• Title/Summary/Keyword: palpitation

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RVOT Obstruction Caused by Projection of The Herniated Aortic Cusp Through Subpulmonic VSD (심실중격결손증에 속발한 대동맥판탈출에 의한 우심실유출로 협착 [1례 보고])

  • 이병우
    • Journal of Chest Surgery
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    • v.14 no.3
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    • pp.254-259
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    • 1981
  • This is a case of successfully surgically treated RVOT obstruction caused by projection of the herniated aortic cusp through subpulmonic supracristal VSD at Department of Thoracic and Cardiovascular Sugery, Hanyang University Hospital. The patient was a 17 year old boy. Congenital heart anomaly was suspected at 2 years of his age. He had palpitation, dyspnea on exertion and epistaxis for 2 years prior to admission to our hospital. On examination, the blood pressure was 170/0mmHg. And the pulse rate was 100/rain. Widening of pulse pressure, water hammer pulse [bounding pulse]. To and fro murmur and head nodding were noted. Cardiomegaly was seen in chest x-ray. EKG, Echocardiography, Cardiac catheterization and angiocardiography were performed. On April 27, 81. Open heart surgery was performed under the impression of VSD combined with AI. On Rt. ventriculotomy, we noticed RVOT obstruction caused by prolapsed rt coronary cusp through a VSD. The subpulmonic supracristal VSD measuring 2.5 x 3 Cm in diameter was closed with Teflon patch graft and then the prolapsed aortic leaflet was plicated by placing three 8-figure suture between the free edge and the base of the leaflet through transverse aortotomy. After operation, excellent result was obtained: B.P, was 110/50mmHg and any sign of AI or residual shunt was not found at discharge.

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The prognostic implication of postoperative ECG changes in congenital heart surgery (술후 심전도 변화가 예후에 미치는 영향에 관한 고찰 -선천성 심질환을 중심으로-)

  • 정황규
    • Journal of Chest Surgery
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    • v.19 no.3
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    • pp.363-373
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    • 1986
  • Even though the pathogenesis is still controversial, electrocardiographic changes after congenital open heart surgery depend on various etiologic factors. Author reviewed 261 cases of congenital open heart surgery patient experienced in the Dept. of Thoracic & Cardiovascular Surgery, Pusan National University Hospital, since July, 1981 to Sept., 1985. The results were summarized as followed: 1. The age distribution was from 3 to 29 years old with mean age 10.8 years. And the most frequent congenital heart defect we had done operation was VSD. 2. Preoperatively, the most frequent ECG finding was abnormal QRS complex and postoperatively the most frequent ECG change was arrhythmia. 3. The most frequent arrhythmia before operation was intraventricular conduction disturbance. 4. Right ventriculotomy incision produced the more frequent abnormal ECG changes postoperatively than right atriotomy or pulmonary arteriotomy. 5. According to the operative technique, outflow patch graft of TOF repair produced the highest frequency of ECG changes after operation, and in comparing simple and patch closure of VSD, the latter was higher frequency of ECG changes, in valvotomy and infundibulectomy of PS, the latter was higher too. 6. The common symptom and signs in abnormally ECG changed patients after operation were palpitation, dyspnea, congestive heart failure and murmur in this order., 7. The longer the time of CPB, the more number of abnormally ECG changed patients had been developed after operation. 8. The most of postoperative ECG changed patients recovered spontaneously or with only medication and were clinically insignificant. And the rest other minor group recovered with temporary pacing. Eight cases out of 261 [3.1%], these with abnormal QRS complex and arrhythmia couldn`t recover in spite of every effort and eventually succumbed.

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A Study of Chronic Constrictive Pericarditis (만성 수축성 심낭염의 임상적 고찰)

  • 김현경
    • Journal of Chest Surgery
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    • v.24 no.10
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    • pp.973-978
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    • 1991
  • From January, 1982, to December, 1990, 15 patients underwent pericardiectomy for chronic constrictive pericarditis on Department Of Thoracic and Cardiovascular Surgery, School of Medicine, Pusan National University. There were 9 male and 6 female patients [male to female ratio was 1.5: 1] ranging from 15 years to 63 years old [mean age 35.0]. All patients underwent pericardiectomy through a median sternotomy, partial cardiopulmonary bypass was performed on two patients. There were 3 postoperative death [20%]. Six cases [40%] were tuberculous origin 5 cases [34%] were Idiopathic [nonspecific chronic inflammatory change was considered to idiopathic], 2 cases [13%] were malignant origin, 2 cases [13Yo] were pyogenic origin. Dyspnea on exertion was evident in all patients and abdominal distention, general weakness, palpitation, peripheral edema were found. Eleven patients showed low voltage of QRS wave, 7 patients showed diffuse ST-T wave change, 2 patients showed atrial fibrillation on EKG. There were 6 patient showed pericardial thickening, 5 patients showed evidence of restriction, 5 patients showed pericardial effusion, 4 patients showed low cardiac output on preoperative echocardiogram. Hemodynamic response to pericardiectomy were observed; preoperative CVP 26.8 cmH2O declined to 15.0 cmH2O. Preoperative NYHA Functional class showed class II - 1, class III - 10, class IV - 4, postoperative NYHA functional class showed class I - 7, class II - 4, class Ill - l.

