• Title/Summary/Keyword: Heart Function

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Variability of Platelet Reactivity on Antiplatelet Therapy in Neurointervention Procedure

  • Yi, Ho Jun;Hwang, Gyojun;Lee, Byoung Hun
    • Journal of Korean Neurosurgical Society
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    • v.62 no.1
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    • pp.3-9
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    • 2019
  • As more intracranial aneurysms and other cerebrovascular pathologies are treated with neurointervention procedure, thromboembolic events that frequently lead to serious neurological deficit or fatal outcomes are increasing. In order to prevent the thromboembolic events, antiplatelet therapy is used in most procedures including coil embolization, stenting, and flow diversion. However, because of variable individual pharmacodynamics responses to antiplatelet drugs, especially clopidogrel, it is difficult for clinicians to select the adequate antiplatelet regimen and its optimal dose. This article reviews the neurointervention literature related to antiplatelet therapy and suggests a strategy for tailoring antiplatelet therapy in individual patients undergoing neurointervention based on the results of platelet function testing.

Intra-Aortic Balloon Pump in the Left Heart Failure (좌심실 부전증에서의 IABP 치험 - 5예 보고-)

  • 소동문
    • Journal of Chest Surgery
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    • v.21 no.1
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    • pp.116-120
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    • 1988
  • From July 1986 to June 1987, five patients were underwent IABP [intra aortic balloon pulsation] because of sever left heart failure in spite of maximum medication. These patients were reviewed as prophylactic IABP [1 patient], During operation [3 patients] and postoperative IABP [1 patients]. All patients were showed stable hemodynamic status with improved LV function during and after IABP. there was no IABP related complication or mortality. Advanced disease needs more effective methods of mechanical circulatory assistance and heart replacement.

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Emergency Treatment of Penetrating Cardiac Injury (관통성 심장 자상 환자의 응급수술)

  • 신윤곤
    • Journal of Chest Surgery
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    • v.27 no.6
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    • pp.483-485
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    • 1994
  • Recently, we experienced one case of penetrating cardiac injury patient by the knife.This patient was treated by emergency operation through left anterolateral thoracotomy under local anesthesia at emergency room. But, the patient was brought about the brain death inspite of normalized function of heart and lung. Now we have a conclusion that was able to recover of heart and lung functions by doctor`s exactly judgement and practice, at least.

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Application of Artificial Intelligence to Cardiovascular Computed Tomography

  • Dong Hyun Yang
    • Korean Journal of Radiology
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    • v.22 no.10
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    • pp.1597-1608
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    • 2021
  • Cardiovascular computed tomography (CT) is among the most active fields with ongoing technical innovation related to image acquisition and analysis. Artificial intelligence can be incorporated into various clinical applications of cardiovascular CT, including imaging of the heart valves and coronary arteries, as well as imaging to evaluate myocardial function and congenital heart disease. This review summarizes the latest research on the application of deep learning to cardiovascular CT. The areas covered range from image quality improvement to automatic analysis of CT images, including methods such as calcium scoring, image segmentation, and coronary artery evaluation.

A Comparison of Cardio-Pulmanary Function by the use of a Single Axis Foot and SACH Foot in Below-Knee Amputation (하퇴 절단 환자의 족부 종류에 따른 심폐 기능의 비교)

  • Ahn, Wang-Hun;Kim, Young-Hee
    • Journal of Korean Physical Therapy Science
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    • v.7 no.1
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    • pp.311-319
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    • 2000
  • This study was to measure whether single axis foot or the SACH foot applied to below-knee amputation patients would bring positive changes to the patients' cardiopulmonary function, and help them to overcome their disability. The experiment took place at Asan Medical Center, University of Ulsan, from July 20th to November 20th, 1999 with 10 below-knee amputation patients. The patients were asked to equip single axis foot and SACH foot by turns and lead them to walk on a treadmill which was designed to increase its steep slope. Patients heart rate and blood pressure were recorded before and after their walking, The heart rate, systolic blood pressure, diastolic blood pressure of the patients who were equipped with, either SACH foot or single axis foot, have been increased with as the slant becoming steeper. The heart rates during the experiment did not show relevant changes according to the kind of foot used and the gradient, but the changes occurred before and after the walking(p=0.0001), The similar result of systolic blood pressure was found during the waking(p=0.01). Below-knee amputation patients are expected to walk and perform the routines better, no matter what type of foot is used, as long as they wear an artificial foot properly and taking features of foot product into consideration

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A Study of Subclinical Thyroid Function Disorder and the Risk of Coronary Heart Disease in Women (여성의 무증상 갑상샘 기능이상과 관상동맥질환 발생과의 관련성 연구)

  • Yeoum, Soon-Gyo;Park, Chai-Soon
    • Korean Journal of Adult Nursing
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    • v.22 no.1
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    • pp.80-89
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    • 2010
  • Purpose: This paper has attempted to investigate the association between the subclinical thyroid function disorder caused by natural change in thyroid hormones or thyroid remedies and the incidence of CHD. Methods: Data was analyzed of 7,675 women who had undergone health examinations in a hospital in Gyeonggi-do between January 2007 and December 2008. The covariation of the coronary risk factors such as age, BMI, HbA1C, systolic blood pressure, LDL:HDL-cholesterol ratio, CRP, smoking and exercise were analyzed by using logistic regression analysis. Results: A significant increase in serum TSH was observed with higher age (F=26.91, p=.00). In terms of age, the risk of CHD started to gradually increase since the 40s and sharply since the 60s (${\chi}^2$=113.29, p=.00). The serum TSH was the most significant parameter influencing CHD (B=.12, p=.00). The risk of coronary heart disease was 3.12 times higher in the subclinical hypothyroidism group (OR=3.12) while no significant difference was observed in the subclinical hyperthyroidism group. Conclusion: Subclinical hypothyroidism may be an independent risk factors for CHD. A nurse nursing patients with thyroid disorder should be well informed of their state of subclinical thyroid function disorder and make efforts to extend their health expectancy.

