• Title/Summary/Keyword: 혈압측정

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Evaluating and managing hypertension in children: a survey of Korean cardiologists and nephrologists (소아 고혈압의 평가와 관리 방법; 한국 소아심장 전문의와 소아신장 전문의 설문)

  • Lee, Eun Hee;Yim, Hyung Eun;Jang, Gi Young;Yoo, Kee Hwan;Son, Chang Sung;Hong, Young Sook;Lee, Joo Won
    • Clinical and Experimental Pediatrics
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    • v.51 no.9
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    • pp.992-997
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    • 2008
  • Purpose : Hypertension (HTN) is no longer an exclusively adult disease; the prevalence of pediatric HTN is increasing. To understand the evaluation and treatment of childhood HTN in Korea, we investigated, via a questionnaire, how hypertensive children are currently assessed and managed by pediatric cardiologists (CA) and nephrologists (NE). Methods : We surveyed 82 pediatric CA and 77 NE, regarding how they manage hypertensive children in Korea. Results : A total 75 replies were received to our questionnaire request (response rate: 47.15%). Routine blood pressure (BP) checks were more frequently performed by NE (CA: 5.7%, NE: 25%, P=0.03), but most respondents (86%) did not check BP routinely. Mercury sphygmomanometers were the most commonly used devices and ambulatory blood pressure monitoring was not frequently used. The goal BP in treated patients was set at the 95th percentile by 61% of respondents. NE used a lower BP goal in hypertensive children with renal disease (CA: 24%, NE: 64%, P=0.004) or DM (CA: 12.5%, NE: 50%, P=0.003). Angiotensin converting enzyme (ACE) inhibitors were the most commonly used agents (mean: 59%); following ACE inhibitors, CA preferred diuretics for hypertensive children with renal disease or cardiovascular disease, and NE preferred calcium channel blockers, regardless of underlying disease. Self-monitoring was the most frequent method for BP monitoring at home. Conclusion : In Korea, BP measurement is not yet a routine examination in treating hypertension. There are some differences in management strategies vis-$\grave{a}$-vis hypertension, between pediatric cardiologists and nephrologists. For the appropriate management and prevention of secondary disease in long-term studies, standard guidelines and education are needed for pediatricians.

Analysis of Bioimpedance Change and the Characteristics of Blood Pressure according to Posture (자세에 따른 생체임피던스 변화와 혈압 특성 분석)

  • Cho, Young Chang;Kim, Min Soo
    • Journal of Korea Society of Industrial Information Systems
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    • v.19 no.5
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    • pp.25-31
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    • 2014
  • Bioelectrical Impedance Analysis(BIA) is a widely used method for estimating body composition changes which is a non-invasive, inexpensive, safety and reproductive method. We studied the bioimpedance change and the distinction of blood pressure according to body posture and conducted three kinds of experiments: the real-time bioimpedance measurement, the simulation using equivalent circuit model and the blood pressure measurement. Bioimpedance is measured during 4 minutes at the multi-frequency(1 kHz, 10 kHz, 20 kHz, 50 kHz, 70 kHz, 100 kHz). From the experiment results, the changes in body postures result in changes of resistance and reactance, with an average rapid increase of body impedance when going from standing, sitting to supine. Specially, the laying resistance on average was 16.49% higher than supine resistance at 50 kHz and the laying reactance measurement was also 26.05% higher than sitting reactance at 1 kHz. Blood pressure in standing posture was higher than those in other postures both in maximum($125.14{\pm}12.30$) and in minimum($75.57{\pm}10.31$). The results of BIA and blood pressure in this study will be contributed to the research on acute illness, extreme fat, and body shape abnormalities.

Study on the Agreement Values of Pulmonary Arterial Hypertension Measured by Cardiac Sonographers (심장초음파 검사자 간의 폐동맥고혈압 진단 측정값 일치도 분석 연구)

  • Seol Hwa KIM;Sundo JUNG
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.4
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    • pp.269-275
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    • 2023
  • Echocardiography is a non-invasive method that is useful for diagnosing pulmonary arterial hypertension. It is known that echocardiography depends on the experience, education, and knowledge level of the cardiac sonographer. This study aimed to compare the agreement values between cardiac sonographer with different practical experiences in the diagnosis of pulmonary arterial hypertension using echocardiography. Three readers re-evaluated the echocardiography images of 148 patients who were diagnosed with pulmonary arterial hypertension at the S Medical Center from January 1, 2020, to December 31, 2020. The echocardiography values measured by each reader were compared and analyzed. The results of the analysis of discrete variables revealed that the agreement values of the cardiac sonographers showed excellent consistency for both reader 3 and the cardiologist group, indicating that more experience leads to better predictive accuracy for diagnosis of the condition. Furthermore, in terms of continuous variables, all the cardiac sonographer demonstrated good agreement in the measured values of the right atrium, which was easier to assess and clearer than the structurally complex measurements of the right ventricle. This study represents the first analysis in Korea of the agreement values measured by medical technologists who are cardiac sonographers.

