• Title/Summary/Keyword: Pacing

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Ventricular pacing with screw-in sutureless myocardial electrode (무봉합심근전극을 사용한 인공심박조정기 설치40례 보고)

  • Sim, Yeong-Mok;No, Jun-Ryang
    • Journal of Chest Surgery
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    • v.16 no.1
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    • pp.115-120
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    • 1983
  • We implanted pacemakers using screw-in sutureless myocardial electrode in 40 patients between February, 1980 and November, 1982 at Seoul Nation University Hospital. Mean age of total patient who received the pacemaker implantation was 39.9 years, but excluding the patient who received the open heart surgery, mean age was 49.3 years. Cause of pacemaker implantation was complete A-V block in 13 patients, symptomatic sick sinus syndrome in 12 patients, complete A-V block after open heart surgery in 12 patients, second degree A-V block with dizziness in one patient, and atrial fibrillation with slow ventricular response in two patients. In thirty nine cases, electrodes were implanted by subxiphoid approach, on the diaphragmatic surface of right ventricle. I n one case, electrode was implanted through the left anterior thoracotomy. Acute stimulation threshold, measured in 35 patients, varied from 0.1 to 2.5 mA [mean 0.85 mA.], and R-wave amplitude [sensitivity], measured in 19 patients, varied from 2.9 mV to 11.5 mV [mean 7.6 mV]. There was no hospital death. The postoperative complications included wound seroma in two patients [5%], wound hematoma in three patients [7.5%], and pacing failure in one patient [2.5%]. The subxiphoid implantation of the pacemaker using sutureless myocardial lead was valuable in obtaining safe, reliable and long-term impulse generation.

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Pacing Wire Removal Via a Right Atriotomy: A Patient with Infected Permanent Pacemaker and Who Previously Underwent CABG - A case report - (개심술을 통한 심박동기 와이어의 제거: 관상동맥 치환술을 받은 환자에서 심박동기 삽입 후 발생한 국소 감염의 치료 - 1예 보고 -)

  • Kim, Yun-Seok;Song, Hyun;Ryu, Yang-Gi;Jung, Sung-Ho
    • Journal of Chest Surgery
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    • v.42 no.2
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    • pp.256-258
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    • 2009
  • A 63-year-old man who had a permanent pacemaker placed 17 years ago presented to us with local inflammatory signs on his chest. The skin was opened to remove the permanent pacemaker. However, the pacing wire was not easily removed. So, the permanent pacemaker was removed from the chest with leaving the remnant wire inside. However, the local infection recurred because of the remnant wire. Right thoracotomy was performed and cardiopulmonary bypass was started. After total circulatory arrest, the right atrium was opened and the wire was completely removed.

KC-100 Full-scale Airframe Static Test (KC-100 전기체 정적 구조시험)

  • Shim, Jae-Yeul;Jung, Keunwan;Lee, Hanyong;Lee, Sang Keun;Hwang, Gui-Chul;Ahn, Seokmin
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.42 no.1
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    • pp.67-75
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    • 2014
  • A full-scale static test for a composite structure small aircraft (KC-100) was conducted in the KARI. The test includes 15 full-scale test and 7 local test conditions. Test requirements with test schedule, test article with dummy structures, test load generation, test system, and equipment are introduced for the test. Test load data of the 1st test condition(U1) was analyzed to evaluate an accuracy of load control for the test. The analysis results show that load data obtained during test were within tolerance of Static Null Pacing Error(SNPE) and the error value of load control was 8.6N. The error of load controls for the full-scale static test using dozens of actuators was calculated by a method suggested by authors. Test data for all other test conditions is also shown in this paper. Finally, reactions measured from restraint system of the U1 test condition show that the reaction changes as load increment. The factors which may change the change of reactions for a full-scale static test are introduced in this study.

Nonpharmacological treatment of arrhythmia (소아 부정맥의 비약물적 치료)

  • Bae, Eun-Jung
    • Clinical and Experimental Pediatrics
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    • v.49 no.9
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    • pp.930-936
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    • 2006
  • Although antiarrhythmic medication has been the main treatment modality for arrhythmia in children, in recent decades technological development and computerization have made great advances in nonpharmacological therapy. This article reviews the transcatheter radiofrequency ablation for tachycardia in children, recent advances of device therapy for bradycardia, antitachycardia pacing, implantable cardioverter defibrillator. As a new field of device therapy, cardiac resynchronization therapy for congestive heart failure is also mentioned.

