• Title/Summary/Keyword: 심장 기능

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윌리엄하비, 현대 생리학의 시작

  • Cheon, Myeong-Seon
    • Journal of the korean veterinary medical association
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    • v.41 no.12
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    • pp.1142-1147
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    • 2005
  • 생명체 안에는 정맥혈과 동맥혈이라는 두 가지 종류의 혈액이 흐른다. 여기에는 신체 내 세 가지 기관이 관여하는데, 간은 영양과 성장의 임무를 심장은 생명의 원동력을 뇌는 인지와 이성을 담당한다. 영양과 성장은 간에서 형성되는 '정맥혈'을 통해 형성되고 생명의 원동력은 심장에서 형성되는 '동맥혈'을 통해 전신으로 퍼진다. 이 혈액들은 심장으로 다시 돌아오지 않고 온 몸에 퍼져 소비된다. 혈액은 심장이 이완될 때 심장 안으로 빨아들여진다. 심장은 혈액을 펌프질하는 기능이 없으며 동맥이 그 스스로가 '박동성'을 가지고 혈액을 밀어낸다. 좌심실에서 정맥혈과 프네우마(Pneuma)가 섞이게 되는데 심장 오른쪽 심실과 심방의 정맥혈은 좌심실과 우심실 사이 중격(심실중격, interventricularseptum)의 작은 구멍을 통해 좌심실로 이동한다.

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Open Heart Surgery in a Pregnant Woman with Prosthetic Valve Failure (기계판막 기능부전이 동반된 임산부에서의 개심수술)

  • 이현주;김기봉
    • Journal of Chest Surgery
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    • v.34 no.3
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    • pp.240-242
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    • 2001
  • 임심 중 심폐바이패스를 사용하는 개심수술은 산모뿐 아니라 태아계에도 영향을 끼치기 때문에 중요하다. 임신 중 항응고제 투여을 부적절하게 하여 기계판막 기능부전이 초래된 임신 31주의 산모에서 심장 재수술에 앞서 제왈절개로 태아 출산 후 20시간 뒤 산모의 개시수술을 성공적으로 시행하였기에 보고하는 바이다.

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Acute Heart Failure after Relief of Massive Pericardial Effusion (대량의 심낭삼출액 제거 후 발생한 급성 심부전)

  • Jung Tae-Eun;Lee Dong-Hyup
    • Journal of Chest Surgery
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    • v.39 no.9 s.266
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    • pp.702-705
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    • 2006
  • Severe left ventricular dysfunction after relief of massive pericardial effusion has been rarely reported. Interventricular volume mismatch, acute distention of the cardiac chambers and interplay of autonomic none system are believed to be the possible causes for ventricular dysfunction. Presenting two patients who had marked decrease in global ventricular systolic function after relief of pericardial tamponade by subxyphoid pericardial window, we recommend gradual removal of pericardial fluid under hemodynamic monitoring, especially in patient with postcardiotomy tamponade.

Design of a Mechanical Artificial Heart Valve Prosthesis Appliing Design Methodology (설계방법론을 이용한 기계식 인공심장판막의 설계)

  • 천길정;류형태
    • Journal of Biomedical Engineering Research
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    • v.19 no.3
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    • pp.291-296
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    • 1998
  • A new mechanical heart valve prosthesis has been designed appling systematic design methodology. The function of the heart valve was defined, and search for design variation has been carried out according to the functional structure, Optimal model among the various variations was determined in view of the design specificationn. Proto type valve was fabricated and test has been carried out using a mock circulation system. It has been observed that the pressure profile, cardiac output and behavior characteristics are generally satisfactory.

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Self-gated MR cardiac CINE imaging (셀프 동기를 이용한 심장자기공명 씨네영상법)

  • Kim, Pan-Ki;Park, Jin-Ho;Ahn, Chang-Beom
    • Proceedings of the KIEE Conference
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    • 2011.07a
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    • pp.2039-2040
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    • 2011
  • 자기공명영상에서 심장의 기능을 진단에 필요한 심장 영상을 얻기 위해서는 심장의 움직임을 모니터 할 수 있는 ECG나 pulse oximeter 등의 장비로 동기를 맞추어 주기위한 트리거 신호가 필요하다. 본 논문은 심장의 움직임을 다른 장비의 도움 없이 동기화하여 자기공명 심장 영상을 재구성하는 새로운 방법을 나선주사영상기법에 적용하여 제안하였다.

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Rate-Responsive Permanent Pacemaker Implantation in a Pekingese Dog with a Sick Sinus Syndrome (동방결절 기능 부전군을 가진 페키니즈 종의 개에 대한 심장 박동수 반응형 영구 심장 박동기의 장착)

  • Han, Dong-Hyun;Choi, Ran;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.569-572
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    • 2010
  • A 4-year-old neutered female Pekingese dog (weighing 3.6 kg) was referred with the primary complaint of exercise intolerance with occasional syncope. Physical examination revealed irregularly irregular heart rhythm with persistent pulse deficits. The 12-lead surface ECG showed a marked sinus arrest with occasional junctional escape beats, indicating a sick sinus syndrome. Permanent transvenous cardiac pacing with a rate-responsive bipolar implantable pacemaker (VVIR type) was performed in the right ventricle. After pacemaker implantation, the clinical signs were remarkably improved. No further syncopal episodes have yet been occurred after implantation.

Effects of Cardiac Rehabilitation in Elderly Patients After Myocardial Infarction (노인 심근경색 환자에서의 심장재활의 효과)

  • KIM, JI HEE
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.464-471
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    • 2016
  • To investigate the effects of cardiac rehabilitation (CR) on cardiopulmonary exercise capacity in both elderly and younger patients with myocardial infarction (MI). Of the MI patients who received hospital-based CR between February 2012 and December 2015, we retrospectively reviewed the medical records of patients who continued a follow-up through the outpatient clinic. A total of 46 patients (18 elderly patients (${\geq}60years$) and 28 younger patient (< 60)) were included in this study. The subjects visited the clinic to perform aerobic exercises with ECG monitoring based on their initial exercise tolerance test outcome. The exercise capacity was measured by symptom-limited exercise tests before and after hospital-based CR. Before CR, the elderly group had a significantly lower exercise capacity in peak VO2, METs, anaerobic threshold, exercise time, respiratory exchange ratio (RER) than the younger group. After CR, elderly groups showed a significantly improved exercise capacity in exercise time, HRmax, HRrest, peak VO2, METs, anaerobic threshold, and RER. Both elderly and younger groups showed similar improvement of cardiopulmonary exercise capacity after hospital-based CR. There is a very low cardiac rehabilitation participation and referral rates with MI patients in Korea. It is considered necessary to further expand the participation of cardiac rehabilitation in elderly MI patients.