Accuracy Comparison of Blood Pressure among the Direct Measurement Method and Two Automatic Indirect Measurement Methods in the Patients with Various Blood Pressure (다양한 혈압상태에서 직접혈압을 기준으로 HP 자동혈압기와 국산자동혈압기의 정확도 비교)

  • Song Hyo-Sook;Jun Tae-Gook;Choi Eun-Jung;Kim Mi-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.3
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    • pp.366-378
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    • 2001
  • Objective: The purpose of this study was to identify differences in measurement methods for blood pressure (Direct measurement, HP automatic indirect measurement, and SE 7000 Korean made indirect measurement), and to evaluate the clinical trial of the Korean made automatic indirect blood pressure measurement. Material & Methods: From June, 1999 to February, 2000, fifty five consecutive patients were randomized into hypertension group (n=20), normotension group (n=20), and hypotension group (n= 15). Measuring blood pressure by indirect methods (HP NIBP M 1008B and SE 7000 NIBP Korean made) was done simultaneously in the same arm with arterial line for direct blood pressure measurement (HP M1006A). The procedures were repeated ten times at intervals of 2 minutes. Statistical analysis was Performed using SPSS (version 8.0 for windows) software package. Values were expressed as means and standard deviation and means were compared using t-test. Statistical significance was considered present with a p value less than 0.05. Results: In the hypertension group and noromotension group, the disparity between HP direct measurement and indirect SE 7000 NIBP did not show any differences compared to the disparity between HP direct measurement and indirect HP NIBP. In the hypotension group, the disparity in the diastolic pressure between HP direct measurement and indirect SE 7000 NIBP was significantly different compared to the disparity between HP direct measurement and indirect HP NIBP (p<0.001), however, disparities in systolic pressure did not showed any differences. Conclusion: Direct blood pressure measurement (HP M1006A) can be replaced with indirect blood pressure measurements (HP NIBP M 1008B & SE 7000 NIBP) in normotension and hypertension patients. Korean made indirect measurement was found to be more accurate compared to HP indirect measurement in hypotension Patients, but more study is needed.

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Relationship between Muscular Extension Exercise and Metabolic Syndrome Indices in Hypertensive Patients (고혈압 환자의 근육 신전운동과 대사증후군 지표의 관계)

  • Beak, Soon-Gi;Kim, Do-Jin
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.363-369
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    • 2018
  • The purpose of this study was to perform exercise program for patients with borderline hypertension and hypertension. And the change of the metabolic syndrome index. This study was performed for 15 weeks on borderline hypertension, hypertension patients. 28 subjects participated in the exercise program for 40 minutes, three times a week for 15 weeks. The following conclusions were obtained. First, there was a significant correlation between the prevalence of metabolic syndrome before and after the exercise program. Second, there were significant differences in body weight, muscle mass, fat mass, BMI, waist circumference, diastolic blood pressure, and blood sugar before and after 15 weeks of exercise program. This can lead to improved metabolic syndrome indicators in hypertensive patients with a muscle extension exercise program.

Blood Pressure Estimation for Development of Wearable small Blood Pressure Monitor Fusion Algorithm Analysis (웨어러블 초소형 혈압계 개발을 위한 혈압 추정 융합 알고리즘 분석)

  • Kim, Seon-Chil;Kwon, Chan-Hoe;Park, You-rim
    • Journal of the Korea Convergence Society
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    • v.10 no.11
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    • pp.209-215
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    • 2019
  • The most important personal health care in digital health care is a very important issue mainly for chronic diseases. Therefore, it is important to develop a simple wearable device for real-time health management. Existing blood pressure estimation wearable devices use PPG characteristics to analyze PTT and propose blood pressure estimation algorithms. However, the influencing factors of the algorithm such as the reproducibility of PPG, whether to apply various PTTs, and variables generated from the physical differences of the measurers are actually very complex. Therefore, in this study, the correlation between PTT, SBP, and DBP was analyzed, and it was designed to use PPG sensors for device miniaturization. The blood pressure estimation algorithm took into account differences in PPG, heart rate, and personal variables.

