• Title/Summary/Keyword: Cardiologist

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Estimation of Supply and Demand for Cardiologists in Korea

  • Mira Kim;Kyunghee Chae;Ju Mee Wang;Arum Choi;Jang-Whan Bae;Keon-Woong Moon;Sukil Kim
    • Korean Circulation Journal
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    • v.54 no.1
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    • pp.1-12
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    • 2024
  • Background and Objectives: The objective of this study was to estimate the supply and demand for cardiologists in Korea and provide evidence for healthcare policy to ensure a stable and adequate workforce for optimal cardiovascular disease management. Methods: Past trends of inflow and outflow of cardiologists were used to make crude projections, which were then adjusted based on demands of services to obtain final projections. Inflow of cardiologists was estimated using second-order polynomial regression and demand for cardiology care was estimated using linear regression. Results: There were 1,139 active cardiologists who were under the age of 65 in clinical practice in Korea. The estimated number of cardiologists from 2022 to 2040 showed that the number of cardiologists would peak at 1,344 in 2032 and gradually decrease thereafter. We also estimated an increase of 947,811 cases of heart-related procedures annually from 2023 to 2032. The number of heart-related procedures per cardiologist would increase 1.4 times from 12,964 in 2023 to 17,862 in 2032. The estimated number of emergency patients per cardiologist under 50 years old would almost double from 544 in 2022 to 987 in 2032. Conclusions: We expect significant shortage of cardiologists in Korea within the next 10 years. The number of emergency patients per cardiologist will increase by nearly 50%, leading to high individual workload for cardiologists. To prevent this imbalance between supply and demand, an organized and collective approach by the specialty of cardiology is imperative to produce a balanced workforce.

P wave Detection Algorithm using Cardiologist's Estimation Method (전문가의 추론방법을 이용한 P파 검출 알고리즘)

  • Lee, Gee-Yeon;Hwang, Sung-Oh;Yoon, Young-Ro;Yoon, Hyung-Ro
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.05
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    • pp.186-189
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    • 1995
  • This paper performed P wave detection algorithm for diagnosis in according to method of cardiologist's P wave detection. We used correlation pattern matching for prominent P waves and P-P interval estimation for ambiguous P waves. Results of this study indicate that this algorithm has potential for improving P wave detection performance.

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DECREASE OF OXYGEN SATURATION DURING DENTAL TREATMENT UNDER GENERAL ANESTHESIA OF DOWN SYNDROME PATIENT WITH CONGENITAL HEART DISEASE -A CASE REPORT- (선천성 심장질환을 가진 다운증후군환자에서 치과치료를 위한 전신마취 시 산소포화도 하강 -증례보고-)

  • Seo, Kwang-Suk;Chang, Ju-Hea;Shin, Teo-Jeon;Kim, Hyun-Jeong
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.5 no.1
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    • pp.18-22
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    • 2009
  • A 26-year-old female patient with Down syndrome visited to recieve dental treatment under gnenral anesthesia 6 years ago. The patient had difficulties in oral examination, radiograph taking and laboratory test. The patient had congenital heart disease and medical consultation based on the echocardiography was provided by a cardiologist indicating that the patient could tolearte general anesthesia during dental treatment. And two times of general anesthesia were administered during a dental treament with the interval of 3 years and no postoperpative complicaton was reported. At the third dental operation, the patient had a relatively good condition and her prescreening test revealed no abnormalities. Without further consultation with a cardiologist, general anesthesia was administered to the patient. Anaesthesia was based on thiopental and ventilation of desflurane and $N_2O$ in oxygen via an endotracheal tube with an appropriate monitoring. During the maintenance of anesthesia, the blood pressure of the patient started to drop and the oxygen saturation also began to decrease. Consequently, the proceding operation was discontinued and also inhalation anesthesia was ceased. As the patient was recovered from anesthesia, her systemic conditions were alleviated. After the complete recovery of the patient, she visited the cardiologist, and the cardiologic test revealed her severe right ventricular dilatation. In the anesthesia of patients with congenital heart disease, information on their systemic conditions needs to be undated from the medical consultation, which assures the safety of treatment.

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Insertion Path Extraction of Catheter for Coronary Angiography (관상동맥 조영술을 위한 카테터 삽입 경로 추출)

  • Kim, Sung-Hu;Lee, Ju-Won;Kim, Joo-Ho;Lee, Han-Wook;Jung, Won-Geun;Lee, Gun-Ki
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.4
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    • pp.951-956
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    • 2011
  • Coronary angiography technology is usually used for examining or treating coronary artery stenosis. Especially, when a cardiologist inserts catheter into the heart blood vessel, the catheter path detection system is needed because the cardiologist has difficulty in not damaging vessel. Recently, to reduce this difficulty, many searchers have been working for the various image processing technologies, such as vessel edge detection, optimal threshold method, etc. However the results of these searches are showing different performances depend on the contrast and quality of images. Therefore, this study for the coronary angiography suggests a novel algorithm to avoid these problems. The suggested algorithm consists of multi-sampling, interpolation, threshold method, and fault points elimination. To evaluate the performance of the proposed method, we used several angiographic images in experimentation, and we found that the proposed method is effective for detecting the catheter insertion path.

