1.Four cases of laryngeal saccular cyst.
Seong Woan KIM ; Ki Hwan HONG ; Sam Hyun KWON
Korean Journal of Otolaryngology - Head and Neck Surgery 1991;34(2):393-398
No abstract available.
2.The Clinical Study of Non-union of Phalages in the Hand
Key Yong KIM ; Duck yun CHO ; Sam Joo KWON
The Journal of the Korean Orthopaedic Association 1986;21(2):353-358
Fractures of the phalanges of the hand are very common. Many are minor and likely to have a good result. However many other phalangeal fractures cause significant and prolonged disability. Non-union of the tubular bones of the hand are uncommon occurrence, but are often associated with functional deficits. The authors have reviewed 7 cases of non-union of the phalanges which were treated in the department of orthopaedic surgery, National Medical Center from 1978 to 1985. The results were summarized as follows: 1. The non-union of phalangeal bone was defined by clinical symptoms and signs and roentgenological examination. 2. The incidence of non-union of phalangeal bone fractures was 0.9% (7/771 cases.) 3. of 7 patients, there were 6 in male and 1 in female. 4. Non-union occurred more commonly in the second decade and the group between 10 and 30 years of age. 5. Seven cases, all were the right handed, but injury was developed in the left hands except two cases. 6. The causes of non-union were thought as open wound (7 cases), type of fracture (simple or comminution:3 cases), inadequate immobilization (4 cases) and overtraction (1 case). 7. of 7 cases, 4 cases were treated with bone peg graft and K-wire fixation and 2 cases with excision of distal fragment. 8. The clinical union was 9 weeks in average.
Clinical Study
;
Female
;
Fractures, Bone
;
Hand
;
Humans
;
Immobilization
;
Incidence
;
Male
;
Transplants
;
Wounds and Injuries
3.Changes of Abnormal Q Wave Progression after Reperfusion in Patients with Anterior Acute Myocardiac Infarction.
Kwon Sam KIM ; Jong Hoa BAE ; Ken NAGAO ; Kanmatsuse KATSUO ; Kajiwara NAGAO
Korean Circulation Journal 1991;21(2):209-217
Abnormal Q wave which suggest myocardial necrosis frequently develope after successful reperfusion in acute myocardial infarction(AMI). To investigate patterns of abnormal Q wave development and the significance of the rapid progression of Q wave after reperfusion therapy, sixty patients with first attack of anterior AMI were studied. All patients showed complete occlusion of proximal or mid left anterior desending artery and received intracoronary thrombolysis therapy(ICT) with urokinase. ICT was completed within 6 hours of chest pain. Fourty for patients were reperfused. There were significant correlation between the number of leads with Q waves before ICT(PRE-nQ) and after ICT(POST-nQ) both in patients with reperfused and failed reperfusion(r=0.68, 0.96). Three patterns of abnormal Q wave progression were identified by the first correlationship of PRE-nQ and POST-Nq. Abnormal Q waves were rapidly progressed in 14 patients(Group I : 31.8%), regressed in 10 patients(Group II : 22.7%) and natureally progressed in 20 patients(45.5%). Patients in Group I had greater creatine kinease release(6133+/-2536mIU) and higher QRS score(immidiate ICT : 7.9+/-3.0, 7th day : 8.7+/-3.0) than those of patients in Group II(2135+/-1701mIU, 3.6+/-3.0, 4.6+/-3.3, respectively, P<0.01, all). A significant decreased wall motion of infarcted area was observed in Group I patients(% area change, area 26.1+/-14.0%) compared with Group II patients(46.5+/-10.7%, P<0.05). The followings can be concluded : Three patterns of abnormal Q wave progression were noted after reperfusion therapy in patients with anterior AMI. Rapid progression of abnormal Q wave may indicate accelerated ischemic injury or reperfusion injury rather than salvaging myocardium.
Arteries
;
Chest Pain
;
Creatine
;
Humans
;
Infarction*
;
Myocardial Infarction
;
Myocardium
;
Necrosis
;
Reperfusion Injury
;
Reperfusion*
;
Urokinase-Type Plasminogen Activator
4.Evaluation of Blood Flow Direction and Velocities in the Valve and Ascending Aorta from Normal Korean Adults by Continuous Wave Doppler Echocardiography.
