• Title/Summary/Keyword: Coronary Artery Disease

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Influence of Health Empowerment, Spousal Support, and Post-traumatic Growth on Health Behavior in Patients with Coronary Artery Disease (관상동맥질환자의 건강 임파워먼트, 배우자지지, 외상 후 성장이 건강증진행위에 미치는 영향)

  • Jeong, Eun;Lee, Kyung Sim;Yang, Seung Kyoung;Cho, Jang Hyun
    • Journal of Korean Biological Nursing Science
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    • v.24 no.2
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    • pp.113-121
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    • 2022
  • Purpose: The purpose of this study was to identify influence of health behavior in patients with coronary artery disease. Methods: A cross-sectional descriptive design included 150 patients treated with percutaneous coronary intervention in S hospital in S city. Data were collected by using self-questionnaires July 5-August 26, 2021 and were analyzed by descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients, and multiple regression with SPSS 23.0. Results: Factors significantly influencing health behavior in patients with coronary artery disease were health empowerment (β = .48, p< .001), and post-traumatic growth (β = .20, p= .013). The explanatory power of related variables was 39%. Conclusion: Based on the this study, it was found that health empowerment and post-traumatic growth had a significant effect on the health behavior of patients with coronary artery disease. Thus, it is necessary to promote the health behavior of patients with coronary artery disease through the development of intervention programs to improve health empowerment and post-traumatic growth.

Contemporary Interventional Approach to Calcified Coronary Artery Disease

  • Jonathan Gabriel Sung;Sidney TH Lo;Ho Lam
    • Korean Circulation Journal
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    • v.53 no.2
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    • pp.55-68
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    • 2023
  • Calcific coronary artery disease is an increasingly prevalent entity in the catheterization laboratory which has implications for stenting and expected outcomes. With new interventional techniques and equipment, strategies to favorably modify coronary calcium prior to stenting continue to evolve. This paper sought to review the latest advances in the management of severe coronary artery calcification in the catheterization laboratory and discuss contemporary percutaneous interventional approaches.

Bilateral Coronary Artery-Pulmonary Artery Fistula - Reports of a Case- (양측 관상동맥-폐동맥간 동맥루 치험 1례)

  • 문경훈
    • Journal of Chest Surgery
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    • v.21 no.3
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    • pp.583-587
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    • 1988
  • Bilateral coronary artery-pulmonary artery fistula is very uncommon congenital heart disease which occupy small percentage of all coronary arterio-venous fistulas. We experienced a case who was 52 years old female with bilateral coronary artery-pulmonary artery fistula. She complained exertional dyspnea k angina[coronary steal syndrome]. On physical examination, any cardiac murmur was not audible. There was no 0y step-up in right heart catheterization. But selective coronary angiography revealed tortuous aberrant vessels which originated from the canal branch of the right coronary artery k the left anterior descending coronary artery. Both aberrant vessels traversed the right ventricular outflow tract, and conjoined just proximal the pulmonic annulus and drained into the main pulmonary artery. The operation was performed under the extracorporeal circulation with beating heart. The procedures were suture-ligation of the draining orifice in main pulmonary artery & the feeding vessels on the right ventricular outflow tract. Postoperatively her complaints were completely disappeared and the selective coronary angiography revealed no left-to-right shunt.

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Diagnosis of Coronary Artery Disease Using Myocardial Perfusion SPECT (심근 SPECT를 이용한 관상동맥질환의 진단)

  • Won, Kyoung-Sook;Kim, Hae-Won
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.3
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    • pp.196-202
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    • 2009
  • Myocardial perfusion scintigraphy is currently by far the most commonly performed cardiac nuclear study, constituting approximately one third of all nuclear medicine procedure. It plays an important role in the diagnosis, prognosis, risk assessment and management of heart disease. Aim of this review is to describe recent evolution of myocardial perfusion imaging on the focus of diagnosis of coronary artery disease. In addition, current status of other imaging modalities will be reviewed.

Genotype Distribution of the Mutations in the Coagulation Factor V Gene in the Korean Population: Absence of Its Association with Coronary Artery Disease

  • Hong, Seung-Ho
    • Animal cells and systems
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    • v.7 no.3
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    • pp.255-259
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    • 2003
  • Mutations in the factor Ⅴ gene are major risk markers for venous thrombosis. Several factors for blood coagulation have been related with cardiovascular disease. Ⅰ investigated genotype distribution for three mutations (G1691 A, A2379G and G2391 A) of the factor Ⅴ gene in the Korean population. Genotype frequencies were examined by polymerase chain reaction in 135 patients with coronary artery disease (CAD) and 116 healthy subjects. For the G1691A mutation (factor Ⅴ

Surgical Treatment of Unstable Angina; a Report of 11 Cases (불안정 협심증의 외과적 치험;11례 보고)

  • 최필조
    • Journal of Chest Surgery
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    • v.26 no.5
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    • pp.349-354
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    • 1993
  • From July 1992 through January 1993, 11 patients with unstable angina received aorto-coronary bypass surgery at Dong-A University Hospital. There were 5 males and 6 females whose age ranged from 36 to 76 years old. Of the 11 patients, 3 were Functional class IL 5 were Functional class 111.3 were Functional class IV. Preoperative coronary angiography showed a significant stenosis of the left anterior descending artery in 9 cases, of its diagonal branch in I case, of the circumfiex artery in 3 cases, and of its obtuse marginal branch in 2 cases, of the right coronary artery in 4 cases, and of left main coronary artery in 3 cases. There were 4 cases of single vessel disease, 1 double vessel disease, 3 triple vessel disease and 3 left main disease. A single graft was placed in 1 patient, a double graft in 5, a triple graft in 2, and a quadriple graft in 3 patients. Left internal mammary artery plus saphenous vein graft were used in 4 patients. Postoperative complications were mediastinitis in 1, sternal instability in 2, pneumonia in 1, arrythmia in I case.

