1.Prognostic Implications of Doppler-derived Indexes of Pulmonary Venous Flow after Acute Myocardial Infarction.
Korean Circulation Journal 2003;33(6):491-498
BACKGROUND AND OBJECTIVES: Doppler indexes of pulmonary venous flow (PVF) have been recognized to be useful in defining left ventricular filling characteristics, but their long-term prognostic value in patients with acute myocardial infarction (AMI) is not clear. The purpose of this study was to determine the prognostic significance of Doppler indexes of PVF after AMI. SUBJECTS AND METHODS: Doppler echocardiographic examination was performed in 122 patients with AMI between 7 to 10 days after attack, and followed for 30 months. Peak systolic velocity (PVs), peak diastolic velocity (PVd), and peak reverse flow velocity associated with atrial contraction (PVa) of PVF were measured by transthoracic echocardiography. End-points were cardiac death or readmission due to congestive heart failure (re-CHF). RESULTS: There were 9 deaths (7.4%) and 13 patients with re-CHF (10.7%) during the follow-up period. Patients with events had higher PVa (p=0.039). Subgroup analysis of patients with E/A ratio > 1 showed that they had lower PVs/PVd ratio (p=0.029) and higher PVa (p=0.069). Event-free survival was significantly lower in patients with PVs/PVd ratio < 1.3 (30-month survival rate 74% vs. 100% in those with PVs/PVd ratio > or =1.3). Multivariate Cox analysis revealed that Killip class II, and EF <50% were independent predictors of cardiac events; and PVa > or =25 cm/sec as well as age > or =65 years were independent predictors of cardiac mortality in patients with E/A ratio >1. CONCLUSION: PVa and PVs/PVd ratio of PVF were helpful indexes in predicting the prognosis in patients with AMI and an E/A ratio of >1.
Death
;
Disease-Free Survival
;
Echocardiography
;
Follow-Up Studies
;
Heart Failure
;
Humans
;
Mortality
;
Myocardial Infarction*
;
Prognosis
;
Pulmonary Veins
;
Survival Rate
2.A Case of Pigmented Follicular Cyst.
Yung Jae LEE ; Seung Ku AHN ; Seung Hun LEE
Annals of Dermatology 1995;7(1):96-98
We report a pigmented follicular cyst (PFC) in a 40-year-old male manifestated clinically as pigmented nevus. Histopathologic findings revealed an infundibular cyst in the mid dermis containing a small amount of keratinous material. The cystic wall consisted of four or five layers of squamous epithelium with a granular layer with abundant keratohyaline granules and the cyst wall contained one hair follicle. It must be differentiated from other pigmented lesions of over-lying skin such as eruptive vellus hair cyst, apocrine hydrocystoma and melanocytic nevus coexistance of an epidermoid cyst. Surgical excision and histopathological examination are necessary for an accurate diagnosis in pigmented lesions.
Adult
;
Dermis
;
Diagnosis
;
Epidermal Cyst
;
Epithelium
;
Follicular Cyst*
;
Hair
;
Hair Follicle
;
Humans
;
Male
;
Nevus, Pigmented
;
Skin
3.Effect of Perinatal Asphyxia and Gentamicin on Urinary B2-microglobulin Concentration and Renal Function in Fullterm Neonates.
