1.Retrograde Conduction in Complete Heart Block.
Young Hak SHIM ; Woong Ku LEE ; Hong Do CHA
Korean Circulation Journal 1972;2(2):53-55
A 45 year old man with a history of syncopal attacks of 3 days' duration showed complete heart block with occasional retrograde P waves following QRS complexes in the electrocardiogram. The site of A-V block seemed to be below A-V node judging from the QRS complexes when occasional capture occured. This may be a case of complete heart block progressing from right bundle branch block plus left posterior hemiblock. There was a rapid improvement of conduction with sublingual isoproterenol in a few days, EKG's showing normal A-V conduction and QRS complexes on discharge. The mechanism of the retrograde conduction in the presence of complete heart block is discussed with a review of literature.
Atrioventricular Node
;
Bundle-Branch Block
;
Electrocardiography
;
Heart Block*
;
Heart*
;
Humans
;
Isoproterenol
;
Middle Aged
2.Disseminated intravascular coagulation(DIC) associated with gastric adenocarcinoma.
Soon Koo BAIK ; Heon Soo KIM ; Jong In LEE ; Woo Ick JANG ; Young Hak SHIM
Journal of the Korean Cancer Association 1992;24(3):456-462
No abstract available.
Adenocarcinoma*
3.A family case of hereditary spherocytosis with simultaneous occurrence of hemolytic crisis in two family members.
Wonkeun SONG ; Myung Seo KANG ; Kap Jun YOON ; Young Hak SHIM ; Jin Ju KIM
Korean Journal of Clinical Pathology 1992;12(2):217-221
No abstract available.
Humans
4.A family case of hereditary spherocytosis with simultaneous occurrence of hemolytic crisis in two family members.
Wonkeun SONG ; Myung Seo KANG ; Kap Jun YOON ; Young Hak SHIM ; Jin Ju KIM
Korean Journal of Clinical Pathology 1992;12(2):217-221
No abstract available.
Humans
5.Ganglion of the Posterior Cruciate Ligament: 1 case report.
Seung Wook YANG ; Hak Young JEONG ; Jae Woong SHIM ; Byeong Seon KONG
The Journal of the Korean Orthopaedic Association 1997;32(5):1387-1391
Ganglia of the cruciate ligament are quite rare. About 60 cases were reported previously in the world and 6 cases were reported at two articles in korea. It's symptoms may be similar to those of internal derangement of knee, especially meniscal lesion. We report a case of isolated ganglion of posterior cruciate ligament with brief of literatures.
Ganglia
;
Ganglion Cysts*
;
Knee
;
Korea
;
Ligaments
;
Posterior Cruciate Ligament*
6.Evaluation of "Pink Test" for diagnosis of hereditary spherocytosis.
Young Jin KIM ; Young UH ; Myung Seo KANG ; Kyungwon LEE ; Hwang Min KIM ; Hyun Soo KIM ; Young Hak SHIM
Korean Journal of Clinical Pathology 1991;11(2):397-401
No abstract available.
Diagnosis*
7.Increased Inflammation, Reduced Plasma Phospholipid Eicosapentaenoic Acid and Reduced Antioxidant Potential of Treated Hypertensive Patients with Metabolic Syndrome.
Min Jeong SHIN ; Eugene SHIM ; Borum KANG ; Sungha PARK ; Sang Hak LEE ; Chi Young SHIM ; Eunju PARK ; Namsik CHUNG
Yonsei Medical Journal 2009;50(6):757-763
PURPOSE: In the present study, we tested whether the presence of metabolic syndrome (MetS) would worsen the features of inflammation, plasma omega 3 fatty acid levels and antioxidant potential in treated hypertensive patients. MATERIALS AND METHODS: Two groups were classified by the components of MetS: a reference group of treated hypertensive subjects: hypertension (HTN) group (n = 39) and with more than two additional MetS components: HTN with Mets group (n = 40). We further compared the parameters between HTN group and HTN with MetS group. RESULTS: The results showed that age (p < 0.001) and body mass index (BMI) (p < 0.001) were significantly different between HTN group and HTN with MetS group. Age- and BMI-adjusted total radical trapping antioxidant potential (TRAP) (p < 0.01) was significantly lower, whereas age- and BMI-adjusted CD (p < 0.05) and interleukin (IL) 6 (p < 0.05) were significantly higher in HTN with MetS group than in HTN group. Moreover, HTN with MetS group had significantly lower levels of age- and BMI-adjusted plasma phospholipid eicosapentaenoic acid (EPA) than HTN group (p < 0.05). On the other hand, the levels of age- and BMI-adjusted intracellular cell adhesion molecule-1 (ICAM-1), adiponectin and high molecular weight (HMW)-adiponectin were not significantly different between the groups. CONCLUSION: In conclusion, our results showed increased inflammatory marker, reduced antioxidant potential and EPA levels in treated hypertensive patients in the presence of MetS, suggesting the importance of changes of therapeutic lifestyle to modify the features of MetS.
