• 전기의세계
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• 제23권5호
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• pp.47-53
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• 1974

The electrical cardiac pacemaker model described in this paper simulates the most important functional properies of cardiac pacemaker cells. It is a minimum-parameter model which has a simple relaxation oscillator circuit as its main element. The electrical cardiac pacemaker model is analyzed in detail in order to show that its characteristic is similar to that of cardiac pacemaker cells. The main feature of the model is the possibility of controlling the time course phase 4 depolarization, the threshold level and the maximum level of repolarization, the rate of cardiac pacemaker. Emphasis is placed on phenomena of acceleration and frequency entrainment. This particular pacemaker model is very useful for the study of interactions between cardiac pacemakers and the description of the mechanism of arrhythmias.

• Journal of Chest Surgery
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• 제20권1호
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• pp.191-194
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• 1987

Exposure of the cardiac pacemaker is still a difficult problem associated with high morbidity. Grossly infected pacemaker systems had been required removal and insertion of a new system. It would highly desirable to develop a new method that could salvage an exposed well functioning unit because cardiac pacemaker is very expensive. We have experienced one patient with exposed well functioning cardiac pacemaker, which was relocated to contralateral subpectoral pocket and healed without complication. This relocation of the pacemaker to subpectoral pocket is less simple, expensive and should be considered as an alternative to complete replacement of unit.

• Journal of Chest Surgery
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• 제10권2호
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• pp.219-225
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• 1977

Pacemaker therapy has been established as a routine procedure in a variety of disturbances of :cardiac rhythm. Cardiac pacing has greatly reduced the mortality rate in patients suffering from bradyarrhythmias complicated by Stokes-Adams attacks. However, in spite of the simplicity of the treatment and reliability of the devices available today, patients and physicians alike are invovled in a multitde of pacemaker specific problems. Clinical experience with permanent transvenous pacing during a 3 year period is presented. A total of 20 pacemaker operations were performed in 13 patients. The complications in our 20 pacemaker operations were headed by skin ulceration of 3 generator pockets and early dislocation of 3 electrodes. In an additional 2 patient, stimulation of diaphragm due to a position of electrode in the coronary sinus was noticed in one and battery failure of pulse generator was detected in the other. Literatures were reviewed.

• Journal of Chest Surgery
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• 제17권1호
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• pp.125-128
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• 1984

The management of the exposed cardiac pacemaker or its lead is a new challenge to the plastic surgeon. This complication is not rare. Coburn et al. [1972] reported less than 5 percent, but Sowton et al. [1974] showed that over a period of 19 years, in a series of 372 patients, the pacing system had to be removed because of local wound breakdown or infection in 10 percent of the cases. The methods used to treat exposure may vary from removal and re-introduction at anterior site to the rotation of local flaps to cover the exposed pacemaker. Recently we have experienced 6 times of migration and recurrent skin ulcerations without pyogenic infection overlying the pacemaker in one patient. We developed a new technique, anchoring the pacemaker to the clavicle by a wire through the hole of clavicle and by creating a pocket under the pectoralis major muscle. Then we would like to emphasize this operating method could be choice of treatment to prevent the migration of pacemaker and the ulceration of skin when complication of implantation of pacemaker is occurred.

• Journal of Chest Surgery
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• 제14권2호
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• pp.168-174
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• 1981

Since cardiac pacemaker was first totally implanted by Chardack, Gage and Greatbatch [1966], the electrical circuity of the cardiac pacemaker has been improved, modified, and refined. The problem of transvenous electrodes, however, is still remained; this may be due to electrode displacement, exit and/or entrance block, lead fracture and insulation defects. In permanent cardiac pacing, Irreversible loss of function of the transvenous electrode catheter eventually requires insertion of new lead. Authors now report one case that disclosed easy displacement of electrode tip in early phase of implantation and then two years and five months later, malfunctioning electrode could not be withdrawn from the cardiovascular system because it has become firmly enclosed by fibrous tissue along its course from the vein tract to the right ventricle. Under such circumstances, the electrode catheter tip was left in tricuspid annulus after being sutured at its entrance and burying the loop of lead in generator pocket. New other one electrode was then reimplantation through left external jugular vein.

