• The Journal of the Korean life insurance medical association
• /
• v.7 no.1
• /
• pp.180-188
• /
• 1988

A study on the standard cardiothoracic ratio calculated from the photofluorography film of chest in a total of 8,030 insured persons(3,449 men and 4,581 women) was undertaken. The results were as follows: 1) The linear regression equations were formed from the 99% confidence ilmits of actually measured average cardiothoracic ratio by weight index. The cardiothoracic ratios by weight index estimated by above mentioned equations, namely theoretic values of cardiothoracic ratio, should be regarded as the standard cardiothoracic ratios. 2) It seems that the standard cardiothoracic ratio${\pm}10%$ deviation should be regarded as the normal limits of cardiothoracic ratio. 3) The tables of standard cardiothoracic ratio by weight index and the normal limits of cardiothoracic ratio by weight index were presented. 4) The average weight index and cardiothoracic ratio in all males and females were 0.993 and 43.3%, and 0.997 and 46.3% respectively. 5) In order to evaluate the cardiothoracic ratio more accurately, the establishment of the standard cardiothoracic ratio by build is considered to be reasonable.

• The Journal of the Korean life insurance medical association
• /
• v.3 no.1
• /
• pp.219-232
• /
• 1986

A study on establishment of normal range of cardiothoracic ratio calculated from photofluorography film of chest by age and sex in a total of the 6,598 insureds was undertaken. The results were as follows: 1. In male group, the frequency distribution of cardiothoracic ratio was skewed weakly to the right in second decade, symmetrical in third and fourth decade, and was skewed weakly to the left in fifth and sixth decade; in female group, it was skewed weakly to the left in second, third and fourth decade, and was skewed weakly to the right in fifth and sixth decade. 2. On assumption that normal range of cardiothoracic ratio should comprise about 85% of all cardiothoracic ratios in each age group of both sexes, the sites of deviation from mean value of cardiothoracic ratio corresponding to maximum and minimum cardiothoracic ratio in the range of about 85% above mentioned were detected by statistical method on the frequency distribution of log tranformed cardiothoracic ratio, and $M{\pm}1.3$ sindicating normal range of cardiothoracic ratio was determined. In male group, normal range of cardiothoracic ratio determined by statistical method is 35-45%, 40-50%, 40-50%, 40-50% and 40-50% succesively in order from second to sixth decade; in female group, 40-50%, 40-50%, 40-50%, 45-55% and 45-55%.

• The Journal of the Korean life insurance medical association
• /
• v.2 no.1
• /
• pp.152-181
• /
• 1985

A statistical analysis on the cardiothoracic ratio in insurance medicine was carried out for 5,200 insured persons who were medically examined including photofluorography of the chest at the Honam medical department, Dong Bang life insurance Company, Ltd from November, 1979 to August, 1984. The results were as follows: 1. The mean value of the cardiothoracic ratio in all of the insured was $44.2{\pm}4.3%$. The mean value of the cardiothoracic ratio was $43.1{\pm}4.1%$ in all males and $45.2{\pm}4.2%$ in all females, and the difference of the values between males and females showed statistical significance(P<0.001). In each age group, the mean value of the cardiothoracic ratios of female was higher than that of male without exception and the difference of the values between males and females showed statistical significance(P<0.001). The mean value of the cardiothoracic ratio showed gradual increase with age from the second to sixth decade in male(P<0.05 or 0.001 after fourth decade) and from the second to seventh decade in female(P<0.05 or 0.001 from the second to sixth decade). 2. Correlation between both sexes and among age groups relating to the cardiothoracic ratios of the insureds seen to be a physiological phenomenon of the cardiac size and should be considered on the rating of the cardiothoracic ratio. Based on the correlation above mentioned and an author's assumption that the incidence of normal and abnormal cardiothoracic ratios in each age group would show the same rate in male and female, author prepared a modified rating table from the existing table; in male group the existing rating table is used and in female group the ratings of 0, 30-50, 50-100 and 100-D are to calculate by the cardiothoracic ratio of 51%or under, 52-56%, 57-61% and 62% or over respectively in the age group below 39, by the cardiothoracic ratio of 52% or under, 53-57%, 58%-62% and 63% or over respectively in the age group of 40-49, by the cardiothoracic ratio of 53% or under, 54-58%, 59-63% and 64% or over respectively in the age group over 60. 3. The relative frequency distribution polygons of the cardiothoracic ratio of both sexes drawn in a pair on one coordinate plane revealed lying in juxtaposition each other horizontally and showed the shifting of females polygon to male's one toward the direction of greater value of the cardiothoracic ratio at a short distance which increased gradually with age. 4. The minimum cardiothoracic ratio was 31.2% and the maximum cardiothoracic ratio was 63.6% in all of the insured. 5. In each age group, no significant sex difference was found in the relative frequency distribution of ratings by the cardiothoracic ratios of 5,200 insureds by using the rating table modified by author, while significant sex difference was found by using the existing rating table.

