• Title/Summary/Keyword: hemodynamic

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Effect of Supratentorial Stroke on Cerebellar Hemodynamic Parameters - Assessment by Dynamic Susceptibility Contrast MR Imaging (천막상부 뇌졸중에서 소뇌의 혈역학 변화 -Dynamic Susceptibility Contrast MR 영상을 이용한-)

  • Han, Si-Ryung;Kim, Bum-Soo;Guak, Tae-Ho;Choi, Young-Bin;Kim, Yeong-In
    • Annals of Clinical Neurophysiology
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    • v.4 no.1
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    • pp.38-43
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    • 2002
  • Background & Purpose : Dynamic susceptibility contrast MR imaging, one method of perfusion MRI, was developed to define cerebral hemodynamic status with good anatomical resolution. The authors investigated hemodynamic parameters using this imaging method, in an effort to identify hemodynamic changes on the remote crossed cerebellum of patients with a supratentorial infarct. Methods : Dynamic susceptibility contrast MR imaging was performed in 15 patients with only unilateral supratentorial infarcts. Imaging was obtained at the anatomic level of the cerebellum. rCBF, rCBV, MTT and TP were determined over both cerebellar hemispheres of interest. Results : The rCBF and rCBV values of the contralateral cerebellar hemisphere were significantly more decreased than those of the ipsilateral cerebellar hemisphere in 12 patients(p=0.028, 0.033). MTT and TP values of the contralateral and ipsilateral cerebellar hemispheres didn't reveal any differences(p=0.130, 0.121). Conclusions : The results of this work suggest that the region which are remote from the ischemic brain lesion shows no changes of MTT or TP but show decrease of rCBF and rCBV, mean to diaschisis, it also demonstrates that perfusion MRI is an easily available method to evaluate the hemodynamic status of the brain.

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Effects of Painless Delivery on Hemodynamic Changes of Parturients with Epidural Analgesia (경막외진통을 이용한 무통분만이 임산부의 혈역학 변동에 미치는 영향)

  • Lee, Sang-Ha;Jang, Young-Ho;Cheun, Jae-Kyu
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.63-68
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    • 1996
  • Background; Epidural analgesia for controlling labor pain has recently gained world-wide popularity. However, many patients scheduled for continuous epidural analgesia voice concern over harmful effects to their fetus and other possible complications such as hemodynamic changes, back pain and neurologic sequelae etc. The aim of this study was to evaluate the hemodynamic changes with and without epidural block as a measure to determine the safety of epidural analgesia during labor and delivery. Methods: Twenty healthy subjects were divided equally into two groups(Group 1 without epidural block, and Group 2 with epidural block) and serial hemodynamic measurements were taken in all subjects with transcutaneous impedence cardiography. The epidural catheter was inserted at the level of $L_{3,4}$ in Group 2 and analgesia was maintained using 0.25% bupivacaine mixed with fentanyl. Results: Cardiac output increased slightly with cervical dilatation in both groups, but no significant differences were found between the two groups. Similarly, no significant differences were found in blood pressures between the two groups. Stroke volume and end-diastolic volume indices were slightly decreased in group 1 and slightly increased in group 2. However, there were no significant differences between the two groups. The ejection fraction was nearly constant and ranging 56~59%. Conclusion: We concluded epidural analgesia for labor and delivery is a safe technique for the parturients since results indicated no significant differences in hemodynamic changes, as compared to the control group.

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Optical imaging of epileptic activity and epilepsy treatments in neocortex

  • Suh, Min-Ah
    • Proceedings of the Optical Society of Korea Conference
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    • 2009.02a
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    • pp.427-428
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    • 2009
  • Optical imaging offers excellent spatio-temporal sensitivity that is unparalleled by any other perfusion based imaging techniques. We used in vivo optical recording of intrinsic signals (ORIS) to map neurovascular hemodynamics of perfusion, oximetry and membrane potential during epileptic events in rat and mouse neocortex. Studies of hemodynamic changes with ORIS alone were also performed in human. Laboratory studies in rodent epilepsy models have demonstrated a persistent increase in deoxygenated hemoglobin (Hbr) and a decrease in tissue oxygenation during interictal spikes and ictal events. This "epileptic dip", like the "initial dip" recorded during normal sensory processing, implies that the enormous rise in cerebral blood flow (CBF) is inadequate to meet the increased metabolic demands associated with synchronized epileptic activity. These findings are critically important to the interpretation of the perfusion-based imaging studies, such as fMRI. In addition, we visualized the effect of direct cortical electrical stimulation, an alterative epilepsy treatment. The optical data following direct cortical electrical stimulation showed that hemodynamic signals are sensitive to different electrical stimulation parameters. Furthermore, our recent data demonstrated that the application of unilateral electrical stimulation is able to elicit bilateral hemodynamic responses in rat neocortex.

