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베트남 참전 고엽제 환자에서 심혈관 질환의 발생이 더 흔한가?
강원유 ( Won Yu Kang ),김한균 ( Han Gyun Kim ),정명호 ( Myung Ho Jeong ),조상철 ( Sang Cheol Cho ),정안덕 ( An Doc Jung ),조용찬 ( Yong Chan Cho ),기영화 ( Young Hwa Ki ),이봉규 ( Bong Gyu Lee ),황선호 ( Sun Ho Hwang ),김원 ( Weo 대한내과학회 2007 대한내과학회지 Vol.73 No.3
Background: TCDD (2,3,7,8-tetrachlorodibenzo-p-dioxin), a material of agent orange, was reported as a deadly poison in spite of its presence at extremely small doses. It has been reported that TCDD can cause various kinds of cancers and harmful effects on humans. However, a correlation between exposure to TCDD and cardiovascular disease is not yet known. Thus, we intended to examine the correlation between TCDD exposure and cardiovascular disease through an analysis of coronary angiograms in veterans of the Vietnam War. Methods: A consecutive 115 patients undergoing coronary angiograms between April 2004 and June 2005 at Gwangju Veterans Hospital were analyzed. The patients were divided into two groups: 57 patients exposed to TCDD (Group I, average age 59.2±4.2 years) and 58 patients that were not exposed to TCDD (Group II, Average age 60.1±5.6 years). The clinical and coronary angiographic findings were evaluated. Results: Baseline clinical characteristics, inflammatory markers and echocardiographic parameters were not different between patients in the two groups. The incidence of diabetes (43.9% vs. 25.0%, p=0.035) and hyperlipidemia (47.4% vs. 27.6%, p=0.028) were higher in group I patients than group II patients. Significant coronary artery stenosis was more common in group I (45 cases, 78.9%) thanin group II (33 cases, 56.9%) (p=0.011). Conclusions: There was a higher incidence of diabetes, hyperlipidemia, and significant coronary artery stenosis in patients that underwent a diagnostic coronary angiogram that were previously exposed to TCDD.(Korean J Med 73:299-306, 2007)
마크로글로불린혈증을 동반한 림프절 변연부 B세포 림프종
이봉규 ( Bong Kyu Lee ),강미자 ( Mi Ja Kang ),이정수 ( Jeong Soo Lee ),황선호 ( Seon Ho Whang ),기영화 ( Young Hwa Ki ),강원유 ( Won Yu Kang ),고향미 ( Hyang Mi Go ) 대한내과학회 2005 대한내과학회지 Vol.69 No.4
Macroglobulinemia is the result of an uncontrolled proliferation of lymphocytes and plasma cells in which a large IgM M protein is produced. IgM monoclonal gammopathy is recognized in a variety of lymphoproliferative diseases and Waldenstrom`s macroglobulinemia (WM) is the most frequent disease in this group. We report a case of nodal marginal zone B-cell lymphoma (Nodal MZBCL) accompanied by monoclonal macroglobulinemia. A 58-year-old man was admitted to the hospital with chronic fatigue and dyspnea. Physical examination revealed cervical, subaxillary, and inguinal lymphadenopathy. Histopathologically, monocytoid B cells with abundant pale cytoplasm and small nuclei infiltrated the cervical lymph node. The neoplastic cells were positive for CD 20, bcl-2, and IgM. The serum and urine electrophoresis showed monoclonal spike in the globulin region and immunoelectrophoresis demonstrated immunoglobulin of IgM, kappa type. Immunohistochemically, this monoclonal gammaglobulinemia (IgM, Kappa) was produced and secreted from the nodal MZBCL. This is the first report of nodal MZBCL accompanying macroglobulinemia in Korea.(Korean J Med 69:441-445, 2005)
김완 ( Wan Kim ),최은진 ( Eun Jin Choi ),신민호 ( Min Ho Shin ),강원유 ( Won Yu Kang ),황선호 ( Sun Ho Hwang ),박승욱 ( Seung Wook Bak ) 대한내과학회 2012 대한내과학회지 Vol.82 No.1
association between inflammatory markers and the severity of coronary artery disease (CAD) in patients with stable angina pectoris remains controversial. This study explored the relationships between the serum high-sensitivity CRP (hs-CRP) Level and severity of coronary atherosclerosis in patients with stable angina. The study enrolled 377 stable angina patients (298 males, 79 females) undergoing coronary angiography from June 2006 to August 2010. Based on the coronary angiography results, they were divided into two groups according to the diameter of stenosis (DS): Group I (DS ≥ 50%) and Group II (DS < 50%). Multivariate Logistic regression was used to examine the relationship between the hs-CRP level (high hs-CRP ≥ 3.0 mg/L versus Low hs-CRP < 3.0 mg/L) and the severity of coronary stenosis. Group I had higher hs-CRP levels than Group II [median hs-CRP (interquartile range); 0.70 (0.3-1.66) versus 1.11 (0.52-3.41) mg/L, p < 0.001]. After adjusting for major cardiovascular risk factors, a high hs-CRP Level was significantly related to the severity of coronary atherosclerosis (OR 1.95, 95% CI = 1.16-3.30). Our data show that patients with ≥ 50% coronary stenosis have higher hs-CRP Levels than patients with < 50% coronary stenosis and stable angina. Further study is needed to define the role of hs-CRP in the progression of angina pectoris. (Korean J Med 2012;82:45-51)