• The Journal of the Korean life insurance medical association
• /
• v.7 no.1
• /
• pp.170-179
• /
• 1988

A study on the change of cardiothoracic ratio by age calculated from photofluorography film of chest in a total of the 8,115 insureds was undertaken. The results were as follows: 1. The incidence of cardiothoracic ratio of high value increased gradually with age. 2. At the same build, the average cardiothoracic ratio increased gradually with age. 3. Larger the build index was, the incidence of higher cardiothoracic ratio increased. 4. It seemed that the change of cardiothoracic ratio by age was influenced mainly by age and build(the change of build by age) from $18{\sim}19$ to $40{\sim}49$ age group and by age itself in $50{\sim}59$ age group and over. 5. The average cardiothoracic ratio of $30{\sim}39$ age group in male or female was approximate to that of all ages group respectively.

• Journal of radiological science and technology
• /
• v.27 no.4
• /
• pp.43-48
• /
• 2004

The purpose of this study is to measure cardiothoracic ratio and to report the opinions on it, targeting 500 persons who were conducted simple chest radiography, in terms of clinical symptom, by visiting a medical examination center for S university hospital. As to the general characteristic of 500 research targets, it comprised 263 persons (52%) for males and 237 persons (48%), and the average age is 49.4. Out of 500 persons, it showed 125 persons (25%) in their thirties, 125 persons (25%) in their forties, 125 persons (25%) in their fifties, and 125 persons (25%) in their sixties. 1. In terms of the wholly 500 targets, the average value of cardiothoracic ratio was 0.48, and the average cardiothoracic ratio showed 0.45 in their thirties, 0.46 in their forties, 0.50 in their fifties, and 0.53 in their sixties. 2. The minimum value of cardiothoracic ratio was 0.33, and its maximum value was 0.70, and it showed 319 persons (63.8%) as to a case lower than 0.5, which is a normal value, and 181 persons (36.2%) as to a case more than 0.5, which is a normal value. 3. Among 181 persons who showed cardiothoracic ratio higher than normality, it showed 17 persons (9.4%) in their thirties, 22 persons (12%) in their forties, 54 persons (30%) in their fifties, and 88 persons (49%) in their sixties. 4. The average for the internal diameter (ID) of thorax was 141.8 mm, 229.6 mm at the minimum, and 353.5 mm at the maximum. 5. The average for the maximum transverse diameter of right side of the heart (MRD) was 48.0 mm, 4.95 mm at the minimum, and 84.5 mm at the maximum. The average for the maximum transverse diameter of left side of the heart (MLD) was 93.5 mm, 56.7 mm at the minimum, and 138.5 mm at the maximum. 6. The average for TD (MRD+MLD) of the heart was 292.6 mm, 96.6 mm at the minimum, and 199.2 mm at the maximum. 7. The average of cardiothoracic ratio (MRD+MLD/ID) was 0.48, 0.33 at the minimum, and 0.70 at the maximum.

• Journal of Chest Surgery
• /
• v.32 no.1
• /
• pp.22-26
• /
• 1999

Background: Treatment of adult patent ductus arteriosus(PDA) has many difficulty such as pulmonary hypertension, arterial wall calcification, aneurysmal chage of ductus. We tried to evaluate the effect of surgical interruption of PDA on postopeative change of heart size. Material and Method : From 1987 to 1997 we experienced 30 cases of the ligation of patent ductus arteriosus in adult at the department of cardiovacular surgery in Masan Samsung General Hospital. Result: There were 9 males and 21 females and their ages ranged from 16 to 44 years, with a mean age of 26.1 years. 15 patients had pulmonary hypertension and 9 patients complained of dyspnea with a degree of functional NYHA class III. Operation method was double or triple ligation using Teflon felt. Postoperative complications were wound dehiscence in 3 patients and transient hoarseness in 1 patient. The mean preoperative cardiothoracic ratio was 54.7%, and mean postoperative cardiothoracic ratio was 51.9%. The change of cardiothoracic ratio was more typical in the cases who had congestive heart failure. Their mean preoperative cardiothoracic ratio was 64.8% and the mean postoperative cardiothoracic ratio was 58.5% there was no postoperative deaths. Conclusion: We canclude that the improvement in cardiothoracic ratio may result from surgical intervention of PDA.