Kwon Sam KIM ; Myung Shick KIM ; Jung Sang SONG ; Jong Hoa BAE
Korean Circulation Journal 1987;17(1):95-101
Direction of blood flow and peak velocity measurement were made in the four cardiac valve and ascending aorta from 87 normal Korean adults (42 men and 45 women, age range 20-63 years) with CW Doppler echocardiography. Measurments of the peak velocities of mitral valve, tricuspid valve and aortic valve (ascending aorta) completed in the apical window using 2.0MHz Pedof transducer. The measurement of pulmonary flow completed in the parasternal view. Also aortic velocity data obtained from suprasternum (70/87), subcostal area (48/87) and right sternal border(41/87). Aortic flow velocity was highest (121+/-11.7 cm/xec), mitral flow velocity was 86.4+/-12.2 cm/sec, pulmonic flow was 85+/-13.3cm/sec, where as tricuspid was lowest (64.8+/-11.2cm/sec). The velocities of aorta obtained from apex (106.9+/-15cm/sec) and suprasternum (113.1+/-18.9cm/sec) were greater than other sites. These normal Doppler data provide a useful information for evaluating flow velocity pattern in patient with various heart disease.
Adult*
;
Aorta*
;
Aortic Valve
;
Echocardiography, Doppler*
;
Female
;
Heart Diseases
;
Heart Valves
;
Humans
;
Male
;
Mitral Valve
;
Transducers
;
Tricuspid Valve
5.The effects of oophorectomy and hysterectomy on rat spine and tibia.
Soo Hyun CHO ; Jung Kwon CUNG ; Kyung Tai KIM ; Sam Hyun CHO ; Jai Auk LEE
Korean Journal of Obstetrics and Gynecology 1993;36(11):3784-3791
No abstract available.
Animals
;
Female
;
Hysterectomy*
;
Ovariectomy*
;
Rats*
;
Spine*
;
Tibia*
6.Hypotensive Effect of Perindopril in Patients with Essential Hypertension.
Jong Hoa BAE ; Heung Sun KANG ; Kwon Sam KIM ; Myung Shick KIM ; Jung Sang SONG
Korean Circulation Journal 1991;21(2):337-341
To evaluate the effect of Perindopril in patients with essential hypertension, we administered Perindopril 4 to 8mg/day once daily to 30 patients(18 males, 12 females) for 12 weeks. Baseline blood pressure after 4 weeks with placebo was 150.4+/-7.5/102.0+/-4.3mmHg. The blood pressures of the patients were declined significantly at 4th(140.6+/-14.9/95.4+/-6.5), 8th(136.7+/-11.4/91.7+/-7.6), and 12th(132.3+/-11.1/87.5+/-6.9) week(p<0.01) without change of heart rate. The blood pressure of the patients was normalized below 140/30mmHg in 24 patients(80%) and declined diastolic blood pressure more than 10mmHg in one patients. Therefore the response rate of perindopril was 83.3%. There were reported 3 patients who revealed mild adverse reactions as follows; cough, indigestion, dizziness in one each. In conclusion, these results indicate that antihypertensive therapy with perindopril single daily dose was effective in patients with mild to moderate essential hypertension and well tolerated.
Blood Pressure
;
Cough
;
Dizziness
;
Dyspepsia
;
Heart Rate
;
Humans
;
Hypertension*
;
Male
;
Perindopril*
7.Doppler Evaluation of Left Ventricular Diastolic Filling in Patient with Hypertension.
Chung Whee CHOUE ; Kwon Sam KIM ; Myung Sik KIM ; Jung Sang SONG ; Jong Hoa BAE
Korean Circulation Journal 1987;17(4):621-626
To study left ventricular diastolic filling in patient with hypertension in different form of left ventricular hypertrophy(LVH), 105 patients with hypertension and 30 normal persons underwent M-mode echocardiography and pulsed Doppler measurement of the left ventricular inflow. From the M-mode echocardiographic measurement of left ventricular dimension, hypertensive patients were subdivided into three grouops : group I(n=27) ; no LVH, group II(n=36) ; concentric LVH, grooup III(n=42) asymmetric septal hypertrophy. From the digitized trace of the pulsed Doppler at the mitral valve level, Doppler diastolic time intervals, peak velocities at rapid filling (E velocity) and atrial contraction(A velocity) and the triangle area under the A velocity(A area) and triagle area under the E velocity(E area) were measured. The peak A velocity(normal subjects ; 0.51+/-0.08m/sec, group I ; 0.73+/-0.14m/sec, group II ; 0.78+/-0.15m/sec, group III ; 0.8+/-0.23 m/sec) and the A area(noral subjects ; 4.71+/-1.64, group I; 6.24+/-1.78, group II ; 7.75+/-2.93, group III ; 8.05+/-3.11) and the peak A/E velocity ratio and the A/E area ratio were significantly different from the normal controls(P<0.01). The peak E velocity(normal subjects ; 0.76+/-0.13, group I ; 0.7+/-0.12, group II ; 0.63+/-0.12, group III ; 0.59+/-0.15m/sec) and E area (normal subjects ; 9.61+/-2.8, group I ; 8.11+/-2.13, group II ; 7.82+/-2.73, group III ; 7.34+/-3.07) were significantly different between hypertensive groups with LVH and normal controls. Doppler time intervals, total area were not different between groups. This study shows that abnormal pattern of left ventricular diastolic filling occur in patients with hypertension and the peak A velocity and the peak A/E velocity ratio and the peak A/E area ratio are the earliest findings that can detectable by Doppler echocardiography.
