• Title/Summary/Keyword: cardiac

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Cardiac Development and Cell Cycle

  • Koh, Keum-Nim;Lee, Seog-Jae;Lee, Ho-Keun;Ahn, Ji-Eun;Kim, Jae-Chol;Ha, Ki-Chan;Chae, Soo-Wan;Koh, Gau-Young
    • Proceedings of the Korean Biophysical Society Conference
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    • 1998.06a
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    • pp.13-13
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    • 1998
  • The molecular mechanisms that arrest cardiomyocytes in the cell cycle during postnatal period remain largely unknown. The activity of CDKs control cell cycle progression, and this activity is regulated positively and negatively by association of CDKs with cyclins and cyelin dependent kinase inhibitors (CKIs) respectively.(omitted)

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Cardiac Rhabdomyoma in Neonate; A Case Report (태아에서 발생한 Cariac Rhabdomyoma 치험 1례)

  • 박성동
    • Journal of Chest Surgery
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    • v.26 no.10
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    • pp.804-807
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    • 1993
  • We experienced a case of cardiac rhabdomyoma,which is incidentally found at perinatally checked sonography.The cardiac rhabdomyoma is the most common cardiac tumor of infants & children, and second most common cardiac tumor of all age groups, which is usually multiple in the case of 90%, invariably involves the ventricles affecting the left & right side equally. In more than fifty percents, the size of cardiac rhabdomyoma is enough large to threatening the life of newborn within 24hrs of birth. Cardiac rabdomyoma is actually a myocardial harmatoma rather than a true neoplasm,because of the finding of complete lack of mitotic activities. Recently,more advanved instruments such as ultrasonography or echocardiography allows to us early detection & surgical intervention of this tumor. In our case, the tumor was found at both ventricles, which occupied nearly total chambers of both ventricles. The patient was operated on 3 day after birth. The operation was removal of the tumor through left ventriculotomy and right ventriculotomy respectively. He expired in the immediate postoperative period due to low cardiac output syndrome, despite of massive inotropic agents.

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A Knife Penetrating the Right Ventricle, Interventricular Septum, and 2 Valves: A Case Report

  • Megan Minji Chung;Stephanie Nguyen;Isao Anzai;Hiroo Takayama
    • Journal of Chest Surgery
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    • v.56 no.6
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    • pp.456-459
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    • 2023
  • Penetrating chest trauma may result in significant intracardiac injury. A traumatic ventricular septal defect is a rare complication that requires surgical management, particularly if heart failure ensues. We report a case of delayed repair of an outlet-type ventricular septal defect and perforation of the aortic and pulmonary valve leaflets following a stab wound. This report highlights diagnostic and surgical considerations and also presents an opportunity to review the conotruncal anatomy, which may be relatively unfamiliar to many adult cardiac surgeons.

Fast Real-Time Cardiac MRI: a Review of Current Techniques and Future Directions

  • Wang, Xiaoqing;Uecker, Martin;Feng, Li
    • Investigative Magnetic Resonance Imaging
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    • v.25 no.4
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    • pp.252-265
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    • 2021
  • Cardiac magnetic resonance imaging (MRI) serves as a clinical gold-standard non-invasive imaging technique for the assessment of global and regional cardiac function. Conventional cardiac MRI is limited by the long acquisition time, the need for ECG gating and/or long breathhold, and insufficient spatiotemporal resolution. Real-time cardiac cine MRI refers to high spatiotemporal cardiac imaging using data acquired continuously without synchronization or binning, and therefore of potential interest in overcoming the limitations of conventional cardiac MRI. Novel acquisition and reconstruction techniques must be employed to facilitate real-time cardiac MRI. The goal of this study is to discuss methods that have been developed for real-time cardiac MRI. In particular, we classified existing techniques into two categories based on the use of non-iterative and iterative reconstruction. In addition, we present several research trends in this direction, including deep learning-based image reconstruction and other advanced real-time cardiac MRI strategies that reconstruct images acquired from real-time free-breathing techniques.

