• Title/Summary/Keyword: heart treatment

Search Result 2,309, Processing Time 0.026 seconds

Open heart surgery in the first two years of life (2 세 이하 유아기의 개심술)

  • Park, Lee-Tae;Seo, Gyeong-Pil
    • Journal of Chest Surgery
    • /
    • v.16 no.4
    • /
    • pp.431-443
    • /
    • 1983
  • A hundred and fifty-one patients with congenital heart disease less than 24 months old underwent intracardiac repairs from January 1982 to July 1983, which consists 24.2% of all the patients with congenital heart diseases operated during the same period. There were 98 patients[64.9%] with acyanotic congenital heart disease and 53 patients[35.1%] with cyanotic congenital heart disease, and 55 patients[36.4%] were less than 1 year of age. Twenty-two patients died within 30 days after surgery and 3 patients died after postoperative 30th day: Ventricular septal defect, four of 90 patients; Tetralogy of Fallot, five of 23 patients; Transposition of great arteries, nine of 17 patients; Tricuspid atresia, four of 5 patients; Pulmonary atresia, all of 2 patients; Single ventricle, one of single patients. Over all mortality was 16.6% and mortality of acyanotic congenital heart disease, cyanotic congenital heart disease and patients less then 1 year of age was 4.1%, 39.6% and 20.0% respectively. Still the mortality of cyanotic congenital heart disease is high. Careful preoperative evaluation of the detailed intracardiac anatomy and hemodynamics of the patients and proper selection of surgical treatment yield better clinical results.

  • PDF

CASE REPORT : MAXILLARY SINUS ASPERGILLOSIS (상악동 국균증의 치험 2례)

  • Jang, Yong-Wook;Song, Kyung-Ho;Jung, Jin-Won;Lee, Seul-Ki;Kim, Jwa-Young;Song, Sang-Hoon;Yang, Byoung-Eun;Kim, Seong-Gon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.34 no.4
    • /
    • pp.480-484
    • /
    • 2008
  • The incidence of aspergillosis infections in the maxillary sinus has increased recently, because of overuse of antibiotics, steroids, anticancer agents, immunosuppressant, antimetabollites, and uncontrolled diabetes mellitus. The clinical features of maxillary sinus aspergillosis include pain, swelling and foul odor nasal excretion. This needs to be differentiated from bacterial maxillary sinusitis, and surgical treatment with antifungal agents are suggested. Recently, we treated two patients with maxillary sinus aspergillosis surgically (Caldwell Luc operation) and with antifungal agents(itraconazole). The results were satisfactory so we report these cases with literature review.

A Case Report on the Use of Heart Rate Variability and the Treatment Effect of Bunshimgi-eum on Autonomic Dysfunction After Cerebral Infarction (뇌경색 후 발생한 자율신경 장애에 대해 심박변이도로 살펴본 분심기음의 효과 증례보고 1례)

  • Jun-seok Kim;Ji-hyeon Kang;Seo-hyun Kim;Chae-eun Kim;Na-yeon Kim;Woo-seok Jang
    • The Journal of Internal Korean Medicine
    • /
    • v.44 no.1
    • /
    • pp.66-76
    • /
    • 2023
  • Background: The aim of this study is to investigate the use of heart rate variability on a stroke patient with autonomic dysfunction and the effectiveness of Bunshimgi-eum. Case report: The patient showed autonomic dysfunction, including chest discomfort, 煩燥 (sweating, anxiety, insomnia, nausea, lightheadedness), and abdomen discomfort (dyspepsia, heartburn) after ischemic stroke. She was treated with a herbal medicine (Bunshimgi-eum) through complex Korean medicine treatment. The effect was evaluated using heart rate variability (HRV), Mini-Mental State Examination-DS (MMSE-DS), mean pulse rate, and subjective percentage of symptoms. After treatment, the HRV score, MMSE-DS score, and subjective percentage of symptoms improved, and the pulse rate decreased from the upper boundary value. Discussion: The results suggest that HRV may be useful in evaluating stroke patients with autonomic dysfunction and that Bunshimgi-eum is suitable for treatment.

