Original Articles 심실조기흥분증후군에서역방향방실회귀성빈맥의 Abstract 임상적및전기생리학적특성 * 최동훈 이문형 안신기 김성순 Electrophysiologic and Clinical Characteristics of Antidrom

Size: px
Start display at page:

Download "Original Articles 심실조기흥분증후군에서역방향방실회귀성빈맥의 Abstract 임상적및전기생리학적특성 * 최동훈 이문형 안신기 김성순 Electrophysiologic and Clinical Characteristics of Antidrom"

Transcription

1 Original Articles 심실조기흥분증후군에서역방향방실회귀성빈맥의 Abstract 임상적및전기생리학적특성 * 최동훈 이문형 안신기 김성순 Electrophysiologic and Clinical Characteristics of Antidromic Reentrant Tachycardia in Ventricular Preexcitation Syndrome Dong Hoon Choi, M.D., Moon Hyoung Lee, M.D., Shin Ki Ahn, M.D., Sung Soon Kim, M.D. Cardiology Division, Yonsei Cardiovascular Center, Yonsei University, Seoul, Korea BackgroundAntidromic reentrant tachycardiaart, in which an accessory atrioventricular pathway is used as the anterograde limb of an atrioventricular reentrant tachycardia, has been documented clinically in less than 10 of patients with the Wolff-Parkinson-WhiteWPW syndrome. The wide QRS complex makes the distinction between antidromic AV reentrant tachycardia and ventricular tachycardia somewhat difficult. The purpose of this study is to evaluate the clinical and electrophysiologic characteristics of the antidromic reentrant tachycardia. Methods and ResultsDuring the electrophysiologic study of 355 patients, from December 1986 to April 1995, referred for evaluation of Wolff-Parkinson-White syndrome, patients had preexcited reciprocating tachycardia. 1 The age of the antidromic reentrant tachycardia patients ranged from 15 to 53 years2812, and the mean age was younger than that of orthodromic reentrant tachycardiaort patientsp Thirteen were male patients, five were females. 3There were associated heart diseases in 3 cases. Two patients had Ebstein s anomaly and one had valvular heart disease. 4 The locations of accessory pathwaysaps documented on surface ECG were 7 left side39, 9 right side50, 1 posteroseptal side5.5 and 1 anteroseptal side. 5 Multiple bypass tracts were documented by electrophysiologic study in 7/ cases with ART, more common than cases with ORT20/3375.9p accessory pathways were documented by EPS in 18 patients10 left side, 11 right side, 2 posteroseptal side and 2 anteroseptal side. ART patients had more right sided AP11/25, 44 than those with ORT98/357, 27.5, but ART patients had less posteroseptal AP2/25, 8 than those with ORT63/357,

2 7 The types of ECG patterns naturally occurred were LBBB11 cases, RBBB6 cases, and atrial fibrillation4 cases. 8 The types of induced tachycardia in electrophysiologic study were 11 antidromic reentrant tachycardia, 10 orthodromic reentrant tachycardia, 7 reentrant tachycardia using two accessory bypass tracts, 3 AV nodal reentrant tachycardia, and 5 atrial fibrillations. ConclusionART patients were younger and had more multiple bypass tracts than those with ORT. ART patients had less posteroseptal AP than ORT patients and more right sided AP than ORT patients. The posteroseptal AP was used as retrograde limb only. KEY WORDSWolff-Parkinson-White syndrome Antidromic reentrant tachycardia. 서 론 연구대상및방법 1. 연구대상 395

3 2. 방법 1) 전기생리학검사 (Electrophysiologic study) 2) 전기생리학검사상의용어의정의 396

4 3) 통계처리 결과 1. 대상환자의임상적특성 Table 1. Clinical characteristics of patients with antidromic reentrant tachycardiaart and orthodromic reentrant tachycardiaort ART ORT p-value SexMF NS Ageyears Symptom duration years NS Symptom frequency year NS Total number 185.1% % % NSNot Significant Table 2. Clinical characteristics of patients with antidromic reentrant tachycardia during electrophysiologic study No. AgeyrsSex OHD Clinical arrhythmia Therapy Result Follow-up 1 24/F ART Op Success Asymp3mo 2 15/F ART Op Success Asymp12mo 3 20/F ART Op Success Asymp63mo 4 38/M A-Fib DCRF Fail Med, Lost to follow up 5 20/M ART DCRF Success Asym2mo 6 50/F ART DCRF Success Asym with med 7 34/M ART, AVNRT RF Success Asym44mo 8 48/M ART, A-Fib Op Success Asym with med 9 31/M A-Fib RF Success Asym /M ART DCRF Success Asym /F ART, A-Fib DCRF Fail Asym with med 12 15/M ART RF Success Asym24mo 13 17/M ART RF Success Asym24mo 14 53/M ART, ORT RF Success Asym12mo 15 29/M ART RF Success Asym12mo 16 22/M ART RF Success Asym12mo 17 22/M ART DCRF Success Asym1mo 18 22/M ART Diagnostic Fail Asym with med OHDOrganic heart diseaseebstein s anomaly7, 11 Mitral valve replacement6 ARTAntidromic reentrant tachycardia ORTOrthodromic reentrant tachycardia AVNRTAV nodal reentrant tachycardia A-FibAtrial fibrillation OpOperation DCDirect current cardioversion RFRadiofrequency ablation 397

