• Title/Summary/Keyword: 동맥 경화증

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특집 - 혈관질환의 주범

  • 사단법인한국당뇨협회
    • The Monthly Diabetes
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    • s.238
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    • pp.26-29
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    • 2009
  • 대혈관질환은 당뇨병환자의 주된 사망원인으로 당뇨병이 없는 사람에 비해 발생할 확률이 2$\sim$5배 높은 중대한 합병증이다. 혈관합병증이 발생하는 원인은 한 가지가 아닌 여러 가지 원인들이 복잡하게 관여하는 것으로 알려져 있다. 최근 많은 연구결과에 따르면 당뇨병성 혈관 합병증의 발생은 일차적으로 동맥경화증에 기인하며 이와 관련된 위험인자로 고혈당, 고혈압, 고지혈증, 흡연, 비만, 운동부족, 가족력 등이 있다.

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식사요법: 합병증환자의 식사요법 고혈압.고지혈증엔 육류, 소금 섭취 줄여야

  • 사단법인 한국당뇨협회
    • The Monthly Diabetes
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    • s.257
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    • pp.40-41
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    • 2011
  • 당뇨관리의 목적은 혈당 조절을 통해 급 만성 합병증을 예방하는 것이다. 엄격한 혈당조절에도 불구하고 많은 수의 당뇨인에게서 합병증이 나타나고 있다. 특히 동맥경화증의 위험인자인 고지혈증, 고혈압, 비만 등이 발생 빈도가 높아 이에 따른 올바른 식생활의 개선이 필요하다. 조금은 더 특별한 합병증이 있을 때의 식사관리에 대해 알아보자.

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성인 남자 흡연자와 비흡연자의 혈중 무기질 비교

  • 김순경;연보영;최미경
    • Proceedings of the KSCN Conference
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    • 2003.05a
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    • pp.138-138
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    • 2003
  • 흡연은 각종 암의 발병율을 높이고 동맥경화증, 혈전증과 같은 관상심장질환의 주요 발병요인이 되는 것으로 알려져 있다. 흡연자에게 보여지는 지질과산화작용에 의한 LDL의 산화는 구리나 철과 같은 항산과 관련 무기질에 의해 촉진되며, 특히 구리는 매우 연관성이 높은 물질로 보고되었다. 따라서 흡연자의 혈중 무기질 함량의 측정은 항산화 능력과 심혈관계 질병의 진단 및 예후 판정에 민감한 지표로 사용할 수 있을 것으로 사료된다. (중략)

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A Comparative Study of the Hemodynamic Hypotheses for the Generation of Atherosclerosis (동맥경화증의 발생에 관한 혈류역학적 가설들에 대한 비교연구)

  • Suh, Sang-Ho;Cho, Min-Tae;Roh, Hyung-Woon;Kwon, Hyuck-Moon
    • Proceedings of the KSME Conference
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    • 2003.04a
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    • pp.1915-1918
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    • 2003
  • Atherosclerosis, which is a degenerate disease, is believed to occur in the vascular system due to deposition of cholesterol and low density lipoprotein(LDL) or thrombosis on the blood vessel. Atherosclerosis narrows arterial lumen, which is known as stenosis phenomenon of blood vessel. Pathogenesis of atherosclerosis is thought to occur mainly by aging. Restenosis phenomenon is observed in the same site of insertion of a stent and balloon angioplasty after treatment of interventional theraphy. Several hypothetical theories related to the generation of atherosclerosis have been reported: high shear stress theory, low shear stress theory, high shear stress gradient theory, flow separation and turbulence theory and high pressure theory. However, no one theory clearly explains the causes of atherosclerosis. In the present study the generation of atherosclerosis in the left coronary artery is investigated. The hypotheses are verified by using the computer simulation.

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Preventive Mechanisma of ${\beta}$-Glucan on the Experimental Atherosclerosis in Rats (실험적으로 동맥경화증을 유발시킨 랫드에서 ${\beta}$-Glucan의 동맥경화 방어기전에 대한 연구)

  • 김형욱;이영순
    • Biomolecules & Therapeutics
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    • v.1 no.1
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    • pp.109-120
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    • 1993
  • Mechanisms for the hypocholesterolemic effetcs of $\beta$-glucan remain unclear. Rats were divided into 3 groups; normal control group, atherogenic group(oral administration of cholesterol 40 mg/kg/day and vitamin $D_2$320,000 IU/kg/day),${\beta}$-glucan treatment group(oral administration of atherogenic treatment and ${\beta}$-glucan 0.135 g/kg/day). The ${\beta}$-glucan treatment group showed moderate increases of serum lipids concentration compared with atherogenic group. In histopathological examination, aortas showed no critical lesions. The total fecal neutral sterols and bile acids excreted for 6 days was increased compared with both normal and atherogenic group. These result\ulcorner suggest that mechanisms for the hypocholesterolemic effect of ${\beta}$-glucan on rats were due to the inhibition of cholesterol absorption in the intestinal lumen and acceleration of cholesterol catabolism in the liver.