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Analysis of Claustrophobia in MRI Exam Among The Korea Auxiliary Police and Combat Auxiliary Police (전·의경 MRI 폐소공포증에 대한 분석)

  • Jeon, Woo-Jin;Jeong, Jae-Kyo;Chun, Sung-Joon;Yoon, Dae-Hyun;Lim, Yoon-Sik;Seok, Jong-Min
    • Korean Journal of Digital Imaging in Medicine
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    • v.16 no.1
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    • pp.21-25
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    • 2014
  • This study, was conducted to find out the correlation factors of anxiety of the patients during MRI exam on the claustrophobia. This study conducted a survey targeting those korea auxiliary police and combat auxiliary police patients who were admitted to the National Police Hospital over a period from January 2 to December 24, 2013 to investigate their degree of claustrophobia. In study result, sufficient explain before exam was helpful and decrease anxiety. However, they felt more anxious about limited spare, and when the entered a bore. Symptoms of instability and fear were stuffy, sweat, dyspnea, palpitation those are ascending rank of frequency.

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A Tremor Care after the Endodontic Treatment under Mandibular Block Anesthesia -A Case Report- (하악 차단마취하에 근관치료 후 유발된 진전(떨림) 치험 -증례 보고-)

  • Lee, Chun-Ui;Yoo, Jae-Ha;Kim, Jong-Bae
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.10 no.2
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    • pp.203-208
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    • 2010
  • Tremors are trembling movements and are seen in association with alcoholic intoxication, certain drugs, thyrotoxicosis, multiple sclerosis, hysteria, and nervous tension. Dental fears, such as, pain, drill, unknown, dependency, helplessness, mutilation and oral change, induce the neuroendocrine response (release of epinephrine and norepinephrine, etc). The clinical manifestations of epinephrine or other vasopressor overdose include : anxiety, tenseness, restlessness, throbbing headache, tremor, perspiration, weakness, dizziness, pallor, palpitation and respiratory difficulty. Signs of local anesthetic overdose appear clinically whenever the anesthetic level in the blood rises to an appropriate level in an individual. The clinical signs of moderate overdose levels include : talkativeness, apprehension, excitability, slurred speech, tremor and muscular twitching. This is a case report about the severe tremor care after the endodontic treatment under right mandibular block anesthesia in a 56-years old female patient.

The Study on Bufobufo gargarizns Cantor (섬피(蟾皮)에 대(對)한 고찰(考察))

  • Kim, Jae-yong;Cho, Jong-kwan
    • Journal of Haehwa Medicine
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    • v.10 no.1
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    • pp.115-120
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    • 2001
  • We came to the conclusion after considering all of information from many kinds of books on the Bufobufo gargarizans Cantor. The result were as follows: 1. Bufobufo gargarizans Cantor is originated from the bufonidae of caudata of amphibia of chordata. 2. The form of Bufobufo gargarizans Cantor is obese, about 12 centimeter long and the color of Bufobufo gargarizans Cantor is dark brown, black. 3. The charateristics and the tastes of Bufobufo gargarizans Cantor is cold and spicy and the Guigyung of Bufobufo gargarizans Cantor is heart and stomach. 4. The significant gredient of Bufobufo gargarizans Cantor is Bufagin, Steroids, Cinobufotoxin, ${\beta}$-sitosterol, Bufothionine, Bufotenidine, Bufo tenine, Bufalin, Butotalidin Hellebrigenin, Bufochrome. 5. The efficacy of Bufobufo gargarizans Cantor is pajinggyunhyul(破懲堅血), salgamjok(殺疳積), taehuyol(退虛熱), etc. 6. In direction of Bufobufo gargarizans Cantor, one time dosage is 2-3 gram in internal medicine, in external medicine dosage depends on the width. 7. Bufobufo gargarizans Cantor should be cautious in use those who is pregnant, have heart disease, gastritis, gastric ulcer. 8. The side effect of Bufobufo gargarizans Cantor is nausea, vomiting, abdomen discomfort, diarrhea, palpitation, headache, lethargy, etc. 9. Bufobufo gargarizans Cantor could be use in hepatoma, esophgeal cancer, stomach cancer, skin cancer, breast cancer and leukemia.

