• Title/Summary/Keyword: Hemodynamic

Search Result 866, Processing Time 0.023 seconds

The myocarditis and cardiomyopathy in children (소아 심근염과 심근증)

  • Kil, Hong Ryang
    • Clinical and Experimental Pediatrics
    • /
    • v.50 no.11
    • /
    • pp.1049-1054
    • /
    • 2007
  • Myocarditis represent an important condition encountered by general pediatricians & general practitioners. Its presentation is varied, and therefore a high index of suspicion must be maintained when the possibility of myocarditis is raised. A progression from viral myocarditis to dilated cardiomyopathy has long been hypothesized. Treatment is initially aimed at achieving hemodynamic stability and is largely supportive. There is currently little evidence to support the immunomodulatory or specific antiviral therapies. Pediatric cardiomyopathies are a heterogeneous group of disorders with diverse genetic, infectious, mitochodrial and metabolic etiologies. The timing and severity of presentation vary according to cardiomyopathy type as well as genetic and ethnic factors. The behavior of specific cardiomyopathies can be predicted by morphological and functional attributes, as well as underlying patient characteristics.

Left Juxtaposition of Atrial Appendage Accompanying Complete TGA and Total Anomalous Pulmonary Venous Drainage (One Case Report) (와전 대혈관전위증과 전 페정맥 이상환류증을 동반한 양측심이의 좌측병치증 -1례 보고-)

  • 박재길
    • Journal of Chest Surgery
    • /
    • v.13 no.4
    • /
    • pp.448-454
    • /
    • 1980
  • The juxtaposition of atrial appendage may possibly be diagnosed by angiography recently, and it is widely regarded as an ominous sign of severe cyanotic congenital heart disease. However, it is apparently rare congenital cardiac anomaly in which the atrial appendages lie side by side, both to the left or right of the great arteries, known as left or right juxtaposition of the atrial appendages. Juxtaposition of the atrial appendages has no functional significance, since it does not, itself, cause any hemodynamic disturbance. But it`s presence always indicates the coexistence of other major cardiac anomalies. In review of literatures TGA and VSD are invariable present, and ASD is common. Other anomalies, such as, tricuspid atresia, pulmonary outflow that, obstruction bicuspid pulmonic valve, persistent SVC etc. are relatively high incidence. In this report, we present one case of 6 year old female child having left juxtaposition of atrial appendage combined with TGA [D-looping, D-transposition], TAPVD, large ASD, small VSD, and vertical vein.

  • PDF

Cardiac Fibroma Involving Left Ventricle (좌심실에 발생한 심장 섬유종)

  • 신홍주;박정준;서동만;박인숙;고재곤;김영휘;김정선
    • Journal of Chest Surgery
    • /
    • v.37 no.3
    • /
    • pp.275-278
    • /
    • 2004
  • A 9-month-old male infant was admitted for evaluation of incidentally noticed cardiac mass. The patient had no symptoms and there was no hemodynamic abnormality. Echocardiographic finding showed a huge left ventricular free wall mural mass, which did not obstruct the left ventricular outflow tract. Maximal excision of the left ventricular free wall mass was performed. The pathologic finding revealed cardiac fibroma. During the 7-month of follow-up after surgery, there was no evidence of arrhythmia or tumor recurrence.

Pituitary Apoplexy Following Mitral Valvuloplasty

  • Kim, Young Ha;Lee, Sang Weon;Son, Dong Wuk;Cha, Seung Heon
    • Journal of Korean Neurosurgical Society
    • /
    • v.57 no.4
    • /
    • pp.289-291
    • /
    • 2015
  • Pituitary apoplexy is a rare but potentially life-threatening clinical syndrome caused by the sudden enlargement of a pituitary adenoma secondary to hemorrhage or infarction. Pituitary apoplexy after cardiac surgery is a very rare perioperative complication. Factors associated with open heart surgery that may lead to pituitary apoplexy include hemodynamic instability during cardiopulmonary bypass and systemic heparinization. We report a case of pituitary apoplexy after mitral valvuloplasty with cardiopulmonary bypass. After early pituitary tumor resection and hormonal replacement therapy, the patient made a full recovery.

A Contrast Nephropathy in a Preterm Infant Following Preoperative Embolization of Giant Sacrococcygeal Teratoma

  • Lee, Byong Sop
    • Childhood Kidney Diseases
    • /
    • v.21 no.1
    • /
    • pp.26-30
    • /
    • 2017
  • Newborn infants with huge and highly vascular sacrococcygeal teratoma (SCT) are frequently subjected to renal hypoperfusion secondary to high-output cardiac failure. Any underlying renal dysfunction is a significant risk factor for the development of contrast-induced nephropathy (CIN). However, reports on CIN in infants are rare. I report here a case of a premature infant born at 28 weeks and 3 days of gestation with a huge SCT who survived preoperative embolization and surgical resection but presented with persistent non-oliguric renal failure that was suggestive of CIN. During radiological intervention, a contrast medium had been administered at about 10 times the manufacturer-recommended dose for pediatric patients. Despite hemodynamic stabilization and normalization of urine output immediately following surgery, the patient's serum creatinine and cystatin-C levels did not return to baseline until 4 months after birth. No signs of reflux nephropathy were observed in follow-up imaging studies. Dosing guidelines for the use of a contrast medium in radiological interventions should be provided for infants or young patients.

