1.Restenosis and Compliance with Self-Care Among Acute Coronary Syndrome Patients Undergoing Follow-up Angiograms.
Myung Ja CHOI ; Myung Ho JEONG ; Seon Young HWANG
Korean Journal of Health Promotion 2011;11(1):34-41
BACKGROUND: Compliance with self-care and lifestyle modification is recommended for all patients with acute coronary syndrome to prevent a secondary attack. Data is limited regarding the association between compliance with self-care and restenosis. This study was conducted to examine the association between compliance with self-care and restenosis and to determine the predicting factors for restenosis and low compliance with self-care. METHODS: A total of 166 acute coronary syndrome patients (64.2+/-10.8 years) hospitalized for an angiogram during routine follow-up or symptom management were conveniently recruited from a university hospital cardiovascular care unit. Self-administered questionnaires were used to evaluate the level of compliance with self-care and symptom-related satisfaction. RESULTS: In-stent restenosis was found in 40.4% of the subjects and 36.1% were persistently smoking. There was no significant relationship between low compliance with self-care and restensosis. A lower symptom-related satisfaction significantly predicted restenosis and low compliance with self-care. A longer period after initial diagnosis predicted restenosis and a shorter period after initial diagnosis predicted low compliance with self-care. Persistent smoking was independently associated with low compliance with self-care. CONCLUSIONS: Patients who continued to smoke and had lower symptom-related satisfaction with daily living showed a stronger tendency for lower compliance with self-care and lifestyle modification. Effective educational strategy focusing on smoking cessation is needed to increase compliance with self-care in patients with ACS, especially during admission with a first heart attack.
Acute Coronary Syndrome
;
Compliance
;
Coronary Artery Disease
;
Follow-Up Studies
;
Heart
;
Humans
;
Life Style
;
Patient Compliance
;
Self Care
;
Smoke
;
Smoking
;
Smoking Cessation
;
Surveys and Questionnaires
2.A Case of Cerebral Infarction Caused by Tumor Emboli from the Site of.
Eui Chang HWANG ; Sen LYU ; In Ho KIM ; Hyun Jong PARK ; Nam Young KANG ; Myung Yong LEE
Korean Circulation Journal 1999;29(7):731-
Multiple cerebral infarction developed in a 36-year-old woman with adenocarcinoma of the right lung with direct cardiac invasion. Neurological examination and brain MRI showed findings of ordinary infarction. Transesophageal echocardiography showed left atrial pedunculated mass which was the potential source of embolism. We report a rare case who had such multiple spontaneous tumor emboli large enough to result in clinically detectable cerebral infarction.
Adenocarcinoma
;
Adult
;
Brain
;
Cerebral Infarction*
;
Echocardiography, Transesophageal
;
Embolism
;
Female
;
Humans
;
Infarction
;
Lung
;
Lung Neoplasms
;
Magnetic Resonance Imaging
;
Neoplastic Cells, Circulating
;
Neurologic Examination
3.The clinical studies on acute poisoning of infants and children visited the emergency room in rural area.
Chang Hi LEE ; Gyu Dong CHOI ; Hyeon Soo HAN ; Hye Heon HWANG ; Myung Ho CHO
Journal of the Korean Academy of Family Medicine 1991;12(2):40-46
No abstract available.
Child*
;
Emergencies*
;
Emergency Service, Hospital*
;
Humans
;
Infant*
;
Poisoning*
4.A comparative study of geriatric diseases in rural and urban areas.
Hye Soon RHEE ; Youn Seon CHOI ; Eui Jung HWANG ; Myung Ho HONG
Journal of the Korean Academy of Family Medicine 1991;12(1):36-46
No abstract available.
5.A clinical study on attempted suicide with drug in the rural area.
Mong Ha PARK ; Yong Kyun ROH ; Jae Hweon KIM ; Eui Jung HWANG ; Myung Ho HONG
Journal of the Korean Academy of Family Medicine 1991;12(1):22-29
No abstract available.
Suicide, Attempted*
6.Usefulness and Limitation of 24 Hour Reinjection Images to Assess Myocardial Viability in Patients with Acute Myocardial Infarction.
Seok Nam YOON ; C H PARK ; Jun Han SHIN ; Myung Ho YOON ; Kyung Hoon HWANG
Korean Circulation Journal 2001;31(1):74-82
OBJECTIVE: The study was performed to evaluate whether thallium reinjection (RI) distinguishes viable from nonviable myocardium among myocardial segments which showed persistent perfusion defect (PD) in patients with acute myocardial infarction (AMI). MATERIALS AND METHODS: We studied 22 patients underwent PTCA after AMI. SPECT was performed in all patients using dipyridamole stress- 4 hour redistribution (RD) followed by 24 hour RI protocols. Dysfunctional segs were classified into 5 groups: 1) normal, 2) reversible, 3) mild to moderate PD, 4) severe PD and 5) reverse redistribution (RR). All patients underwent follow up echocardiography after 4 months to assess regional wall motion (WM) improvement such as a criteria of viable myocardium. RESULTS: A total of 127 segs with abnormal WM was analyzed. Of 74 segs with PD, 17 (23%) showed enhanced uptake after 24 hour RI. Five of 17 segs (29%) with PD that responded to RI with enhanced thallium uptake showed WM improvement. WM improvement were seen in the 24 of 57 segs (42%) not responding to RI. All four segs (100%) with RR that responded to RI showed improvement. WM improvement were not seen in the 5 of 8 segs (71%) with RR not responding to thallium RI. Eleven (73%) of 15 segs with mild-moderate PD after RI showed improvement, but 33% of segs with severe PD after RI did not showed improvement. Segs with mild-moderate PD after RI and fill in after RI showed improvement in comparison to segs with severe PD after RI(p<0.05). CONCLUSIONS: These data indicate that because only small proportion of PD showed further perfusion improvement after RI and predictive value by the uptake after RI was low, there was limited role of RI after myocardial infarction. Usefulness of RI could be found in segs showing RR responding to RI in AMI reflects viable myocardium.