Adiponectin/blood
;
Age Factors
;
Antihypertensive Agents/therapeutic use
;
Antioxidants/*metabolism
;
Body Mass Index
;
Eicosapentaenoic Acid/*blood
;
Female
;
Humans
;
Hypertension/*blood/drug therapy/*immunology
;
Inflammation/*immunology
;
Intercellular Adhesion Molecule-1/blood
;
Interleukin-6/blood
;
Male
;
Metabolic Syndrome X/blood/*complications/immunology
;
Middle Aged
8.The Outcome of Percutaneous Intervention of the Superficial Femoral Artery and the Predictors of its Patency.
Sang Hak LEE ; Donghoon CHOI ; Young Guk KO ; Kihwan KWON ; Do Yun LEE ; Byung Chul CHANG ; Won Heum SHIM
Korean Circulation Journal 2003;33(7):607-613
BACKGROUND AND OBJECTIVES: Percutaneous intervention has become an established technique in the treatment of peripheral arterial obstructive disease. This study was performed to evaluate the procedural success and long-term outcome of percutaneous intervention of the superficial femoral artery (SFA), and to determine the factors that influence the long-term outcome. SUBJECTS AND MEHTODS: Eighty-eight consecutive lesions, in 76 subjects (mean age 65) with chronic lower limb ischemia and SFA obstruction, diagnosed with angiography were included in this study. The angiographic success was defined as residual stenosis <30% and the clinical success as an improvement by at least one clinical category. The clinical patency was defined as an absence of symptom recurrence and target lesion revascularization during the follow up period. The predictors of the outcome were also determined. RESULTS: Balloon angioplasty only was performed in 39 lesions and thrombolysis only in 2, whereas stenting was performed in 47 lesions. Seventy four of the 88 attempts (84%) at recanalization were angiographically successful, while 73 (83%) experienced clinical improvement. The twelve month patency was 67%. Critical ischemia (versus intermittent claudication)(relative risk 4.2, p=0.020) and renal failure (relative risk 4.1, p=0.016) were independent negative predictors of the patency. CONCLUSION: Percutaneous intervention of the SFA yielded a high procedural success rate, with an acceptable long-term outcome. Symptoms of critical ischemia and renal failure were predictive of a low long-term patency.
Angiography
;
Angioplasty
;
Angioplasty, Balloon
;
Arterial Occlusive Diseases
;
Constriction, Pathologic
;
Femoral Artery*
;
Follow-Up Studies
;
Ischemia
;
Lower Extremity
;
Outcome Assessment (Health Care)
;
Recurrence
;
Renal Insufficiency
;
Stents
9.Two Cases of Aplastic Anemia Following Propylthiouracil.
Hong Seung KIM ; Choon Hee CHUNG ; Hee Sun KIM ; Mi Duk LEE ; Young Hak SHIM ; Soon Won HONG
Journal of Korean Society of Endocrinology 1998;13(2):258-263
Aplastic anemia is characterized by a failure of blood cell production resulting in varying degrees of pancytopenia with a markedly hypocellular bone marrow. Most cases of aplastic anemia are acquired, but the disease may also occur as the result of inherited abnormalities. In 50-65% of cases, however, the etiology is unknown. For acquired forms of aplastic anemia, a variety of causative factors, including radiation, viruses, chemicals and drugs, have been implicated. Antithyroid drugs(Carbimazole, Methimazole, Propylthiouracil) are usually listed among agents associated with the development of agranulocytosis, but aplastic anemia rarely follows their use. The first case of aplastic anemia followmg propylthiouracil was reported by Marte~lo et al. in 1967 and the second case was by Aksoy and Erdem in 1968. Recently, we experienced two cases of aplastic anemia following propylthiouracil therapy due to Graves disease, so we report here these cases with literature review.
Agranulocytosis
;
Anemia, Aplastic*
;
Blood Cells
;
Bone Marrow
;
Graves Disease
;
Methimazole
;
Pancytopenia
;
Propylthiouracil*