5 의 진단 및 치료시의 연령은 15세부터 53세까지로 다 고 1예에서는 과거에 승모판 협착증으로 승모판 치환 양하였는데 평균 28±12세였고 이는 정방향의 방실 술을 받았었다(Table 2). 회귀성빈맥의 35±15세와 비교해 볼 때 훨씬 젊은 연 령에서 병원을 찾고 치료를 받은 것을 알 수 있다. 환 자들의 증상이 처음 있은 후로부터 치료받기까지의 기 간은 7개월부터 40년까지로 평균 8.6년이었는데 정 방향 방실회귀성빈맥과 차이는 없었다. 빈맥의 빈도는 하루에 한번 이상 있었던 예로부터 1년에 한번까지 평 균 연간 약 10회였다. 이는 정방향 방실회귀성빈맥의 평균 연간 약 4회보다 통계학적으로 의의는 없지만 많 은 경향을 보였다(Table 1). 동반된 심장 질환이 있었 던 경우는 3예로 두 명에서는 Ebstein s anomaly였 Table 3. Distributions of accessory pathways on surface ECG Accessory pathway location 2. 우회로의 위치 안정시의 표면심전도를 이용한 우회로의 위치 예측 은 표면 심전도 전극 중 우회로의 좌우측 여부에 대해 서는 V1 전극의 우각 혹은 좌각차단, 전 후 여부에 대 해서는 Ⅲ와 avf 전극의 델타파 및 우회로의 내외측 및 우회로의 중격성 여부에 대해서는 V3, V4, V5 전 극에서의 V3와 V4 혹은 V4와 V5의 QRS 편 위의 양극성 여부 및 V2의 양극성 여부를 골자로 하였다. 안정시의 우회로의 위치는 좌측이 7예(39%), 우측이 9예(50%), 후중격과 전중격이 각각 1예로 나타났다 (Table 3). Fig. 1과 2는 좌측 우회로와 우측 우회로 를 가진 환자의 안정시 표면 심전도이다. 반면에 전기 ART(N=18) 생리학 검사로 나타난 우회로는 25예로 다발성 우회로 Right side 9(50.0%) 를 보인 예는 전체 환자 18예중 7예(38.9%)로 정방 Left side 7(39.0%) Septal group Posteroseptal 1( 5.5%) Left paraseptal 0 Anteroseptal 1( 5.5%) Midseptal 0 ART Antidromic reentrant tachycardia 향 방실회귀성빈맥에서의 337명의 환자에서 20예(5. 9%)와 유의한 차이를 보였다(Table 4, 5). 전기생리 학 검사로 확인된 전체 우회로의 위치는 왼쪽이 10예 (40.0%) 오른쪽이 11예(44.0%) 후중격과 전중격이 각각 2예(8.0%)였는데 이는 정방향 방실 전도 빈맥에 서 오른쪽 우회로가 27.5%로 왼쪽 우회로(47.6%)에 Fig. 1. Surface ECG of a patient with left lateral accessory pathway. 398

6 Fig. 2. Surface ECG of a patient with right posterior accessory pathway. Table 4. Frequency of atrial fibrillation and multiple bypass tracts in ART and ORT patients ART ORT P-value A-Fib 5/1827.8% 70/ % NS Multiple bypass tracts 7/1838.9% 20/ % p0.05 Table 5. Distributions of accessory pathways on electrophysiologic study in ART and ORT patients Accessory pathway ARTN25 ORTN357 location Right side % % Left side % % Septal group Posteroseptal 2 8.0% % Left paraseptal % Anteroseptals 2 8.0% % Midseptal % ARTAntidromic reentrant tachycardia ORTOrthodromic reentrant tachycardia Table 6. Distributions of accessory pathways on electrophysiologic study in ART patients Accessory pathway Single11 Multiple14 location Right side 763.6% 428.6% Left side 436.4% 642.8% Septal group Posteroseptal % Left paraseptal 0 0 Anteroseptal % Midseptal 0 0 ARTAntidromic reentrant tachycardia Table 7. Kinds of naturally occurred wide QRS tachycardia Number Wide QRS, LBBB 11AVNRT 1 RBBB 6 A-Fib 4 LBBBLeft bundle branch block RBBBRight bundle branch block AVNRTAV nodal reentrant tachycardia 399

7 3. 빈 맥 형과 우각 차단형의 빈맥을 보여준다. 임상적으로 진단 빈맥발작시의 표면 심전도상 wide QRS 좌각차단형 된 빈맥의 종류는 역방향 방실회귀성빈맥이 16명이었 이 11예, 우각 차단형이 6예, 심방세동을 보인 경우가 고 심방세동만으로 발현된 경우가 2명, 역방향 방실회 4예였다(Table 7). Fig. 3과 4는 wide QRS 좌각차단 귀성빈맥과 심방세동이 동반된 경우가 2명 있었다(Ta- Fig. 3. Maximum preexcitation in Fig. 2 patient(wide QRS LBBB pattern). Fig. 4. Maximum preexcitation in a Fig. 1 patient(wide QRS RBBB pattern). 400

8 Table 8. Types of induced tachycardia in electrophysiologic study True antidromic tachycardia 11/18 AP, AVN Two bypass tractsap, AP 7/18 OrthodromicAVN, AP 19/18 AVNRT 3/18 A-Fib. 5/18 Atrial tachycardia 1/18 APAccessory pathway AVNAV node Fig. 5. Schematic presentation of mechanisms of antidromic reentrant tachycardia. 401

9 Table 9. Electrophysiologic study parameters in ART and ORT patients ART patients ORT patients n Valuemsec n Valuemsec P-value AVBCLK AVKERP NS AVNERP NS AERP NS VABCLK NS VABCLN NS VACSERP NS VAKERP NS VERP NS VTR NS AVBCLAV block cycle length AVKERPAV Kent effective refractory period AVNERPAV nodal effective refractory period AERPAtrial effective refractory period VABCLKVA block cycle length-kent VABCLNVA block cycle lenght-node VACSERPVA coronary sinus effective refractory period VAKERPVA Kent effective refractory period VERPVentricular effective refractory period VTRVentricular tachycardia rate Table 10. Tachycardia cycle length in the same patients ART CLmsec ORT CLmsec P-value NS 4. 전기생리학적특성 5. 치료 고안 402

