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(Kyoung Suk Rhee),(Duk Hyun Kang),(Jae Kwan Song),(Gi Byoung Nam),(Kee Joon Choi),(You Ho Kim) 대한내과학회 2001 The Korean Journal of Internal Medicine Vol.16 No.2
N/A Background : Atrial mechanical dysfunction and its recovery time course after successful radiofrequency ablation of chronic atrial flutter (AFL) has been largely unknown. We serially evaluated left atrial function by echocardiography after successful ablation of chronic atrial flutter. Methods : In 13 patients with chronic AFL, mitral E wave A wave, and the ratio of A/E velocity were measured at 1 day, 1 month, 3 months and 6-12 months after successful radiofrequency (RF) ablation. Doppler tissue imaging (DTI) technique was also used to avoid load-dependent variation in the flow velocity pattern. Results : Left atrial mechanical function, assessed by A wave velocity and the annular motion, was depressed at 1 day, but improved significantly at 1 month and maintained through 6-12 months after the ablation. Left atrial size did not change significantly. Conclusion : Left atrial mechanical function was depressed immediately after successful RF ablation of chronic AFL, but it improved significantly after 1 month and was maintained over one year.
Kyoung Hoon Rhee,Ju Young Jung,Kyoung Suk Rhee,Hyun Sook Kim,Jei Keon Chae,Won Ho Kim,Jae Ki Ko 대한내과학회 2006 The Korean Journal of Internal Medicine Vol.21 No.3
Ventricular premature complexes (VPCs) are known to be one of the most benign cardiac arrhythmias when they occur in structurally normal hearts. We experienced a 32-year old man who presented with dyspnea, palpitations and very frequent VPCs (31% of the total heart beats). Echocardiography revealed a dilated left ventricle (LV 66 mm at end-diastole and 57 mm at end-systole) and a decreased ejection fraction (34%). Very frequent VPCs had been detected 10 years previously and he underwent a failed radiofrequency catheter ablation (RFCA) procedure at that time. The patient had been treated with heart failure medications including betablockers, ACE inhibitors and spironolactone for the two most recent years. Six months after we eliminated these VPCs with a second RFCA procedure, the heart returned to normal function and size. Long standing and very frequent VPCs could be the cause of left ventricular dysfunction in a subset of patients who suffer with dilated cardiomyopathy, and RFCA should be the choice of therapy for these patients.
증례 : 순환기 ; 제세동기에서 발생한 트위들러 증후군
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)
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.
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)
Troublesome Occipital Neuralgia Developed by C1-C2 Harms Construct
Rhee, Woo-Tack,You, Seung-Hoon,Kim, Suk-Kyoung,Lee, Sang-Youl The Korean Neurosurgical Society 2008 Journal of Korean neurosurgical society Vol.43 No.2
Recently, Harms and Melcher modified Goel's approach, the C1 lateral mass and C2 pedicle screw fixation, and the new technique is currently in favor among neurosurgeons. Comparing to the advantages of Harms construct, the disadvantages were not extensively investigated. We experienced a patient with severe occipital pain developed after the C1 lateral mass screw placement for the traumatic atlantoaxial instability. We reviewed literatures about Harms construct with focus on the occipital neuralgia as a postoperative complication and suggest here technical tips to avoid the troublesome pain.
이양근,박성광,강성귀,이용철,이경석,류완희 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.