• Title/Summary/Keyword: ejection fraction

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Aortic Valve Replacement Using Balloon Catheter for Thoracic Endovascular Aortic Repair to Patient with Calcified Aorta

  • Kim, In Sook;Byun, Joung Hun;Yoo, Byung Ha;Kim, Han Yong;Hwang, Sang Won;Song, Yun Gyu
    • Journal of Chest Surgery
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    • v.46 no.3
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    • pp.212-215
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    • 2013
  • A 79-year-old man was admitted to Samsung Changwon Hospital due to chest pain and dyspnea. The ejection fraction was 31% and mean pressure gradient between the left ventricle and aorta was 69.4 mmHg on echocardiography. Chest computed tomography showed severe calcification of the ascending aorta. Aortic valve replacement was successfully performed using a thoracic endovascular aortic repair balloon catheter without classic aortic cross clamping. The patient was discharged on the eleventh postoperative day.

THEORETICAL AND NUMERICAL STUDY ON SCAVENGE CHARACTERISTICS IN A SUBCHAMBER OP AN HCCI ENGINE (HCCI 엔진 부실내 소기특성에 대한 이론 및 수치해석적 연구)

  • Suh Y.K.;Heo H.S.
    • Journal of computational fluids engineering
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    • v.10 no.2
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    • pp.21-29
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    • 2005
  • In this paper, we present the theoretical and numerical results of scavenge characteristics in a small subchamber of an HCCI(Homogeneous Charge Compression Ignition) engine. Two theoretical models are proposed in prediction of the scavenge time and the efficiency; one is the non-mixing model in which the input gas(CH4) and the existing gas(air) do not mix at all, and the other is the fully-mixed model in which the two gases are assumed to mix completely before ejection. Focus is also given to the effect on the scavenge performance of the size of the chamber outlet.

A Clinical Study for Return to Work after Heart Valve Replacement - A Case Report - (심장판막 치환술후 직업복귀에 대한 임상적 고찰)

  • 김현경
    • Journal of Chest Surgery
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    • v.24 no.10
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    • pp.967-972
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    • 1991
  • Between Feb. 1982 and July 1990, 173 patients [male: 89, female: 84] Who underwent heart valve replacement for acquired valvular heart disease on the Department of Thoracic and Cardiovascular Surgery, School of Medicine, Pusan National University, were reviewed for return to work after heart valve replacement. The replaced valve were mitral [128, 74.0%], aortic[10, 5.8%], mitral & aortic[35, 20.2%]. Two tricuspid valve replacement were excluded. Several important factors influencing the return to work were age, the employment status before surgery, the number of replaced valve, the pre - op NYHA functional class and cardiac function [ejection fraction]. These factors were closely related to the optimal time of heart valve replacement. It can be concluded that the rate of return to work and the quality of life would be improved if valve replacement were performed at an earlier stage of valvular heart disease.

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Effect of Low-Intensity Cardiac Rehabilitation on Cardiac Function and Degree of Fibrosis in a White Rat Acute Myocardial Infarction Model

  • Ji, Sung Ha;Kim, Ki Jong
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.2
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    • pp.999-1005
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    • 2016
  • The purpose of this study was to investigate the effects of low-intensity cardiac rehabilitation exercise on the cardiac function and the degree of fibrosis in an older white rat model. This study used male Sprague-Dawley white rats that were 50 weeks old. After the acute myocardial infarction induction, Twenty of the rats were randomly allocated into an experimental group and a control group, and each of the groups consisted of 8 rats. In the experimental group, the exercise was conducted for six weeks, 30 minutes a day, five days a week, using a Rotarod treadmill for animals. The degree of myocardial fibrosis was significantly repressed in the experimental group($13.69{\pm}1.90%$) and in the control group($15.67{\pm}1.54%$)(p<0.05). However, fractional shortening and ejection fraction did not show a significant difference. The results of this study suggest that cardiac rehabilitation with low intensity treadmill exercise repress the myocardial fibrosis.

