• Title/Summary/Keyword: 심장크기

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Rate of Transformation and Normal Range about Cardiac Size and Cardiothoracic Ratio According to Patient Position and Age at Chest Radiography of Korean Adult Man (한국인 성인 남성의 흉부 방사선영상에서 자세와 연령에 따른 심장 크기 및 심흉비의 정상 범위와 변환율)

  • Joo, Young-Cheol;Lim, Cheong-Hwan;Kim, Yun-Min;Jung, Hong-Ryang;Hong, Dong-Hee
    • Journal of radiological science and technology
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    • v.40 no.2
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    • pp.179-186
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    • 2017
  • Purpose of this study is present the normal range of cardiac size and cardiothoracic ratio according to patient position(chest PA and AP) and age of Korean adult male on digital chest X - ray, And to propose a mutually compatible conversion rate. 1,024 males were eligible for this study, among 1,300 normal chest patients who underwent chest PA and low-dose CT examinations on the same day at the 'S' Hospital Health Examination Center in Seoul From January to December 2014. CS and CTR were measured by Danzer (1919). The mean difference between CS and CTR was statistically significant (p<0.01) in Chest PA (CS 135.48 mm, CTR 43.99%) and Chest AP image (CS 155.96 mm, CTR 51.75%). There was no statistically significant difference between left and right heart in chest PA and AP images (p>0.05). CS showed statistically significant difference between Chest PA (p>0. 05) and Chest AP (p<0.05). The thorax size and CTR were statistically significant (p<0.01) in both age and chest PA and AP. Result of this study, On Chest AP image CS was magnified 15%, CTR was magnified 17% compare with Chest PA image. CS and CTR were about 10% difference by changing posture at all ages.

Partial Left Ventriculectomy as a Bridge to Cardiac Transplantation in a Patient of End-Stage Heart Failure -Case Report- (말기 심부전 환자에서 심장이식의 교량으로서 좌심실 축소술 - 중례보고 -)

  • 전양빈;이창하;이재웅;박철현;박국양
    • Journal of Chest Surgery
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    • v.35 no.9
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    • pp.672-674
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    • 2002
  • A 40-years-old male with dilated cardiomyopathy(DCMP) and end-stage heart failure had undergone partial left ventriculectomy(PLV) in July 1997 and then underwent cardiac transplantation in January 1999. Three months later he showed increased ejection fraction (EF) from 26% to 42.6%, decreased left ventricular end diastolic diameter(LVEDD) from 71mm to 45mm, cardiac output(CO) 3.95 L/min and cardiac index(CI) 2.28 L/min/m$^2$echocardiographically. Eight months later, left ventriclular end diastolic and systolic diameters increased to 56 and 51 mm respectively and EF decreased to 17% in echocardiographic follow-up. He had been on maximum medication until he underwent cardiac transplantation 18 months after the PLV. Consecutive myocardial biopsies (1, 3 and 6 month later) showed ISHLT (international society of heart and lung transplantation) class la and the treatment for rejection was not needed until now on. We report a partial left ventriculectomy as a successful bridge to cardiac transplantation in a patient with DCMP and end-stage heart failure.

Effect of the Configuration of Contact Type Textile Electrode on the Performance of Heart Activity Signal Acquisition for Smart Healthcare (스마트 헬스케어를 위한 심장활동 신호 검출용 접촉식 직물전극의 구조가 센싱 성능에 미치는 영향)