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Multiple Rhabomyomas in left Ventricular Outflow Tract Combined with Tuberous Sclerosis -A Case Report- (결절성 경화증과 동반된 좌심실 유출로의 다발성 심장 횡문근종 -치험 1례-)

  • 윤영철;조광현;김경현;전희재;최강주;이양행;황윤호
    • Journal of Chest Surgery
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    • v.35 no.10
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    • pp.745-749
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    • 2002
  • Cardiac rhabdomyoma is a rare type of benign tumor affecting the heart. There are a few previous reports of intracardiac rhabdomyomas causing ventricular arrythmia. We describe a 1-year-old female tuberous sclerosis patient who was presented with a ventricular tachycardia. Diagnostic echocardiography revealed two masses in the left ventricular outflow tract originating from the ventricular septum. The masses were surgically resected through aortotomy using cardiopulmonary bypass and the masses appeared benign. The pathology was that of a cardiac rhabdomyomas. Postoperative course was uneventful and the ventricular tachycardia was controlled.

Effect of Acorus gramineus Water Extract on the Blood Lipid Profiles in High Fat Diet-fed Mice (고지방 식이 마우스에서 석창포 열수 추출물의 혈중지질 개선 효과)

  • Hong, Sunhwa;Kim, Dong-Woo;Choi, Yeon-Shik;Kim, Da-Seul;Kim, Okjin
    • Korean Journal of Plant Resources
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    • v.29 no.4
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    • pp.355-362
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    • 2016
  • We investigated the effects of Acorus gramineus water extract on the blood lipid levels in high fat diet-fed obese male mice. We divided thirty-five C57BL/6 mice into 5 groups: normal group, control group, and groups treated with Acorus gramineus water extract at concentrations of 20, 100, and 500 ㎎/㎏. We inoculated Acorus gramineus water extract per orally once a day for 6 weeks respectively. The results revealed that Acorus gramineus water extracts had positive effects on the total cholesterol, triglyceride, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol levels.

Acute Lower Limb Ischemia Associated with COVID-19 (코로나바이러스감염증-19 이후 발생한 급성 하지허혈증)

  • Kim, Hyung Suh;Suh, Jin Soo;Choi, Jun Young
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.450-454
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    • 2021
  • A 75-year-old male patient without any significant medical and habitual risk factors for acute atherosclerosis obliterans except for hypertension was diagnosed with coronavirus disease 2019 with dyspnea, coughing, and mild fever. After a week of hospitalization, he complained of right foot pain and numbness. The symptoms were aggravated during the next week, resulting in a complete toe color change and loss of dorsalis artery pulse. Enhanced 3-dimensional computed tomography angiography revealed thrombus formation in the right common iliac artery and a loss of blood flow below the popliteal artery on both sides. The patient underwent percutaneous balloon angioplasty with stent insertion followed by medical therapy for anticoagulation. The clinical symptoms immediately were improved after the intervention, but the great toe necrosis was not recovered. Finally, amputation of the great toe was performed.

Acute Type A Aortic Dissection Mimicking Penetrating Atherosclerotic Ulcer (침투성 동맥경화성 궤양과 흡사한 급성 A형 대동맥 박리증 -1l례 보고 -)

  • Choi, jae-Sung;Kwak, Jae-Gun;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.36 no.1
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    • pp.30-34
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    • 2003
  • As classical acute aortic dissection, atherosclerotic penetrating ulcers and intramural hematoma have different pathophysiology and natural history, treatment strategy should be different and, therefore, accurate differential diagnosis is necessary. However, these three aortic diseases may be indistinguishable by clinical observation and even by various diagnostic modalities such as cardiac echocardiography, CT and MRI. The patients was a 71-year-old female with chief complaints of anterior chest pain, nausea and vomiting which occurred suddenly 3 days before admission. CT angiographic with 3 dimensional reconstruction shows intramural hematoma in ascending aorta, aortic arch, descending thoracic aorta and right brachiocephalic trunk, heompericardium, and blood in mediastinum and both pleural cavities. The CT angiographic finding of focal out-bulging in the ascending thoracic aorta was diagnosed as penetrating atherosclerotic ulcer. The patient underwent emergency operation under a preoperative diagnosis of penetrating atherosclerotic ulcer with a sign of aortic rupture. In the intraoperative findings, however, intimal tear was seen in the anterior portion of the ascending aorta about 1cm below the brachiocephalic trunk and falselumen appeared after hematoma was removed from the layer of tunica media. We report a case of type A aortic dissection which mimicked clinical and diagnostic features of penetrating atherosclerotic ulcer.

Bilateral Intralobar Pulmonary Sequestration with Horseshoe Lung A near suggestion about the treatment of pulmonary sequestration (마제상폐를 보이는 양측성 엽내형 폐격리증의 외과적 치료 -폐격리증치료에 대한 새로운 제안-)

  • 박종빈;김용희
    • Journal of Chest Surgery
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    • v.30 no.2
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    • pp.226-230
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    • 1997
  • This is a case report of surgical management of a bilateral intralobar pulmonary sequestration with horseshoe lung presenting with frequent U I with productive sputum. Simple chest X-ray showed pneumonic consolidation and infiltration on both lower lobes, and chest CT revealed multiple cystic lesions compatible with pulmonary sequestration. The aortography demonstrated two anomalous systemic arteries arising from the thoracic aorta just above the diaphragm to both sequestrums. Left lower lobectomy was performed through the left thoracotomy with ligations and divisions of the both systemic feeding arteries to the left and right sequestrum, and division of the isthmic portion of horseshoe lung without removal of right sequestrum. The patient was discharged on the postoperative loth day and followed-up till now without any sequelae and symptoms of residual right sequestration. The recent follow-up chest CT 5 months after the operation revealed spontaneous regression of the residual right sequestrum. Authors would suggested that only division of aberrant artery to sequestrum without lobectomy may be applied in uncomplicated ca e of intrapulmonary seqilestration.

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