1.Usefulness of 201Tl Myocardial Perfusion SPECT in Prediction of Left Ventricular Remodeling following an Acute Myocardial Infarction.
Seok Nam YOON ; C H PARK ; Kyung Hoon HWANG
Korean Journal of Nuclear Medicine 2000;34(1):30-38
PURPOSE: We investigated the role of myocardial perfusion SPECT in prediction of ventricular dilatation and the role of revascularization including thrombolytic therapy and PTCA in prevention of ventricular dilatation after an acute myocardial infarction (AMI). MATERIALS AND METHODS: We performed dipyridamole stress, 4 hour redistribution, and 24 hour reinjection Tl-201 SPECT in 16 patients with AMI two to nine days after attack. Perfusion and wall motion abnormalities were quantified by perfusion index (PI) and wall motion index (WMI). Left ventricular ejection fraction (LVEF), WMI and ventricular volume were measured within 1 week of AMI and after average of 6 months. According to serial changes of left ventricular end-diastolic volume (LVEDV), patients were divided into two groups. We compared WMI, PI and LVEF between the two groups. Relationships among degree of volume, stress-rest PI, WMI, CKMB, Q wave, LVEF and revascularization were analysed using multivariate analysis. RESULTS: Only initial rest perfusion index was significantly different between the two groups (p<0.05). While initial LVEF, stress PI, CKMB, trial of revascularization procedure, presence of Q wave and WMI were not significantly different between the two groups. Eight of 16 patients (50%) showed LV dilatation on follow-up echocardiography. Three of 3 patients (100%) who did not undergo revascualrization procedure documented LV dilatation. And only 5 (38%) of the remaining 13 patients who underwent revascularization revealed LV dilatation. There was no difference in infarct location between the two groups. By multivariate linear regression analysis in patients only undergoing revascularization, rest perfusion index was the only significant factor. CONCLUSION: Myocardial perfusion SPECT performed prior to revascularization was useful in prediction of LV dilatation after an AMI. Rest perfusion index on myocardial perfusion plays as a significant predictor of left ventricular dilatation after AMI. And revascularization appears to be a valuable procedure in alleviating LV dilatation after AMI with or without viable myocardium in a limited number of patients studied retrospectively.
Dilatation
;
Dipyridamole
;
Echocardiography
;
Follow-Up Studies
;
Humans
;
Linear Models
;
Multivariate Analysis
;
Myocardial Infarction*
;
Myocardium
;
Perfusion*
;
Retrospective Studies
;
Stroke Volume
;
Thrombolytic Therapy
;
Tomography, Emission-Computed, Single-Photon*
;
Ventricular Remodeling*
2.The effects of long-term antiepileptic drug therapy of plasma PIVKA-II and liver function.
Kyu Jin BHANG ; Young Hoon KIM ; Kyung Tai HWANG
Journal of the Korean Child Neurology Society 1993;1(2):104-111
No abstract available.
Drug Therapy*
;
Liver*
;
Plasma*
4.F-18 FDG Uptake in a Toxic Autonomous Thyroid Nodule.
Myoung Hoon LEE ; Chan H PARK ; Hyun Soo KIM ; Seok Nam YOON ; Kyung Hoon HWANG
Korean Journal of Nuclear Medicine 2001;35(4):286-287
No abstract available.
Thyroid Gland*
;
Thyroid Nodule*
5.Percutaneous Balloon Mitral Vavuloplasty under General Anesthesia in Patient with Mitral Stenosis and Schizophrenia.
Jung Han YOON ; Keum Soo PARK ; Kyung Hoon CHOE ; Kyung Bong YOON ; Sung Oh HWANG
Korean Circulation Journal 1992;22(6):1050-1054
Since the introduction of percutaneous mitral valvotomy(PMV) in 1984, PMV was an effecive alternative to surgical commissurotomy in selected patients with severe mitral stenosis. Also PMV was an excellent palliative strategy in such patients who were high risk for operative management or longterm anticoagulation was not feasible. We performed PMV in a patient with very tight mitral stenosis and severe pulmonary hypertension under the general anesthesia because the patient was anticipated to be uncooperative due to mental problem, who was diagnosed as schizophrenia 16 years ago. Robinol was used for premedication and i.v fentanyl was used for maintenance of anesthesia. Inoue balloon was introduced into the LV and gradual ballooning was performed with favorable results. Total anesthesia time and interval from internal jugular vein puncture to the completion of valvuloplasty were 1 hour 45 min and 40 minutes respectively. Hemodynamic variables were improved immediately after intervention and mitral valve area was increased from 0.5cm2 to 1.3cm2.