  • Cho, Hyun-Seung;Koo, Hye-Ran;Yang, Jin-Hee;Lee, Kang-Hwi;Kim, Sang-Min;Lee, Jeong-Hwan;Kwak, Hwy-Kuen;Ko, Yun-Su;Oh, Yun-Jung;Park, Su-Youn;Kim, Sin-Hye;Lee, Joo-Hyeon
    • Science of Emotion and Sensibility
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    • v.21 no.4
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    • pp.63-76
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    • 2018
  • The purpose of this study was to investigate the effect of contact type textile electrode structure on heart activity signal acquisition for smart healthcare. In this study, we devised six contact type textile electrodes whose electrode size and configuration were manipulated for measuring heart activity signals using computerized embroidery. We detected heart activity signals using a modified lead II and by attaching each textile electrode to the chest band in four healthy male subjects in a standing static posture. We measured the signals four times repeatedly for all types of electrodes. The heart activity signals were sampled at 1 kHz using a BIOPAC ECG100, and the detected original signals were filtered through a band-pass filter. To compare the performance of heart activity signal acquisition among the different structures of the textile electrodes, we conducted a qualitative analysis using signal waveform and size as parameters. In addition, we performed a quantitative analysis by calculating signal power ratio (SPR) of the heart activity signals obtained through each electrode. We analyzed differences in the performance of heart activity signal acquisition of the six electrodes by performing difference and post-hoc tests using nonparametric statistic methods on the calculated SPR. The results showed a significant difference both in terms of qualitative and quantitative aspects of heart activity signals among the tested contact type textile electrodes. Regarding the configurations of the contact type textile electrodes, the three-dimensionally inflated electrode (3DIE) was found to obtain better quality signals than the flat electrode. However, regarding the electrode size, no significant difference was found in performance of heart signal acquisition for the three electrode sizes. These results suggest that the configuration method (flat/3DIE), which is one of the two requirements of a contact type textile electrode structure for heart activity signal acquisition, has a critical effect on the performance of heart activity signal acquisition for wearable healthcare. Based on the results of this study, we plan to develop a smart clothing technology that can monitor high-quality heart activity without time and space constraints by implementing a clothing platform integrated with the textile electrode and developing a performance improvement plan.

A Study of Interventricular volume Pressure in a Totally Implantable Electromechanical Artificial heart (완전 이식형 전기기계식 인공심장 심실간 공간 압력 파형에 관한 연구)

  • Jo, Yung-Ho;Choi, Won-Woo;Park, Seong-Keun;Lee, Dong-Joon;Choi, Jae-Soon;Kim, Hee-Chan;Min, Byoung-Goo
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.11
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    • pp.222-226
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    • 1995
  • 인공심장에서의 박출량제어는 전부하에 따른 심박출균형, 심실내 완전충만과 완전구출을 구현하는데 그 목적이 있다. 본 논문에서는 인공심장 내부의 심실간 공간 압력파형을 심박출량의 제어에 활용하였다. 이를 위해서는 심실간 공간의 압력파형을 심실 유입부와 유출부의 혈류량에 대한 정보, 이동작동기의 위치신호와 동기시켜 해석하는 것이 필요하다. 이러한 압력파형의 해석을 바탕으로, 심실간 공간의 음압 크기로 좌,우 심방압을 추정하고 작동기의 좌,우 수축기때 심실간 공간의 음압크기를 비슷하게 유지하도록 작동거리를 제어하면 좌우 심박출 균형을 이룰 수 있음을 확인하였다. 또한, 심실의 완전충만과 완전구출의 실현을 위한 심실 충만 정도를 추정할 수 있게 하는 인자를 제시하였다.

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흥미로운 임상증례들

  • 강종일
    • Proceedings of the Korean Society of Veterinary Pathology Conference
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    • 2002.11a
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    • pp.61-65
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    • 2002
  • 증례 1. 전지에 발생한 혈관주위세포종 절제 후 피부이식술 본 증례는 11년생 수컷 혼혈 포메라니언 종으로 6살 되던 해 좌측 주관절의 외측부위와 전완부 사이의 연부조직에서 종괴물을 확인한 후 1년여 동안에 탁구공 크기로 커져 인근 병원에서 이 종괴물 제거 수술을 받은 적이 있었다. 그 후 2년 반이 지나면서 종괴물은 다시 서서히 자라기 시작하여 약 2년 동안에 테니스공 크기로 커져 제거 수술을 받기 위해 모대학 병원에서 혈액 검사 실시하던 중 심장 사상충 감염 진단을 받고 본 병원 내원 3 개월 전에 심장 사상충 치료를 받았던 기왕력이 있었다. 환견의 종괴물은 육안적 소견으로 2개의 분엽화 형상을 나타내었다. 그 중 일부에서 괴사소견이 관찰되었다. (중략)

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