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Effect of Rosiglitazone on Myocardial Ischemia-Reperfusion Injury in Rat Heart

  • Ha, Ki-Chan
    • The Korean Journal of Physiology and Pharmacology
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    • v.10 no.4
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    • pp.181-186
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    • 2006
  • This study was undertaken to evaluate whether peroxisome proliferator-activated-receptor-gamma $(PPAR-{\gamma})$ agonist-rosiglitazone (ROSI) induces postischemic functional recovery in Langendorf heart model. Hearts isolated from normal rats were subjected to 20 min of normoxia or 25 min zero-flow ischemia followed by 50 min reperfusion. In this acute protocol, ROSI $(20\;{\mu}g/ml)$ administered 10 min before ischemia had no effect on hemodynamic cardiac function, but had protective effect on lipid peroxidation in in vitro experiments. In chronic protocol in which ROSI was given by daily gavage (4 mg/kg) for three consecutive days, ROSI could not prevent the hemodynamic alteration on cardiac performance, but has protective effect on the activity of superoxide dismutase (SOD). There was no significant difference in the contents of reduced glutathione (GSH) and catalase activity between ischemia-reperfusion (IR) and ROSI treated IR hearts. Although ROSI had no effect on hemodynamic factor, it had effect on antioxidant activity. Our results indicate that ROSI provides partial beneficial effects by inhibiting lipid peroxidation and/or recovering normal level of SOD activity in the ischemic reperfused heart.

Study on the hemodynamics in cows with naturally mastitis (유방염에 이환된 젖소에 있어서 혈액 동태학에 관한 연구)

  • 허정호;손성기;이주홍;김종수
    • Korean Journal of Veterinary Service
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    • v.18 no.2
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    • pp.182-188
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    • 1995
  • Hemodynamic values were assessed in cows with naturally mastatis. hemodynamic tests included WBC, RBC, PCV, Hemoglobin, Monocyte, Eosinophil, Neutrophil, Lymphocyte, and prothrombin time, activated partial thromboplastin time, thrombin time, fibrinogen, platelet, antithrombin-III, and plasminogen activities. Significant changes were observed in the mean values of most analytses : WBC, monocytes, eosinophil, neutrophil were increased and Iymphocyte were decreased. prothrombin time was increased: activated partial thromboplastin time, thrombin time. increased : activated partial thromboplastin time, thrombin time, fibrinogen concentration, plasminogen activity and platelet concentration were decreased : and RBC, PCV, hemoglobin and antithrombin-III activity were unchanged, compared with normal mean values. Thesse data indicated activation of hemodynamic mechanisms, initiated either directly by bacteria produced endotoxin of secondaly inflammatory mediators produced in response to caused bacteria and naturally acquired mastitis was very similar to the experimental endotoxin-induced mastitis.

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Development of angiographic PIV and performance evaluation (Angiographic PIV기법 개발 및 성능 평가)

  • Jung, Sung-Yong;Kim, Guk-Bae;Lim, Nam-Yun;Lee, Sang-Joon
    • 한국전산유체공학회:학술대회논문집
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    • 2008.03b
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    • pp.683-686
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    • 2008
  • To diagnose vascular diseases from the viewpoint of hemodynamics, detailed quantitative hemodynamic information of related blood flows with a high spatial resolution of tens micrometer and a high temporal resolution in the order of millisecond were required. For investigating the hemodynamic phenomena of vascular circulatory diseases, a new diagnosing technique combining a medical radiography and PIV method was newly developed. This technique consisted of a medical X-ray tube, an X-ray CCD camera, a shutter module for double pulse-type X-ray source, and a synchronizer. Through several preliminary tests, the feasibility of the angiographic PIV technique was verified. For in-vivo measurements to real blood flows, we developed tracer microcapsules which were optimized to this system by encapsulating a contrast material of iodine with a matrix material of PVA (polyvinylpyrrolidone). In near future, the angiographic PIV technique would be useful for diagnosing hemodynamic phenomena of vascular diseases and for their early detection.