10 403

11 요약 연구배경 : 404

12 방법 : 결과 : 결론 : References 1) Smith RF:The Wolff-Parkinson-White syndrome as an aviation risk. Circulation 29: , ) Orinius E:Preexcitation. Studies on criteria, prognosis, and heredity. Acta Med Scand 465(suppl) :24-35, ) Krahn AD, Manfreda J, Tate RB, Mathewson FAL, Cuddy TE:The natural history of electrocar-diographic preexcitation in men. The Manitoba follow-up study. Ann Intern Med 116: , ) Gallagher JJ, Pritchett ELC, Sealy WC, Kasell J, Wallace AG:The preexcitation syndromes. Prog Cardiovasc Dis 20: , ) Robinson K, Rowland E, Krikler DM:Latent preexcitation:exposure of anterograde accessory pathway conduction during atrial fibrillation. Br Heart J 59:53-55, ) Josephson ME:Preexcitation syndromes. In Josephson ME, ed. clinical cardiac electrophysiology:techniques and interpretations. Pennsylvania, Lea and Febiger, 199 3, pp ) Bardy GH, Packer DL, German LD, Gallagher JJ:Preexcited reciprocating tachycardia in patients with Wolff- Parkinson-White syndrome:incidence and mechanisms. Circulation 70: , ) Kuck KH, Brugada P, Wellens HJJ:Observations on the antidromic type of circus movement tachycardia in the Wolff-Parkinson-White syndrome. J Am Coll Cardiol 2: , ) Kent AFS:Illustrations of the right lateral auriculoventricular junction in the heart. J Physiol 48:63-64, ) Wolff L, Parkinson J, White PD:Bundle-branch block with short P-P interval in healthy young people prone to paroxysmal tachycardia. Am Heart J 5: ,

13 11) Wellens HJJ, Durrer D:Wolff-Parkinson-White syndrome and atrial fibrillation:relation between refractory period of accessory pathway and ventricular rate during atrial fibrillation. Am J Cardiol 34: , ) Campbell RWF, Smith RA, Gallagher JJ, Pritchett ELC, Wallace AG:Atrial fibrillation in the preexcitation syndrome. Am J Cardiol 40: , ) Berkman NL, Lamb LE:The Wolff-Parkinson-White syndrome. A follow-up study of five to twenty-eighty years. N Engl J Med 278: , ) Zardini ZM, Yee R, Thakur RK, Klein GJ:Risk of sudden arrhythmic death in the Wolff-Parkinson-White syndrome: Current perspectives. PACE 17: , ) Benditt DG, Pritchett ELC, Gallagher JJ:Spectrum of regular tachycardias with wide QRS complexes in patients with accessory atrioventricular pathways. Am J Cardiol 42: , ) Gallagher JJ, Smith WM, Kasell JH, Benson DW Jr, Sterba R, Grant AO:Role of Mahaim fibers in cardiac arrhythmias in man. Circulation 64: , ) Smith WM, Gallagher JJ, Kerr CR, Sealy WC, Kasell JH, Benson DW Jr, Reiter MJ, Sterba R, Grant AO:The electrophysiologic basis and management of symptomatic recurrent tachycardia in patients with Ebstein s anomaly of the tricuspid valve. Am J Cardiol 49: , ) Kastor JA, Goldreyer BN, Josephson ME, Perloff JK, Scharf DL, Manchester JH, Shelburne JC, Hirshfield JW: Electrophyssiologic characteristics of Ebstein s anomaly of the tricuspid valve. Circulation 52: , ) Smith WM, Broughton A, Reiter MJ, Benson DW Jr, Grant AO, Gallagher JJ:Bystander accessory pathway during AV node reentrant tachycardia. PACE 6: , ) Klein GJ, Bashore TM, Sellers TD, Pritchett ELC, Smith WM, Gallagher JJ:Ventricular fibrillation in the Wolff- Parkinson-White syndrome. N Engl J Med 301: , ) Packer DL, Gallagher JJ, Prystowsky EN:Physiological substrate for antidromic reciprocating tachycardia. Circulation 85: , ) Kreiner G, Heinz G, Siostrzonek P, Radosztics S, Gossinger HD:Alterations of orthodromic circus movement tachycardia by dual atrioventricular nodal pathways in a patient with Wolff-Parkinson-White syndrome. PACE 1 6: , ) Durrer D, Roos JP:Epicardial excitation of the ventricles in a patietn with Wolff-Parkinson-White syndrome (type B). Circulation 35:15-21, ) Cobb FR, Blumenshein SD, Sealy WC, Boineau JP, Wagner GS, Wallace AG:Successful surgical interruption of bundle of Kent in a patient with Wolff-Parkinson-White syndrome. Circulation 38: , ) Morady F, Scheinmann MM:Transvenous catheter ablation of a posteroseptal accessory pathway in a patient with the Wolff-Parkinson-White syndrome. PACE 10: , ) 김성순 : 심장부정맥에대한전극도자절제술. 대한의학협회지 5: , ) Calkins H, Langberg J, Sousa J, El-Atassi R, Leon A, Kou W, Kalbfleisch S, Morady F:Radiofrequency catheter ablation of accessory atrioventricular connections in 250 patients;abbreviated therapeutic approach to Wolff-Parkinson-White syndrome. Circulation 85: ,

ECG & EP CASES Young-Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea A case of

More information

Original Articles Wolff-Parkinson-White 증후군의임상상및 전기생리학적소견 * Abstract 안신기 1 이문형 1 장양수 1 오동진 2 최인석 3 하종원 1 임세중 1 김병옥 4 정남식 1 심원흠 1 조승연 1 김성순 1