Journal of the Korean Pediatric Society 1994;37(7):976-985
Perinatal asphyxia can cause ischemic injury to immature kidney of neonates. Proximal renal tubule is the most sensitive area, showing various manifestations ranging from mild reversible injury to irreversible tubular necrosis. Aminoglycosides can be nephrotoxic in therapeutic range in immature or damaged kidney. Thess are the very important factors to be taken into corsideration on fluid therapy and nephrotoxic drugs in neonates. The purpose of this study is to detect renal dysfunction resulting from asphyxia and gentamicin treatment. The results were as follows; 1) Urinary 2-microglobulin concentration was significantly higher in neonatal asphyxia group irrespective of meconium stain (p<0.05). The group with neonatal asphyxia only (Ia) showed a gradual decline in urinary 2-microglobulin concentration and no significant difference shown when compared with control group on 7 days old (p>0.05). The group with neonatal asphyxia and meconium stain (Ib) received gentamicin for 7 days. Their urinary 2-microglobulin concentration dropped on 4 the day and increased again on 7 th day (p<0.05). The group with meconium stain only(3) showed no significant difference in urinary 2-microglobulin concentration when compared with control group (p>0.05). 2) No differences were shown in serum creatinine, serum sodium level and urinary creatinine concentrations between each group (p>0.05). 3) No differences were shown in creatinine clearance between each group (p>0.05).Fractional excretion of urinary sodium (FENa) was significantly higher on lst day in group, I, but no differences were shown afterwards (p>0.05). 4) There is no relationship between urinary 2-microglobulin concentration and serum creatinine level, creatinine clearance of FENa. 5) No differences were shown in incidence of renal dysfunction between each group. In conclusion, acute tubular injury by perinatal asphyxia recovered soon after birth. But nephrotoxic gentamicin worsened the recovering tubular injury. In case of mild fetal hypoxia without neonatal asphyxia, proximal tubular injury was not significant.
Aminoglycosides
;
Asphyxia*
;
Creatinine
;
Fetal Hypoxia
;
Fluid Therapy
;
Gentamicins*
;
Humans
;
Incidence
;
Infant, Newborn*
;
Kidney
;
Kidney Tubules, Proximal
;
Meconium
;
Necrosis
;
Parturition
;
Sodium
4.Conservative surgery and radiation therapy in the treatment of stage I and II breast cancer.
Journal of the Korean Cancer Association 1992;24(1):125-129
No abstract available.
Breast Neoplasms*
;
Breast*
5.The Significance of Interleukin-6 in Henoch-Schonlein Purpura Nephritis in Children.
Min Joong KWON ; Jae Seung LEE
Journal of the Korean Society of Pediatric Nephrology 1997;1(2):130-135
Carcinsarcoma is an uncommon pulmonary malignancy characterized by carcinmatous parenchyma and sarcomatous stroma. The cytologic, immunohistochemical and ultrastructural features of a case of pulmonary carcinosarcoma suspected by fine needle aspiration cytology is presented. Only bizarre spindle cells arranged in loose groups, in microtissue fragments and in a dissociate fashion were present in the aspiration smears. They were markedly positive for vimentin. The epithelial component was not found, which was probably due to marked paucity of carcinomatous component that was proved by histologic examination of the resected tumor. The diagnosis of pulmonary carcinosarcoma should be conidered whenever poorly differentiated epithelial cell groups with a malignant mesenchymal component set in a myxoid background are seen in a pulmonary cytology specimen.
Biopsy, Fine-Needle
;
Carcinosarcoma
;
Child*
;
Diagnosis
;
Epithelial Cells
;
Humans
;
Interleukin-6*
;
Nephritis*
;
Purpura, Schoenlein-Henoch*
;
Vimentin
6.Urinary calcium excretion of Korean children.
Korean Journal of Nephrology 1993;12(4):621-625
7.Pregnancy following intra-tubal insemination in a woman who ovulated prior to gamete intra-fallopian transfer(GIFT).
Sang Bok LEE ; Jung Soon PARK ; Jae Seung LEE ; Seung Jae LEE ; Jong Min PARK
Korean Journal of Obstetrics and Gynecology 1991;34(5):747-749
No abstract available.
Female
;
Humans
;
Insemination*
;
Pregnancy*
8.Acute effects of cigarrette smoking on the microcirculation of the skin of the palm the cheek and the pretibial region.
Jae Seung LEE ; Kyong Won MINN ; Jae Ho YU
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(2):258-264
No abstract available.