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Fermented ginseng, GBCK25, ameliorates hemodynamic function on experimentally induced myocardial injury

  • Aravinthan, Adithan;Antonisamy, Paulrayer;Kim, Bumseok;Kim, Nam Soo;Shin, Dong Gyu;Seo, Jeong Hun;Kim, Jong-Hoon
    • Journal of Ginseng Research
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    • v.40 no.4
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    • pp.462-465
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    • 2016
  • In the present study, we investigated whether treatment with GBCK25 facilitated the recovery of hemodynamic parameters, left ventricle systolic pressure, left ventricular developed pressure, and electrocardiographic changes. GBCK25 significantly prevented the decrease in hemodynamic parameters and ameliorated the electrocardiographic abnormality. These results indicate that GBCK25 has distinct cardioprotective effects in rat heart.

A Review on Impedance Cardiography and Its Oriental Medical Application (한의학적 활용을 위한 임피던스 심장기록법의 연구동향)

  • Ko, Young-Il;Lee, Hyon-Soo;Park, Young-Jae;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.10 no.2
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    • pp.67-78
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    • 2006
  • Objectives : To review the method, validity and reliability of Impedance Cardiography and to study its oriental medical application. Method : The papers reviewed in this study were searched through internet search engines such as Springer, Science Direct, and China National Knowledge Infrastructure. Conclusion : In this study, the methodological limitations, validity and reliability of impedance cardiography were examined. Impedance Cardiography is recognized as a highly accurate non-invasive tool to assess hemodynamic parameters. The ability of impedance cardiography to assess hemodynamic parameters in non-invasive way is very suitable for researches on the effect of oriental medical therapeutics or the validation of oriental medical diagnostic.

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A Study on the Practical Estimation of Nonlinear Hemodynamic Variables for the Moving-Actuator type Total Artificial Heart (인공심장의 비선형 혈류 역학 변수 예측에 관한 연구)

  • 엄경식;안재목
    • Journal of Biomedical Engineering Research
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    • v.19 no.2
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    • pp.153-162
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    • 1998
  • It is needless to say that the nonlinear hemodynamic variables estimation is a very important study for the artificial heart. Even though it is important, there have not been satisfactory results which can be applied to the real world situations, In this paper, the problem of hemodynamic variables estimation for the moving-actuator type total artificial heart(MA-TAH) was studed. Multidimensional linear interpolation(MDI)scheme was used for the estimation. Proposed method was verified by in vitro test and showed good performance.

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Practice for preterm patent ductus arteriosus; focusing on the hemodynamic significance and the impact on the neonatal outcomes

  • Lee, Jin A
    • Clinical and Experimental Pediatrics
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    • v.62 no.7
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    • pp.245-251
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    • 2019
  • Hemodynamically significant preterm patent ductus arteriosus (PDA) affects mortality; comorbidities such as necrotizing enterocolitis, intraventricular hemorrhage, and bronchopulmonary dysplasia; and adverse long-term neurodevelopmental outcomes in preterm infants, particularly in very low birth weight infants. However, recent studies have indicated that there is no consensus on the causal relationship between PDA and neonatal outcomes, the benefit of PDA treatment, the factors guiding the need for treatment, and optimal treatment strategies. Such uncertainty has resulted in wide variations in practice for treating preterm PDA between units, regions, and nations. Nowadays, there has been a paradigm shift to more conservative treatment for preterm PDA, and suggestions regarding selective management of preterm PDA considering risk factors and hemodynamic significance are increasing. Neonatologist-performed echocardiography and advances in modalities to assess hemodynamic significance such as biologic markers and near-infrared spectroscopy also help improve the efficacy of selective treatment of preterm PDA.