Ventricular performance was evaluated in 21 patients with uncomplicated acute transmural myocardial infarction (10 anterior and 11 inferior). Left ventricular global and regional ejection fraction, ejection rate and right ventricular ejection fraction were assessed using radionuclide ventriculography. The results were as follows : 1) In anterior infarction, left ventricular global ejection fraction was more significantly depressed than in inferior infarction(mean+/-SD : 33. 0+/-15.4% versus 48.6+/-7.0%, P<0.01). 2) In inferior infarction, right ventricular global ejection fraction was more depressed than in anterior infarction(33.3+/-9.8% versus 45.0+/-13.2%, P<0.05). 3) Regional ejection fraction of septal, apico-inferior and posterolateral wall were found to be depressed in anterior infarction than in inferior infarction, but no significant differences were present. It is concluded that the magnitude of right and left vnetricular dysfunction was affected by the location of acute transmural infarction.
Humans ; Infarction ; Myocardial Infarction* ; Radionuclide Ventriculography ; Stroke Volume

PURPOSE: The cancellation of reception in emergency department (ED) in Korea is similar to leaving without being seen in another country. But there are differences. We studied the actual conditions and reasons for cancellation of reception in the ED in each of several hospitals. METHODS: Thirty-six emergency centers and one hundred sixty-seven emergency physicians participated in this survey. We obtained information through a questionnaire about total hospital bed counts, emergency center bed counts, number of emergency physicians, number of cancellations of reception for one day, and emergency physicians' opinions about cancellation of reception. Also, we prospectively investigated reasons for cancellation of reception for emergency physicians and patients. We recorded the reason for cancellation of reception at the time of cancellation and then interviewed the patient by telephone within 10 days after their leaving the ED. RESULTS: Nine regional emergency centers, three specialized emergency centers, twenty-two local emergency centers and two local emergency facilities were involved in this study. We surveyed patient cancellation of reception from August 1, 2008, to October 31, 2008 in our hospital. The results of our study were variable but the average of cancellation of reception was 10% of all ED patients. The most common reason for cancellation of reception was the emergency physician sending the patient to an outpatient clinic, typically because they thought the patient had mild symptoms. The most common reasons causing emergency physicians to think about cancellation of reception were mild symptoms and too long a delay time. There was a significant difference of opinion between emergency physician and patient regarding cancellation of reception (p<0.01). The emergency physicians considered the reasons to be patient factors, while the patients considered the reasons to be doctor-related factors. CONCLUSION: There are many adverse effects from cancellation of reception in an ED for both emergency physicians and patients. We should considered methods for developing a consensus on ways to improve the situation.
Admitting Department, Hospital ; Ambulatory Care Facilities ; Consensus ; Emergencies ; Emergency Service, Hospital ; Humans ; Korea ; Patient Dropouts ; Prospective Studies ; Surveys and Questionnaires ; Telephone

Primary retroperitoneal mucinous cystadenomas are rare tumors that are almost always found in women. They are similar to ovarian originated mucinous cystadenoma, but there is no any other evidence of an ovarian origin for primary retroperitoneal mucinous cystadenomas. A 33-year-old woman with complaints of RLQ pain was found to have a cystic mass in the right retroperitoneal space on her abdominal CT scan. The histological diagnosis was confirmed as primary mucinous cystadenoma. We report here on a case of retroperitoneal mucinous cystadenoma, and we also talk about this tumor, including its histogenesis, through a review of the available literature.
Adult ; Cystadenoma, Mucinous ; Female ; Humans ; Mucins ; Retroperitoneal Space