• Title/Summary/Keyword: Vascular resistance

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Analysis of multi-channel photoplethysmograph parameter by the changes of arterial characteries (동맥계 다채널 용적맥파 특징 파라미터 분석에 관한 연구)

  • Han, Soon-Chen;Kim, Hyoung-Jo;Kim, Hyoung-Tae;Kim, Jung-Kuk;Huh, Woong
    • Proceedings of the IEEK Conference
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    • 2003.07c
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    • pp.2745-2748
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    • 2003
  • In this paper, we implement the photoplethysmo-graphy system that have three channel pulse wave detects and one channel ECG amplifier. In order to detect the artery state, we measured the pulse waves at different positions, simultaneously. In general, arterial vascular system suffers the decrease of compliance, increase of resistance, and decrease of distensibility through aging. Therefore, we compared and analyzed variation of tile Pulse waves parameter both in time and frequency domains that is concerned with the changes of arterial characteries. And then evaluated the correlation coefficients between the parameters variation and the age group. As the result of experiment, we found that the Parameters have a significant correlation about aging.

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Pulmonary Thromboembolectomy of Chronic Pulmonary Thromboembolism (만성 폐전색증의 전색 제거술 치험 -1례 보고-)

  • 문석환
    • Journal of Chest Surgery
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    • v.21 no.5
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    • pp.911-917
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    • 1988
  • Pulmonary thromboembolism originated most commonly from the venous thrombus, especially deep vein thrombus in the leg, which migrated to and occluded the pulmonary vasculatures. The failure of clot lysis and repeated embolic episodes resulted in the hemodynamic compromise -that is- in the increasing in the pulmonary vascular resistance, which would cause the right ventricle failure[Car Pulmonale]. Under the cardiopulmonary bypass, 20 year old male patient was treated successfully by thromboembolectomy of pulmonary thromboembolism with pulmonary hypertension, which originated from the deep vein thrombus in the leg. The results of radiologic studies and clinical evaluations were excellent in that the postoperative lung perfusion scan showed the newly increased perfusion of post-embolectomy territories and in the arterial blood gas finding of 76 from 66[mmHg] in PaO2. The patient was uneventful and discharged on postop. $ 14 days with anticoagulant continued.

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Eisenmenger syndrome: report of 3 cases (Eisenmenger 증후군 3례 보)

  • Song, Won-Yeong;Lee, Jong-Tae;Lee, Gyu-Tae
    • Journal of Chest Surgery
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    • v.17 no.2
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    • pp.250-256
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    • 1984
  • Eisenmenger syndrome is a condition which systemic arterial blood oxygen unsaturation occurs if obstruction in the pulmonary capillaries raises the pulmonary vascular resistance and pulmonary arterial pressure to or beyond systemic levels and then a significant right to left shunt develops across a preexisting cardiac septal defect or an aortopulmonary communication-We have experienced 3 cases of similar condition. Case I is 24 year old man who has had cyanosis and dyspnea on exertion since childhood. His pulmonary arterial pressure was 110/80mmHg. He was operated under diagnosis of the mitral stenosis and tetralogy of Fallot, but it was finally discovered that he had patent ductus arteriosus and ventricular defect was closed with perforated prosthetic patch, but the patient expired due to right heart failure low cardiac output. Case II was 16 year old female who had pulmonary hypertension of 110/85mmHg. She was diagnosed as Eisenmenger syndrome combining with atrial septal defect and patent ductus arteriosus. Case III was 20 year old male. His pulmonary arterial pressure was 110/70mmHg and the underlying defect was patent ductus arteriosus.

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Inhibition by Pinusolide of Platelet-Activating Factor (PAF-acether)-Induced Hypotension and Bronchoconstriction.

  • Kim, Kyung-A;Kim, Yeon-Su;Lee, Moo-Tak;Lee, Shin-Woong
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1996.04a
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    • pp.203-203
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    • 1996
  • It has been known that pinusolide isolated from Biota orientalis inhibits specifically [$^3$H] PAF binding to and PAF-induced aggregation of rabbit platelets in vitro. The present study was undertaken to evaluate the effects of pinusolide on hypotension and bronchoconstriction due to PAF. PAF(i.v.) in doses of 0.01 to 0.3 $\mu\textrm{g}$/kg induced a dose-dependent hypotension without tachyphylaxis in rat. Pinusolide(5~20 mg/kg, i.v.) inhibited PAF(0.03 $\mu\textrm{g}$/kg, i.v.)-induced hypotension dose-dependently, while it failed to block the hypotensive action of histamine, serotonin and acetylcholine. It inhibited bronchoconstriction and cutaneous vascular permeability induced by PAF in anesthetized guinea-pigs and rats, respectively, but it showed no inhibitory effect on the increase in bronchial resistance by histamine and acetylcholine. These results strongly suggest that in vivo pinusolide acts as a selective antagonist of PAF.

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Repeated Intracerebral Hemorrhage from Developmental Venous Anomaly Alone

  • Ku, Min-Geun;Rhee, Dong-Youl;Park, Hwa-Seung;Kim, Dae-Neung
    • Journal of Korean Neurosurgical Society
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    • v.45 no.1
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    • pp.46-49
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    • 2009
  • Developmental venous anomalies (DVAs) are hemodynamically low flow, low resistance vascular malformations without clinical significance. Although most DVAs are asymptomatic and are found incidentally, sometimes they can be symptomatic with intracerebral hemorrhage, many of which are usually caused by associated cavernous malformations (CMs) rather than the DVAs themselves. Only a few cases have been reported in the literature where an intracerebral hemorrhage has been caused by a DVA alone. This report describes a case of an intracerebral hemorrhage due to DVA alone with review of the literature.