Wearing of a Whole-Body Compression Garment Can Enhance Exercise Efficiency

  • Jeon, Su-Jeong;Jung, Yu-Jin;Lee, Eun-Jae;Choi, Ji-Hye;Jung, Dongju
    • Biomedical Science Letters
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    • v.27 no.2
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    • pp.88-94
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    • 2021
  • A whole-body compression garment (WBCG) is mainly used for cosmetic purpose in Korea. Another case for wearing the WBCG would be while exercising because it allows the body to move easily. But physiological effects of wearing WBCG to the body have not been known much. To investigate whether wearing WBCG would be helpful for conducting exercises, we measured physiological criteria, which could be influenced by the compression, such as cardiovascular and pulmonary function. Twelve female college students participated in this experiment. Increase of blood pressure was monitored in all of the participants when they wore a WBCG just for 10 minutes. Pulmonary function that requires skeletal muscle contraction was decreased by wearing a WBCG. Blood pressure measured after conducting exercise became even lower when wearing a WBCG than non-wearing. Interestingly, heart pulse remained lower when wearing a WBCG than non-wearing during the whole relaxing period after the exercise. Electrocardiogram (ECG) analyses showed that such lower heart rate largely depended on extension of QT time. For that reason, physiological efficiency index (PEI) was higher for wearing WBCG. These results indicate wearing WBCG could enhance exercise efficiency by lowering heart pulse.

Protective Effect of Urokinase on Reperfusion Function in Isolated Perfused Rat Heart, and Anti-platelet Aggregation Effect Invitro and Exvivo (Urokinase의 적출심장의 심근허혈에 대한 보호작용과 invitro 및 exvivo항혈전작용 실험)

  • Kwon, Kwangil;Shin, Hongseup;Yoon, Jongok;Kim, Boshin;Min, Jiha;Lee, Byungho;Huh, Inhoe
    • Korean Journal of Clinical Pharmacy
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    • v.2 no.1
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    • pp.1-9
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    • 1992
  • Protective effect of urokinase on reperfusion were studied followed by global ischemia in the isolated perfused rat heart. Separately, anti-platelet aggregation effect of urokinase also investigated. Urokinase exhibited positive effect for the protection of rat heart function by increasing the LV dp/dt, coronary flow(CF) and the Tate pressure product(RPP), and by decreasing the LVEDP on reperfusion. Urokinase also decreased arrhythmia by $74.7\%(P<0.05) induced by global ischemia in the rat heart. In the platelet aggregation study, urokinase did not show the inhibitory effect of ADP or collagen induced platelet aggregation inviuo and exvivo.

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Quantitative Evaluation of Liver Function Using $^{99m}Tc-DISIDA$ Cholescintigraphy ($^{99m}Tc-DISIDA$ 스캔에 의한 간기능의 정량적 평가)

  • Kim, Chahng-Guhn;Kim, Byung-Chan;Chung, Young-Sun;Won, Jong-Jin;Rhee, Jeong-Kyun
    • The Korean Journal of Nuclear Medicine
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    • v.22 no.2
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    • pp.181-185
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    • 1988
  • Since hepatocyte clearance, leading edge parencymal transit time and biliary excretion can be evaluated separately with hepatobiliary scan using $^{99m}Tc-DISIDA$, hepatobiliary scan may be useful in differentiating intrahepatic cholestasis from extrahepatic cholestasis. Excretory liver function was analysed in 13 healthy subjects and 11 patients with clinically suspected hepatocellular disease and 9 patients with extrahepatic biliary obstruction confirmed by surgery, radiological and clinical evidence. Indices of total liver activity (% TLA), liver parechymal uptake (% LPU), heart pool clearance (% HPC) and liver-heart rate (% LHR) were calculated from time activity curve over heart and liver. Compared with healthy subjects, significant reduction (p<0.05) in total liver activity (% TLA) and liver-heart rate (% LHR) was observed in all patients group. But no useful indices was demonstrated in differentiating hepatocellular disease from extrahepatic biliary obstruction.

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Assessment of the Cardioprotection Offered by Fisetin in H2O2-induced Zebrafish (Danio rerio)-Tg (cmlc2: egfp)

  • Lee, Jeong-Soo;Park, Eun-Seok;Kim, In-Sik
    • Biomedical Science Letters
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    • v.24 no.2
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    • pp.130-133
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    • 2018
  • The aim of this study was to evaluate the protective function of fisetin, a natural flavonoid in zebrafish heart for the treatment of myocardial infarction in coronary and ischemic heart disease. For this purpose, we induced oxidative stress zebrafish (Danio rerio)-Tg (cmlc2: egfp) by $H_2O_2$ and then administered fisetin, the protective effect of fisetin was determined by measuring the heart rate following fisetin administration. After testing the toxicity of fisetin, we found that the heartt increased in a concentration-dependent manner, however there was no difference between the heart rates of embryos and adults. The improved heart rate demonstrated the cardioprotective effect of fisetin. The result showed that fisetin, at concentration of 3and $5{\mu}M$, significantly increased heart rate compared with the heart with $H_2O_2$ alone. This indicates that fisetin plays an important role in the prevention of heart damage and treatment of cardiovascular diseases caused by oxidative stress due to ischemia / reperfusion.