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전북지역 급성 ST 분절 상승 심근경색증 환자의 119 이용 실태
우선호 ( Sun Ho Woo ),윤경호 ( Kyeong Ho Yun ),이미림 ( Mi Rim Lee ),김은경 ( Eun Kyoung Kim ),고점석 ( Jum Suk Ko ),이상재 ( Sang Jae Rhee ),이정미 ( Jeong Mi Lee ),김남호 ( Nam-ho Kim ),오석규 ( Seok Kyu Oh ) 대한내과학회 2016 대한내과학회지 Vol.90 No.6
Background/Aims: The use of emergency medical services (EMSs) at the onset of pain, and the relationship between transport type and the treatment delay for acute ST-segment elevation myocardial infarction (STEMI) were evaluated using the Jeonbuk Regional Cardiovascular Center database. Methods: In total, 527 STEMI patients who underwent primary percutaneous coronary intervention (PCI) were enrolled in this study. Basic characteristics, socioeconomic variables, and delay factors were compared between patients that contacted an EMS as first medical contact (FMC) and patients that used other forms of FMC. Results: Only 28.8% of patients used EMS as their FMC. The patients that used EMS showed significantly shorter onset-to-balloon time than those who did not (250.7 ± 366.6 min vs. 405.9 ± 649.8 min, p = 0.001). However, 36.2% of patients that used EMS as FMC were transported to non-PCI-capable centers, which led to significantly prolonged onset-to-balloon time. Multivariate analysis revealed that transfer via another hospital (odds ratio [OR] 2.0, p < 0.001), EMS as FMC (OR 0.4, p < 0.001), age > 65 years (OR 1.9, p = 0.003), and previous history of PCI (OR 0.4, p = 0.033) were independent predictors of pre-hospital delay. Conclusions: EMS used as FMC at the onset of chest pain was an important factor for decreasing treatment delay in patients with STEMI. However, a small number of patients used EMS as FMC, and some patients that used EMS were transported to non-PCI-capable centers. Public campaigns and education are needed to raise the public awareness of STEMI and the use of EMSs. (Korean J Med 2016;90:507-513)
승모판 일탈증 환자에서 발생한 감염성 심내막염과 진균성 동맥류 파열에 의한 뇌졸중 2례
형근영,백승훈,임수빈,오석규,정진원,박옥규 圓光大學校 醫科學硏究所 1997 圓光醫科學 Vol.13 No.1-2
Mitral valve prolapse(MVP) is defined as displacement of some part of mitral valve into left atrium over the mitral valvular anulus during systole by numerous etiology. It is detected common in young women, and its symptom exhibits so variable from asymptomatic to fatigue, palpitation as well as autonomic nervous system symptoms. When it is complicated with mitral regurgitation, mitral valve prolapse may cause serious complications such as infective endocarditis(IE). If MVP complicates with infective endocarditis, variable neurologic complications developed relatively common (40-50%) and in case developed into mycotic aneurysm, critical complication such as subarachnoid hemorrhage(SAH) and stroke can occur. We have experienced the two cases of MVP in young women complicated with IE and mycotic aneurysm rupture causing cerebrovascular accidents(CVA). The diagnosis was confirmed by blood culture, echocardiogram, brain CT and cerebral artery angiogram. And they have the dismal outcome despite of the the meticulous medical and surgical treatments. So we suggest that MVP is a potential risk factor of CVA, especially in young patient with stroke who without definitive risk factors.