• 제목/요약/키워드: angina pectoris

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심혈관계 질환과 구강기능제한의 관련성 (Association between cardiovascular disease and limited oral function)

  • 김선미;김인자
    • 한국치위생학회지
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    • 제21권6호
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    • pp.751-761
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    • 2021
  • Objectives: The purpose of this study was to examine the relationship between limited oral function and cardiovascular disease in adults over 40 years of age. Methods: Data from the Seventh Korean National Health and Nutrition Examination Survey (2016-2018) was used. In this study, 8,766 adults over the age of 40 years were included as study subjects. They completed a health survey which included current prevalence of hypertension, stroke, myocardial infarction, and angina pectoris, as well as information about blood tests, physical measurements, and oral examinations. Statistical analyses were carried out using complex sample cross-tabulation analysis, general linear model, and logistic regression analysis. Results: The study showed that limited oral function was experienced by patients with stroke (61.3%), myocardial infarction (49.1%), cardiovascular disease (38.5%), hypertension (38.1%), and angina (36.4%) (p<0.05). In patients with stroke, the risk of limited oral function was 2.393 times higher than in patients without stroke. Patients with hypertension were 1.233 times more at risk of speaking difficulty than those without hypertension. Conclusions: Limited oral function is associated with cardiovascular disease. To improve oral health, it is necessary to provide integrated, health-based oral care.

관상동맥 우회술후 출혈경향과 수혈양상 (Bleeding Tendency and Transfusion Feature after CABG)

  • 이재원;김상필;송명근
    • Journal of Chest Surgery
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    • 제31권6호
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    • pp.581-585
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    • 1998
  • 술후자가수혈은 수혈부작용없이 혈액보존을 할 수 있는 방법으로 알려져있다. 불안정성 협심증에 대한 관상동맥우회술 후에 술후자가수혈을 채용하면 동종수혈을 얼마나 줄일 수 있을 지를 알아보고자 이 환자군을 대상으로 출혈경향과 동종수혈양상을 관찰하였다. 1997년 8월부터 10월까지의 기간에 시행한 관상동맥우회술 환자 중, 불안정성 협심증인 26명을 대상으로 후향적으로 조사한 결과 90%의 환자가 평균 2.4단위의 동종수혈을 받았고 85%의 환자에서 수술당일 중환자실에서 혈액이 투여되었으며 다수에서 빈혈의 교정이 아니고 혈량유지를 위하여 수혈이 이루어졌다. 출혈은 술후 5시간까지 평균 340cc였고 69%(18명)에서 200cc이상의 출혈을 보여 이 환자에게 자가수혈을 할수 있을 것으로 사료되었다. 결론적으로 여러 가지 혈액보존법의 채용에도 불구하고 90%의 환자에서 동종수혈이 이루어졌으며 그 중 다수에서 불필요한 수혈이 있었음을 알 수 있었으며 이를 해결하는 한 방법으로 수술직후 출혈이 있는 시기에 어떤 종류의 혈액이 필요하며 따라서 수술후 자가수혈을 채용하면 동종수혈을 줄이는데 기여할 수 있을 것으로 보인다.

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협심증이 의심되어 운동부하검사를 받은 여성들의 흉통에 관한 내용분석 (Content Analysis of Experiences of Chest Pain in Women Who Underwent the Treadmill Test with an Impression of Angina Pectoris)

  • 최명애;이명선;안경애;임은옥
    • 성인간호학회지
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    • 제14권3호
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    • pp.459-469
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    • 2002
  • Purpose: Experience of chest pain may be different in women from that of men and this discrepancy may cause misdiagnosis of angina contribute to mortality by this disease in women. The purpose of this study was to analyze the characteristics of chest pain and responses to the symptoms in women. Method: A content analysis was conducted with interviewed data obtained from women who underwent the treadmill test Result: Seven major categories were identified from this content analysis: attributes of chest pain; accompanied symptoms; precipitating factors; relief strategies; family support; communication with physicians; and effects of chest pain on their lives. Characteristics of pain were described as heaviness, tightness, heating sensation, tearing, and others. Duration and intensity of pain varied in a wide range. Radiating pain presented in 9 patients, and the locations of radiation were throat, neck, shoulder arm and fingers. Women tended not to respond actively to their chest pain, and didn't get appropriate support either from their family or from their physicians when they reported chest pain. Conclusion: Women express non-typical as well as typical patterns of pain when they experience chest pain. Clinicians have to consider the variability of symptoms when they assess women with suspicions of angina.

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Spinal Cord Stimulation in Pain Management: A Review

  • Jeon, Young-Hoon
    • The Korean Journal of Pain
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    • 제25권3호
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    • pp.143-150
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    • 2012
  • Spinal cord stimulation has become a widely used and efficient alternative for the management of refractory chronic pain that is unresponsive to conservative therapies. Technological improvements have been considerable and the current neuromodulation devices are both extremely sophisticated and reliable in obtaining good results for various clinical situations of chronic pain, such as failed back surgery syndrome, complex regional pain syndrome, ischemic and coronary artery disease. This technique is likely to possess a savings in costs compared with alternative therapy strategies despite its high initial cost. Spinal cord stimulation continues to be a valuable tool in the treatment of chronic disabling pain.

