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이경석(Kyoung Suk Rhee),이흥범(Heung Bum Lee),이진희(Jin Hee Lee),이용철(Yong Chul Lee),이양근(Yang Keun Rhee),구자홍(Ja Hong Kuh),한영민(Young Min Han),이동근(Dong Geun Lee) 대한내과학회 1996 대한내과학회지 Vol.51 No.1
Thymolipomas are unusual benign anterior mediastinal tumors. The tumor was first described by Lange as a lipoma of the thymus, and later, Hall named the lesion thymolipoma. There have been about 130 cases are reported in the world and one case in Korea. Despite its rarity, thmolipoma should be considered in the differential diagnosis of mediastinal tumors. We report a case of thymolipoma in asymptomatic 19 year old male patient with review.
이경석 ( Kyoung Suk Rhee ) 전북대학교 의과학연구소 2013 全北醫大論文集 Vol.37 No.1
Trifascicular block is one of the cardiac conduction disorders. Some of them are supposed to progress to fatal bradyarrhythmias such as complete atrioventricular block. No method is known to predict the progression accurately including cardiac electrophysiologic test. We performed the treadmill exercise test in an elderly woman with trifascicular block for risk stratification. And then monitored electrocardiography periodically for two years.
이경석 ( Kyoung Suk Rhee ),김원호 ( Won Ho Kim ),고재기 ( Jae Ki Ko ) 대한내과학회 2010 대한내과학회지 Vol.78 No.1
Here we describe a case of Twiddler`s syndrome in a patient with an implanted cardioverter-defibrillator who tinkered with the device, shifting it to a vertical position and causing her skin to protrude in various locations. Fluoroscopy was used to determine what direction the device was rotating in during specific body postures and physical activities. Inappropriate shocks were delivered whenever the patient pushed the device down toward her sternum. The syndrome did not recur following training of the patient in a lead-revision procedure that involved shifting the device down vertically toward her lateral side with her hands. (Korean J Med 78:113-116, 2010)
빈맥질환의 최신 지견 ; 심방세동에서 항부정맥제의 역할
이경석 ( Kyoung-suk Rhee ) 대한내과학회 2016 대한내과학회지 Vol.90 No.3
Atrial fibrillation (Afib) is the most common arrhythmia with clinical significance, and its incidence increases with advanced age. Afib is associated with a 3- to 5-fold increased risk of stroke, a 3-fold increase in the risk of heart failure, and higher mortality than without Afib. The treatment of Afib is multifold but revolves around one essential issue: whether to attempt to restore sinus rhythm or to simply control the ventricular rate. This decision depends on symptom severity, the age of the patient, underlying heart disease, and other comorbidities that may limit therapeutic options. The management of Afib with antiarrhythmic medications was reviewed. (Korean J Med 2016;90:198-205)
류완희(Wan He Yoo),이경석(Kyoung Suk Rhee),이용철(Yong Chul Lee),박성광(Sung Kwang Park),이양근(Yang Keun Rhee),강성귀(Sung Kyew Kang) 대한내과학회 1995 대한내과학회지 Vol.49 No.5
The association of malignant tumors with various glomerulopathies is well known. The most common clinical finding of glomerulopathies has been the nephrotic syndrome and the most frequently associated neoplasms are Hodgkin's disease, various carcinomas, non-Hodgkin's lymphoma and leukemia in the order. Association between lung malignancy and glomerulopathy has been reported, as a paraneoplastic syndrome. The most frequent renal leison in patients with glomerulopathy associated with lung malignancy is membranous glomerulonephrities. Rare reports have been seen in the literature on IgA- associated glomerulonephritis and lung malignancy. We report a case of lgA nephropathy associated with bronchial squamous cell carcinoma with a review of the literature.