• Journal of Chest Surgery
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• 제16권2호
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• pp.190-198
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• 1983

The management of cardiac arrhythmias by cardiac pacing has increased greatly since the treatment of complete heart block with an external transcutaneous pacemaker in 1952, followed by the use of myocardial wires connected to an external pulse generation, by external transvenous pacing, and then by transvenous pacing with implantable components in thoracic wall.By now, the three bases of modern cardiac pacing for bradyarrhythmias had been established [1] an implantable device [2] the transvenous approach [3] the ability of the pacemaker to sense cardiac activity and modify its own function accordingly. In transvenous implantation of a pacemaker, any one of four vessels at the root of the neck is suitable for passage of the electrode - cephalic vein, external jugular vein, internal jugular vein, costo-axillary branch of the axillary vein. The new technique of direct puncture of the subclavian vein, either percutaneously or after skin incision only has been made, is invaluable & is used routinely. We have experienced one 25 years old patient who had rheumatic mitral stenosis & minimum aortic regurgitation with sinus bradycardia associated with premature atrial tachycardia & another 54 years old female patient who was suffered from sick sinus syndrome with sinus bradycardia & sinus arrest. The 1st patient was taken open mitral commissurotomy & aortic valvuloplasty and then was taken atrlal pace-maker implantation through If subclavian puncture method in post-op 14 days, and the second patient was taken atrial pacemaker implantation through If subclavian puncture method. Their postop course was in uneventful & were discharged, without complication. Their condition have been good to now.

• Radiation Oncology Journal
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• 제18권1호
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• pp.46-50
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• 2000

8년전 완전방실차단으로 심박조율기를 장착한 70세 여자환자에서 갑상선암에 의한 경부 종창에 의한 동통과 기관내 출혈로 인하여 경부 및 종격동에 고식적 방사선치료를 시행하였다. 저자들은 이에 대한 증레보고와 문헌고찰을 하고자 한다.

• 한국융합학회논문지
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• 제8권1호
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• pp.43-49
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• 2017

심장CT를 스캔하여 MAR알고리즘 적용 시 자체 제작한 Pacemaker삽입팬텀의 금속인공물 감소 정도를 비교 분석해 보았다. 에너지별 CT value를 비교한 결과 BKI에서 CT value의 증감이 있었으며 WSA에서 40 KeV의 경우 663.2%로 최대감소, BHA에서 140 KeV의 경우 56.2%로 최대로 증가 하였다. 또한, 70 KeV기준으로 인공물 형태별 CT value 비교결과 WSA에서 최대 약 145% 감소하였고, BHA에서는 최대 약 46.38%증가 하였다. MAR알고리즘 적용 은 에너지 변화 또는 인공물의 종류와 무관하게 금속 인공물 발생을 감소시켜주는 효과가 있어 Pacemaker삽입 후 심장CT로 추적검사 시 MAR알고리즘을 적용한다면 보다 질 좋은 심장CT 영상을 제공할 것으로 사료된다.

• 한국임상수의학회지
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• 제24권3호
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• pp.414-418
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• 2007

2.8살 된 암컷 비글종 개 (체중 11kg)가 운동 불내성과 간헐적인 실신증상을 보여 내원하였다. 청진상 불규칙하게 불규칙한 심장박동과 지속적인 맥박결손이 청진되었다. 심전도상에 3도 방실차단 소견이 관찰되었다. 환자는 임상증상 개선을 위하여 경정맥을 통한 영구적인 박동조절기(pacemaker)를 장착하였다. 그 결과 환자는 더 이상 실신증상을 보이지 않았고 주인과 함께 산책을 나갈 수 있을 만큼 임상증상이 개선되었다. 현재까지 박동조절기 장착과 관련된 합병증 없이 잘 생존하고 있다.

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2008년도 춘계학술대회
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• pp.90-90
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• 2008