• Title/Summary/Keyword: 심근경색증

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특집 예고 없이 찾아오는 심장질환, 생명을 위협한다! - 가면 쓴 살인자, 협심증.심근경색증 _운동 중 가슴 두근거림, 숨참, 흉통 느껴진다면

  • Gwak, Jeong-Eun
    • The Monthly Diabetes
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    • s.256
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    • pp.18-21
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    • 2011
  • 당뇨병환자의 주된 사망 원인은 심장병이다. 당뇨병환자는 동맥경화증이 잘 생기고 이와 관련해 협심증, 심근경색증, 말초혈관질환, 뇌졸중이 잘 생기는 것으로 알려져 있다. 그중에서 관상동맥이 동맥경화증에 의해 막혀 생기는 대표적인 심혈관질환이 바로 협심증과 심근경색이다.

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Development of Performance to Predict the Prognosis of Korean Patients with Acute Myocardial Infarction by Data Transformation for Naïve Bayes Method (나이브 베이지안 방법을 위한 데이터 변환법으로 한국인 급성 심근경색증 환자의 예후를 예측하는 성능의 향상)

  • Cho, Sun Ho;Kim, Jeong-su;Kwon, Hyuk-Chul
    • Proceedings of the Korea Information Processing Society Conference
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    • 2014.11a
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    • pp.868-871
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    • 2014
  • 오늘날 한국에서는 급성 심근경색증으로 인한 사망률이 높은 상태로, 발병 시에 치료까지 신속한 의사결정이 요구되는 위중한 질병이기 때문에, 한국인에게 맞는 급성 심근경색증 연구가 매우 중요 하다. 본 연구는 한국인 급성 심근경색증 등록 데이터를 이용해 기계 학습 방법의 한 종류인 나이브 베이지안 방법을 이용해 급성 심근경색증 환자의 예후를 예측하고자, 의료 데이터의 특성에 따른 데이터 변환 방법을 제안한다. 타겟 클래스에서 보다 중요한 의미를 가진 death 값에 대해 각 값을, nominal value, numeric value, 결측치로 구분한 방식에 따라, 확률을 계산해 변환한다. 실험 결과를 통해 결측치를 피처마다 존재하는 값들의 평균을 낸 값으로 대입하였을 때 가장 좋은 성능임을 알 수 있었는데, 기존의 방법에 비해 precision=5.4%, recall=7.0%의 성능이 향상되었다. 따라서 제안한 방법은 나이브 베이지안 방법의 예측 성능 향상에 기여하였다고 판단된다. 이후 적용했던 데이터 변환 방법을 여러 가지 기계 학습 방법에서 판단해보고, 다른 타겟 클래스에도 시험해보고자 한다.

관상동맥질환(협심증과 심근경색)

  • Choe, Jin-Ho
    • Bulletin of Korea Environmental Preservation Association
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    • v.29 s.369
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    • pp.36-37
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    • 2007
  • 협심증이나 심근경색증을 예방하려면 동맥경화증을 예방해야하며 이를 위해서는 규칙적인 운동을 하면서 과다한 지방질의 섭취를 억제하고 흡연은 절대 삼가야 한다.

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Impacts of Diastolic Function on Clinical Outcomes in Young Patients with Acute Myocardial Infarction (젊은 급성 심근경색증 환자에서 좌심실 이완 기능 및 충만압이 관상동맥중재술 후 임상 경과에 미치는 영향)

  • Cho, Eun Young;Jeong, Myung Ho;Yoon, Hyun Ju;Kim, Yong Cheol;Sohn, Seok-Joon;Kim, Min Chul;Sim, Doo Sun;Hong, Young Joon;Kim, Ju Han;Ahn, Youngkeun;Cho, Jae Young;Kim, Kye Hun;Park, Jong Chun
    • The Korean Journal of Medicine
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    • v.93 no.6
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    • pp.538-547
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    • 2018
  • Background/Aims: The impact of left ventricular (LV) diastolic function and filling pressure on clinical outcomes in young patients with acute myocardial infarction (AMI) has been poorly studied. Therefore, the aim of this study was to investigate the impact of LV diastolic function and LV filling pressure on major adverse cardiac events (MACEs) in young patients with AMI. Methods: A total of 200 young patients (males < 45 year, females < 55 year) with AMI were divided into two groups according to the diastolic function; normal (n = 46, $39.5{\pm}5.3$ years) versus abnormal (n = 154, $43.5{\pm}5.1$ years). Results: Despite regional wall motion abnormalities, normal LV diastolic function was not uncommon in young AMI patients (23.0%). During the 40 months of clinical follow-up, MACEs developed in 26 patients (13.0%); 14 re-percutaneous coronary intervention (7.0%), 8 recurrent MI (4.0%), and 4 deaths (2.0%). MACEs did not differ between the normal and abnormal diastolic function group (13.6% vs. 10.9%, p = 0.810), but MACEs were significantly higher in the high LV filling pressure group than the normal LV filling pressure group (36.8% vs. 10.5%, p < 0.001). On multivariate analysis, high LV filling pressure was an independent predictor of MACEs (hazard ratio 3.022, 95% confidence interval 1.200-7.612, p = 0.019). Conclusions: This study suggested that measurement of the LV filling pressure (E/e' ratio) would be useful in the risk stratification of young patients with AMI. However, it would be necessary to monitor this category of patient more carefully.