Fibroblast-derived interleukin-6 exacerbates adverse cardiac remodeling after myocardial infarction

  • Hongkun Li;Yunfei Bian
    • The Korean Journal of Physiology and Pharmacology
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    • v.28 no.3
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    • pp.285-294
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    • 2024
  • Myocardial infarction is one of the leading causes of mortality globally. Currently, the pleiotropic inflammatory cytokine interleukin-6 (IL-6) is considered to be intimately related to the severity of myocardial injury during myocardial infarction. Interventions targeting IL-6 are a promising therapeutic option for myocardial infarction, but the underlying molecular mechanisms are not well understood. Here, we report the novel role of IL-6 in regulating adverse cardiac remodeling mediated by fibroblasts in a mouse model of myocardial infarction. It was found that the elevated expression of IL-6 in myocardium and cardiac fibroblasts was observed after myocardial infarction. Further, fibroblast-specific knockdown of Il6 significantly attenuated cardiac fibrosis and adverse cardiac remodeling and preserved cardiac function induced by myocardial infarction. Mechanistically, the role of Il6 contributing to cardiac fibrosis depends on signal transduction and activation of transcription (STAT)3 signaling activation. Additionally, Stat3 binds to the Il11 promoter region and contributes to the increased expression of Il11, which exacerbates cardiac fibrosis. In conclusion, these results suggest a novel role for IL-6 derived from fibroblasts in mediating Stat3 activation and substantially augmented Il11 expression in promoting cardiac fibrosis, highlighting its potential as a therapeutic target for cardiac fibrosis.

Implementation of Nuclear Medicine Dynamic Cardiac Phantom for Clinical Application (임상적용을 위한 핵의학 동적 심장팬텀의 구현)

  • Lee, Joo-Young;Park, Hoon-Hee
    • Journal of radiological science and technology
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    • v.42 no.1
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    • pp.53-59
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    • 2019
  • In the field of nuclear medicine, the various static phantoms of international standards are used to assess the performance of the nuclear medicine equipment. However, we only reproduced a fixed situation in spite of the movement of the cardiac, and the demands for dynamic situations have been continuously raised. More research is necessary to address these challenges. This study used flexible materials to design the dynamic cardiac phantom, taking into account the various clinical situations. It also intended to reproduce the images through dynamic cardiac flow to confirm the usefulness of the proposed technique. The frame of dynamic cardiac phantom was produced based on the international standard phantom. A nuclear medicine dynamic cardiac phantom was produced rubber material and silicone implemented by 3D printing technique to reproduce endocardium and epicardium movement. Therefore we compared and evaluated the image of a cardiac phantom made of rubber material and a cardiac phantom made of silicone material by 3D printing technique. According to the results of this study, the analysis of the Summed Rest Score(SRS) showed abnormalities in the image of a cardiac phantom made of rubber material at 10, 20, and 30 stroke rates, but the image of a cardiac phantom made of silicone material by 3D printing technique showed normal levels. And the analysis of the Total Perfusion Deficit(TPD) showed that TPD in the image of a cardiac phantom made of rubber material was higher than that of the image of a cardiac phantom made of silicone material by 3D printing technique at 10, 20, and 30 stroke rates. The potential for clinical application of the proposed method was confirmed in the dynamic cardiac phantom implemented with 3D printing technique. It is believed that the objective information secures the reliability of inspection equipment and it contributes to improve the diagnostic value of nuclear medicine.