Immediate Changes in Ventilatory Functions & Pulmonary Hemodynamics after Reimplantation of Lung (폐장이식의 실험적 연구)

  • 왕영필;이홍균
    • Journal of Chest Surgery
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    • v.10 no.1
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    • pp.28-37
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    • 1977
  • Authors had performed experimental study for ventilatory functions & pulmonary hemodynamics following reimplantation of lung. Preoperative & postoperative hemodynamic studies were obtained. A significant reduction in arterial $PO_2$ and $PCO_2$ was observed with the first few days. But these changes returned to near control levels from 1 week after operation in long-term survivors. Also abnormal pulmonary hemodynamic values returned toward control levels within 1 to 3 weeks, with the exception of a residual increase in pulmonary vascular resistance. Microscopically minimal focal pulmonary edema and limited alveolar infiltration developed in the reimplanted lung. But these changes never increased after the their postoperative day and were completely resolved by 1 to 3 weeks after autotransplantation.

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Medeical Therapy For Pulmonary Arterial Hypertention (폐동맥고혈압에서 폐혈관계 작용약물)

  • Choi, Hye Sook;Lee, Sang Do
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.2
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    • pp.142-150
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    • 2006
  • Pulmonary arterial hypertension (PAH) is often difficult to diagnose and challenging to treat. Untreated, it is characterized by a progressive increase in pulmonary vascular resistance leading to right ventricular failure and death. The past decade has seen remarkable improvements in therapy, driven largely by the conduct of randomized controlled trials. Still, the selection of most appropriate therapy is complex, and requires familiarity with the disease process, evidence from treatment trials, complicated drug delivery systems, dosing regimens, side effects, and complications. We tried to provide evidence-based treatment recommendations for physicians involved in the care of these complex patients. Due to the complexity of the diagnostic evaluation required, and the treatment options available, it is strongly recommended that consideration be given to referral of patients with PAH to a specialized center.

Deleterious Effects of Hyperoxemic Extracorporeal Circulation during Cardiovascular Surgery

  • Park, Seok-Cheol
    • Biomedical Science Letters
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    • v.7 no.1
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    • pp.7-15
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    • 2001
  • Although extracorporeal circulation (ECC) has been routinely used for cardiovascular surgery, hyperoxemia during ECC may produce oxygen toxicity and cellular injury. This study was performed to investigate the clinical influences of hyperoxemic ECC during cardiovascular operation. 40 adult patients scheduled for elective cardiovascular surgery were classified into normoxemic (arterial oxygen tension: 115 mmHg, n=20) and hyperoxemic (arterial oxygen tension: 380 mmHg, n=20) ECC. At preoperative and postoperative period, total leukocyte and neutrophil counts, platelet counts, iron, glucose, aspartate aminotransferase (AST), alanine aminotransferase (ALT), blood urea nitrogen (BUN), and creatinine in peripheral arterial blood, malondialdehyde (MDA) and troponin-T concentration (TnT) in coronary sinus blood, pulmonary vascular resistance (PVR), and postoperative blood loss volume (BLS) were measured and compared between groups. Hyperoxemic group had postoperatively higher total leukocyte and neutrophil counts, MDA, TnT, PVR total BLS, iron, glucose, AST, ALT, BUN, and creatinine than normoxemic group (p<0.05).0 conclusion, hyperoxemic ECC results in greater inflammatory response and oxidative damaging effects on the heart lung, liver and kidney, probably being adverse to postoperative patient recovery. For reducing these deleterious effects and improving postoperative outcomes, management lowering oxygen tension during ECC is recommended.

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Numerical analysis of the blood flow in coronary artery combining CFD method with the vascular system modeling (혈관계 시스템 모델과 CFD의 결합을 통한 관상동맥 내 혈류의 수치적 해석)

  • Shim Eun Bo;Park Myung Soo;Ko Hyung Jong;Kim Kyung Moon
    • 한국전산유체공학회:학술대회논문집
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    • 1999.11a
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    • pp.152-157
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    • 1999
  • For the simulation of the blood flow in coronary artery, the system modeling of coronary hemodynamics is combined with CFD technique. The blood flow in coronary artery interacts with the global coronary circulation. Especially in case of the coronary artery with stenosis, the interaction plays an important role in the hemodynamics of the circulation. In this study we present a combined numerical approach using both the CFD technique for flow simulation and the global system model of coronary circulation. We use a lumped parameter model for the global simulation of coronary circulation whereas the finite element method is employed to compute the viscous flow field in stenosed coronary artery, The time variation of the pressure drop due to stenosis is obtained from the proposed numerical method. Numerical results shows that the flow resistance and pressure drop due to stenosis has a relatively large value in systole.

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Treatment of Systemic Inflammatory Response Syndrome (SIRS) Following Open Heart Surgery Developed into Shock - A case report- (쇼크로 이행한 체외순환 후의 전신성 염증반응 증후군 치험 -1예 보고-)

  • 이동석;신윤철;김응중;지현근
    • Journal of Chest Surgery
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    • v.37 no.11
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    • pp.922-924
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    • 2004
  • A 55 year old male was admitted for dyspnea. The patient was diagnosed as acute myocardiac infarction, and coronary artery bypass grafting was performed with cardiopulmonary bypass. At postoperative day #1, Systemic Inflammatory Response Syndrome was developed with fever, leukocytosis, tachycardia, tachypnea and low systemic vascular resistance. The patient was recovered after being treated with high dose of (36 $\mug/min)$ norepinephrine, and was discharged.