• 생명과학회지
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• 제18권9호
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• pp.1263-1270
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• 2008

본 연구는 심장재활에 참여한 고혈압을 동반한 급성관상동맥질환자중 내과적인 약물로 조절되지 않은 고혈압 환자의 경우와 약물로 조절되는 정상 혈압 환자군에서 트레드밀 운동과 고정식 자전거 운동 수행시 강도별 혈압과 심근산소소비량, 자각지수에 대한 반응을 구명(究明)하고자 목적하였다. 이를 위해 6주간의 심장재활 프로그램에 참여한 심혈관질환 환자를 연구대상으로 약물에 대한 혈압이 조절되는 혈압약물반응군과 약물에 대한 혈압이 조절되지 혈압약물비반응군 환자를 동원하여, 트레드밀 운동부하검사를 실시하여 예비심박수를 구하였으며, 이를 근거로 중강도 운동강도(60%HRR)와 고강도 운동강도(85%HRR)의 심박수에서 트레드밀 운동과 고정식자전거 운동을 실시하였다. 혈압의 조절유무에 따라 강도별 트레드밀과 고정식자전거 운동 시에 나타난 심혈관반응의 결과는 다음과 같다. 첫째, 중강도(60%HRR)와 고강도(85%HRR)에서 운동형태(exercise mode)에 따른 혈압약물반응군과 혈압약물비반응군과의 심혈관 반응에 대한 결과 모든 운동강도에서 고정식자전거 운동이 트레드밀 운동보다 수축기혈압, 이완기혈압, 평균동맥혈압, 심근산소소비량, 운동자각도 모두 유의하게 높았다(p<0.05). 또한 고정식 자전거의 60%강도에서 나타난 심혈관계에 미치는 부담이 85%강도의 트레드밀에서 받는 부담과 비슷하였다. 둘째, 혈압약물비반응군은 모든 운동방법(중강도 트레드밀, 고강도 트레드밀, 중강도 고정식자전거, 고강도 고정식자전거)에서 혈압약물반응군보다 유의하게 높은 이완기혈압(DBP)을 나타냈고(p<0.05), 이와 함께 평균동맥혈압(MAP) 역시 모든 운동방법에서 혈압약물비반응군이 혈압약물반응군 보다 유의하게 높았다(p<0.05). 이때, 수축기 혈압에서는 혈압약물비반응군이 중강도자전거 운동방법(60%HRR-cycle exercise)에서만 정상군보다 유의하게 높게 나타났다(p<0.05). 즉, 혈압약물비반응군이 중강도자전거 운동방법에서 수축기혈압과 이완기기혈압, 평균동맥혈압이 혈압약물반응군 보다 유의하게 높았다. 셋째, 심근산소소비량(RPP)에서 혈압약물비반응군과 혈압약물반응군과 중강도자전거 운동에서 유의한 차이는 없었으며 중강도 트레드밀 운동과 중강도자전거 운동 간의 평균 차이에서 중강도자전거 운동이 혈압약물반응군보다 혈압약물비반응군에서 유의하게 높게 증가하였음에도 불구하고 운동자각도(RPE)는 중강도자전거 운동에서 혈압약물반응군과 혈압약물비반응군 간에는 차이를 보이지 않았다. 이상의 결과, 심장재활운동전에 내과적으로 혈압 조절과 상관없이 고혈압 심장질환과 정상혈압 심장질환환자 모두 같은 강도에서 트레드밀보다 고정식 자전거 운동 시에는 모두 철저한 혈압감시가 필요하였다. 특히 고혈압심혈관질환환자는 혈압의 상승폭이 보다 큰 결과를 보여 트레드밀에 적용한 운동 강도를 동일하게 고정식자전거에 적용하는 것은 적합하지 못하였다.