증예(症例) : 승모판 협착증 환자에서 신생 혈관을 동반한 좌심방 혈전
이선화 ( Sun Hwa Lee ),이경석 ( Kyoung Suk Rhee ),이상록 ( Sang Rok Lee ),채제건 ( Jei Keon Chae ),김원호 ( Won Ho Kim ),고재기 ( Jae Ki Ko ) 전북대학교 의과학연구소 2010 全北醫大論文集 Vol.34 No.2
좌심방 혈전 형성은 승모판 협착증과 심방세동이 있는 환자에서 흔한 합병증이다. 심장내 종괴와 동반된 신생혈관 형성은 일반적으로 혈전보다는 종양과 관련되어 발생한다고 알려져 있다. 저자들은 중증도 승모판 협착증과 심방세동이 있던 64세 여자 환자에서 거대한 좌심방내 종괴가 발견되었고 최초 혈전으로 진단하였다가 관상동맥 조영술에서 풍부한 신생혈관이 발견되어 진단에 혼동이 초래되었으나 조직학적으로 혈전으로 증례를 보고하는 바이다. Left atrial (LA) thrombosis is a common complication in patients with mitral stenosis (MS) and atrial fibrillation. Neovascularization is a phenomenon generally related to cardiac tumor rather than thrombosis. We describe here a 64-year-old woman with moderate MS and a huge LA thrombus whose initial diagnosis was confused due to prominent feeding vessels demonstrated by coronary angiography.
증례(症例) : 유아에서 고주파 전극도자 절제술을 이용한 원발성 심방조동의 치료
주찬웅 ( Chan Uhng Joo ),조수철 ( Soo Chul Cho ),황평한 ( Pyung Han Whang ),이경석 ( Kyoung Suk Rhee ) 전북대학교 의과학연구소 2007 全北醫大論文集 Vol.31 No.1
유아에서 선천성 심 질환 없는 원발성 심 방조동의 발생은 매우 드물며 돌연사의 원인이 될 수도 있다. 최근 심방조동의 치료법으로 고주파 전극도자 절제술이 시도되고 있다. 저자들은 원발성 만성 심방조동을 동반한 어린 유아에서 고주파 전극도자 절제술을 시행하고 시술 후 6개월 이상 경과 관찰과 함께 증례를 보고하는 바이다. 환아는 26개월 남아로 빈맥을 보이며 개인의원에서 전원 되었다. 내원 시 심전도 상심방조동 소견과 2:1 또는 3:1 방실전도를 보였다. 심방 조동 치료를 위해 DC cardioversion을 두 차례 시도하였으나 동율 동 전환직수 즉시 재발되는 형태를 보였고, 충분한 기간동안 항부정맥제 투여에 의해서 종료되지 않아, 전기생리학검사 및 고주파 전극도자 절제술을 시행하였다. 시술 후 동 율동을 유지 하여 투약 없이 퇴원하였다. 시술 후 6개월 이상 심전도 추적 검사를 시행하였고, 그 경과와 함께 증례 보고하는 바이다. Atrial flutter is an uncommon tachyarrhythmia in children. Tachycardia-induced cardiomyopathy develops slowly and has been thought to be reversible but recurrent tachycardia could cause rapid decline left ventricular function and could develop heart failure. Sudden death also could be possible. Nowadays, radiofrequency catheter ablation (RFCA) has become a effective therapeutic modality for treating pediatric tachyarrhythmias. The cornerstone in the management of these patients is to achieve a normal ventricular rate. RFCA is a curative therapeutic option that terminates tachyarrhythmias and may lead to significant improvement of left ventricular function in patients with tachycardia-induced cardiomyopathy by restoring sinus rhythm. We have experienced a case of typical atrial flutter in 26-month-old toddler, which was associated with marked cardiomegaly, and treated with radiofrequency catheter ablation.