• Journal of Korean Critical Care Nursing
• /
• v.8 no.2
• /
• pp.1-12
• /
• 2015

Purpose: The study sought to determine the state of blood glucose control, and the consequent clinical effects and variation in blood glucose level, of adult patients admitted to intensive care units following cardiothoracic surgery by comparing the blood glucose levels before and after the application of a blood glucose control protocol. Methods: The protocol was developed by modifying and supplementing the Yale protocol, and was first used in 2012. The resulting blood glucose data of an experimental group (n = 314), to which the blood glucose control protocol had been applied, and a control group (n = 347), whose blood glucose levels had been controlled according to physicians'prescriptions without the protocol, were collected through the medical records. Results: The target blood glucose ratio increased significantly in the experimental group, and the low blood glucose ratio decreased significantly in the experimental group. The two groups exhibited a significant difference (p < .001) in the degree of variation in the blood glucose levels. The duration of the use of a ventilator was significantly reduced in the experimental group (p < .001). Conclusion: It is expected that the protocol can be used for the safe and effective control of critically ill cardiothoracic surgery patients' blood glucose levels.

• Korean Journal of Radiology
• /
• v.19 no.6
• /
• pp.1031-1041
• /
• 2018

Objective: To compare image quality and radiation dose of high-pitch dual-source spiral cardiothoracic computed tomography (CT) between non-electrocardiography (ECG)-synchronized and prospectively ECG-triggered data acquisitions in young children with congenital heart disease. Materials and Methods: Eighty-six children (${\leq}3$ years) with congenital heart disease who underwent high-pitch dual-source spiral cardiothoracic CT were included in this retrospective study. They were divided into two groups (n = 43 for each; group 1 with non-ECG-synchronization and group 2 with prospective ECG triggering). Patient-related parameters, radiation dose, and image quality were compared between the two groups. Results: There were no significant differences in patient-related parameters including age, cross-sectional area, body density, and water-equivalent area between the two groups (p > 0.05). Regarding radiation dose parameters, only volume CT dose index values were significantly different between group 1 ($1.13{\pm}0.09mGy$) and group 2 ($1.07{\pm}0.12mGy$, p < 0.02). Among image quality parameters, significantly higher image noise ($3.8{\pm}0.7$ Hounsfield units [HU] vs. $3.3{\pm}0.6HU$, p < 0.001), significantly lower signal-to-noise ratio ($105.0{\pm}28.9$ vs. $134.1{\pm}44.4$, p = 0.001) and contrast-to-noise ratio ($84.5{\pm}27.2$ vs. $110.1{\pm}43.2$, p = 0.002), and significantly less diaphragm motion artifacts ($3.8{\pm}0.5$ vs. $3.7{\pm}0.4$, p < 0.04) were found in group 1 compared with group 2. Image quality grades of cardiac structures, coronary arteries, ascending aorta, pulmonary trunk, lung markings, and chest wall showed no significant difference between groups (p > 0.05). Conclusion: In high-pitch dual-source spiral pediatric cardiothoracic CT, additional ECG triggering does not substantially reduce motion artifacts in young children with congenital heart disease.

• Journal of Chest Surgery
• /
• v.28 no.9
• /
• pp.829-836
• /
• 1995

Ninety-one adult patients underwent three different methods of annuloplasty and compared them by the amount of tricuspid regurgitation. Group I [n=17 is Kay method, Group II [n=46 is modified Kay method and Group III [n=28 is De Vega and modified De Vega method. Preoperative and postopeative size of the liver and its function, the cardiothoracic ratio, EKG and echocardiogram were analyzed. The follow up was done for all the patients [mean 20.0$\pm$ 8.5 months . The postoperative size of the liver, the postoperative cardiothoracic ratio and the postoperative systolic pressure of the right ventricle decreased significantly compared to preoperative size, ratio and pressure [p=0.0001, p=0.0001, p=0.0001 . But there were no differences between the groups. The results of annuloplasty revealed that tricuspid regurgitation improved postoperatively [p=0.0001 even though there was no statistically significant differences in relation to the methods of annuloplasty. The right ventricular systolic pressure and the amount of regurgitation decreased significantly during the postoperative period by performing 3 different methods of annuloplasty, although we could not find the differences between the three different methods.

• Journal of Chest Surgery
• /
• v.23 no.2
• /
• pp.236-244
• /
• 1990

To improve the prognosis of mitral valve replacement surgery, analysis and evaluation of pre and intra operative risk factors will be very much valuable. Author studied 205 cases of mitral valve replacement from Feb 1982 to June 1989 for the risk factors of hospital death. 90 patients were male and 115 were female, and age was from 16 to 59 years, Mitral stenosis dominant lesions were 91 cases and regurgitation 114. Suspected risk factors were NYHA functional class, cardiothoracic ratio, implanted valve type and size, operation time, age and sex, thrombus in left atrium, atrial fibrillation, aortic cross clamping time, left ventricular end diastolic and systolic dimension, nephropathy, hepatopathy and respiratory insufficiency. Statistic analysis was performed by X2 test between survivors and death group. Statistical significances as pre and intraoperative risk factors of hospital death after mitral valve replacement were confirmed in those presence of AF on the EKG, NYHA functional class[>IV], cardiothoracic ratio[>70%], and implanted valve size[>33mm]