Original Articles Wolff-Parkinson-White 증후군의임상상및 전기생리학적소견 * Abstract 안신기 1 이문형 1 장양수 1 오동진 2 최인석 3 하종원 1 임세중 1 김병옥 4 정남식 1 심원흠 1 조승연 1 김성순 1 Original Articles 27 9 1997 Wolff-Parkinson-White 증후군의임상상및 전기생리학적소견 * Abstract 안신기 1 이문형 1 장양수 1 오동진 2 최인석 3 하종원 1 임세중 1 김병옥 4 정남식 1 심원흠 1 조승연 1 김성순 1 Clinical and Electrophysiologic Characteristics of

More information

Fluoroscopic anatomy for supraventricular tachycardia ablation Hui-Nam Pak, MD, PhD Division of Cardiology, Yonsei Cariovascular Center and Cardiovascular Research Institute, Yonsei University College

More information

ePapyrus PDF Document

ePapyrus PDF Document MAIN TOPIC REVIEWS Hong-Euy Lim, MD, PhD Division of Cardiology, Korea University Guro Hospital, Seoul, Republic of Korea Surface electrocardiography of supraventricular tachycardia - differential diagnosis

More information

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770>

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770> 심전도연수강좌 : 처음시작하는사람들을위한심전도 연세대학교원주의과대학순환기내과학교실 안민수 Cardiac Electrophysiology I : Automaticity : 60-100 회 /min, His bundle : 40-60 회 /min Bundle branch : 20-40 회 /min Purkinje fiber : 20 회 /min Cardiac Electrophysiology

More information

Original Articles Korean Circulation J 1998;28 9 : WPW 증후군환자에서성공적인전극도자절제술후재분극이상 배장호 1 김윤년 1 한성욱 1 현대우 1 신이철 1 김기식 1 김권배 1 이상민 2 Repolarizatio

Original Articles Korean Circulation J 1998;28 9 : WPW 증후군환자에서성공적인전극도자절제술후재분극이상 배장호 1 김윤년 1 한성욱 1 현대우 1 신이철 1 김기식 1 김권배 1 이상민 2 Repolarizatio Original Articles Korean Circulation J 1998;289:1493-1501 WPW 증후군환자에서성공적인전극도자절제술후재분극이상 배장호 1 김윤년 1 한성욱 1 현대우 1 신이철 1 김기식 1 김권배 1 이상민 2 Repolarization Abnormalities after Successful Radiofrequency Catheter

More information

서 론 대상 및 방법 대 상 706 Table 1. Characteristics of patients Number n 125 Age meansd 3514 Sex MF 7154 QRS duration sec 0.110.02 Site of AP n Anterior 21 1

서 론 대상 및 방법 대 상 706 Table 1. Characteristics of patients Number n 125 Age meansd 3514 Sex MF 7154 QRS duration sec 0.110.02 Site of AP n Anterior 21 1 Original Articles Korean Circulation J 1999;297:705-711 Wolff-Parkinson-White증후군 환자에서의 이차성 T파 변화 2 배장호 1 김윤년 2 신이철 2 박소영 2 김기영 1 남창욱 2 김미정 2 김기식 2 김권배 2 정시전 Secondary T Wave Changes in Patients with Wolff-Parkinson-WhiteWPW

More information

ºÎÁ¤¸ÆV10N³»Áö

ºÎÁ¤¸ÆV10N³»Áö A case of atrioventricular dissociation with interference ABSTRACT Interference dissociation is one of the most interesting arrhythmias. Once thought to be a rare arrhythmia, it is now considered a very

More information

Original Articles Korean Circulation J 2000;30 2 : 심방빈맥의고주파전극도자절제술 안신기 이문형 편욱범 김성순 Radiofrequency Catheter Ablation of Atrial Tachycardia Shink

Original Articles Korean Circulation J 2000;30 2 : 심방빈맥의고주파전극도자절제술 안신기 이문형 편욱범 김성순 Radiofrequency Catheter Ablation of Atrial Tachycardia Shink Original Articles Korean Circulation J 2000;302:153-165 심방빈맥의고주파전극도자절제술 안신기 이문형 편욱범 김성순 Radiofrequency Catheter Ablation of Atrial Tachycardia Shinki Ahn, MD, Moon Hyoung Lee, MD, Wook Bum Pyun, MD and

More information

Original Articles Korean Circulation J 2002;32 3 : 아데노신투여로방실결절내이중전도로의진단시 관찰되는방실차단의의의 한승환 1 김영훈 1 이현수 1 이호준 1 신성희 1 박창규 1 서홍석 1 심완주 1 오동주 1 노영무

Original Articles Korean Circulation J 2002;32 3 : 아데노신투여로방실결절내이중전도로의진단시 관찰되는방실차단의의의 한승환 1 김영훈 1 이현수 1 이호준 1 신성희 1 박창규 1 서홍석 1 심완주 1 오동주 1 노영무 Original Articles Korean Circulation J 2002;323:241-250 아데노신투여로방실결절내이중전도로의진단시 관찰되는방실차단의의의 한승환 1 김영훈 1 이현수 1 이호준 1 신성희 1 박창규 1 서홍석 1 심완주 1 오동주 1 노영무 1 황교승 2 Significance of Atrio-Ventricular Block Following

More information

ºÎÁ¤¸ÆV10N³»Áö

ºÎÁ¤¸ÆV10N³»Áö case of brugada syndrome presented as chest pain STRCT rugada syndrome was described in 1992 as a new clinical entity characterized by electrocardiographic STsegment elevation in the right precordial leads

More information

Original Articles 후중격에위치한우회로의전극도자절제술 Abstract 이문형 안신기 구본권 장길진 김건영 김성순 오동진 Catheter Ablation of The Posteroseptal Accessory Pathways Moon Hyo

Original Articles 후중격에위치한우회로의전극도자절제술 Abstract 이문형 안신기 구본권 장길진 김건영 김성순 오동진 Catheter Ablation of The Posteroseptal Accessory Pathways Moon Hyo Original Articles 27 4 1997 후중격에위치한우회로의전극도자절제술 Abstract 이문형 안신기 구본권 장길진 김건영 김성순 오동진 Catheter Ablation of The Posteroseptal Accessory Pathways Moon Hyoung Lee, M.D., Shinki Ahn, M.D., Bon Kwon Ku, M.D.,

