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최석구,김현대,정태기,김대현,김용복,유원상 인제대학교 1994 仁濟醫學 Vol.15 No.2
만성 심부전 환자에게 새로운 경구용 비 digitalis 강심제인 denopamine 1T(5mg)을 1일 3회 3개월간 투여하여 그 유효성 및 안전성을 검토했다. Background : Patients with congestive heart failure have a high mortality rate and are also hospitalized frequently. We studied the effects of a new oral inotrophic agent, denopamine in patients with chronic heart failure. Methods : 16 patients receiving conventional treatments for heart failure were treat ed with denopamine 5mg tad for at shortest 3 months. Their history were taken and the physical examination, general laboratory test and the echocardiographic examination were done before and after treatment. Results: There were 3 deaths and 1 withdrawal because of worsening heart failure. 5 patients (42%) among 12 patients showed the improvement in their subjective symptoms. The fractional shortening and ejection fraction of the left ventricle were increased by 3.2% and 5.6% respectively in their absolute values. Conclusion : The addition of denopamine to conventional therapy considerably improved the subjective symptoms and the left ventricular function in the limited number of patients with chronic heart failure.
급성 심근경색증의 조기진단을 위한 혈청 마이오글로빈 측정의 진단적 가치
최석구,성영주,이건주,유원상,박성섭 인제대학교 1992 仁濟醫學 Vol.13 No.3
흉통 발생 이후 6시간 이내에 응급실로 내원한, 급성 심근경색증이 의심되는 환자들에서, 이의 확진을 위한 보조 진단방법으로 latex 응집을 이용한 혈청 마이오글로빈 측정의 유용성을 검토하였다. Since intravenous thrombolytic therapy was established as a standard therapy in the management of acute myocardial infarction(AMI), an early diagnosis of AMI call more attention than ever. We examined the diagnostic usefulness of the serum myoglobin using latex agglutination(Rapi TexR Myoglobin ; Beringer, Germany) as an emergency screening test which took less than 5 minutes to obtain the results. Twenty three patients with AMI and 6 subjects without AMI as controls were studied. All the patients arrived at the emergency room within 6 hours from the onset of chest pain. Fifteen out of 23 patients and 3 out of 6 controls were positive ; 8 out of 23 patients and 3 out of 6 controls negative. The sensitivity of the assay was 74% and specificity 27%. The predictive value of the positive response was 83% and the predictive value of the negative response 27%. We concluded that the serum myoglobin assay using latex agglutination was useful as an emergency screening test for the early diagnosis of AMI. It was easy to handle, quick to get the results and reliable as an emergency screening test.