% and 76.92% respectively, and accuracy was 87.04%. The proposed algorithm had an advantage in terms of the computation requirement compared to existing algorithm, so it has suggested applicability in the more efficient prediction of PAF.

Persistent Atrial Fibrillation Related to a Congenital Pericardial Defect and Left Atrial Appendage Herniation

  • Lee, Heemoon;Jeong, Dong Seop;Kim, In Sook;Park, Byung Jo
    • Journal of Chest Surgery
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    • v.48 no.6
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    • pp.429-431
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    • 2015
  • Congenital pericardial defects (CPDs) are infrequent anomalies that are usually asymptomatic and are discovered incidentally during unrelated interventions. Here we report the case of a CPD with herniation of an enlarged left atrial appendage identified during total thoracoscopic ablation (TTA) for persistent atrial fibrillation (AF). The persistent AF was successfully treated with a hybrid procedure, in which TTA was followed by an electrophysiological study.

Lobectomy due to Pulmonary Vein Occlusion after Radiofrequency Ablation for Atrial Fibrillation

  • Papakonstantinou, Nikolaos A.;Zisis, Charalambos;Kouvidou, Charikleia;Stratakos, Grigoris
    • Journal of Chest Surgery
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    • v.51 no.4
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    • pp.290-292
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    • 2018
  • Radiofrequency ablation is an effective treatment for atrial fibrillation. Pulmonary vein stenosis/occlusion is one of its rare complications. Herein, the case of a 50-year-old man with hemoptysis and migratory pulmonary infiltrations after transcatheter radiofrequency ablation for atrial fibrillation is presented. Initially, pneumonia, interstitial pulmonary disease, or lung cancer was suspected, but wedge resection revealed hemorrhagic infiltrations. Chest computed tomography pulmonary angiography detected no left superior pulmonary vein due to its total occlusion, and left upper lobectomy was performed. Post-ablation pulmonary vein occlusion must be strongly suspected in cases of migratory pulmonary infiltrations and/or hemoptysis.

Therapy for Postoperative Cardiac Arrhythmia in Patient with Mitral Valve Surgery (승모판막 수술 환자에서 발생한 부정맥의 치료)

  • 조건현
    • Journal of Chest Surgery
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    • v.25 no.6
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    • pp.672-677
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    • 1992
  • This is a clinical review of the results from electric cardioversion and pharmacological therapy used in our hospital for reverting cardiac arrythmia in patients with mitral valve surgery between Jan. 1990 and Jun. 1991. Of 62 evaluated patients, 16 patients had regular sinus rhythm and the other 46 had arrhythmias [42; atrial fibrillation 1; atrial flutter 1; premature ventricular contraction] preoperatively. In 2 of patients with sinus rhythm, atrial fibrillation newly developed after surgery and was converted into sinus rhythm soon by intravenous administration of digoxin. Remaining 14 patient resumed sinus rhythm spontaneously. In patients with preoperative arrythmia, 3 patients reverted into sinus rhythm from atrial fibrillation by electric cardioversion at operative field, 1 patient by lidocain and mexiletine, 4 patients by combined use of digoxin and verapamil, 4 patients by 2 times of oral quinidine and 9 patient by long term use of oral amiodarone. Throughout this consecutive trials of anti-arrhythmic drugs and electric cardioversion, Conversion into normal sinus rhythm occurred in 48% of patients with arrhythmia developed after mitral valve surgery.

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Development of Surface Modified Tencel Fabrics through the Control of Fibrillation(Part II) - Fibrillation control effect through reactive dye treatment - (피브릴화 조절을 통한 다양한 감성의 텐셀소재 개발(제2보) -반응성 염료에 의한 피브릴화 조절 효과-)

  • Shin, Younsook;Son, Kyonghee
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.10
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    • pp.1738-1744
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    • 2001
  • 본연구의 목적은 반응성 염료를 이용한 텐셀섬유의 피브릴화 조절 효과를 표면 형태, 감량율, 역학적 성질 및 태의 변화의 측면에서 고찰하는데 있다. 반응성 염료에 의한 가교는 섬유의 비결정 영역의 구조를 변화시켜 피브릴화를 억제하였으며 또한 효소의 작용에 영향을 주어 감량율을 감소시켰다. 반응성 염료에 의한 가교는 역학적 성질 중 특히 전단강성, 압축에너지, 압축레질리언스를 증가시켰다. 염색후 효소처리한 시료는 다른 시료보다 numeri와 fukurami 값이 높아 더 나은 종합태를 보였다. 공정순서에 따라 약간씩 차이가 있는 촉감을 나타냈다.

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Totally Thoracoscopic Ablation for Treatment of Atrial Fibrillation after Atrial Septal Defect Device Closure

  • Kim, Young Su;Jeong, Dong Seop;Kang, I-Seok;On, Young Keun
    • Journal of Chest Surgery
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    • v.47 no.3
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    • pp.280-282
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    • 2014
  • Atrial septal defect (ASD) is one of the most common congenital heart defects in adults. Surgical repair is the most common treatment approach, but device closure has recently become widely performed in accordance with the trend toward less invasive surgical approaches. Although surgery is recommended when ASD is accompanied by atrial fibrillation, this study reports a case in which a complete cure was achieved by closure of a device and totally thoracoscopic ablation.

Effect of chelidonine derivatives on atrial fibrillation

  • Eun, Jae-Soon;Kim, Dae-Keun;Won, Kyung-Sook;Jung, Young-Hoon;Kwak, Yong-Geun
    • Proceedings of the PSK Conference
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    • 2003.10b
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    • pp.84.2-84.2
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    • 2003
  • The number of patients suffering from atrial fibrillation is increasing and many cardiologists is trying to develop the ideal antiarrhythmic drugs for atrial fibrillation. An ideal antiarrhythmic agent would selectively prolong the action potential duration more in extraordinarily depolarized cardiac myocytes than in normal cells, and show tissue selectivity. Voltage-gated K$\^$+/ (Kv) channels represent a structurally and functionally diverse group of membrane proteins. These channels play an important role in determining the length of the cardiac action potential and are the targets for antiarrhythmic drugs. (omitted)

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