• Korean Journal of Acupuncture
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• 제27권1호
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• pp.1-12
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• 2010

Objectives: The purpose of this study is to gain the objective indicators for the classification of hypertension by oriental medical pulse diagnosis, through finding out the parameters which can distinguish the pulse of hypertensive patient from that of normal subject, and characterizes the wiry pulse of hypertension. Methods: 30-59 yr, male, 946 healthy volunteers and 35 hypertensive patients were enrolled in this study. All the hypertensive patients were taking medicine to control the blood pressure and the blood pressure of the hypertension group was not statistically different from that of the normal healthy group. Data were acquired using 3 dimensional pulse imaging analyser(DMP-3000, DAEYOMEDI, KOREA) and analysed according to the age bands and the applied pressure levels. Results: 1. RAI/t, w/t and t2/t decreased with the levels of applied pressure and increased with age in the normal healthy group, not in the hypertension group. 2. RAI/t, w/t, t2/t were significantly higher in the hypertension group than the normal healthy group in the 30-age band, and elasticity coefficient was higher in the hypertension group than the normal healthy group in the 40-age band. 3. Researches on the patients without hypotensive agents are needed to figure out whether these parameters are the components of hypertensive wiry pulse. Conclusions: Analysing the radial pulse at 5 applied pressure levels using 3 dimensional pulse imaging analyser may be useful to differentiate the pulses of the hypertensive patients from those of the normal subjects, and characterize the hypertension.

• Journal of Nutrition and Health
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• 제30권2호
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• pp.170-176
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• 1997

Twenty two hypertensive and thirty normotensive in-patients were participated in this study to investigate the relationship between plasma renin activity and metabolism of Ca and Na, Prior to pharmacological treatments, renin activity, aldosterone and parathyroid hormone(PTH) levels were measured from the fasting blood samles. Twenty four hour urine samples were collected to analyze urinary levels of creatinine, Ca, Na and K. Habitual intake of Na and Ca were also measured for hypertensive and normotensive patients. Hypertensive subjects were classified into higher reinin hypertensive (HH), medium renin hypertensive(MH) and low renin hypertensive (LH) group according to their renin activities. PTH level of LH group was the highest among three hypertensive groups. It appeared that aldosterone levels of HH group were significantly higher than LH or MH groups(p<0.05). However there were no significan시 differences in aldosterone level between LH group and normotensive group. Habitual intake of Na and Ca were highest in LH group but lowest in HH group, however, they were not statistically different. Positive correlations of systolic blood pressure with PTH(r=0.2597) and aldosterone(r=0.26480existed(p<0.05). Urinary Ca level was positively correlated with urinary Na(r=0.5619), K(r=0.4533) and habitual Na intake(r=0.3253). Above results suggested the possible relationships among renin activity, habitual Ca intake and Na intake and suggested a further study on the interrelationship between the hormonal control of Ca and Na metabolism and blood pressure in hypertension.

• Journal of Chest Surgery
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• 제22권6호
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• pp.944-950
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• 1989

Children with congenital cardiac defects associated with high pulmonary artery pressure may die despite accurate surgery. Postoperative mortality and morbidity have been attributed to acute rises in pulmonary artery pressure and resistance. Acute pulmonary hypertensive crisis is defined as a paroxysmal event in which pulmonary arterial systolic pressure rises to or above systemic levels followed by a rapid fall in systemic pressure and a minor pulmonary hypertensive event is defined as an acute rise in pulmonary arterial pressure to more than 80 % of systemic levels but without a fall in systemic pressure. From Oct. 1988 to Jul. 1989, we experienced 23 patients who showed many pulmonary hypertensive crises after operation in the Department of Thoracic and Cardiovascular Surgery, Seoul National University Children\ulcorner Hospital. Their preoperative PAP/SAPs were 53 to 123 %[mean 93.3%] and diagnoses were VSD[7], TAPVR[5], TGA[4], AVSD[3], MS[1], DORV[1], Truncus arteriosus[1], and AP window[l]. There were 9 deaths among 23 patients and they showed many pulmonary hypertensive crisis episodes during postoperative intensive care, which was managed by sedation, hyperventilation, oxygen, and acidosis correction and which decreased after using tolazoline. In view of our experience, we recommend that pulmonary artery pressure should be monitored in congenital heart defected patient with preoperative pulmonary hypertension to confirm and to manage the pulmonary hypertensive crisis accurately and using tolazoline is helpful in the treatment of pulmonary hypertensive crisis.