Functional Ingredients of Maize and Their Variation (옥수수 기능성 물질의 종류와 변이)

  • Kim Sun Lim;Choi Byung Han;Park Seung Ue;Moon Hyun Guey
    • KOREAN JOURNAL OF CROP SCIENCE
    • /
    • v.41 no.spc1
    • /
    • pp.46-68
    • /
    • 1996
  • The objective of this report is to review the up to present papers including 79 references about functional ingredients in maize and their variations. Maize is a good source of such antioxidants as ${\alpha}-,\;{\gamma}-tocopherols,\;{\alpha}-,\;{\beta}-carotene,\;{\beta}-cryptoxanthin$, zeaxanthin, quercetin and chlorogenic acid. Unsaponifiable standard extracts of Zea mays L. (ZML) have a beneficial effect on various dental diseases. Flavonoids, flavonoid biosynthetic pathway and their controling genes were also reviewed in this report. Flavonoids are required for successful fertilization in maize pollen, and maysin has a potent antibiotic activities to earworm and fall armyworm in maize silks. Maize silks have been used in traditional medicine for diuretic, vascular diseases and diabetes, etc. and boiling water extracts of maize silk have hemodynamic effects, but their ingredients still remain obscure.

  • PDF

The Influence of guanethidine on the renal function of the rabbit (Guanethidine이 가토의 신장기능에 미치는 영향)

  • 고석태;김성원
    • YAKHAK HOEJI
    • /
    • v.17 no.1
    • /
    • pp.31-39
    • /
    • 1973
  • The influence of guanethidine on the renal function was investigated in the rabbit. Guanethidine, 1-10mg/kg, i.v., produced no marked change in the renal function, while second and successive doses of guanethidine elicited a significant increase in urine flow and electrolyte excretion as well as renal plasma flow and glomerular filtration rate. It was suggested that the diuretic action was brought about by improvement of hemodynamic state in the kidney ; increased filtration as a result of increased renal perfusion. Atropine alone did not significantly influence the renal function but pretreatment of animals with atropine, 4 mg/kg i.v., completely abolished the diuretic action of guanethidine. It is suggested that guanethidine influences the renal function by activating parasympathetic nervous system or some cholinergic mechanism in the kidney.

  • PDF

X-ray PIV Measurements of Velocity Field of Blood Flows

  • Lee, Sang-Joon;Kim, Guk-Bae
    • 순환기질환의공학회:학술대회논문집
    • /
    • 2006.04a
    • /
    • pp.28-36
    • /
    • 2006
  • The x-ray PIV method was improved for measuring quantitative velocity fields of real blood flows using a coherent synchrotron x-ray source. Without using any contrast media or seeding particles, this method can visualize flow pattern of blood by enhancing the phase-contrast and interference characteristics of blood cells based on a synchrotron x-ray imaging mechanism. The enhanced x-ray images were achieved by optimizing the sample-to-scintillator distance, the sample thickness, and hematocrit. The quantitative velocity fields of blood flows inside opaque tubes were obtained by applying a 2-frame PIV algorithm to the x-ray images of the blood flows. The measured velocity field data show typical features of blood flows such as the yield stress effect. The non-Newtonian flow characteristics of blood flows were analyzed using the x-ray PIV method and the experimental results were compared with hemodynamic models.

  • PDF

Development and Application Capillary Tube Viscometer Transient Flow Concept (과도유동현상을 이용한 모세관점도계 개발 및 적용)

  • Suh, Sang-Ho;Cho, Min-Tae;Kim, Dong-Joo;Roh, Hyung-Woon
    • 유체기계공업학회:학술대회논문집
    • /
    • 2002.12a
    • /
    • pp.489-492
    • /
    • 2002
  • The objective of the present study were to measure the viscosities of non-Newtonian fluids by the transient flow concept in a capillary tube and to apply to hemodynamic studies and pump performance evaluations. The developed capillary tube viscometer could be used to measure the viscosities of the non-Newtonian fluids for a wide range of the shear rate by a run of experiment in a very short time interval. The measured viscosities of water and blood fur different shear rates were good agreement with those of the well established data. The measured viscosities for muddy water varied with the shear rates.

  • PDF

The Technique and Normal Values of Transcranial Doppler Ultrasonography(TCD) (Transcranial Doppler Ultrasonography (TCD)의 시행 방법 및 정상치)

  • Sohn, Young Ho
    • Annals of Clinical Neurophysiology
    • /
    • v.1 no.1
    • /
    • pp.39-46
    • /
    • 1999
  • Transcranial doppler ultrasonography (TCD) is a new, non-invasive and easily applicable method to evaluate cerebral hemodynamics. Last 10 years, its use in Korea has been dramatically expanded, but the qualification of TCD laboratory has yet to be settled. Since duplex sonography is seldom used in Korea, we have to depend totally on TCD to evaluate cerebral hemodynamic changes. Thus, all of the available data from every detectabler cerebral arteries has to be obtained for accurate interpretation of TCD measurements. Moreover, flow direction and wave form should be concerned in addition to the flow velocity. In this article, I present technique to measure the anterior, meddle and posterior cerebral arteries, the internal carotid artery siphon and at cervical level, and the vertebral and the basilar artery, and normal values for these measurements which is essential for the adequate interpretation.

  • PDF