To assess the efficacy of amiodarone on chronic atral fibrillation(AF) and to evaluate the relation between the ability to convert AF to sinus rhythm (SR) with amiodarone therapy and left atrial(LA) size and atrial fibrillatory wave forms, 22 patients with AF, aged 40 to 60 years(mean 47.5 years), were studied. Nine patients(40.9%) had mitral valvaular heart disease, 6(27.3%) hypertension, 5(18.2%) lone AF and 2 (9.1%) cadiomyopathy. Amiodarone therapy with either 600mg for 1 week, 200mg for 4 weeks in 5 consecutive patients, or 800mg for 1 week, 400mg for 4 weeks and 200mg for 6 weeks in 17 patients, converted AF to SR in 9(40.9%) patients 3 to 6 weeks after amiodarone was started on. In either group, patients who achieved conversion had smaller LA size(mean 43.7mm) than those who failed conversion(mean50.2mm)(P<0.05). Those who had LA size less than 45mm achieved conversion of AF to SR in 70%, comparing to 16.7% in patients with LA size more than 46mm(P<0.05). Among patients who achieved conversion, LA size was less than 46mm in 77.8% comparing to 23.1% in patients who failed conversion on Amiodarone. Those with coarse AF(46.2mm), althogh the difference was not significant statistically. There was no converstion in patients with LA size greater then 58mm and in patients with coarse AF who concomittantly had MVD. These findings suggest that the efficacy of amiodarone was related to LA size, and to the atrial fibrillation wave form in patients with mitral valvular heart disease.
Amiodarone* ; Atrial Fibrillation* ; Heart Diseases ; Heart Valve Diseases ; Humans ; Hypertension

No abstract available.
Jaundice, Chronic Idiopathic*

No abstract available.
Lymphadenitis* ; Parotid Gland* ; Tuberculosis, Cutaneous* ; Tuberculosis, Lymph Node

No abstract available.

No abstract available.
Lichen Planus*

No abstract available.
Carcinoma, Papillary*

No abstract available.
Herpes Zoster ; Herpes Zoster Ophthalmicus ; Mydriasis ; Oculomotor Nerve Diseases ; Ophthalmoplegia

No abstract available.
Adenocarcinoma* ; Diagnosis* ; Lung Neoplasms ; Lung* ; Neoplasm Metastasis*

The treatment of urolithiasis in children has been changed dramatically by extracorporeal shock wave lithotripsy (ESWL) and endourological procedure in recent years. Especially, the use of extracorporeal shock wave lithotripsy has changed the place of open surgery in the treatment of urinary stones in children. A total of 24 children with 25 renoureteral units underwent treatment with Therasonic Lithotrirter System for urinary tract stones between Feb. 1992 and March 1996. The patient age ranged from 3 months to 14 years with a mean of 4.7 years. The location of stones were renal in 9, upper ureter in 6, and lower ureter in 10 cases. The average stone length was 14mm with a range of 5mm to 50rnm. Developmental anomalies of the urinary tract were noted in 2 children, and there were the incomplete duplicated ureter and the ureterocele. The excreted stones in 5 children were analysed biochemically and calcium oxalate stones were present in 3 cases, calcium phosphate stone in 1 and cystine stone in 1. A complete stone free rate was achieved in 91.7%. Except for one case, no specific complication occurred during or after treatment, but perioperative antibiotic prophylaxis was done Therefore, the authors conclude that extracorporeal shock wave lithotripsy is a safe and effective method for the treatment of urinary stones in children.
Antibiotic Prophylaxis ; Calcium ; Calcium Oxalate ; Calculi* ; Child* ; Cystine ; Humans ; Lithotripsy ; Shock ; Ureter ; Ureterocele ; Urinary Calculi ; Urinary Tract* ; Urolithiasis

No abstract available.
Child* ; Hemofiltration* ; Humans