The Effects of Finswimming Exercise on Electroencephalogram(EEG), Blood pressure, and Resting heart rate in Male Adolescents (핀수영 운동이 남자 청소년의 뇌파, 혈압 및 안정 시 심박수에 미치는 영향)

  • Lee, Young-Jun
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.4
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    • pp.1175-1184
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    • 2018
  • The purpose of this study was to investigate effects of 12-weeks finswimming exercise on electroencephalogram(EEG), SBP, DBP, and RHR in male adolescents. Eighteen male adolescents participated in this study. They were separated into a Control group(CG; n=9) and Finswimming training group(FG; n=9). FG participated in Finswimming training for 12weeks, 60 minutes per day, 3 times a week. All data of electroencephalogram were analyzed by repeated measures two-way ANOVA and Data of SBP, DBP and RHR were analyzed by ANCOVA and Paired t-test. As a result, Alpha and SMR waves were significantly increased in FG; however, Alpha wave was significantly decreased in CG and Theta wave was significantly decreased in FG. There were significant interaction in Alpha, Theta, and SMR waves. SBP, DBP, and RHR were significantly decreased in FG and there were significant differences of RHR and SBP between groups; otherwise, there were no significant differences of DBP between groups. The results of this study showed that 12 weeks of Finswimming training positively effects on electroencephalogram(EEG), SBP, DBP, and RHR in male adolescents.

Angiotensinogen gene M235T polymorphism as a predictor of cardiovascular risk in hypertensive adolescents (고혈압 청소년의 심혈관계 위험요소로서 Angiotensinogen M235T 유전자 다형)

  • Gil, Joo Hyun;Lee, Jung Ah;Park, Eun Young;Hong, Young Mi
    • Clinical and Experimental Pediatrics
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    • v.52 no.1
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    • pp.36-43
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    • 2009
  • urpose : The renin-angiotensin system (RAS) has been demonstrated to play a major role in regulating blood pressure. Therefore, components of the RAS are likely candidate genes that may predispose an individual to essential hypertension and cardiovascular complications. Among them, the M235T polymorphism of the angiotensinogen gene has been speculated to be associated with elevated circulating angiotensinogen concentrations and essential hypertension. This study aimed to analyze the angiotensinogen M235T polymorphism in hypertensive adolescents and investigate its relationship with cardiovascular risks. Methods : Forty Korean hypertensive adolescents (aged 16-17, systolic $BP{\geq}140 mmHg$ and/or diastolic $BP{\geq}90 mmHg$) and fifty seven normal adolescents were included. Obesity index (OI), body mass index (BMI) were calculated. BP was measured by oscillometric methods in resting state. Polymerase chain reaction (PCR) technique was performed on DNA from the hypertensives subjects to analyze the M235T polymorphism. Serum homocysteine, insulin, renin, aldosterone and angiotensin converting enzyme (ACE) were tested according to each genotype. The carotid intima-media thickness (IMT) and carotid artery diameter, Pulse wave velocity (PWV) and ankle-brachial index (ABI) were measured according to each genotype. Results : Genotype frequencies of T/T, M/T and M/M were 62.5%, 35.0%, 2.5%, respectively in hypertensive adolescents. The results were not significantly different compared to control group. Serum insulin, renin levels, BMI and OI were significantly higher in thoses with the M/M genotype as compared to those with the T/T of M/T genotype. Conclusion : This study showed that the M235T polymorphism was not associated with essential hypertension or any cardiovascular risks. Further clinical research is required to ascertain the relationship between this polymorphism and cardiovascular complications in Korean hypertensive adolescents.