TDX-10 ISDN 교환기의 패킷교환호 흐름제어 기법연구

  • 백장현;류병한;국광호;이재섭
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1993.04a
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    • pp.443-452
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    • 1993
  • 회선교환에서는 사용자 사이의 전송로가 통화가 지속되는 동안 계속 점유되는 것과는 달리 패킷교환에서는 망내의 자원을 여러 사용자들이 공유함으로서 자원을 효율적으로 사용하게 되는데 적절한 제어가 이루어지지 않으면 망내에 congestion이 발생하여 오히려 성능이 감소하게 된다. 본 연구에서는 기존의 흐름제어 기법들인 ack-at-end-of-window기법과 pacing window flow control기법을 토대로 새로운 흐름제어기법을 제안한다. 새로운 흐름제어기법의 성능을 시뮬레이션을 이용하여 TDX-10 패킷처리기에 적용하여 분석한 결과 기존의 방법보다는 새로운 흐름제어기법의 성능이 다소 좋음을 보여준다.

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Removal of an Infected Permanent Pacemaker through a Right Atriotomy without Cardiopulmonary Bypass Via a Right Thoracotomy (체외순환 없이 우측 개흉술을 통한 우심방 절개 만으로 감염된 영구심박동기의 제거 치험)

  • Choi, Kwang-Ho;Yoon, Young-Chul;Park, Kyung-Taek;Lee, Yang-Haeng;Hwang, Youn-Ho;Cho, Kwang-Hyun
    • Journal of Chest Surgery
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    • v.43 no.4
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    • pp.421-423
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    • 2010
  • A 52-year-old female presented with pain and swelling owing to recurrent inflammation on a generator pocket. She had undergone a permanent pacemaker implantation (DDD type) 7 years previously. We planned to insert a new pacemaker after removal of the previous generator and wires through a surgical approach. However, she had a history of the left modified radical mastectomy (MRM) with radiation therapy for breast cancer. For this patient, it would be difficult to care for the postoperative wound if we approached via the median sternotomy. Therefore, we decided to use a right atrial approach via a right thoracotomy. We removed the previous pacing wires through an atriotomy and inserted a new pacemaker using epicardial pacing leads without cardiopulmonary bypass.

Rate-Responsive Permanent Pacemaker Implantation in a Pekingese Dog with a Sick Sinus Syndrome (동방결절 기능 부전군을 가진 페키니즈 종의 개에 대한 심장 박동수 반응형 영구 심장 박동기의 장착)

  • Han, Dong-Hyun;Choi, Ran;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.569-572
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    • 2010
  • A 4-year-old neutered female Pekingese dog (weighing 3.6 kg) was referred with the primary complaint of exercise intolerance with occasional syncope. Physical examination revealed irregularly irregular heart rhythm with persistent pulse deficits. The 12-lead surface ECG showed a marked sinus arrest with occasional junctional escape beats, indicating a sick sinus syndrome. Permanent transvenous cardiac pacing with a rate-responsive bipolar implantable pacemaker (VVIR type) was performed in the right ventricle. After pacemaker implantation, the clinical signs were remarkably improved. No further syncopal episodes have yet been occurred after implantation.

First Multi-Detector Computed Tomography Evidence of Transcatheter Pacing System Migration and Embolization into the Pulmonary Vasculature

  • Valente, Tullio;Bocchini, Giorgio;Bigazzi, Maurizio Cappelli;Muto, Massimo;Golino, Paolo;Sica, Giacomo
    • Journal of Chest Surgery
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    • v.53 no.5
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    • pp.310-312
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    • 2020
  • Transcatheter leadless pacemaker dislodgment is a rare and potentially fatal complication of leadless device implantation. We present the first case of multidetector computed tomography images of leadless pacemaker migration and embolization in the pulmonary middle lobe artery. The patient was managed by percutaneous retrieval of the dislodged device and re-implantation in the appropriate position.