• Title/Summary/Keyword: Cardiac activity

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A Combined QRS-complex and P-wave Detection in ECG Signal for Ubiquitous Healthcare System

  • Bhardwaj, Sachin;Lee, Dae-Seok;Chung, Wan-Young
    • Journal of information and communication convergence engineering
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    • v.5 no.2
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    • pp.98-103
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    • 2007
  • Long term Electrocardiogram (ECG) [1] analysis plays a key role in heart disease analysis. A combined detection of QRS-complex and P-wave in ECG signal for ubiquitous healthcare system was designed and implemented which can be used as an advanced warning device. The ECG features are used to detect life-threating arrhythmias, with an emphasis on the software for analyzing QRS complex and P-wave in wireless ECG signals at server after receiving data from base station. Based on abnormal ECG activity, the server will transfer alarm conditions to a doctor's Personal Digital Assistant (PDA). Doctor can diagnose the patients who have survived from cardiac arrhythmia diseases.

A Case of Interarytenoid Scar Disguising Bilateral Vocal Cord Palsy (양측성 성대 마비로 오인된 피열간 반흔 1예)

  • Shin, Dong-Hyuk;Kim, Yong Won;Lee, Yongsik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.25 no.1
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    • pp.36-38
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    • 2014
  • The patient suffered cardiac arrest 8 months before presentation. She has been suffering hoarseness and exertional dyspnea and nocturnal stridor. Upon flexible laryngoscopy, her vocal cords showed no motion and fixed in paramedian position. There was no causal finding on neck CT. EMG showed some muscular activity. Under the suspicion of crico arytenoid fixation, we performed suspension laryngoscopy, and found the arytenoid cartilage was fixed with short and stout scar, which was removed with scissors. Just after surgery she regained her voice and respiration.

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Tandem Repeats (CCTTT)n in the Promoter of iNOS Gene in Korean Genome

  • Baek, Sun-Ah;Yoo, Min
    • Biomedical Science Letters
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    • v.15 no.2
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    • pp.167-170
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    • 2009
  • Nitric oxide is an important factor to regulate the biochemical reactions in the body such as expansion of blood vessel, neural conduction and antimicrobial activity. There are two forms of nitric oxide synthase and iNOS has attracted most attention because it is involved in the development of diabetes and cardiac disease condition. There are several regulatory sequences in the promoter region of iNOS gene. One of them is (CCTTT)n. It has been reported that the number of tandem repeat of (CCTTT)n varies from population to population. So, we analyzed (CCTTT)n polymorphism in Korean genome for the purpose of comparison. According to our present study Koreans are different from other Asians reported previously because $(CCTTT)_{10}$ is the highest incidence as opposed to $(CCTTT)_{12}$ for other countries. This study should facilitate the understanding of the expression of iNOS gene in different population.

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Modulation of Cardiac ATP-Sensitive $K^+$ Channels Via Signal Transduction Mechanisms During Ischemic Preconditioning

  • Han, Jin;Kim, Nari;Seog, Dae-Hyun;Kim, Euiyong
    • Journal of Life Science
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    • v.12 no.1
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    • pp.33-42
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    • 2002
  • In several species, a short period of ischemic preconditioning protects the heart by reducing the size of infarcts resulting from subsequent prolonged bouts of ischemia. The mechanism by which activation of ATP-sensitive $K^+$($K_ATP$) channels could provide the memory associated with ischemic preconditioning is still under debate. Several signal transduction pathways have been implicated in the mechanisms of protection induced by ischemic preconditioning. The exact receptor-coupled pathways involved in preconditioning remain to be identified. Likely extracellular agonists are those whose circulating levels increase under conditions that activate $K_ATP$ channels; these conditions include ischemia and ischemic preconditioning. Potential physiological agonists include the following: (1) nitric oxide; (2) catecholamine; (3) adenosine; (4) acetylcholine; (5) bradykinin and (6) prostacycline. The purpose of this review was to understand the mechanism by which biological signal transduction mechanism acts as a link in one or more known receptor-mediated pathways to increase $K_ATP$ channel activity during ischemic preconditioning.

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A Clinical Study of the Funnel Chest: Report of 14 Cases (누두흉의 임상적 고찰-14례 보고-)

  • 이상호
    • Journal of Chest Surgery
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    • v.15 no.1
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    • pp.21-26
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    • 1982
  • Fourteen cases of funnel deformity, 11 were male and the others female, treated over a eleven-year period, are presented. The overall results with the methods described by the authors, Wada, Shannon, Adkins and Ravitch appear to be excellent. The symmetric depression was more common In children under the age of 12 years and asymmetric one Increased after the age of 12. Six cases of abnormal cardiac auscultatory findings revealed no consistent hemodynamic abnormalities. An 21-year-old female was associated with left lung agenesis and dextroversion of the heart, and a 6-year-old boy with congenital bronchogenic cyst who underwent right upper lobectomy. EKG changes associated with the anomaly were observed in all. Pulmonary function test showed the range from normal to moderate restriction which did not Improve in only one patient after operation, but the patient did not complain any restriction In activity. Some transient complications were developed which resulted in improvement.