More information

Lumbar spine

Lumbar spine Lumbar spine CT 32 111 DOI : 10.3831/KPI.2010.13.2.111 Lumbar Spine CT 32 Received : 10. 05. 23 Revised : 10. 06. 04 Accepted : 10. 06. 11 Key Words: Disc herniation, CT scan, Clinical analysis The Clinical

More information

충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~ Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교

충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~ Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교 충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~5 2017 Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교의과대학마취통증의학교실, 의학연구소 (28644), happycat19@hanmail.net

More information

81 F Epigastric discomfort after meals for 3 hours

81 F Epigastric discomfort after meals for 3 hours Interesting EKG CASE 1-1 81 F Epigastric discomfort after meals for 3 hours 05, Cho SY, #3907730 Tn-T 0.01 ng/ml CK-MB 2.1 ng/ml BP 180/130 mmhg CASE 1-2 After 20 minutes 05, Cho SY, #3907730 CASE 1-3

More information

Original Articles Korean Circulation J 1998;28 4 : 상심실성빈맥환자에서관상정맥동의형태비교 현대우 김윤년 박소영 한성욱 허승호 김기식 김권배 Coronary Sinus Morphology in Patients with

Original Articles Korean Circulation J 1998;28 4 : 상심실성빈맥환자에서관상정맥동의형태비교 현대우 김윤년 박소영 한성욱 허승호 김기식 김권배 Coronary Sinus Morphology in Patients with Original Articles Korean Circulation J 1998;284:620-625 상심실성빈맥환자에서관상정맥동의형태비교 현대우 김윤년 박소영 한성욱 허승호 김기식 김권배 Coronary Sinus Morphology in Patients with Supraventricular Tachycardia Dae-Woo Hyun, MD, Yoon-Nyun

More information

REVIEW ARTICLES International Journal of Arrhythmia 2017;18(1):43-47 doi: 심실상빈맥의감별진단 장성원 가톨릭대학교의과대학내과학교

REVIEW ARTICLES International Journal of Arrhythmia 2017;18(1):43-47 doi:   심실상빈맥의감별진단 장성원 가톨릭대학교의과대학내과학교 REVIEW ARTICLES doi: http://dx.doi.org/10.18501/arrhythmia.2017.006 심실상빈맥의감별진단 장성원 가톨릭대학교의과대학내과학교실 Sung-Won Jang, MD Division of Cardiology, St. Paul s Hospital, Department of Internal Medicine, The Catholic

More information

ºÎÁ¤¸ÆV10N³»Áö

ºÎÁ¤¸ÆV10N³»Áö A case of nonischemic dilated cardiomyopathy with ventricular tachycardia treated by ICD ABSTRACT Dilated cardiomyopathy (DCM) is a syndrome characterized by left or biventricular dilatation and impaired

More information

012임수진

012임수진 Received : 2012. 11. 27 Reviewed : 2012. 12. 10 Accepted : 2012. 12. 12 A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar

More information

Supraventricular Tachycardia by Concealed Bypass Tract 방실회귀성빈맥의병태생리 방실우회로는정상전도계와순환회로를구성하여다양한종류의상심실성빈맥을유발한다. 가장흔히발생하는빈맥은정방향성방실회귀성빈맥 (orthodromic atriov

Supraventricular Tachycardia by Concealed Bypass Tract 방실회귀성빈맥의병태생리 방실우회로는정상전도계와순환회로를구성하여다양한종류의상심실성빈맥을유발한다. 가장흔히발생하는빈맥은정방향성방실회귀성빈맥 (orthodromic atriov REVIEW ARTICLES International Journal of Arrhythmia 2017;18(1):38-42 doi: http://dx.doi.org/10.18501/arrhythmia.2017.005 Supraventricular Tachycardia by Concealed Bypass Tract 이기홍 전남대학교의과대학내과학교실 Ki Hong

More information

김범수

김범수 Analysis of Outcomes after Resection of Sarcomatous Hepatocellular Carcinoma Purpose: Sarcomatous hepatocellular carcinoma (HCC) is rare. Therefore, the clinicopathologic characteristics and prognosis

More information

Microsoft Word - 순3-7.doc

Microsoft Word - 순3-7.doc 원저 Korean Circulation J 2003;33(3):218-226 심전도에의한넓은 QRS 빈맥의감별진단 연세대학교의과대학심장혈관병원심장내과학교실 강웅철 안신기 이문형 김성순 Differential Diagnosis of Wide QRS Tachycardia by Electrocardiogram Woong Chol Kang, MD, Shinki Ahn,

More information

1..

1.. Volume 12, Number 1, 6~16, Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital Jee-In Hwang College of Nursing Science, Kyung Hee University :

More information

노영남

노영남 Purpose: Delayed massive hemorrhages from pseudoaneurysm rupture of the peripancreatic large arteries, after pancreaticoduodenectomy, are fatal. We reviewed the clinical course and outcome of bleeding

More information

REVIEW ARTICLES Arrhythmia 2015;16(4): doi: 유두근심실빈맥 박예민 가천대학교길병원심장내과 Papillary Muscle Ventricula

REVIEW ARTICLES Arrhythmia 2015;16(4): doi:   유두근심실빈맥 박예민 가천대학교길병원심장내과 Papillary Muscle Ventricula REVEW ARTCLES doi: http://dx.doi.org/10.18501/arrhythmia.2015.036 박예민 가천대학교길병원심장내과 Papillary Muscle Ventricular Tachycardia Yae Min Park, MD Cardiology Division, Gachon University Gil Medical Center, ncheon,

More information

ISSN 2005-9728 The Official Journal of Korean Heart Rhythm Society Vol.12 No.2 June 2011 부정맥 부정맥 The Official Journal of Korean Heart Rhythm Society 발작성 심실상성 빈맥(PSVT)(II ) Main Topic Reviews 발작성 심실상성 빈맥의

