• Title/Summary/Keyword: Heart

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Reliable Prognostic Cardiopulmonary Function Variables in 110 Patients With Acute Ischemic Heart Disease

  • Lee, Jeong Jae;Park, Chan-hee;You, Joshua (Sung) Hyun
    • Physical Therapy Korea
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    • 제29권3호
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    • pp.200-207
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    • 2022
  • Background: The oxygen uptake efficiency slope (OUES) is the most important index for accurately measuring cardiopulmonary function in patients with acute ischemic heart disease. However, the relationship between the OUES variables and important cardiopulmonary function parameters remain unelucidated for patients with acute ischemic heart disease, which accounts for the largest proportion of heart disease. Objects: The present cross sectional clinical study aimed to determine the multiple relationships among the cardiopulmonary function variables mentioned above in adults with acute ischemic heart disease. Methods: A convenience sample of 110 adult inpatients with ischemic heart disease (age: 57.4 ± 11.3 y; 95 males, 15 females) was enrolled at the hospital cardiac rehabilitation center. The correlation between the important cardiopulmonary function indicators including peak oxygen uptake (VO2 peak), minute ventilation (VE)/carbon dioxide production (VCO2) slope, heart rate recovery (HRR), and ejection fraction (EF) and OUES was confirmed. Results: This study showed that OUES was highly correlated with VO2 peak, VE/VCO2 slope, and HRR parameters. Conclusion: The OUES can be used as an accurate indicator for cardiopulmonary function. There are other factors that influence aerobic capacity besides EF, so there is no correlation with EF. Effective cardiopulmonary rehabilitation programs can be designed based on OUES during submaximal exercise in patients with acute ischemic heart disease.

The Sagittal Balance of Cervical Spine : Comprehensive Review of Recent Update

  • Sang Hoon Lee;Tae Hwan Kim;Seok Woo Kim;Hyun Take Rim;Heui Seung Lee;Ji Hee Kim;In Bok Chang;Joon Ho Song;Yong Kil Hong;Jae Keun Oh
    • Journal of Korean Neurosurgical Society
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    • 제66권6호
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    • pp.611-617
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    • 2023
  • The cervical spine plays a critical role in supporting the skull, maintaining horizontal gaze, and facilitating walking. Its unique characteristics, including the widest range of motion among spinal segments, have led to extensive research on cervical sagittal alignment. Various parameters have been proposed to evaluate cervical alignment, with studies investigating their clinical significance, correlation with symptoms, and implications for surgical interventions. Recent findings suggest that cervical sagittal alignment not only impacts the cervical spine but also influences global spine-pelvic alignment through compensatory mechanisms. This comprehensive review examines classical and new parameters of cervical sagittal alignment and considers the dynamic and muscular factors associated with it.

3-Dimensional visualizationof heart in EBT images (EBT 단층 영상에서 심장의 3차원 시각화)

  • 원철호;조진호
    • Journal of the Korean Institute of Telematics and Electronics S
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    • 제35S권7호
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    • pp.37-45
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    • 1998
  • In this paper, we extracted heart region using dyamic contour model, increased the vertical resolution of heart region by proposed 2-dimensional interpolation method and visualized the 3-dimensional hearet volutme. the proposed new energy term of dynamic contour model considering the gray level and direction of controur vectors is effective to extract the closed heart boundary. And, we generatedvertical slice images from the extracted heart region images using the 2-dimensional linear interpolation by DT(distance transform). We showed that proposed algorithm is useful by 3-dimensional visualization of heart volume.

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Mortality Analysis of Open Heart Surgery (75 Cases) (개심수술후의 사망예에 대한 임상적 고찰)

  • 김광택
    • Journal of Chest Surgery
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    • 제13권3호
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    • pp.167-173
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    • 1980
  • From 1976 through June 1980, 75 patients underwent Open heart operation at Korea University Hospital.Of the 75 patients, 39 were congenital heart cases and 36 were acquired heart disease cases. 39 cases of congenital heart disease were consisting of 16 T.O.F.,4 A.S.D., 10 V.S.D., 3 P.S., 1 P.D.A., 1 V.S.D. + Mi, 1 Truncus arteriosus, 1 Ebstein, 1 D.C.R.V., 1 Single ventricle. Among 36 valvular replacement cases, 18 cases of MVR, 3 cases of AVR, 6 cases of Double valve replacement, and 10 cases of Open Mitral commissurotomy, were performed. Postoperative mortality rate of congenital heart disease was 25.6% and that of acquired heart disease was 8.3%. Overall mortality rate of open heart surgery was 17.3%. Among 16 cases of postoperative death cases, 5 cases of autopsy were performed. Postoperative cause of death of our series were intracranial bleeding, pacemaker failure, low output syndrome, protamine anaphylaxis, bleeding, prosthetic valve embolism, C V A, miliary tuberculosis, hypothermia due to pump failure.