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Ultrasonic Measurement of Tissue Motion for the Diagnosis of Disease

  • Beach Kirk W.
    • International Journal of Vascular Biomedical Engineering
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    • v.1 no.1
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    • pp.3-12
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    • 2003
  • Ultrasonic pulsed Doppler velocimetry has become a standard international method of classifying carotid disease. Because the measured angle adjusted velocity increases as the Doppler angle increases, examinations should be performed at a convenient standard Doppler examination angle. An angle of 60 degrees is achievable throughout most examinations. Multiple Doppler viewing angles allow the acquisition of velocity vectors during the cardiac cycle, revealing the complex velocity patterns. Ultrasonic velocimetry (whether Doppler or time domain) is based on changes in the phase of the ultrasound echo. Other examinations can be done based on the echo phase. Slow motions of organs such as the brain can be used to monitor changes in edema. Measurements of tissue strain due to the pulsatile filling of the arterioles. This plethysmographic imaging method can display differences in tissue perfusion because of different tissue types and changes in autonomic activity.

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A Study on Real Time Automatic Diagnosis of Arrhythmias (실시간 부정맥 자동진단에 관한 연구)

  • Shin, Ho-Yong;Shin, Kun-Soo;Lee, Byung-Chae;Lee, Myoung-Ho
    • Proceedings of the KIEE Conference
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    • 1987.07b
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    • pp.1276-1279
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    • 1987
  • Cardiac arrhythmias are associated with electrical Instability and, hence, with abnormal mechanical activity of the heart in many cases, arrhythmias can be treated with drugs or electric shock to control and/or stop them. Hence fast arrhythmia detection is very important. In this paper RR interval, QRS width, and morphology are used for diagnosis and QRS complex is detected by hardware system. hence diagnosing time is shorten. Moreover doctors or nurses who have little knowledge of computer manipulation can get the Information of Patient's ECG by showing characteristics of abnormal waveform and by mapping graphs of RR interval .vs. QRS width and RR interval .vs. morphology on screen.

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Maintenance of cellular tetrahydrobiopterin homeostasis

  • Kim, Hye-Lim;Park, Young-Shik
    • BMB Reports
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    • v.43 no.9
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    • pp.584-592
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    • 2010
  • Tetrahydrobiopterin (BH4) is a multifunctional cofactor of aromatic amino acid hydroxylases and nitric oxide synthase (NOS) as well as an intracellular antioxidant in animals. Through regulation of NOS activity BH4 plays a pivotal role not only in a variety of normal cellular functions but also in the pathogenesis of cardiovascular and neurodegenerative diseases, which develop under oxidative stress conditions. It appears that a balanced interplay between BH4 and NOS is crucial for cellular fate. If cellular BH4 homeostasis maintained by BH4 synthesis and regeneration fails to cope with increased oxidative stress, NOS is uncoupled to generate superoxide rather than NO and, in turn, exacerbates impaired BH4 homeostasis, thereby leading to cell death. The fundamental biochemical events involved in the BH4-NOS interplay are essentially the same, as revealed in mammalian endothelial, cardiac, and neuronal cells. This review summarizes information on the cellular BH4 homeostasis in mammals, focusing on its regulation under normal and oxidative stress conditions.

Early Surgical Intervention of Active Infective Endocarditis (심내막염 환자의 수술적 치료)

  • 박국양
    • Journal of Chest Surgery
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    • v.21 no.1
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    • pp.121-130
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    • 1988
  • During one year period from Sep. 1986 to Sep. 1987, we have experienced 6 cases of infective endocarditis requiring surgical interventions. All 6 patients had class IV or V cardiac disability at the time of surgery. The indication for surgery was rapidly progressive congestive heart failure in all cases. Four patients underwent aortic valve replacement including one double valve replacement. Two other patients required other surgical procedures, removal of large left atrial vegetation mass in one patient and excision of destroyed pulmonary valve and aortic vegetation in the other patient. Two patients died; one of mitral annulus rupture after release of aortic clamp and the other of mediastinal bleeding 3 months after replacement of aortic valve. Three out of 4 survivors are in NYHA Class I and the remaining patient is in Class II. We emphasize that early operative intervention is life-saving in patients with persistent or progressive congestive heart failure, irrespective of the activity of the infective process or the duration of antibiotic therapy.

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Assessing Methods of Heart Rate Variability (심박변이에 대한 평가방법)

  • Park, Ki-Jong;Jeong, Heejeong
    • Annals of Clinical Neurophysiology
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    • v.16 no.2
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    • pp.49-54
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    • 2014
  • Heart rate variability is significantly associated with cardiovascular complications in various neurological disorders with cardiac impairment. Measures of spontaneous heart rate variability might be different from provocating tests of heart rate variability such as deep breathing and Valsava maneuver. Methods for analysis are divided into time domain methods and frequency domain methods. There are standard deviation of NN interval, standard deviation of average NN interval, root mean square of the successive differences, NN50, and pNN50 in time domain methods. Frequency domain bands can be divided into very low, low, and high frequency. Each variables are influenced by sympathetic and/or parasympathetic activity.