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A case report of the postpartum depression with Hominis Placenta Herbal acupuncture therapy (산후(産後) 우울증(憂鬱症)을 자하거(紫河車) 약침(藥鍼)을 활용하여 치료(治療)한 1례(例))

  • Lee, Cheol-Woong;Kim, Jin-Woo;Cho, Jin-Hyung;Lee, Soon-Yee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.19 no.2
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    • pp.282-294
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    • 2006
  • Purpose : The purpose of this study is to report the effect of oriental treatments to postpartum depression Methods : We treated the patient who had postpartum depression and visited Joong-hwa oriental hospital. The patient in this case, 36-years-old female, was admitted for 15days(161th/May/2005-30th/May/2005) due to postpartum depression which was measured by EPDS(Edinburgh Postnatal Depression Scale) and BDI(Beck's depression Inventory). The symptoms of patient are insomnia, anxiety, palpitation, chest discomfort and depression. This patient was treated with Hominis Placenta Herbal acupuncture at CV4(Kwanwon, Guanyuan), CV6(Kihae, Qihai), B23(Shinsu, shenshu), GVl5(Amun, Yamen), herb medication, acupuncture, auricular acupuncture, moxa treatment, and so forth. Results : As a result, symptoms are remarkably alleviated. Conclusions : Hominis Placenta Herbal acupuncture is expected to have an effect on postpartum depression. After this, further approach and study on postpartum depression might be needed.

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A clinical study on the effect of Ondam-tang on anxiety disorder in adolescence (청소년기 심담허겁(心膽虛怯) 환아의 온담탕(溫膽湯) 치험 1례)

  • Lee, Jeong-Lim;Ha, Kwang-Su;Kim, Sun-Mi;Song, In-Sun;Ha, Su-Yun
    • The Journal of Pediatrics of Korean Medicine
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    • v.19 no.2
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    • pp.153-163
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    • 2005
  • Objectives : The purpose of this study is to find out whether Ondam-tang has any effects on adolescence with anxiety disorder Methods : The subject is in regard to 1 case with anxiety disorder who adnutted at ${\bigcirc}{\bigcirc}$ Oriental Medical hospital from 29th of June to 7th of July. The herbal therapy (Acupuncture, Moxa, Aroma therapy) is applied. Results : After treatment, in a week, most of symptoms (insomnia, anxiety, the problem of verbal expression, chest discomfort, palpitation, anorexia, digestion, headache, dizziness, thirst, eye discomfort, etc) were subsided. Conclusion : Anxiety disorder is similar to Simdamhugup in Oriental medicine. Ondam-tang has been used for long time for treatment on Simdamhugup. Ondam-tang is effective medication for adolescence with anxiety disorder, but more studies about adolescence and Oriental approach of psychiatries are needed.

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Gender Differences in Cardiac Knowledge and Symptoms Recognition in Patients with Acute Coronary Syndromes (일 대학병원에 내원한 급성 관상동맥증후군 환자의 성별에 따른 질병지식 및 증상인지 비교)

  • Lee, Eun-Kyoung;Son, Youn-Jung
    • Journal of Korean Biological Nursing Science
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    • v.12 no.3
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    • pp.166-174
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    • 2010
  • Purpose: The purpose of this study was to compare the cardiac knowledge and symptoms recognition between men and women with acute coronary syndrome (ACS). Methods: Cross-sectional survey research design and convenience sampling were used in this study. 64 men and 42 women from a university medical center were participated in this study. Data collection were used with self reported questionnaires and medical records. Results: There was no difference in cardiac knowledge by gender. Women marked the higher score in symptoms recognition than men. Significant gender differences were observed in the reports of several symptoms (headache, nausea, palpitation, hand paresthesia, and leg numbness) and with ACS. There was significant correlation between cardiac knowledge and symptom recognition on both men and women. Conclusion: These findings suggest that health care professionals should pay attention to the differences in clinical symptoms between women and men. Furthermore, tailored information about possible symptoms of coronary artery disease according to the patient's gender is needed.

Clinical Study of Correlation between Retention of Fluid and PWV/ABI (Pulse Wave Velocity, Ankle Brachial Index와 담음(痰飮)의 연관성에 관한 연구)

  • Park, Myung-Won;Cho, Jung-Hoon;Jang, Jun-Bock;Lee, Kyung-sub
    • Korean Journal of Oriental Medicine
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    • v.10 no.2
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    • pp.73-78
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    • 2004
  • Purpose : The aim of this study was to investigate correlation between retention of fluid and PWV/ABI. Methods : The sample consists of 35 women who took plethynography(VS-1000;Fukuda Co.Ltd, Japan) at Oriental medicine exhibition held in COEX mall from August. 26. 2004 to August. 29. 2004. They were asked the intensity of the symptoms like dizziness or headache, nausea or bowel trouble, coldness in knee, and palpitation(1:none, 2:a little, 3:mild, 4:moderate, 5:severe). Women who answered 1,2 were classified as control group, and women who answered 3,4,5 were experimental group. Result : There was stastically significant correlation between dizziness and ABI Conclusion : It is believed that ABI may be the favorable alternative to the diagnosis of dizziness or headache.

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