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Acute Effects of Tobacco and Non-tobacco Cigarette Smoking on the Blood Pressure and Heart Rate

  • Kho Young-Lim;Yi Sang-Gu;Lee Eun-Hee;Chung Moon-Ho
    • Journal of Environmental Health Sciences
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    • 제32권3호
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    • pp.222-226
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    • 2006
  • Smoking of tobacco cigarettes is associated with a rise in blood pressure together with increase in heart rate. This study was aimed to examine the acute effect of tobacco and non-tobacco cigarette smoking on the blood pressure and heart rate by randomized crossover study. In the results, systolic/diastolic blood pressure and heart rate changes after smoking were significantly different between male and female group. Blood pressure and heart rate were elevated after smoking, but statistical significance for the difference was identified only in the female group. Because Non-tobacco smoke made from leaves of E. ulmoides has no nicotine, its effect on blood pressure and heart rate was negligible. Remarkable difference of heart rate changes in women was observed between tobacco cigarette smoking group and non-tobacco cigarette smoking group.

The Animal Experiments of Total Artificial Heart at the National Cardiovascular Center in Japan (일본국립순환기병센터형 완전 인공심장을 이용한 동물실험)

  • 박영환
    • Journal of Chest Surgery
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    • 제27권10호
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    • pp.824-832
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    • 1994
  • Recently we developed the concept of totally implantable electrohydraulic artificial heart. We tested the artificial heart which was drived by external compressive air in the calves. All three calves had pneumonia before surgery, so postoperative course was not only bad but also the results was not good. The first calf died severe pneumonia on 76th day, the second calf died from troublesome bleeding and uncertain allergic like reaction, and the third died because of bleeding. However, the performance of the artificial heart was good, and especially the blood contacting surface showed excellent hemocompatibility. The anatomic fitting was also very good even in the 35 Kg small newborn calf. During treadmill test, the first calf did not well tolerate for 1 minute but by the Full Fill Full Empty control method the artificial heart responsed well to the physiologic needs. In conclusion, the artificial heart had the very good hemocompatible surface, however, the volume of the artificial heart was a little deficient for the calf and the control algorithm needed further development.

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A Novel Method to Estimate Heart Rate from ECG

  • Leu, Jenq-Shiun;Lo, Pei-Chen
    • Journal of Biomedical Engineering Research
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    • 제28권4호
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    • pp.441-448
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    • 2007
  • Heart rate variability (HRV) in electrocardiogram (ECG) is an important index for understanding the health status of heart and the autonomic nervous system. Most HRV analysis approaches are based on the proper heart rate (HR) data. Estimation of heart rate is thus a key process in the HRV study. In this paper, we report an innovative method to estimate the heart rate. This method is mainly based on the concept of periodicity transform (PT) and instantaneous period (IP) estimate. The method presented is accordingly called the "PT-IP method." It does not require ECG R-wave detection and thus possesses robust noise-immune capability. While the noise contamination, ECG time-varying morphology, and subjects' physiological variations make the R-wave detection a difficult task, this method can help us effectively estimate HR for medical research and clinical diagnosis. The results of estimating HR from empirical ECG data verify the efficacy and reliability of the proposed method.

Performance Comparison Between the Envelope Peak Detection Method and the HMM Based Method for Heart Sound Segmentation

  • Jang, Hyun-Baek;Chung, Young-Joo
    • The Journal of the Acoustical Society of Korea
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    • 제28권2E호
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    • pp.72-78
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    • 2009
  • Heart sound segmentation into its components, S1, systole, S2 and diastole is the first step of analysis and the most important part in the automatic diagnosis of heart sounds. Conventionally, the Shannon energy envelope peak detection method has been popularly used due to its superior performance in locating S1 and S2. Recently, the HMM has been shown to be quite suitable in modeling the heart sound signal and its use in segmenting the heart sound signal has been suggested with some success. In this paper, we compared the two methods for heart sound segmentation using a common database. Experimental tests carried out on the 4 different types of heart sound signals showed that the segmentation accuracy relative to the manual segmentation was 97.4% in the HMM based method which was larger than 91.5% in the peak detection method.

Work Load Dependency of Heart Rate Variability (HRV) (심박변이도의 운동부하 의존성)

  • Kwon J.H.;Kim C.S.;Eom G.M.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 한국정밀공학회 2006년도 춘계학술대회 논문집
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    • pp.641-642
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    • 2006
  • The purpose of this work is to investigate the effect of work load on heart rate variability (HRV) which is widely used marker of the autonomic nervous system activity. Average heart rate, rating of perceived exertion, and the power spectrum of heart rate variability were investigated in seven healthy males during exercise at various work loads. The subjects were divided into two groups according to the average heart rate during exercise, group 1 with lower heart rate and group 2 with higher heart rate. HF component showed decrease followed by increase with workload. Accordingly, the LF/HF ratio showed increase followed by decrease with workload. The peak in LF/HF ratio of group 1 was at the lower workload than that of group 2.

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