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A Study of Motivational Factors and Health Behaviors in Patients with Coronary Artery Disease (관상동맥질환자의 동기요인과 건강행위에 관한 연구)

  • Kim, Kum-Ja;Yi, Myung-Sun
    • The Korean Journal of Rehabilitation Nursing
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    • v.10 no.2
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    • pp.125-133
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    • 2007
  • Purpose: The purpose of this study was to identify motivational factors that may influence health behaviors of patients with coronary artery disease. Methods: Structured questionnaires were used with a convenience sample of 164 subjects who were discharged from the hospital. The subjects were recruited for an interview at outpatient clinic in hospitals. The tools for the study were the motivational factors and health behaviors measure for the Elderly with cardiovascular disease. The data were analyzed using frequency, t-test, ANOVA, sheffe, Pearson correlation coefficient and stepwise multiple regressions. Results: There were significant correlations between motivational factors and health behaviors, ranging from r=.192 to .692. Stepwise multiple regression analyses indicated that 51% of variance in health behaviors was explained by self-efficacy and perceived benefits among four motivational factors(F=34.988, p<.01). Self-efficacy contributed the greatest amount of variance in health behaviors(${\beta}=.467$), followed by perceived benefits(${\beta}=.235$). Conclusions: The results of the study indicate that motivation, especially self-efficacy, was very important in predicting health behaviors of patients with coronary artery disease. Thus it would be necessary to include motivational factors in designing rehabilitation program for people with coronary artery disease.

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The Factors That Related the Dietary Behavior in Coronary Artery Disease Patients (관상동맥질환자의 식이이행과 건강신념, 사회적 지지 및 특성 간 상관관계)

  • Lee, Ju-Im;Han, Sang-Sook
    • Journal of East-West Nursing Research
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    • v.11 no.1
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    • pp.25-32
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    • 2005
  • Purpose: This study was aimed to identify the factors that related the dietary behavior in coronary artery disease patients and to made the data for nursing which is thought to improve the dietary behavior. Method: The study population was the coronary artery disease patients who were treated at outpatient base. The study method was the dietary behavior, diet self-efficacy, perceived-healthy behavior, social support measurement & characteristics. All of the above tool was validated for its composition propriety and confidence. The statistical analysis was done by SPSS PC 11.0 program. and frequency, percentage, mean, standard deviation, Pearson's correlation was used for analysis. Results: The score of dietary behavior in the coronary artery disease patients was 4.57 point. The score of perceived-benefits was the highest among the association factor(point) and the score of perceived-barriers(m=2.78), diet self-efficacy(m=5.12), social support(m=4.86 point), exercise and chest pain. Conclusion: The development of the program for the efficient dietary education that prevents the progression of the coronary artery disease is needed.

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The Relationships among Hostility, Perceived Social Support and Health Behavior Compliance of Patients with Coronary Artery Disease (관상동맥질환자의 적대감, 지각된 사회적 지지 및 건강행위 이행)

  • Oh, Jung-Eun;Park, Hyoung-Sook;Kim, Dong-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.1
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    • pp.99-108
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    • 2010
  • Purpose: This study was done to measure the degree of the hostility, perceived social support and health behavior compliance among patients with coronary artery disease and to identify the relationship among those variables. Methods: The participants were 145 hospitalized patients with coronary artery disease. Data were collected from December 15, 2007 to March 15, 2008 using a questionnaire and medical record. Results: Mean scores for hostility, perceived social support and health behavior compliance were 54.80, 53.03 and 59.38 respectively. Differences in the degree of hostility were significant for marital status and serum total cholesterol. There were significant differences in the degree of health behavior compliance according to body mass index, serum total cholesterol, smoking, drinking, exercise and regular diet. Health behavior compliance was correlated with hostility and perceived social support, and hostility was correlated with perceived social support. Conclusion: Intensive programs to enhance perceived social support but to reduce hostility are warranted to improve health behavior in patients with coronary artery disease.

When Should Familial Hypercholesterolemia Be Suspected?: A Case of Dyslipidemia in Young Patient without Coronary Artery Disease (가족성 고콜레스테롤혈증은 언제 의심해야 할까?: 관상동맥 질환이 없는 젊은 이상지질혈증 환자 증례)

  • In Sun Ryou
    • Archives of Obesity and Metabolism
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    • v.2 no.1
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    • pp.29-35
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    • 2023
  • Familial hypercholesterolemia (FH) is a genetic disease that is not well known or diagnosed in Korea. This disease is associated with persistently high levels of low-density lipoprotein cholesterol (LDL-C), which increase the risk of coronary artery disease at a young age. Therefore, early diagnosis and treatment are important; however, there are no global consensus diagnostic criteria. In Korea, the Dutch Lipid Clinic Network diagnostic criteria, and the Simon Broome diagnostic criteria were used for diagnosis of FH according to the agreement announced at the Korean Society of Lipid and Atherosclerosis (KSoLA) in 2022. Recently, the absence of coronary artery calcification has been considered a good prognostic factor, even among patients with very high LDL-C levels who are considered to be at high risk for atherosclerotic cardiovascular disease. We describe throughout this paper the diagnosis and treatment of FH in a young male without coronary artery calcification.