2.Scientific Statement for Screening of Coronary Artery Disease in Patients with Ischemic Stroke.
Dongbeom SONG ; Young Dae KIM ; Keun Sik HONG ; Byung Woo YOON ; Byung Chul LEE ; Joung Ho RHA ; Sun Uck KWON ; Hee Joon BAE ; Kyung Ho YU ; Jong Moo PARK ; Kwang Yeol PARK ; Sang Bae KO ; Chang Wan OH ; Jeong Eun KIM ; Ji Hoe HEO
Journal of the Korean Neurological Association 2016;34(2):91-98
Ischemic stroke and myocardial infarction share common risk factors and pathophysiologic mechanisms. Unrecognized coronary artery disease typically occurs in 20-30% of patients with ischemic stroke, and its presence helps to predict the outcome. Coronary artery disease is also an important cause of morbidity and mortality in patients with ischemic stroke. Therefore, applying a screening test for asymptomatic coronary artery disease may be considered in ischemic stroke patients who have a high cardiovascular risk profile. Coronary computed tomography (CT) angiography, myocardial perfusion imaging, or stress echocardiography can be used as a screening test. Coronary CT angiography is recommended in the absence of allergy to contrast media and renal insufficiency.
Angiography
;
Contrast Media
;
Coronary Artery Disease*
;
Coronary Vessels*
;
Echocardiography, Stress
;
Humans
;
Hypersensitivity
;
Mass Screening*
;
Mortality
;
Myocardial Infarction
;
Myocardial Perfusion Imaging
;
Renal Insufficiency
;
Risk Factors
;
Stroke*
3.A Case of Gastrointestinal Stromal Tumor of the Stomach with a Gastric Fistula.
Hee Joung KIM ; Ho Sang LEE ; Hyun Jong OH ; Chang Whan KIM ; Ji Hoon KIM ; Soon Woo NAM ; Jin Il KIM ; Soo Heon PARK ; Joon Yeol HAN ; Jae Kwang KIM ; Kyu Won CHUNG ; Hee Sik SUN
Korean Journal of Gastrointestinal Endoscopy 2003;26(4):210-213
Gastrointestinal stromal tumors (GIST) are mesenchymal gut tumors that lack markers of myogenic differentiation, but express CD34 and CD117, which are products of the c-kit oncogene. They present commonly gastrointestinal bleeding and abdominal pain and/or palpable mass. The other symptoms may include anorexia, weight loss, obstruction, perforation or fever. Fever due to abscess formation is rare complaint of GIST. We report a case of GIST of stomach with abscess and gastric fistula in a 54-year-old male who presented a three-week history of abdominal pain and fever. Fistula opening site was observed by endoscope, and abdominal CT showed multiple air pockets within the mass representing communication with bowel lumen by fistula.
Abdominal Pain
;
Abscess
;
Anorexia
;
Endoscopes
;
Fever
;
Fistula
;
Gastric Fistula*
;
Gastrointestinal Stromal Tumors*
;
Hemorrhage
;
Humans
;
Male
;
Middle Aged
;
Oncogenes
;
Stomach*
;
Tomography, X-Ray Computed
;
Weight Loss