Incidentally Detected Cardiac Cyst Hydatid after Blunt Thoracic Trauma

  • Ozbudak, Ersan;Durmaz, Duygu;Arikan, Ali Ahmet;Halici, Umit;Yavuz, Sadan;Emre, Ender
    • Journal of Chest Surgery
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    • 제47권2호
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    • pp.160-162
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    • 2014
  • Cardiac involvement in hydatid disease is more seldom than the involvement of the liver and the lungs. Cardiac cyst hydatid disease is diagnosed incidentally or by means of symptoms such as dyspnea and angina pectoris. Here, we present the case of a 45-year-old male patient who underwent open heart surgery for a randomly detected cardiac cyst hydatid during investigations carried out in a healthcare institution after accidentally falling from height. On the other hand, this patient did not have any complaints associated with hydatid disease before this event.

임상에서 시간약물학 (Chronopharmacology in Clinical Medicine)

  • 이헌정;김린
    • 수면정신생리
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    • 제11권2호
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    • pp.67-72
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    • 2004
  • Circadian rhythm is a global phenomenon, the control mechanisms of which are manifested at every level of biological organization, from genes and intracellular mechanisms to networks of cell populations, and to all central neuronal systems at the organismic level. In pharmacotherapy, the pharmacokinetic parameters such as drug absorption and distribution, drug metabolism, and renal elimination show diurnal variations. The symptoms and signs in diseases like asthma, myocardiac infarction, angina pectoris, hypertension and stroke also show diurnal fluctuations. These observations require drug treatment considering the circadian rhythm of body function and disease. Circadian time has to be taken into account as an important variable influencing a drug's pharmacokinetics and/or its effects or side effects in clinical practice.

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QT간격연장증후군(Long QT Syndrome) 환자의 치료경험 -증례 보고- (Clinical Experience for a Patient with Long QT Syndrome -A case report-)

  • 박태규;이정구
    • The Korean Journal of Pain
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    • 제13권1호
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    • pp.115-118
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    • 2000
  • Stellate ganglion block is most commonly used in pain clinic because it is an easy procedure and it has broad indications reported that Angina pectoris, tachyarrhythmia and long QT syndrome (LQTS) are indicated. LQTS is a disorder of the abnormalities of cardiac sympathetic innervation and of myocardial repolarization. LQTS is characterized by marked prolongation of the QT interval, often manifestating as syncope, seizures, or sudden death due to polymorphic ventricular tachyarrhythmia known as torsades de pointes. Treatment of symptomatic patients usually begin with beta blocker. The elective treatment of LQTS patients unresponsive to beta blocker is the left cardiac sympathetic denervation. We report a case of LQTS patient who had received stellate ganglion block.

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Isoquinolines: Are they possible candidate for $Ca^{2+}$ blockers\ulcorner

  • 장기철;윤용진;조수동;정원석
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1994년도 춘계학술대회 and 제3회 신약개발 연구발표회
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    • pp.217-217
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    • 1994
  • Calcium entry blockers, capable of inhibiting transmembrane influx of extracellular calcium through specific calcium channels, are useful drugs in the treatment of angina pectoris, hypertension, cardiac arrythmia, and various cardiovascular disorders. Compounds having isoquinoline structures have recently been reported to possess calcium antagonistic action. Therefore, in the present study, we have attempted to synthesize some isoquinoline and related compound.; in order to search for potentially effective chemicals acting on cardiovascular system, and evaluated their pharmacological properties focusing on calcium antagonistic actions. Almost all of the compounds so far synthesized, had inhibitory action against phenylephrine or high potassium-induced contraction in vascular smooth muscle with different degrees of potencies depending on their structures, However, some of tetrahydroisoquinoline analogs showed directly inhibit calcium current in isolated rabbit cardiac myocytes examined by patch clamp techniques. The pharmacological properties of these compounds need more intensive investigation as to whether these chemicals may have developed as a new cardiovascular active drugs. Therefore, we are now under investigation of the mechanism of action of these compounds.

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'의학적 상태에 영향을 미치는 심리적 요인들' 심혈관계 질환의 모형 개발 (Psychological Factors Affecting Medical Conditions : Cardiovascular System)

  • 한창환
    • 정신신체의학
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    • 제6권2호
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    • pp.193-209
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    • 1998
  • The author conducted a literature review to better characterize the current state of knowledge regarding the relationship between psychological and behavioral factors and cardiovascular disease. This review focus on several problems : Hypertension, coronary artery disease such as myocardial infarction and angina pectoris. We describe model for understanding the relation-ship of psychological factors to the disease, review the results of relevant research studies and provide recommendation for further research.

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협심증 발생 위험요인에 관한 환자-대조군 연구 (A Case-control Study of Risk Factors in Angina Pectoris Incidence)

  • 이성란
    • 한국산학기술학회:학술대회논문집
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    • 한국산학기술학회 2011년도 춘계학술논문집 2부
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    • pp.920-923
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    • 2011
  • 본 연구는 협심증 발생의 위험요인에 관여하는 관련요인을 파악하기 위해 환자-대조군 연구를 시도 하였다. 자료수집은 2010년 12월 7일부터 2011년 2월 5일까지 서울에 소재한 종합병원에 내원한 협심증환자 141명을 대상으로 설문 및 면접조사를 하였다. 연구결과 첫째, 성별을 보면 환자군에서 여성 32.6%에 비해 남성 61.1%에서 유의하게 높았다($X^2$=11.94, p<.01). 둘째, 성별은 여성에 비해 남성에서 협심증의 위험요인이 3.24배 유의하게 높게 나타났다(OR=3.24, 95% Cl=1.93-6.84). 셋째, 남성, 현재흡연을 할수록, 당뇨병과 복부비만이 있는 경우 협심증 위험요인이 유의하게 나타났다(p<.05). 이러한 결과를 토대로 협심증에 이환된 대상자에게 철저한 장-단기적인 전략과 대책을 계획하고 수행하기 위한 방향을 제공하는 데 도움이 될 수 있을 것이다.

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