Benign Arrhythmias in Infants and Children (소아에서 치료가 필요 없는 부정맥)

  • Ko, Jae Kon
    • Clinical and Experimental Pediatrics
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    • v.48 no.1
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    • pp.1-5
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    • 2005
  • Pediatricians often encounter some electrocardiographic abnormalities in infants and children. However, treatment or referral to pediatric cardiologist is not indicated for all arrhythmias. Many of them are benign in nature. Benign arrhythmias can be defined as the arrhythmias that no serious problem currently exists and no treatment is needed. The prognosis of benign arrhythmias is so good that the condition will never be associated with future health problem. However, some of them are benign now, but have potential for variable degrees of change to a nonbenign condition and some form of follow-up is required. For the appropriate management of electrocardiographic abnormalities, not infrequently seen in infants and children, correct diagnosis of abnormal electrocardiogram and understanding of characteristics of arrhythmias are required.

Development of Portable Arrhythmia Monitor Using Microcomputer ( II ) (마이크로 컴퓨터를 이용한 휴대용 부정맥 모니터의 개발(II))

  • Lee, Myoung-Ho;Ahn, Ja-Bong;Park, Jang-Choon
    • Journal of Biomedical Engineering Research
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    • v.10 no.3
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    • pp.351-360
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    • 1989
  • This paper describes the design of portable arrhythmia monitor and associated algorithm for automated diagnosis based-on microcomputer in the ambulatory ECG recording, analysis, and transmitting to a hospital host computer immediately through the telephone system. The device differs from Molter recorder in that it does not store normal ECG signals but captures and alarms the ECG during suspected abnormal periods and selected temporal epochs to a central hospital site. This porta file arrhythmia monitor makes use of a general purpose computer and software will be changed to meet the custom requirements of individual physicians and patients. At present it is very obvious that each cardiologist has his own method of analyzing ECG recordings and utilizes past experience more than the firm quantitative analysis of data.

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Heart Extraction and Division between Left and Right Heart from Cardiac CTA

  • Kang, Ho Chul
    • International Journal of Internet, Broadcasting and Communication
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    • v.9 no.4
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    • pp.19-24
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    • 2017
  • In this paper, we propose an automatic segmentation method of left and right heart in computed tomography angiography (CTA) using separating energy function. First, we smooth the images by applying anisotropic diffusion filter to remove noise. Then, the volume of interest (VOI) is detected by using k-means clustering. Finally, we extract the left and right heart with separating energy function which we proposed to split the heart. We tested our method in ten CT images and they were obtained from a different patient. For the evaluation of the computational performance of the proposed method, we measured the total processing time. The average of total processing time, from first step to third step, was $14.39{\pm}1.17s$. We expect for our method to be used in cardiac diagnosis for cardiologist.

Assessment of Prognosis and Risk Stratification in Coronary Artery Disease (관상동맥질환의 예후 및 위험도 평가)

  • Lim, Seok-Tae
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.3
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    • pp.222-228
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    • 2009
  • Risk stratification and assessment of prognosis in patients with known or suspected CAD is of crucial important for the practice of contemporary medicine. Noninvasive testing such as myocardial perfusion scintigraphy, coronary artery calcium scoring or CT coronary angiography is increasingly being used to determine the need for aggressive medical therapy and to select patients for catheterization. The integrated anatomic and functional information may provide more additional information for the cardiologist or other clinician by the improved risk stratification and diagnostic accuracy of integrated techniques. The development of SPECT/CT or PET/CT hybrid systems is therefore of important value for the nuclear cardiology.

ECG Telemetry System by Mobile Communication (이동통신망을 이용한 원격 심전도 시스템)

  • Gu, Ja-Heon;Seo, Hee-Don;Park, Jun-Hong
    • Proceedings of the KIEE Conference
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    • 2002.11c
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    • pp.15-18
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    • 2002
  • This paper presents an ECG (electrocardiogram) telemetry system, in which patients can be monitored in nearly any environment by mobile communication. The ECG is transmitted to a monitor center via a built-in CDMA modem and forwarded to a cardiologist for diagnosis. Also this paper designed and implemented the receiving server which receives the ECG from the ECG aquisition module of patients by Internet. The server puts the ECG into a database. This telemetry system significantly increases the patient's safety and comfort.

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The imaging of 128 channels cardiac activation signal (128채널 심장전기도 신호의 영상화)

  • Han, Young-Oh
    • The Journal of the Korea institute of electronic communication sciences
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    • v.5 no.2
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    • pp.133-137
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    • 2010
  • In this study, The imaging of 128 channels cardiac activation signal is implemented. It is performed within one minutes and very useful in open-heart operation with analysis in a short time. Especially the keeping of data and the moving of system is facility because it was implemented with being based on PC. The cardiologist can call data and analysis them anytime after a surgery.