Takotsubo Cardiomyopathy Associated with Guillain-Barré Syndrome (길랑-바레 증후군에서 발생한 Takotsubo 심근병)

  • Kang, Chul-Hoo;Oh, Jung Hwan;Song, Sook Keun;Kang, Sa-Yoon
    • Annals of Clinical Neurophysiology
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    • v.17 no.2
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    • pp.73-75
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    • 2015
  • A 69-year-old woman presented with a progressive limb weakness. Both clinical and neurophysiological findings were consistent with diagnosis of Guillain-$Barr{\acute{e}}$ syndrome (GBS). Two days after admission, the patient suffered from an acute coronary syndrome without stenosis at coronary arteriography. Echocardiography revealed left ventricular inferior wall and apical akinesia and decreased ejection fraction. A diagnosis of Takotsubo cardiomyopathy was then made. Left ventricular dysfunction and electrocardiography normalized within one month. Takotsubo cardiomyopathy can be developed as a complication of GBS.

Echocardiographic parameters and indices in 23 healthy Maltese dogs

  • Tsai, Chih-Hung;Huang, Chao-Chun;Ho, Chia-Chi;Claretti, Marta
    • Journal of Veterinary Science
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    • v.22 no.5
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    • pp.60.1-60.9
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    • 2021
  • Background: Echocardiography is a primary tool used by veterinarians to evaluate heart diseases. In recent years, various studies have targeted standard echocardiographic values for different breeds. Reference data are currently lacking in Maltese dogs and it is important to fill this gap as this breed is predisposed to myxomatous mitral valve disease, which is a volume overload disease. Objectives: To establish the normal echocardiographic parameters for Maltese dogs. Methods: In total, 23 healthy Maltese dogs were involved in this study. Blood pressure measurements, thoracic radiography, and complete transthoracic echocardiography were performed. The effects of body weight, age and sex were evaluated, and the correlations between weight and linear and volumetric dimensions were calculated by regression analysis. Results: The mean vertebral heart size was 9.1 ± 0.4. Aside from the ejection fraction, fractional shortening, and the left atrial to aorta root ratio, all the other echocardiographic parameters were significantly correlated with weight. Conclusion: This study describes normal echocardiographic parameters that may be useful in the echocardiographic evaluation of Maltese dogs.

Effects of omega-3 fatty acids, vitamins, and chelation therapy in patients with heart diseases (심질환 환자에서 오메가-3 지방산, 비타민, 킬레이션 요법의 효과)

  • Joo, Seung-Jae
    • Journal of Medicine and Life Science
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    • v.18 no.1
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    • pp.1-10
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    • 2021
  • Omega-3 fatty acids (eicosapentaenoic acid [EPA] and docosahexaenoic acid [DHA]) may be beneficial for the primary and secondary prevention of cardiovascular events (CVEs), especially in patients with myocardial infarction or heart failure with reduced ejection fraction. For this purpose, one to two seafood meals per week is preferentially recommended. Omega-3 fatty acids with a high-dose EPA formula (4 g/day) may be more effective than EPA+DHA mixed supplements for the secondary prevention of CVE. Krill oil also contains omega-3 fatty acids, but at a much lower dose compared to fish oil. Supplemental vitamins and minerals have not shown the preventive effects on CVE in prospective, and randomized clinical trials, except for one Chinese study showing the stroke prevention effects of folic acid. The clinical benefit of chelation therapy in reducing CVEs is uncertain.

Analysis of Coherent Structure of Turbulent Flows in the Rectangular Open-Channel Using LES (LES를 이용한 직사각형 개수로 난류흐름의 조직구조 분석)

  • Ban, Chaewoong;Choi, Sung-Uk
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.34 no.5
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    • pp.1435-1442
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    • 2014
  • This study presented numerical simulations of smooth-bed flows in the rectangular open-channel using the source code by OpenFOAM. For the analysis of the turbulent flow, Large Eddy Simulations were carried out and the dynamic sub-grid scale model proposed by Germano et al. (1991) is used to model the residual stress term. In order to analyze the coherent structure, the uw quadrant method proposed by Lu and Willmarth (1973) is used and the contribution rate and the fraction time of the instantaneous Reynolds stress are obtained in the Reynolds stress. The results by the present study are analyzed and compared with data from previous laboratory studies and direct numerical simulations. It is found that the contribution rate of the ejection events is larger than that of sweep events over the buffer layer in the open-channel flow over the smooth bed, however, the frequency of the sweep event is higher than that of the ejection events.