유경보 ( Kyung Bo Yoo ),이선화 ( Sun Hwa Lee ),이경석 ( Kyoung Suk Rhee ),이강휴 ( Kang Hyu Lee ),이상록 ( Sang Rok Lee ),채제건 ( Jei Keon Chae ),김원호 ( Won Ho Kim ),고재기 ( Jae Ki Ko ) 전북대학교 의과학연구소 2010 全北醫大論文集 Vol.34 No.2
배경 및 목적: 최근 약물과 관련되어 발생한 서맥성 부정맥의 예후에 대한 재평가가 이루어지고 있다. 본 연구는 약제 유발성 서맥으로 최초 진단받은 환자들의 임상 경과를 분석하여 그 예후를 평가하고자 하였다. 방법: 전북대학교 병원 심장내과에 2000년 1월 이후 약물 유발성 서맥으로 진단 받고 입원치료를 받았던 환자들을 대상으로 하여 의무기록 분석 및 전화상담을 통한 후향적 조사를 하였다 결과: 전체 환자 중 경과 관찰 기간 동안 영구적 심박동기 삽입술을 시행 받은 환자는 28명(26.9%)으로, 동기능 부전 증후군 군과 고도방실차단 군에서 각각 15명(/68, 22.1%)과 13명(/36, 36.1%)이었다 결론: 고전적으로 양호한 임상경과를 취하는 것으로 알려져 왔던 이차성 서맥성 부정맥 환자 상당수에서 유발인자가 없이도 서맥이 점차 진행하여 결국 영구형 인공심박동기 이식시술을 받게 된다. Background and Objectives: Recently, the prognosis of drug-induced bradyarrhythmias has been reported not as benign as previous considerations. We performed the investigations about the patients who had been diagnosed as drug-related bradyarrhythmias presenting it at first. Subjects and Methods: Medical records of those who had been admitted to Chonbuk National University Hospital due to drug-related bradyarrhythmias since January 2000 were investigated retrospectively and clinical follow-up was performed using phone call. Results: One hundred and four patients were enrolled. Mean age was 68±10(34-85) years. Underlying diseases that need relating drugs were hypertension (50, 48.1%), ischemic heart disease, atrial fibrillation, cardiomyopathy, etc. Most common single causative agent was β-blockers (53.0%) and the others were nondihydropyridine calcium channel blockers (18.9%), digoxin (10.6%), antiarrhythmics (9.1%) and herb-medications (3.8%). 68 patients showed sinus node dysfunction (SND, 65.4%) and 36 showed AVB (34.6%). Mean heart rate on admission was 37.0±7.1 beats/minute. Permanent pacemaker implantations were performed in 28 patients (26.9%). Fifteen among them were with SND (15/68, 22.1%), 13 were with AVB (13/36, 36.1%). Conclusion: Unlikely to the general considerations, it would be better to say that drug-related bradyarrhythmias are not drug-induced bradyrrhythmias itself, but unmasked underlying bradyarrythmias in substantial portion of the patients. Very close and cautious clinical monitoring should be performed, especially in patients with AVB.
김현숙 ( Hyun Sook Kim ),이재환 ( Jae Hwan Lee ),성인환 ( In Whan Seong ),이승환 ( Seung Whan Lee ),이경석 ( Kyoung Suk Rhee ),김원호 ( Won Ho Kim ),고재기 ( Jae Ki Ko ) 전북대학교 의과학연구소 2007 全北醫大論文集 Vol.31 No.1
Objectives: Paclitaxel-eluting stent (PES) and sirolimus-eluting stent (SES) are more effective than bare-metal stent for reducing restenosis. However, it is not known whether there are differences between PES and SES in terms of safety and efficacy in the setting of ST-elecation myocardial infarction (STEMI). Methods and Results: Acute STEMI patients (n=231) undergoing primary stenting were randomly assigned to PES (n=115) or SES (n=116) treatment. Primary end point was in-segment late loss at 6 months. Secondary end points were 6-month angiographic restenosis and major adverse cardiac events (MACE) at 9 months. At 6 months, in-segment late loss was higher in the PES than the SES group (0.33±0.70 vs. 0.05±0.40mm, respectively, p<0.001). During 9-month follow-up, 14 (6.1%) patients were died (9 in PES, 5 in SES group). Nine-month TLR (7.8% vs. 2.6%, p=0.09) and MACE (15.7% vs. 6.9%, p= NS) tended to be lower in SES group than PES group. Conclusions: Both PES and SES implantation was safe, and both showed favorable clinical outcomes in STEMI patients undergoing primary angioplasty. SES appeared to be superior to PES in preventing neointimal hyperplasia.