Effect of $PC_6$ Moxibustion for Mental Stress on Short-term Analysis of Heart Rate Variability (내관(內關)($PC_6$) 애구(艾灸)가 정신적 스트레스를 가한 성인의 심박변이도에 미치는 영향)

  • Cho, Seong-Yeun;Jang, Jin-Young;Kim, So-Jung;Nam, Sang-Soo;Kim, Yong-Suk
    • Journal of Acupuncture Research
    • /
    • v.27 no.2
    • /
    • pp.51-58
    • /
    • 2010
  • Objectives : The purpose of this study was to assess the effect of $PC_6$ moxibustion treatment for reducing mental stress using power spectrum analysis of the heart rate variability(HRV). Methods : 20 healthy volunteers(simple rest group : 10, moxibustion treatment group : 10) participated in this study. After instrumentation and 5-minutes rest period, mental stress by operation was provided for 5-minutes. HRV was recorded before and after the mental stress. And then the simple rest group rested for 15-minutes. The moxibustion treatment group was treated by $PC_6$ moxibustion and rested for 15-minutes. And then HRV was recorded. Results : In simple rest group, LF norm and HF norm showed a significant change after mental stress. In moxibustion treatment group, LF, HF, LF norm, HF norm and LF/HF showed a significant change after mental stress. But there were no significant difference between two groups(p>0.05) except HF. In moxibustion treatment group, LF, LF norm, HF norm and LF/HF showed a significant change after moxibustion treatment. There were significant differences between two groups(p<0.05). Conclusions : The result suggests that $PC_6$ moxibustion treatment can regulate and prevent the alteration of autonomic nerve system by mental stress.

Effect of Simple Acupuncture and Electroacupuncture at Bai Hui($GV_{20}$) on Heart Rate Variability in Healthy Adults with Stress Task (백회(百會)($GV_{20}$) 단순 자침과 전침 자극이 정신적 스트레스를 가한 정상 성인의 심박변이도에 미치는 영향 비교)

  • Kim, Ji-Na;Lee, Ji-Su;Hong, Jung-Soo;Kim, Soo-Jung;Moon, Sung-Il
    • Journal of Acupuncture Research
    • /
    • v.29 no.3
    • /
    • pp.89-99
    • /
    • 2012
  • Objectives : This study was performed to investigate the effect of simple acupuncture and electroacupuncture at Bai Hui($GV_{20}$) on heart rate variability in healthy adults with stress task. Methods : 40 healthy volunteers participated in this study. HRV was recorded before and after stress. And then simple acupuncture(SA group) was applied at $GV_{20}$ or electroacupuncture(EA group) was applied at the same spot in each treatment group for 20 minutes. No treatment was performed in control group for 20 minutes. Then HRV was recorded. Results : 1. In all groups, LF norm, LF/HF, HF norm showed significant changes after mental stress. 2. Control group showed no significant change. In SA group, HF norm LF, LF norm and LF/HF showed a significant change after treatment. In EA group, Mean HR, HF, LF norm, HF norm and LF/HF showed a significant change after treatment. In both treatment groups, there were significant differences after treatment compared to control group. 3. In EA group, HF and HF norm decreased significantly after treatment compared to SA group. Conclusions : These results suggest that simple acupuncture and electroacupuncture at $GV_{20}$ affect the balance of the autonomic nervous system and that electroacupuncture at $GV_{20}$ enhances parasympathetic activation more than simple acupuncture.

Bayesian Network Model to Evaluate the Effectiveness of Continuous Positive Airway Pressure Treatment of Sleep Apnea