생약재 추출물의 수율 및 항고혈압 활성

  • 도정룡;김기주
    • Proceedings of the Korean Society of Postharvest Science and Technology of Agricultural Products Conference
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    • 2003.10a
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    • pp.137.2-138
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    • 2003
  • 본 실험에 사용한 생약재는 금산 약초시장에서 2003년 6월에 구입하여 추출수율을 조사하였다. 그 결과, 생약재의 물 추출물의 동결건조 중량(%)이 30~40%에 달하는 생약재는 가자, 갈근, 맥문동, 산수유가 있고, 20~30%에 달하는 생약재는 감초, 구기자, 당귀, 오미자, 천궁, 황기가 이에 속했으며, 중량(%)이 10~20%에 달하는 생약재는 복분자, 오수유, 애엽, 작약, 진피, 지유, 파고지, 황련이 이에 속했다. 마지막으로 10%이하의 추출 수율을 나타낸 생약재들은 가시오가피, 강황, 계피, 석곡, 소목, 영지, 오약, 육두구, 정향, 죽엽, 필발, 초두구, 호장근이 이에 속했다. 생약재의 70% Ethanol 추출물의 동결건조중량을 살펴본 결과, 동결건조 중량(%)이 30~40%에 달하는 생약재는 가자, 당귀, 산수유가 이에 속하였고, 20~30%에 달하는 생약재는 감초, 맥문동, 구기자, 오미자, 오수유, 천궁, 황기가 속하였으며, 동결건조 중량(%)이 10~20%에 달하는 생약재는 복분자, 육두구, 애엽, 작약, 정향, 지유, 파고지, 호장근, 황련이 이에 속했다. 또한 10% 이하의 수율을 나타내는 생약재는 가시오가피, 강황, 갈근, 계피, 석곡, 소목, 영지, 오약, 익지인, 죽엽, 필발, 초두구가 이에 속하였다. 생약재의 추출 시간 및 온도에 따른 수율을 조사한 결과, 추출 시간이 경과함에 따라서 수율이 점차 증가하는 경향을 보였으며, 가자, 갈근, 황련, 복분자, 지유, 정향, 계피, 소목 순으로 높은 수율을 얻을 수 있었다. 생약재에 여러가지 효소를 이용한 가수분해 결과, 대부분의 생약재에 대해 95$^{\circ}C$에서 2시간동안 추출한 수율과 그다지 큰 차이는 보이지 않았지만 대부분의 생약재가 Termamyl 효소를 사용하여 가수분해하였을 때 가장 높은 수율을 나타내었다. 또한 지유의 경우는 Viscozyme 효소를 처리하였을 경우 가장 좋은 수율을 나타내었다. 또한, 효소의 최적 온도로 조정한 Water bath에서 0, 30, 60, 120, 210분간 효소 반응 시켜, 420nm에서 갈변도를 시간별로 측정해본 결과, Viscozyme 효소를 처리한 생약재에서 시간이 흐름에 따라 흡광도 수치의 변화가 크게 나타났다. 32종의 생약재 물 추출물의 항고혈압 활성을 측정한 결과, 파고지, 소목, 죽엽의 항고혈압 활성이 높은 것으로 나타났으며, 파고지의 효과가 가장 우수한 것으로 나타났다. 10%에탄을 추출물의 경우에는 오미자, 오수유, 소목에서 항고혈압 활성이 높은 것으로 나타났으며, 오미자의 효과가 가장 우수한 것으로 나타났다. 파고지 물 추출물을 칼럼(Sephacryl S-300, High Resolution)으로 분획하여 3개의 Peak를 얻었으며, 2번째 Peak의 항고혈압 활성이 매우 높은 것으로 나타났다.

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Variation Measurement and Analysis of Jitter and Shimmer Parameter Value by Hemodialysis in Diabetic and Hypertensive (당뇨 및 고혈압 환자에서 혈액투석에 따른 Jitter와 Shimmer 요소값 변화 측정 및 분석)

  • Kim, Bong-Hyun;Cho, Dong-Uk
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.36 no.7B
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    • pp.834-840
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    • 2011
  • Chronic diseases is being increased attention to threatening the elements healthy life of elderly population in modem society. Especially, Chronic diseases caused by diabetes and hypertension is destroyed kidney. In this case, subjective symptom is not little. So if health is worsened, hemodialysis, artificial organs, transplant an organ etc. should be treated as a dangerous diseases. Therefor, a patients receiving hemodialysis of diabetes and hypertension studied on the effects to regularity of amplitude and rate vibration of vocal cords in hemodialysis in this paper. To do this, a diabetic and hypertensive patients don't have a problem with pronunciation selected as of the subjects and their voices collected before and after hemodialysis. We studied on the effects of voice analysis to apply regularity of amplitude and rate vibration of vocal cords. In conclusion, we extracted a result that voice after than before hemodialysis is relatively low in voice measures values a regularity of amplitude and rate vibration of vocal cords.