• Journal of Korean Neurosurgical Society
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• 제48권2호
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• pp.99-104
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• 2010

Objective : We conducted this study to evaluate the clinical impact of early enteral nutrition (EN) on in-hospital mortality and outcome in patients with critical hypertensive intracerebral hemorrhage (ICH). Methods : We retrospectively analyzed 123 ICH patients with Glasgow Coma Scale (GCS) score of 3-12. We divided the subjects into two groups : early EN group (< 48 hours, n = 89) and delayed EN group ($\geq$ 48 hours, n = 34). Body weight, total intake and output, serum albumin, Creactive protein, infectious complications, morbidity at discharge and in-hospital mortality were compared with statistical analysis. Results : The incidence of nosocomial pneumonia and length of intensive care unit stay were significantly lower in the early EN group than in the delayed EN group (p < 0.05). In-hospital mortality was less in the early EN group than in the delayed EN group (10.1% vs. 35.3%, respectively; p = 0.001). By multivariate analysis, early EN [odds ratio (OR) 0.229, 95% CI : 0.066-0.793], nosocomial pneumonia (OR = 5.381, 95% CI : 1.621-17.865) and initial GCS score (OR = 1.482 95% CI : 1.160-1.893) were independent predictors of in-hospital mortality in patients with critical hypertensive ICH. Conclusion : These findings indicate that early EN is an important predictor of outcome in patients with critical hypertensive ICH.

• 대한간호학회지
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• 제13권2호
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• pp.58-69
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• 1983

This study on stressful life events and coping methods of hypertensive and nonhypertensive patients was applied to people who was divided into two groups from April 5 to March 10, 19 83. One is hospitalized patients in medical wards of three university hospital in Seoul. The other is inhibitants in two Dongs of Seoul. This study compared the number and seversity of stressful life events reported by hypertensive and nonhypertensive patients, indentified coping methods used by the two groups and explored the relationship between stressful life events and coping methods. Two instruments are used in this study. The first one to measure stressful life events, is Holmes ＆ Rahe (1967)'s S.R.R.S. (Social Readjustment Rating Scale). Which is translated & am-ended. So that it consists of 46 items. The second one is for evaluating coping method. It consists of f items amended through preliminary test after consideration of related literature review and survey on the basis of Bell (1977)'s‘18-item-Questionnaire.’The materials were analyzed by S.P.S.S. (Statistical Package for the Social Science) program-The results of analysis were as follows: 1. There were no significant difference in the number and severity of stressful life events reported by hypertensive and nonhypertensive patients (p>.05). 2. There were significant difference in use of short-term coping methods (p<.01) and long-term coping methods (p<.05).

• Journal of Nutrition and Health
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• 제16권1호
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• pp.21-26
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• 1983

For the purpose of study on optimal gustation of salt 108 patients with hypertension(61 cases of male, 47 cases of female) were studied. And also 48 patients with non-hypertensive heart diseases and pulmonary diseases (20 cases of male, 28 cases of female ) and apparently healthy subjects (107 cases of male, 20 cases of female) were studied as control group. By adding salt into 3% rice boiled powder solution the 0.1%, 0.25% 0.5%, 0.75% and 1 % salt solutions were prepared respectively. Allowed subject to taste all above solution in landed and to point out the optimal salty taste of each subject. There were no significant difference in optimal gustation of salt among the hypertensive patients and control group. The optimal salt gustation of hypertensive patients with low salt diet was slightly lower than those with free diet The optimal salt gustation was higher in old aged persons regardless of diseases.