Factors associated with early recognition of myocardial infarction in adult smokers: Using data from 2021 Community Health Survey (성인 흡연자에서 심근경색증 조기 증상 인지와 관련된 요인:2021 지역사회 건강조사 자료 활용)

  • Se-Jin Kim;Kang-Sook Lee
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.4
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    • pp.660-673
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    • 2023
  • The purpose of this study was to understand the degree of early recognition of myocardial infarction in adult smokers and to analyze factors related to cognition. In a descriptive survey using raw data from the 2021 Community Health Survey, 210,899 out of 229,942 people who completed the survey, excluding 18,343 subjects with insufficient responses, were selected as study subjects. Age, marital status, education level, smoking cessation plan, health examination_cancer examination, diabetes diagnosis, subjective health level, and social physical environment were significantly related to early symptoms of myocardial infarction. Based on the results of the study, active promotion and education for high-risk groups with a high risk of developing myocardial infarction are needed.

The effective management of length of stay for patients with acute myocardial infarction in the era of digital hospital (디지털 병원시대의 급성심근경색증 환자 재원일수의 효율적 관리 방안)

  • Choi, Hee-Sun;Lim, Ji-Hye;Kim, Won-Joong;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.10 no.1
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    • pp.413-422
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    • 2012
  • In this study, we developed the severity-adjusted length of stay (LOS) model for acute myocardial infarction patients using data from the hospital discharge survey and proposed management of medical quality and development of policy. The dataset was taken from 2,309 database of the hospital discharge survey from 2004 to 2006. The severity-adjusted LOS model for the acute myocardial infarction (AMI) patients was developed by data mining analysis. From decision making tree model, the main reasons for LOS of AMI patients were CABG and comorbidity. The difference between severity-adjusted LOS from the ensemble model and real LOS was compared and it was confirmed that insurance type and location of hospital were statistically associated with LOS. And to conclude, hospitals should develop the severity-adjusted LOS model for frequent diseases to manage LOS variations efficiently and apply it into the medical information system.

Factors Associated with Unawareness of Early Symptoms of Stroke and Myocardial Infarction in Adults with Hypertension and Diabetes: Focused on Management related to Disease (고혈압, 당뇨병 성인의 뇌졸중 및 심근경색증 조기 증상 비인지 관련 요인: 질병 관리 관련 특성을 중심으로)

  • Kwon, Young-Sook
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.1
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    • pp.60-74
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    • 2021
  • The purpose of this research was to determine the degree of awareness of early symptoms of stroke and myocardial infarction in adults diagnosed with hypertension and diabetes, and to analyze factors related to unawareness. Raw data from the 2017 Community Health Survey were utilized. A total 12,277 adults older than 40 years were included in analysis finally. The early symptom awareness rates of stroke and myocardial infarction were 53.6% and 46.8%, respectively. Logistic analysis was performed to assess factors associated with unawareness of early symptom of stroke and myocardial infarction. After correcting for socio-demographic variables, education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to stroke early symptom unawareness on multivariate analysis. (Education for the management of hypertension, recognition of blood pressure level and HbA1c level were significantly related to the unawareness of early stroke symptoms even after socio-demographic variables were corrected in multivariate analysis.) Recognition of blood pressure level and HbA1c level were also significantly associated with unawareness of early symptoms of myocardial infarction. Therefore, it is required to interventions and strategies to improve the level of awareness of early symptoms of cardio-cerebrovascular disease, such as accelerating promotion and strengthening education for high-risk groups who must manage both hypertension and diabetes.