More information

12이문규

12이문규 Review on Conservative Treatment of Spinal Scoliosis Moon-kyu Lee, O.M.D., Gil-jae Lee, O.M.D., Yun-kyung Song, O.M.D., Hyung-ho Lim, O.M.D. Dept. of Oriental Rehabilitation Medicine College of Oriental

More information

Treatment and Role of Hormaonal Replaement Therapy

Treatment and Role of Hormaonal Replaement Therapy Treatment and Role of Hormone Replacement Therapy Chung-Ang University Hospital Chee Jeong Kim 7.2 5.3 6.4 5.6 7.3 5.5 1 1 2 3 4 10 11 7 34 49 122 123 1.0 - - 10. 2001 1998 1998 Improvement of postmenopausal

More information

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770>

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770> 심전도연수강좌 : 처음시작하는사람들을위한심전도 강남힘찬병원 이병호 심전도의이해정상 12- Lead 심전도 심전도연수강좌 : 처음시작하는사람들을위한심전도 Session III. Tachy Arrhythmias and Sudden Death Axis Horizontal vs Frontal plane AVR AVL (lateral wall ) ( Anteroseptum

More information

부정맥 (Cardiac Arrhythmias, Dysrhythmias) ECG 는 atrium 에서 ventricle 로즉 (SA node AV node His bundle bundle branch Purkinje fiber) 의 normal route 를따라 depo

부정맥 (Cardiac Arrhythmias, Dysrhythmias) ECG 는 atrium 에서 ventricle 로즉 (SA node AV node His bundle bundle branch Purkinje fiber) 의 normal route 를따라 depo 부정맥 (Cardiac Arrhythmias, Dysrhythmias) ECG 는 atrium 에서 ventricle 로즉 (SA node AV node His bundle bundle branch Purkinje fiber) 의 normal route 를따라 depolarization 하기만하면 P wave 와 QRS complex 는 normal appearance

More information

386-390.hwp

386-390.hwp 386 HANYANG MEDICAL REVIEWS Vol. 29 No. 4, 2009 우리나라 미숙아의 통계와 의료비용 Statistics and Medical Cost of Preterm in Korea 윤혜선 을지대학교 노원을지병원 소아청소년과학교실 Hye Sun Yoon, M.D., Ph.D., Department of Pediatrics, Nowon

More information

Microsoft PowerPoint - 2- 남기병

Microsoft PowerPoint - 2- 남기병 쉽게풀어보는심전도 울산대서울아산병원남기병 심전도진단 Chamber enlargement (hypertrophy) Bundle branch block Myocardial infarction WPW ST-T change: Nonsp ST-T change, Early repolarization Arrhythmia: tachycardia, PVC, AF 남자 63

More information

417

417 Analysis of Factors Predicting Recurrence and the Result of Treatment in PSVT Patients at the Emergency Department Byeong Jo Chun, M.D., Jung Mi Moon, M.D., Joon Sun Wi, M.D., Kyoung Woon Jeoung, M.D.,

More information

ºÎÁ¤¸ÆÃÖÁ¾

ºÎÁ¤¸ÆÃÖÁ¾ MAIN TOPIC REVIEWS Young-Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Catheter

More information

L A P R RAA LMCA RVOT RV Free wall RV Septum Main Topic Reviews A RA L N R P RCA LA Figure 1. Anatomy of the outflow tract. Anatomy of the typical rig

L A P R RAA LMCA RVOT RV Free wall RV Septum Main Topic Reviews A RA L N R P RCA LA Figure 1. Anatomy of the outflow tract. Anatomy of the typical rig Main Topic Reviews 특발성심실빈맥 차의과학대학교내과학교실성정훈 Jung-Hoon Sung, MD, PhD Division of Cardiology, Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Gyeonggi-do, Korea Idiopathic ventricular

More information

대상 결과 Table 1. Charateristics of study patients Pt. Age/sex Diagnosis Pacemaker Mode 1 78/M SND BIOTRONIK PHYSIOS TC 01 DDD 2 60/M SND BIOTRONIK PHYSI

대상 결과 Table 1. Charateristics of study patients Pt. Age/sex Diagnosis Pacemaker Mode 1 78/M SND BIOTRONIK PHYSIOS TC 01 DDD 2 60/M SND BIOTRONIK PHYSI Case Reports Korean Circulation J 2000;303:334-338 Pacemaker-Mediated Tachycardia 3 례의임상적고찰 이계원 조정휘 김우식 강흥선 김권삼 송정상 배종화 Three Cases of Pacemaker-Mediated Tachycardia Kae Won Lee, MD, Chung Whee Choue,

More information

한국성인에서초기황반변성질환과 연관된위험요인연구

한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 - - i - - i - - ii - - iii - - iv - χ - v - - vi - - 1 - - 2 - - 3 - - 4 - 그림 1. 연구대상자선정도표 - 5 - - 6 - - 7 - - 8 - 그림 2. 연구의틀 χ - 9 - - 10 - - 11 -

More information

만들slide417,2000

만들slide417,2000 Non-invasive study for arrhythmia patients 단국대학교병원심전도실강순옥, CEPS Symptom 두근거린다 목혹은가슴이꽉메인다 맥이건너뛴다 호흡곤란 어지럽다 Non-invasive study 12 Channel ECG( 파형분석, 부정맥감별 ) 심전도파형생성의원리와정상심전도 Holter ECG( 일과성부정맥진단 ) 홀터분석시주의할점

More information

Microsoft PowerPoint - Benefits of CRT-D in CHF.ppt

Microsoft PowerPoint - Benefits of CRT-D in CHF.ppt Benefits of CRT-D in CHF 울산의대서울아산병원 최기준 ICD and CRT : The Perfect Marriage? Michel Mirowski and Morton Mower : Two Baltimore cardiologists If CRT-P alone provide predictable SCD prevention (or anti-arrhythmic