Effect of Hemodialysis on Left and Right Ventricular Volume and Function (말기신질환에서 혈액투석에 따르는 좌우심실용적 및 기능변화에 관한 연구)

  • Han, Jin-Suk;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.19 no.2
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    • pp.43-50
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    • 1985
  • With the improvement of hemodialysis, the course of the disease in patient with endstage renal disease has been clearly improved. Nevertheless, among several shortcomings to our present mode of renal replacement therapy, cardiovascular complications have been the leading cause of morbidity and mortality. Several factors such as anemia, arteriovenous shunting of blood, intermittent extracorporeal circulation and hypertension may be contributing. But little is known about the quantitative cardiac hemodynamic characteristics occurred during hemodialysis. The purpose of this study is to observe the sequential hemodynamic changes before, during and after the hemodialysis and to investigate reliable parameters in the detection of ventricular dysfunction. In the present study, equilibrium radionuclide cardiac angiography was performed and left and right ventricular volume indices, ejection phase indices of both ventricular, performance were measured in the 16 stable patients with chronic renal failure treated with maintenance hemodialysis sequentially i.e. before, during (early and late phase) and after the hemodialysis. The results obtained were as follows; 1) The indices of the left ventricular function were not changed during the hemodialysis but increased after the hemodialysis. 2) The indices of the right ventricular function(EF, SVI) were significantly decreased in the early phase (15, 30 minutes after starting extracorporeal circulation) but recovered after the hemodialysis. 3) The ratio of right ventricular to left ventricular ejection fraction was significantly decreased in the early phase and the lung volume indices were significantly increased at the same phase. As a conclusion, hemodialysis improves left ventricular function maybe due to increased contractility, and effects on the right ventricular function maybe due to the increased lung volume in the early phase of hemodialysis.

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Right Ventricular Strain Is Associated With Increased Length of Stay After Tetralogy of Fallot Repair

  • Ranjini Srinivasan;Jennifer A. Faerber;Grace DeCost;Xuemei Zhang;Michael DiLorenzo;Elizabeth Goldmuntz;Mark Fogel;Laura Mercer-Rosa
    • Journal of Cardiovascular Imaging
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    • v.30 no.1
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    • pp.50-58
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    • 2022
  • BACKGROUND: Little is known regarding right ventricular (RV) remodeling immediately after Tetralogy of Fallot (TOF) repair. We sought to describe myocardial deformation by cardiac magnetic resonance imaging (CMR) after TOF repair and investigate associations between these parameters and early post-operative outcomes. METHODS: Fifteen infants underwent CMR without sedation as part of a prospective pilot study after undergoing complete TOF repair, prior to hospital discharge. RV deformation (strain) was measured using tissue tracking, in addition to RV ejection fraction (EF), volumes, and pulmonary regurgitant fraction. Pearson correlation coefficients were used to determine associations between both strain and CMR measures/clinical outcomes. RESULTS: Most patients were male (11/15, 73%), with median age at TOF repair 53 days (interquartile range, 13,131). Most patients had pulmonary stenosis (vs. atresia) (11/15, 73%) and 7 (47%) received a transannular patch as part of their repair. RV function was overall preserved with mean RV EF of 62% (standard deviation [SD], 9.8). Peak radial and longitudinal strain were overall diminished (mean ± SD, 33.80 ± 18.30% and -15.50 ± 6.40%, respectively). Longer hospital length of stay after TOF repair was associated with worse RV peak radial ventricular strain (correlation coefficient (r), -0.54; p = 0.04). Greater pulmonary regurgitant fraction was associated with shorter time to peak radial RV strain (r = -0.55, p = 0.03). CONCLUSIONS: In this small study, our findings suggest presence of early decrease in RV strain after TOF repair and its association with hospital stay when changes in EF and RV size are not yet apparent.