40세 이하의 한국인에서 발생한 급성 심근경색증의 임상적 특성
조상철 ( Sang Cheol Cho ),정명호 ( Myung Ho Jeong ),김원 ( Weon Kim ),최옥자 ( Ok Ja Choi ),정안덕 ( An Doc Chung ),강원유 ( Won Yu Kang ),조용찬 ( Yong Chan Cho ),안영근 ( Young Keun Ahn ),김완 ( Wan Kim ) 대한내과학회 2008 대한내과학회지 Vol.74 No.5
Background/Aims: It is known that mortality increases with age for patients who suffer with acute myocardial infarction (AMI). Yet there isn`t much data on the clinical characteristics and long-term prognosis of young patients with AMI. Methods: We analyzed two groups of patients with AMI who underwent coronary angiogram: 108 patients younger than 40 years as group I and 64 patients over 70 years old as group II. We compared the baseline clinical characteristics, the echocardiographic and coronary angiographic findings, and the major adverse cardiac event (MACE). Results: Male gender (94.4% vs. 56.1%, respectively, p<0.001), smoking (78.7% vs. 46.9%, respectively, p<0.001) and hyperlipidemia (45.4% vs. 14.1%, respectively, p<0.001) were more frequent in group I, whereas hypertension (23.1% vs. 40.6%, respectively, p=0.015) and diabetes (11.6% vs. 34.4%, respectively, p<0.001) were more common in group II. The left ventricular ejection fraction (55.1±12.2% vs. 50.5±14.1%, respectively, p=0.042) was higher in group I. The serum levels of high sensitivity C-reactive protein (1.7±2.6 vs. 3.4±4.4 mg/L, respectively, p=0.015) and homocysteine (11.5±7.0 vs. 15.3±9.7 μg/L, respectively, p=0.029) were higher in group II. One vessel disease (78.7% vs. 59.4%, respectively, p=0.007) and good Thrombolysis In Myocardial Infarction (TIMI) flow (TIMI II-III, 58.3% vs. 41.2%, respectively, p=0.040) were more common in group 1. There were no differences between the two groups for the development of MACE during the 28±21 months of clinical follow-up, but cardiac death was lower in group I than in group II (2.1% vs. 15.4%, respectively, p=0.002). Conclusions: Male gender, smoking and hyperlipidemia were the major risk factors of Korean young AMI patients. In addition, single vessel disease and good TIMI flow were more frequent and cardiac death was less frequent in the younger AMI patients.(Korean J Med 74:515-522, 2008)
관상동맥 중재술을 받은 급성 심근경색증 환자의 저밀도 지단백 콜레스테롤 수치와 임상경과
조경훈 ( Kyung Hoon Cho ),정명호 ( Myung Ho Jeong ),박근호 ( Keun Ho Park ),이민구 ( Min Goo Lee ),고점석 ( Jum Suk Ko ),이신은 ( Shin Eun Lee ),강원유 ( Won Yu Kang ),김수현 ( Soo Hyun Kim ),심두선 ( Doo Sun Sim ),윤남식 ( Nam Si 대한내과학회 2009 대한내과학회지 Vol.76 No.6
Background/Aims: This study examined the relationship between the low-density lipoprotein cholesterol (LDL-C) level and clinical outcome after percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI). Methods: Between January 2006 and December 2007, 867 patients (age, 62.6±12.5 years; males, 71%) undergoing a 1-year follow-up after PCI for AMI were divided into five groups according to the LDL-C level: <70, 70-100, 100-130, 130-160, and ≥160 mg/dL. Results: Smoking (63%), hypertension (46%), and diabetes mellitus (28%) were common risk factors. The history of ischemic heart disease decreased as the LDL-C level increased (p=0.036). Patients with lower LDL-C levels had lower creatinine clearance and higher high-sensitivity C-reactive protein (hsCRP) and N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels. The rate of in-hospital complications after PCI declined with increases in the LDL-C level, except in patients with LDL-C >160 mg/dL (linear p=0.010). There was no correlation between the LDL-C level and the 30-day or 1-year clinical outcome after PCI. After multivariate adjustment, independent predictors of the 1-year mortality after PCI were left ventricular ejection fraction, hsCRP, age, and creatinine clearance. Conclusions: Higher LDL-C levels were related to fewer in-hospital complications, but there was no correlation between the LDL-C level and long-term clinical outcome after PCI in Korean patients with AMI. (Korean J Med 76:692-700, 2009)