Cheek*
;
Microcirculation*
;
Skin*
;
Smoke*
;
Smoking*
9.Effect of Regular Exercise on Platelet Cytoplasmic Calcium during Treatmill Exercise in Healthy Young Males.
Jae Woo LEE ; Seung Jae JOO ; Yang Saeng PARK
Korean Circulation Journal 1999;29(10):1112-1120
BACKGROUND AND OBJECTIVES: Regular aerobic exercise plays a role in the prevention of cardiovascular diseases, but the risk of primary cardiac arrest transiently increases during vigorous exercise, particularly in sedentary men. There has been a controversy regarding the effect of exercise on platelet functional behavior, which is related to the pathogenesis of coronary ischemia. We evaluated the cytoplasmic free calcium concentration of platelets in healthy men after treadmill exercise. MATERIALS AND METHOD: Five physically active (group I: age, 24.2+/-2.3 years) and five sedentary men (group II: age, 22.4+/-1.4 years) were included in this study. Platelet calcium was measured with fluorescent dye, quin2 before and after treadmill exercise. RESULTS: Platelet calcium levels were increased from 86.8+/-11.8 nM to 128.8+/-15.0 nM in group I (p<0.05) and from 102.6+/-14.4 nM to 162.4+/-26.5 nM in group II (p<0.05) immediately after exercise. Thereafter, platelet calcium levels were decreased in group I, but continuously increased in group II. At fifteen minutes after exercise, platelet calcium concentrations were significantly higher than baseline values in group II (205.8+/-53.9 nM vs 102.6+/-14.4 nM: p<0.05), but not in group I (115.2+/-15.7 nM vs 86.8+/-11.8 nM). CONCLUSION: Cytoplasmic free calcium concentration in platelets were continuosly increased after treadmill exercise in sedentary men but not in physically active men.
Blood Platelets*
;
Calcium*
;
Cardiovascular Diseases
;
Cytoplasm*
;
Exercise
;
Heart Arrest
;
Humans
;
Ischemia
;
Male*
10.Effect of Regular Exercise on Platelet Cytoplasmic Calcium during Treatmill Exercise in Healthy Young Males.
Jae Woo LEE ; Seung Jae JOO ; Yang Saeng PARK
Korean Circulation Journal 1999;29(10):1112-1120
BACKGROUND AND OBJECTIVES: Regular aerobic exercise plays a role in the prevention of cardiovascular diseases, but the risk of primary cardiac arrest transiently increases during vigorous exercise, particularly in sedentary men. There has been a controversy regarding the effect of exercise on platelet functional behavior, which is related to the pathogenesis of coronary ischemia. We evaluated the cytoplasmic free calcium concentration of platelets in healthy men after treadmill exercise. MATERIALS AND METHOD: Five physically active (group I: age, 24.2+/-2.3 years) and five sedentary men (group II: age, 22.4+/-1.4 years) were included in this study. Platelet calcium was measured with fluorescent dye, quin2 before and after treadmill exercise. RESULTS: Platelet calcium levels were increased from 86.8+/-11.8 nM to 128.8+/-15.0 nM in group I (p<0.05) and from 102.6+/-14.4 nM to 162.4+/-26.5 nM in group II (p<0.05) immediately after exercise. Thereafter, platelet calcium levels were decreased in group I, but continuously increased in group II. At fifteen minutes after exercise, platelet calcium concentrations were significantly higher than baseline values in group II (205.8+/-53.9 nM vs 102.6+/-14.4 nM: p<0.05), but not in group I (115.2+/-15.7 nM vs 86.8+/-11.8 nM). CONCLUSION: Cytoplasmic free calcium concentration in platelets were continuosly increased after treadmill exercise in sedentary men but not in physically active men.
Blood Platelets*
;
Calcium*
;
Cardiovascular Diseases
;
Cytoplasm*
;
Exercise
;
Heart Arrest
;
Humans
;
Ischemia
;
Male*