Dipyridamole
;
Echocardiography
;
Follow-Up Studies
;
Humans
;
Myocardial Infarction*
;
Myocardium
;
Perfusion
;
Thallium
;
Tomography, Emission-Computed, Single-Photon
7.A Clinico-Epidemilological Study of 55 Cases of Chidhood Idiopathic Thrombocytopenic Purpura.
Won Ho KANG ; Myung Hee KOOK ; Yong Sang YOO ; Jae Suk MA ; Tai Ju HWANG
Journal of the Korean Pediatric Society 1987;30(11):1207-1212
No abstract available.
Purpura, Thrombocytopenic, Idiopathic*
8.Cardiovascular Risk Factors Predicting Endothelial Dysfunction in Patients with Variant Angina.
Sook Hee CHO ; Seon Young HWANG ; Myung Ho JEONG
Journal of Korean Academy of Adult Nursing 2009;21(5):477-488
PURPOSE: This study was conducted to identify the clinical characteristics and risk factors on the occurrence of variant angina, and to examine the predicting factors on the vascular endothelial dysfunction of the patients with variant angina. METHODS: A total of 134 patients diagnosed with variant angina were recruited from 2006 to 2008. The degrees of endothelial dysfunction were measured and recorded by the researcher using the values of flow-mediated vasodilation of their brachial arteries and Nitroglycerine-mediated dilation. Subjects' demographic data and risk factors were gathered after obtaining informed consent, and their electronic medical records were reviewed to collect laboratory data. RESULTS: The mean age was 54.2 +/- 9.6 years and 52% was male patients. More than 50% of the male patients were cigarette smokers and had hypercholesterolemia. 84% of the male patients and 70% of the female patients had more than one risk factor of cardiovascular disease. A stepwise multiple regression analysis showed that smoking and hypercholesterolemia predicted the decrease of flow-mediated vasodilation (Adjusted R(2) = .204, p < .001). CONCLUSION: Tailored educational interventions for smoking cessation and cholesterol management are needed to prevent recurrence of angina attack for patients with variant angina and to prevent cardiovascular disease for middle-aged workers.
Angina Pectoris, Variant
;
Brachial Artery
;
Cardiovascular Diseases
;
Cholesterol
;
Electronic Health Records
;
Female
;
Humans
;
Hypercholesterolemia
;
Informed Consent
;
Male
;
Recurrence
;
Risk Factors
;
Smoke
;
Smoking
;
Smoking Cessation
;
Tobacco Products
;
Vasodilation
9.Modified free wrap-around flap for thumb reconstruction.
Young Hwa CHOI ; Myung Ho HAN ; Chi Won HWANG ; Byung Hoon CHUNG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(3):476-482
No abstract available.
Thumb*
10.Screening Examination of Breast Cancer: Review of the Recommended Guidelines.
Myung Ho SHIN ; Mi Soo HWANG ; Bok Hwan PARK
Yeungnam University Journal of Medicine 1999;16(2):342-346
BACKGROUND: Delays in breast cancer diagnosis may occur in young women due to a low index of suspicion. The purpose of this study was to compare mammography and breast sonography in detection of breast cancer and to suggest a reasonable guideline for breast cancer screening examination. MATERIALS AND MATHODS: Among 820 patients, 102 patients were under 35 years and 122 patients were above 60 years of age. We reviewed medical records, mammograms and/or ultrasonography of 49 patients under 35 years and 48 patients above 60 years of age with pathologically-proven breast cancer. Pathological reports were as follows: Invasive ductal carcinoma(IDC) was present 61.2% of patients in the young age group and ductal carcinoma in situ(DCIS) in 16.3%. IDC was present in 66.6% of the patients in the old age group, and DCIS in 8.33%. We analyzed mammography and ultrasonography to evaluate their usefullness in detecting breast cancer in patients under 35 years and over 60 years of age. RESULTS: The mammographic results are as follows: 1) detection rate of lesion: 83.8%(under 35yrs), 100%(over 60yrs) 2) sensitivity of cancer: 67.6%(under 35yrs), 91.2%(over 60yrs) The ultrasonographic results are as follows: 1) detection rate of lesion: 100% 2) sensitivity of cancer: 87.2%(under 35yrs), 96.7%(over 60yrs) The breas cancer detection rate in women under 35 years old was comparable to that of women above 60 years old in our study. CONCLUSION: A striking histologic finding in the two groups was a higher incidence of nuclear Grade II and III tumors. This finding correlates with the reported increased incidence of high grade tumors inyoung women and may correlae with the poorer prognosis of breast cancer in young patients. We conclude that early screening examination is helpful for early detection of breast cancer in women under age 35.
Adult
;
Breast Neoplasms*
;
Breast*
;
Carcinoma, Ductal
;
Carcinoma, Intraductal, Noninfiltrating
;
Diagnosis
;
Female
;
Humans
;
Incidence
;
Mammography
;
Mass Screening*
;
Medical Records
;
Middle Aged
;
Prognosis
;
Strikes, Employee
;
Ultrasonography