The Change in Exercise Capacity, Cardiac Structure and Function in Pre-Metabolic Syndrome Adults

  • Shin, Kyung-A;Kim, Young-Joo;Park, Sae-Jong;Oh, Jae-Keun
    • Biomedical Science Letters
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    • v.17 no.4
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    • pp.321-328
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    • 2011
  • This study divided a group of healthy adults aged 20 or older who had a health examination at J General Hospital in Gyeonggi Province into three groups according to the degrees of metabolic syndrome risk factors. They include the normal group (n=58), the pre-metabolic syndrome group (n=112) and the metabolic syndrome group (n=32). They were compared in exercise capacity and cardiac structure and function and impacts of exercise capacity on the cardiac diastolic function. All the groups took echocardiography to have their cardiac structures and functions examined and an exercise stress test to have their exercise capacity measured. The research findings were as follows: There were differences in exercise capacity, cardiac structure, and diastolic heart function among three groups. Between exercise capacity and diastolic heart function was found to be related. It turned out exercise capacity affected the cardiac diastolic functions. In conclusion, there were significant differences in exercise capacity between the normal group and the metabolic syndrome group and in the cardiac structure and function among the normal, metabolic syndrome, and pre-metabolic syndrome group. In addition, METs (metabolic equivalents) and heart rate recovery of exercise capacity turned out to affect cardiac diastolic functions.

Clinical and Histopathological Analysis of 66 Cases with Cardiac Myxoma

  • Zheng, Jian-Jie;Geng, Xi-Gang;Wang, Hai-Chen;Yan, Yang;Wang, Hong-Yan
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.1743-1746
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    • 2013
  • Background and Purpose: Cardiac myxoma is a major primary heart tumor which often causes unexpected symptoms or sudden death. This present study was designed to investigate its clinical pathological features and biological behavior. Methods: A retrospective analysis of the clinical pathologic and immunohistochemical features of 66 cases with cardiac myxoma was conducted. Results: In 66 patients with cardiac myxoma, 61 cases had involvement of the left atrium, one case in both the right ventricular and left atria. The female: male ratio was 2.7:1. Patients had symptoms of blood flow obstruction and systemic alterations with performance of arterial embolization. Tumors were spherical, lobulated or irregular in shape, and soft and brittle. Immunohistochemical markers of vimentin and CD34 in tumor cells were positive. Conclusion: Cardiac myxoma always exists in the left atrium and is more common in women, with diverse clinical manifestations and pathomorphism. Although proliferative activity and the recurrence rate are low, in addition to thorough surgical resection, strengthened review is important for young patients.

Cardiac Rhabdomyoma -A Report of two cases- (심장내 횡문근종의 수술치료 -2례 보고-)

  • 조상록
    • Journal of Chest Surgery
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    • v.24 no.11
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    • pp.1138-1143
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    • 1991
  • Primary cardiac tumors are rare, being found in approximately 1 in 10, 000 routine autopsies in patients of all ages. of the primary cardiac tumors, 75% to 80% of patients are benign lesion, of the benign cardiac tumors, myxoma is the most common type in adults, whereas rhabdomyoma predominates in infants and children. About 50% of cardiac rhabdomyoma patients, die in the first 6 months of life and 80% by 1 year of age. We report on the one infant and the one neonate operated upon successfully for removal of cardiac rhabdomyoma.

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Cardiac Resuscitation in the Uperating Room (술중 심정지에 대한 심소생 치료)

  • Kim, Kong Soo
    • Journal of Chest Surgery
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    • v.9 no.1
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    • pp.55-62
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    • 1976
  • This is a report of 8 cases cardiac arrest developed in the operating room at Jeonbug university Hospital from January 1973 to October, 1975. Four patients of cardiac arrest developed during the elective operation, 3 during the emergency operation and the remaining one, bronchoscopy for foreign body removal under the general anesthesia. Immediate closed chest cardiac massage was performed in the 7 patients and the remaining one underwent open chest cardiac massage. Five of 7 patients with the closed chest cardiac massage regained consciousness and restored respiration, but 3 patients of these survived to be discharged. Two patients who underwent pneumonectomy for multiple lung abscess and open drainage for liver abscess, were resuscitated but did survived. The Latter died from bleeding due to rupture of the liver that developed during the closed chest cardiac massage. One patient who had open chest cardiac massage survived to be discharged without any sequele. Unsuccessful resuscitation was observed in two patients, one had a complication of malignant hyperthermia with muscle rigidity during gastrectomy for ulcer perforation and another had not firm support on the back during massage.

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