More information

975_983 특집-한규철, 정원호

975_983 특집-한규철, 정원호 Focused Issue of This Month Gyu Cheol an, MD Department of Otolaryngology ead & Neck Surgery, Gachon University of College Medicine E - mail : han@gilhospital.com Won-o Jung, MD Department of Otolaryngology

More information

- iii - - i - - ii - - iii - 국문요약 종합병원남자간호사가지각하는조직공정성 사회정체성과 조직시민행동과의관계 - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - α α α α - 15 - α α α α α α

More information

(Microsoft PowerPoint - S13-3_\261\350\273\363\307\366 [\310\243\310\257 \270\360\265\345])

(Microsoft PowerPoint - S13-3_\261\350\273\363\307\366 [\310\243\310\257 \270\360\265\345]) Cardiovascular Disease in Metabolic Syndrome 김상현 보라매병원내과 서울대학교의과대학내과학교실 Contents Metabolic syndrome and Cardiovascular system CVD Mortality Coronary artery disease Heart failure Atrial fibrillation Management

More information

- i - - ii - - iii - - iv - - v - - vi - - 1 - - 2 - - 3 - 1) 통계청고시제 2010-150 호 (2010.7.6 개정, 2011.1.1 시행 ) - 4 - 요양급여의적용기준및방법에관한세부사항에따른골밀도검사기준 (2007 년 11 월 1 일시행 ) - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -

More information

현대패션의 로맨틱 이미지에 관한 연구

현대패션의 로맨틱 이미지에 관한 연구 한지닥섬유제품의인체생리반응및쾌적성평가 임순 Evaluation of Thermal Physiological Responses and Comfort in Dox Fabric Soon Im Professor, Dept. of Fashion Industry, Incheon National University This study performed the evaluation

More information

00약제부봄호c03逞풚

00약제부봄호c03逞풚 경희대학교 동서신의학병원 약품 정보지 2 0 0 7. S P R I N G. V O L. 0 1 신약 소개 02 Journal Review 03 Special Subject 04 복약 지도 06 의약품 안전성 정보 07 약제부 알림 07 약제부 업무 소개 08 E A S T - W E S T N E O M E D I C A L C E N T E R 본 약품

More information

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770>

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770> 대한안과학회지 제 49 권 제 5 호 2008 J Korean Ophthalmol Soc 49(5):727-731, 2008 DOI : 10.3341/jkos.2008.49.5.727 다초점 소프트콘택트렌즈의 노안의 시력보정에 대한 유용성 평가 김현경 1 김효명 2 정성근 1 가톨릭대학교 의과대학 성모병원 안과학교실 1, 고려대학교 의과대학 안암병원 안과학교실

More information

자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr

자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr Original Article pissn 1738-2637 J Korean Soc Radiol 2012;67(2):129-134 The Survey of Magnetic Resonance Imaging Quality according to in Korea 1 자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 1 Hyun-Hae

More information

황지웅

황지웅 Comparison of Laparoscopy and Exploration in the Distal Pancreatectomy BACKGROUND: To determine the benefits of laparoscopic surgery compared with exploration, the clinical outcomes of open and laparoscopic

More information

Kbcs002.hwp

Kbcs002.hwp Does Real-time Compound Imaging Improve Evaluation of reast Cancer Compared to Conventional Sonography? o Kyoung Seo, M.D., Yu Whan Oh, M.D., Kyu Ran Cho, M.D., Young Hen Lee, M.D., Hyung Joon Noh, M.D.,

More information

서론 34 2

서론 34 2 34 2 Journal of the Korean Society of Health Information and Health Statistics Volume 34, Number 2, 2009, pp. 165 176 165 진은희 A Study on Health related Action Rates of Dietary Guidelines and Pattern of

More information

A 617

A 617 Special Issue Diabetic Retinopathy Won Ki Lee, M.D. Department of Ophthalmology The Catholic University of Korea College of Medicine Kangnam St. Mary s Hospital E mail : wklee@catholic.ac.kr Abstract R

More information

Jkbcs032.hwp

Jkbcs032.hwp Clinical Correlation of HER-2/neu Overexpression in Patients with Breast Cancer Sung Yong Kim, Tae Yoon Kim, Jae Jun Kim, Chang Ho Kim, Ok Pyung Song, Min Hyuk Lee, Eui Han Kim 1, and Moo Sik Cho Departments

More information

13.ÀÇÇа�ÁÂb61迵ÈÆ837~845’

13.ÀÇÇа�ÁÂb61迵ÈÆ837~845’ J KMA Continuing Education Column Catheter Ablation of Atrial Fibrillation Young Hoon Kim, MD Division of Cardiology, Korea University College of Medicine E mail : yhkmd@unitel.co.kr J Korean Med Assoc

More information

Young Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Inappropriate implantable

More information

저작자표시 - 비영리 - 변경금지 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비영리. 귀하는이저작물을영리목적으로이용할

저작자표시 - 비영리 - 변경금지 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비영리. 귀하는이저작물을영리목적으로이용할 저작자표시 - 비영리 - 변경금지 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비영리. 귀하는이저작물을영리목적으로이용할수없습니다. 변경금지. 귀하는이저작물을개작, 변형또는가공할수없습니다. 귀하는, 이저작물의재이용이나배포의경우,

More information

l l l l l l l l l Lee, Geon Kook None This project was designed to establish the Tumor Bank of National Cancer Center in 2000. From the first tumor sample in 2000, the total of tumor and tumor-related

More information

,......