• International journal of advanced smart convergence
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• 제7권3호
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• pp.44-60
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• 2018

This study is to identify the effects of hypertension management program at a community health center on the disease-related knowledge, self-efficacy, anthropometric measurements and blood pressure of a hypertensive patient in local community. This study is a quasi-experimental study using nonequivalence control group no-synchronized design in order to verify the effects of the hypertension management program at a community health center on the hypertension-related knowledge, self-efficacy, anthropometric measurements and blood pressure of a hypertensive patient in local community. The result indicated a significant difference between the experimental group and control group in the scores of hypertension-related knowledge (t=-4.25, p<.001), self-efficacy (t=-4.20, p<.001), systolic blood pressure (t=7.70, p<.001) and diastolic blood(t=5.91, p<.001), body weight(t=2.32, p=.026) and abdominal circumference(t=2.17, p=.036). The hypertensive patients' knowledge and self-efficacy were improved, and their weight and abdominal circumference as well as systolic blood pressure and diastolic blood pressure were reduced. Therefore, it was confirmed that multilateral approaches in terms of physical and psychosocial aspects only targeting hypertensive patients were required for managing hypertensive patients in local community.

• 고려인삼학회:학술대회논문집
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• 고려인삼학회 1980년도 학술대회지
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• pp.1-3
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• 1980

To investigate the effect of ginseng on blood pressure (B.P.) in spontaneously hypertensive rat (SHR) and essential hypertension ginseng extract was given per se daily in 58 SHR and 35 essential hypertensive patients. SHR were divided into 5 groups according to the dosage of ginseng. In essential hypertension 1,000mg of ginseng extract was given. The B.P. in SHR was measured by tail cuff method. In essential hypertension side effect and changes in various laboratory examinations were evaluated. In SHR ginseng appeared to have hypertensive effect when it is given in small amount(10mg/kg). However, when it is given 60mg/kg/day or more difinite B.P. lowering effect was observed. The hypotensive effect was dosedependant and it lasted for 37days of observation. In essential hypertension in 12 $(80\%)$ among 15 patients hypotensive effect was seen with ginseng administration along and the effect lasted for 12 weeks. In the rest of hypertensive patients it is required addition of diuretics of other antihypertensive drugs to decrease B.P., no appreciable side effect was seen. In laboratory examinations no significant changes were seen except for serum cholesterol, ${\alpha}-and\;{\beta}-lipoprotein,$ and hematocrit. There was some evidence of relationship between plasma renin activity (PRA) and ginseng in hypotensive action.

• 보건행정학회지
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• 제31권3호
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• pp.292-300
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• 2021

Background: Medication adherence in hypertension is the most important to control blood pressure and prevent major complications. The purpose of this study was to identify factors affecting medication adherence and to examine the relationship between medication adherence and blood pressure control in Korea. Methods: This study used data from the 7th Korea national health and nutrition examination survey (2016-2018) of the Korea Disease Control and Prevention Agency. We selected 4,063 hypertensive patients from the data. And we choose socio-demographic, health behavior, healthcare utilization, and severity characteristics as hypertensive patient characteristics. Results: Of the patients with hypertension, 92.3% had shown adherence to medication as of 2016-2018 and shows variation according to the characteristic of patients. The cases with male, under 50 years old, urban area, single household, unmet medical services, less than 5 years of hypertension duration, no comorbidities (diabetes mellitus, myocardial infarction) showed significantly low medication adherence. After adjusting for confounders, adherent patients tended to have lower current systolic blood pressure (β=-10.846, p<0.001) and diastolic blood pressure (β=-5.018, p<0.001) than nonadherent patients. And, adherent patients increased the control odds of blood pressure compared with nonadherent patients (odds ratio, 3.02; 95% confidence interval, 2.21-4.12). Conclusion: This study confirmed that adherence to antihypertensive drugs was effective in controlling blood pressure. In order to more actively manage hypertensive patients at the national level, it is necessary to make an effort to improve the medication compliance of nonadherent groups, such as early-diagnosis patients, young patients under 50 years of age, and patients living alone.