Anesthesia
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Anesthesia, General*
;
Fentanyl
;
Hemodynamics
;
Humans
;
Hypertension, Pulmonary
;
Jugular Veins
;
Mitral Valve
;
Mitral Valve Stenosis*
;
Premedication
;
Punctures
;
Schizophrenia*
6.A Study on the Necessity to Revise the Present Growth Data for Height and Weight?.
Gi Dong HWANG ; Jae Kyung CHOI ; Jeh Hoon SHIN ; Nam Soo KIM ; In Joon SEOL ; Hahng LEE
Journal of the Korean Pediatric Society 1995;38(6):745-751
No abstract available.
7.Medical Image Retrieval: Past and Present.
Kyung Hoon HWANG ; Haejun LEE ; Duckjoo CHOI
Healthcare Informatics Research 2012;18(1):3-9
With the widespread dissemination of picture archiving and communication systems (PACSs) in hospitals, the amount of imaging data is rapidly increasing. Effective image retrieval systems are required to manage these complex and large image databases. The authors reviewed the past development and the present state of medical image retrieval systems including text-based and content-based systems. In order to provide a more effective image retrieval service, the intelligent content-based retrieval systems combined with semantic systems are required.
Radiology Information Systems
;
Semantics
8.Ossification of the Coracoacromial Ligament in Subacromial Impingement Syndrome: A Case Report.
Kyupill MOON ; Youn Soo HWANG ; Kyung Taek KIM ; Jin Wan KIM ; Jeong Hoon CHAE
Clinics in Shoulder and Elbow 2017;20(3):167-171
Here, a case of a 59-year-old man with rotator cuff tear and impingement syndrome caused by an ossified coracoacromial ligament is presented. Ossification of the coracoacromial ligaments can occur because of degenerative changes due to trauma or repeated stress, which can lead to impingement syndrome. Therefore, when coracoacromial ligament ossification is present, rotator cuff damage due to impingement syndrome should be considered. Here, we conducted arthroscopic subacromial decompression, removal of the ossified coracoacromial ligament, and supraspinatus and subscapularis tendon repairs. We achieved satisfactory surgical outcomes without relapse; therefore, we report this case with a literature review.
Decompression
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Humans
;
Ligaments*
;
Middle Aged
;
Recurrence
;
Rotator Cuff
;
Shoulder
;
Shoulder Impingement Syndrome*
;
Tears
;
Tendons
9.Thoracic emphyemas neccessitating surgical management: CT criteria.
Kyung Soo LEE ; Sun Hee HWANG ; Yong Hoon KIM ; Joong Kee NOH ; Byoung Ho LEE
Journal of the Korean Radiological Society 1991;27(4):527-534
No abstract available.
10.Percutaneous balloon mitral valvuloplasty in patient with mitral stenosis and kyphoscoliosis.
Jung Han YOON ; Keum Soo PARK ; Kyung Hoon CHOE ; Sung Oh HWANG
Korean Circulation Journal 1993;23(2):320-324
Percutaneous balloon mitral valvuloplasty(PMV) was comparable to surgical commissurotomy in initial and long term follow-up results in selected patients with symptomatic severe mitral stenosis. Transseptal puncture was necessary for antegrade introduction of balloon. In patient with kyphoscoliosis, PMV was relatively contraindicatied due to difficulty and risk of septal puncture. We performed the PMV in a patient with kyphoscoliosis and severe mitral stenosis. The patient was presented with NYHA class III. Echocardiographic evaluation revealed mitral valve area of 0.8cm2 and mean diastolic pressure gradient of 12mmHg. X-ray film of T-L spine showed severe kyphoscoliosis. Transseptal puncture was possible with modification of angle of Brockenbrough needle at the site of 15cm from the needle tip. After transseptal puncture, Inoue balloon was introduced into the LV and gradual ballooning was performed with optimal results. Hemodynamic variable were improved immediately after intervention and mitral valve area was increased from 0.7cm2 to 1.8cm2. Patient was discharged with NYHA class I.
Blood Pressure
;
Echocardiography
;
Follow-Up Studies
;
Hemodynamics
;
Humans
;
Mitral Valve
;
Mitral Valve Stenosis*
;
Needles
;
Punctures
;
Spine
;
X-Ray Film