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동기능부전 환자에서 방실전도계의 전기생리학적 특성에 관한 연구
박형욱(Hyung Wook Park),김준우(Joon Woo Kim),김성희(Seong Hee Kim),조장현(Jang Hyun Cho),안영근(Young Keun Ahn),박주형(Joo Hyung Park),정명호(Myung Ho Jeong),조정관(Jeong Gwan Cho),박종춘(Jong Chun Park),강정채(Jung Chaee Kang) 대한내과학회 1998 대한내과학회지 Vol.55 No.3
Background: It is very important to evalute the function of the atrioventricular conduction system in selecting appropriate pacemaker, pacing and sensing mode in sick sinus syndrome. It has been reported that atrioventricular conduction abnormalities were commonly accompanied with sinus node dysfunction (SND). However, there were several long term follow-up studies indicating that incidence of AV conduction abnormalities was as low as below 1% a year in patients with SND implanted pacemaker. This study was performed to evaluate the properties of the AV conduction system in patients with SND. Subjects and Methods: Patients subjected to this study were fifty-eight who underwent electrophysiologic study on suspicion of SND. Sinus node recovery time (SNRT) was defined as the longest time among the times that sinus rhythm reappeared after rapid atrial pacing for 45 seconds with several cycle lengths, and corrected SNRT (cSNRT) was worked out by subtracting sinus cycle length (SCL) from SNRT. Criteria for sinus node dysfunction were 1550 msec or more on SNRT, 550 msec or more on cSNRT and group A (23 cases, 58±13 yrs) was defined as SND not retrieved to normal after intravenous administration of atropine 1-2 mg, group B (21 cases, 52±14 yrs) was retrieved to normal and group C (14 cases, 54±13 yrs) was normal control group. Abnormalities of the AV conduction system were defined as 150 msec or more on AH interval, 500 msec or more on AVblock cycle length (AV-BCL), 4% msec or more on AV nodeeffective refractory period (AVN-ERP). Results: SCI. in group A, B, C was 1197±340 msec, 1215±273 msec, and 898±129 msec, respectively at baseline and 886±218 msec, 798±106 msec, and 722±110 msec respectively after atropine administration, showing a significant prolongation of SCL in group A and B at baseline (p<0.001) and group A after atropine administration (p<0.05). SNRT in group A, B, C was 3520±1817 msec, 3180±2390 msec, and 1282±116, respectively at baseline and 4155±4281 msec, 1237±210 msec, 1020±245 msec, respectively after atropine administration, showing a significant prolongation of SNRT in group A and B at baseline (p<0.001) and group A after atropine administration (p<0.05). AH intervals at baseline and after atropine administration were 107±27 msec and 100±20 msec in group A, 101±21 and 91±14 in group B, and 118±32 and 83±23 in group C, showing no significant difference between 3 groups. AV-BCLs at baseline and after atropine administration were 428±151 msec and 453±301 msec in group A, 525±140 and 370±53 in group B, and 461±120 361±94 in group C, showing no significant difference between 3 groups. AVN-ERP was 315±57 msec in group A, 343±132 msec in group B, 347±132 in group C, showing no significant difference between 3 groups. There was no significant difference in the incidences of cases with abnormal AH interval, AV-BCI AVN-ERP, HV interval between 3 groups. AV block greater than second degree was observed in one patient of group A but none of group B and C. Conclusions: Atrioventricular conduction abnormalities in patients with sinus node dysfunction were not mare common than control subjects, Therefore, atrial pacing rather than ventricular or dual chamber pacing may be safely selected as a permanent pacing mode for sick sinus syndrome with no combined significant AV block.
달리 분류되지 않는 자가면역성 췌장염에 동반한 심낭삼출액
장형하 ( Hyung Ha Jang ),강대환 ( Dae Hwan Kang ),김형욱 ( Hyung Wook Kim ),최철웅 ( Choel Woong Choi ),박수범 ( Soo Bum Park ),송병준 ( Byung Jun Song ),김수진 ( Su Jin Kim ) 대한내과학회 2014 대한내과학회지 Vol.86 No.6
Autoimmune pancreatitis (AIP) is a form of chronic pancreatitis characterized by an autoimmune inflammatory process. This is the first case report of AIP, not otherwise specified, accompanied by pericardial effusion. A 52-year-old female visited our hospital due to dyspnea. Echocardiography showed a large amount of pericardial thickening. Abdominal computed tomography revealed diffuse enlargement of the pancreas body and tail with a sausage-shaped appearance, surrounded by a thick hypodense rim. Endoscopic retrograde cholangiopancreatography could not identify the tail portion of the pancreas, despite forceful contrast injection. Serology was positive for antinuclear antibody and IgG4 was normal. Endoscopic ultrasound-guided core biopsy of the pancreas was performed. Histologic examination revealed a fibrous connective tissue with inflammatory infiltration. The patient was treated with steroids. In the follow-up images, abnormal findings of pericardial effusion were improved, although an irregular long stricture of the pancreas tail portion remained. (Korean J Med 2014;86:733-738)
Case Report : Sorafenib-Induced Interstitial Pneumonitis in a Patient with Hepatocellular Carcinoma
( Hyung Joon Myung ),( Sook Hyang Jeong ),( Jin Wook Kim ),( Hee Sup Kim ),( Je Hyuck Jang ),( Ho Il Yoon ),( Jae Sung Kim ) The Editorial Office of Gut and Liver 2010 Gut and Liver Vol.4 No.4
Sorafenib is an oral multikinase inhibitor that has shown a survival benefit in patients with advanced hepatocellular carcinoma, and is considered to be generally safe. We treated a patient with interstitial lung disease that was associated with sorafenib therapy for the treatment of advanced hepatocellular carcinoma. A 74-year-old man with hepatitis-C-virus-related hepatocellular carcinoma was treated with sorafenib. After 8 days of sorafenib administration, he received radiation therapy for an intrahepatic tumor located in segment eight. On the 24th day of sorafenib treatment, the patient developed acute interstitial pneumonitis that rapidly improved after the discontinuation of sorafenib and treatment with high-dose steroids. This case alerts physicians to the possibility of sorafenib-induced interstitial lung disease. (Gut Liver 2010;4:543-546)
Hemorrhagic shock caused by closed internal degloving injury: a case report
( Hyung-bin Kim ),( Soon-chang Park ),( Sung-hwa Lee ),( Byung-kwan Bae ),( Young-mo Cho ),( Jae-hoon Jang ),( Sung-wook Park ) 대한응급의학회 2019 대한응급의학회지 Vol.30 No.5
A closed internal degloving injury is a soft tissue injury, in which the subcutaneous tissue is ripped from the underlying fascia. In rare cases, a closed internal degloving injury can lead to hemorrhagic shock. A 79-year-old woman was brought to the emergency department following an auto-pedestrian accident, in which she was hit by a car. She was in a stupor and was hypotensive. The initial evaluation was unremarkable. During management, the patient required the transfusion of a large volume of blood, and vasoactive agent. Abdominal computed tomography revealed a large hematoma in her lower back and gluteal area and she was diagnosed with a closed internal degloving injury. Missed or delayed diagnosis of this type of injury may result in a significant increase in transfusion requirements and irreversible hemorrhagic shock.