Clinical Observation on Coronary Heart Disease.
10.4070/kcj.1971.1.2.1
- Author:
Yun Sik CHOI
;
Sung Ho LEE
- Publication Type:Original Article
- MeSH:
Angina Pectoris;
Arm;
Cardiac Complexes, Premature;
Cause of Death;
Cholesterol;
Coronary Disease*;
Diabetes Mellitus;
Electrocardiography;
Female;
Humans;
Hypertension;
Hypertrophy, Left Ventricular;
Infarction;
Male;
Mortality;
Myocardial Infarction;
Myocardial Ischemia;
Seoul;
Shock, Cardiogenic;
Shoulder;
Tachycardia, Sinus;
Ventricular Fibrillation
- From:Korean Circulation Journal
1971;1(2):1-10
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
One hundred and seven cases of coronary heart disease were clinically studied at Seoul National University Hospital from September 1967 to August 1971 and following results were obtained. 1. The total cases were composed with 70 cases of myocardial infarction (46 cases of acute type and 24 cases of old type), 26 cases of angina pectoris and 11 cases of coronary insufficiency. 2. The ratio of male to female was 3.5:1, and over two-thirds of patients were sixth and seventh decade in ages. 3. As the underlying diseases, hypertension was found in 38.3% of the cases, and diabetes mellitus in 10.3%. 4. Among the various symptoms, precordial pain was a most common and characteristic, which was noted in 81.1% of the cases. Pain was radiated to the left arm and/or left shoulder in 45.2% of the cases. 5. In 57.2% of the cases, serum cholesterol was more than 200mg%. 6. The ratio between anterior and posterior wall infarction on electrocardiogram was about 3.5:1. 7. Left ventricular hypertrophy was the most frequently noted finding, and sinus tachycardia, low voltage, ventricular premature beat, myocardial ischemia, and others were also observed in some cases. 8. Mortality rate was 8.4%, and the major causes of death were cardiogenic shock and ventricular fibrillation.