  • Ryynanen, Olli-Pekka;Leppanen, Timo;Kekolahti, Pekka;Mervaala, Esa;Toyras, Juha
    • Healthcare Informatics Research
    • /
    • v.24 no.4
    • /
    • pp.346-358
    • /
    • 2018
  • Objectives: The association between obstructive sleep apnea (OSA) and mortality or serious cardiovascular events over a long period of time is not clearly understood. The aim of this observational study was to estimate the clinical effectiveness of continuous positive airway pressure (CPAP) treatment on an outcome variable combining mortality, acute myocardial infarction (AMI), and cerebrovascular insult (CVI) during a follow-up period of 15.5 years ($186{\pm}58$ months). Methods: The data set consisted of 978 patients with an apnea-hypopnea index (AHI) ${\geq}5.0$. One-third had used CPAP treatment. For the first time, a data-driven causal Bayesian network (DDBN) and a hypothesis-driven causal Bayesian network (HDBN) were used to investigate the effectiveness of CPAP. Results: In the DDBN, coronary heart disease (CHD), congestive heart failure (CHF), and diuretic use were directly associated with the outcome variable. Sleep apnea parameters and CPAP treatment had no direct association with the outcome variable. In the HDBN, CPAP treatment showed an average improvement of 5.3 percentage points in the outcome. The greatest improvement was seen in patients aged ${\leq}55$ years. The effect of CPAP treatment was weaker in older patients (>55 years) and in patients with CHD. In CHF patients, CPAP treatment was associated with an increased risk of mortality, AMI, or CVI. Conclusions: The effectiveness of CPAP is modest in younger patients. Long-term effectiveness is limited in older patients and in patients with heart disease (CHD or CHF).

Surgical Treatment of Postinfarction Posterobasal Left Ventricular Aneurysm - Report of 2 cases- (심근경색 후 발생한 후기저부 좌심실류의 외과적 치험 -2예 보고 -)

  • Kim, Jae-Hyun;Na, Chan-Young;Kim, Woong-Han;Oh, Sam-Sae;Baek, Man-Jong;Whang, Sung-Wook;Kang, Chang-Hyun;Lee, Cheul;Chang, Yun-Hee;Jo, Won-Min;Seo, Hong-Ju;Park, Young-Kwan;Kim, Chong-Whan
    • Journal of Chest Surgery
    • /
    • v.36 no.12
    • /
    • pp.975-978
    • /
    • 2003
  • At least 88 percents of ventricular aneurysms result from anterior infarction, while the remainder follow inferior infarction. Posterior infarction that produce a distinct left ventricular aneurysm is unusual. We report two operative cases of postinfarction posterobasal left ventricular aneurysms, one with a true aneurysm and the other with a false one.

A study for Mental disorder of Women II -focus on the cause of treatment- (부인(婦人) 정신장애에 대한 연구 II - 치료 중심으로)

  • Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
    • /
    • v.16 no.2
    • /
    • pp.53-64
    • /
    • 2005
  • Objects : This study was aimed to investigate the treatment on Mental disorder of Women. Methods : Research data is based on Buindaejoenyangbang and Dong-uibogam. And study the treatment in Mental disorder of Women. Results : 1. Owing to women's physiological extraordinary nature, Mental disorder of Women’s treatment does not match Dongyipogam’s about the same symptoms. 2. Most of happing the symptom is due to blood Wind(four flavors) and deficiency of the Heart, treatments are dispelling Wind, tonifying blood of the Heart and calming the spirit. 3. At postpartum, Mental disorder of Women’s causes are deteriorating blood vanquished blood and external affections with a blood deficiency from the loss of blood, treatments are tonifying the blood, expel Wind and clear Cold and remove blood stagnation to promote regeneration. Conclusion : The results suggest that the extraordinary nature of the circumstances due to women specific pathology must be considered.

  • PDF

Effects of Exercise Program for Ischemic Heart Disease Patients (허혈성 심장 질환자를 위한 운동프로그램의 효과)

  • 노호성
    • Journal of Nutrition and Health
    • /
    • v.33 no.6
    • /
    • pp.668-674
    • /
    • 2000
  • This study was to examine effects of the eight month exercise program at lactate threshold level intensity on 11 women patients of ischemic heart disease. The %body fat and systolic blood pressure were decreased and the aerobic capacioties of oxygen consumption as well as oxygen consumption at lactate threshold were improved through the exercise program arranged by this study. The lipid variables concerned with coronary heart disease were changed a little except that triglyceride was significantly decreased during the exercise program. The effects obtained from exercise program during four months lasted to the end of the exercise program. In case we control the exercise intensity according to increase of oxygen consumption at lactate threshold the exercise program conducted by this study will be effective to the treatment for ischemic heart disease patients.(Korean J Nutrition 33(6) . 668~674, 2000)

  • PDF