Cardiomyopathy, Hypertrophic
;
Echocardiography
;
Echocardiography, Doppler
;
Humans
;
Hypertension*
;
Mitral Valve
8.Clinical Observation on Antihypertensive Effect of Nicardipine Hydrochloride(Perdipine(R)).
Jung Sang SONG ; Myung Shick KIM ; Kwon Sam KIM ; Jong Hoa BAE
Korean Circulation Journal 1985;15(4):653-658
The antihypertensive effect and side reactions of nicardipine were observed in 30 cases of essential hypertension, and following results were obtained. 1) Nicardipine has very good antihypertensive effect. After medication alone or combined with atenolol, both systolic and diastolic pressure dropped significantly. 2) The overall effectiveness was 86%. 3) Postural hypotension was not observed. 4) The heart rate was not changed after medication of nicardipine. 5) The side efect was observed in 5 cases such as headache, facial flushing, dizziness and anorexia, but 3 cases were tolerable to continue medication.
Anorexia
;
Atenolol
;
Blood Pressure
;
Dizziness
;
Flushing
;
Headache
;
Heart Rate
;
Hypertension
;
Hypotension, Orthostatic
;
Nicardipine*
9.Quantitative Two-Dimensional Echocardiographic Analysis of Left Ventricular Wall Motion in Patients with Acute Myocardial Infarction.
Chung Whee CHOUE ; Kwon Sam KIM ; Myung Sik KIM ; Jung Sang SONG ; Jong Hoa BAE
Korean Circulation Journal 1987;17(2):273-280
Regional left ventricular wall motion was evaluated by two-dimensional echocardiographic technique with floating-axis (internal frame of reference) system in three groups of subject; normal subject (n=12), patients with acute anterior myocardial infraction(n=16), and patients with acute inferior myocardial infraction(n=10). Significant hypokinetic wall motion were detected in apical portion (Mean Percent Shortening; 0.27-5.84% in anterior infraction group and 9.64-13.17% in controls) and apicoanterior portion (MPS; 2.86% in anterior infraction group and 14.13% in controls) in patients with acute anterior myocardial infraction (P<0.01), and inferior portion (MPS; 3.56-6.93% in inferior infraction group and 18.26-19.8% in controls) and apical portion (MPS; 4.04% in inferior infraction group and 9.64% in controls) in patients with acute inferior myocardial infraction (P<0.01) in apical long-axis views. We conclude that echocardiographic wall motion analysis by floating axis system is an accurate non-invasive method for detecting abnormal wall motion in patients with acute anterior and in ferior myocardial infraction.
Axis, Cervical Vertebra
;
Echocardiography*
;
Humans
;
Myocardial Infarction*
10.A Case of Ruptured Aneurysm of the Sinus of Valsalva into the Left Ventricle with Complete AV Block in Behcet's Syndrome.
June Sang LEE ; Seong Hee KWON ; Sam KIM ; Dae Gyun PARK
Korean Circulation Journal 2000;30(1):107-107
Behcet's disease is an inflammatory condition of multiple organ systems in witch recurrent oral and genital ulcers are the most typical signs. Less common clinical features include cerebral vasculitis, arterial aneurysm, deep vein phlebitis, aseptic meningitis, and discrete bowel ulcers. The most serious complication of Behcet's disease is arterial involvement especially ruptured arterial aneurysm. The aneurysm of sinus of Valsalva in Behcet's disease is a rare condition. There is no report about it in Korea. We report a case of a aneurysm of the sinus of valsalva with Behcet's disease. The patient had complete AV block and a right coronary sinus of Valsalva aneurysm which ruptured into the left ventricle. The diagnosis was made with transesophageal echocardiography. The patient was implanted with permanent pacemaker for relief of congestive heart failure due to complete atrioventricular (AV) block. He discharged and he is still follow-up in outpatient clinic.
Ambulatory Care Facilities
;
Aneurysm
;
Aneurysm, Ruptured*
;
Atrioventricular Block*
;
Behcet Syndrome*
;
Coronary Sinus
;
Diagnosis
;
Echocardiography, Transesophageal
;
Follow-Up Studies
;
Heart Failure
;
Heart Ventricles*
;
Humans
;
Korea
;
Meningitis, Aseptic
;
Phlebitis
;
Sinus of Valsalva*
;
Ulcer
;
Vasculitis, Central Nervous System
;
Veins