,...... The Impact of Personal Traits, Family Characteristics, and Job Satisfaction on the Psychological Well-Being of Middle Aged Men from the Baby Boomer Generation Working in Large Corporations Department of

More information

04_이근원_21~27.hwp

04_이근원_21~27.hwp 1) KIGAS Vol. 16, No. 5, pp 21~27, 2012 (Journal of the Korean Institute of Gas) http://dx.doi.org/10.7842/kigas.2012.16.5.21 실험실의 사례 분석에 관한 연구 이근원 이정석 한국산업안전보건공단 산업안전보건연구원 (2012년 9월 5일 투고, 2012년 10월 19일

More information

달생산이 초산모 분만시간에 미치는 영향 Ⅰ. 서 론 Ⅱ. 연구대상 및 방법 達 은 23) 의 丹 溪 에 최초로 기 재된 처방으로, 에 복용하면 한 다하여 난산의 예방과 및, 등에 널리 활용되어 왔다. 達 은 이 毒 하고 는 甘 苦 하여 氣, 氣 寬,, 結 의 효능이 있

달생산이 초산모 분만시간에 미치는 영향 Ⅰ. 서 론 Ⅱ. 연구대상 및 방법 達 은 23) 의 丹 溪 에 최초로 기 재된 처방으로, 에 복용하면 한 다하여 난산의 예방과 및, 등에 널리 활용되어 왔다. 達 은 이 毒 하고 는 甘 苦 하여 氣, 氣 寬,, 結 의 효능이 있 대한한방부인과학회지 THE JOURNAL OF ORIENTAL OBSTETRICS & GYNECOLOGY VOL.17, NO.2 : 115-122 (2004) 달생산이 초산모 분만시간에 미치는 영향 * 북경한의원, ** 윤산부인과의원, *** 최은림산부인과의원, 상지대학교 한의과대학 부인과학교실 ****, 경희대학교 동서의학대학원 김성준 *****, 윤왕준

More information

( )Jkstro011.hwp

( )Jkstro011.hwp 비인강암의방사선치료결과및생존율에관한예후인자분석 2005 2 1 2005 3 28. :, Tel: 053)250-7665, Fax: 053)250-7984 E-mail: jhkim@dsmc.or.kr 정영연외 2 인 : 비인강암의예후인자분석 정영연외 2 인 : 비인강암의예후인자분석 Carcinoma of the nasopharynx treated by radiotherapy

More information

04김호걸(39~50)ok

04김호걸(39~50)ok Journal of Environmental Impact Assessment, Vol. 22, No. 1(2013) pp.39~50 Prediction of Landslides Occurrence Probability under Climate Change using MaxEnt Model Kim, Hogul* Lee, Dong-Kun** Mo, Yongwon*

More information

Jkbcs016(92-97).hwp

Jkbcs016(92-97).hwp Expression of bcl-2 and Apoptosis and Its Relationship to Clinicopathological Prognostic Factors in Breast Cancer - A Study with Long Term Follow-up correlated with the survival rate.(journal of Korean

More information

K O R E A C E N T E R S F O R D I S E A S E C O N T R O L & P R E V E N T I O N PHWR Vol. 5 No. 41 www.cdc.go.kr/phwr 2012 10 12 5 41 ISSN:2005-811X Comparison of drug-susceptibility test to the anti-tuberculosis

More information

<31372DB9CCB7A1C1F6C7E22E687770>

<31372DB9CCB7A1C1F6C7E22E687770> 미래지향 고령친화 주거디자인을 위한 예비노인층의 라이프스타일 특성 Characteristics of Lifestyle of the Pre-Elderly for Future Elderly-friendly Housing Design 류 혜 지 청운대학교 인테리어디자인학과 교수 Ryu hye-ji Dept. of Interior Design, Chungwoon University

More information

Kee-Joon Choi, MD Division of Cardiology, Department of Internal Medicine, Asan Medical Center, Ulsan University School of Medicine, Seoul, Korea Troubleshooting ICD therapy ABSTRACT Implantable cardioverter-defibrillator

More information

歯kjmh2004v13n1.PDF

歯kjmh2004v13n1.PDF 13 1 ( 24 ) 2004 6 Korean J Med Hist 13 1 19 Jun 2004 ISSN 1225 505X 1) * * 1 ( ) 2) 3) 4) * 1) ( ) 3 2) 7 1 3) 2 1 13 1 ( 24 ) 2004 6 5) ( ) ( ) 2 1 ( ) 2 3 2 4) ( ) 6 7 5) - 2003 23 144-166 2 2 1) 6)

More information

<31382D322D3420BDC5B1D4C8AF5FB3EDB9AE28C3D6C1BEBABB292E687770>

<31382D322D3420BDC5B1D4C8AF5FB3EDB9AE28C3D6C1BEBABB292E687770> 醫 史 學 제18권 제2호(통권 제35호) 2009년 12월 Korean J Med Hist 18ː57 72 18ː173-188 Dec. Dec. 2009 2009 C 大 韓 醫 史 學 會 ISSN ISSN 1225 505X 1225-505X 지방병 연구와 식민지배 : 1927년 영흥 및 해남지역 에메틴 중독사건을 중심으로 신 규 환* 1. 머리말 2. 일제의

More information

Minimally invasive parathyroidectomy

Minimally invasive parathyroidectomy 2013. 2. 2 대한간암연구학회 7차 심포지움 및 학술대회 Indication and Clinical Outcomes of Metachronous HCC Metastasectomy Shin Hwang Division of Liver Transplantation and Hepatobiliary Surgery, Department of Surgery, Asan

More information

( )Kju269.hwp

( )Kju269.hwp 만성세균성전립선염모델흰쥐에서 의항염효과 Anti-inflammatory Effect of Lycopene on Chronic Bacterial Prostatitis Rat Model Cho Hwan Yang, Dong Wan Sohn, Yong-Hyun Cho From the Department of Urology, The Catholic University

More information

KIM Sook Young : Lee Jungsook, a Korean Independence Activist and a Nurse during the 이며 나름 의식이 깨어있던 지식인들이라 할 수 있을 것이다. 교육을 받은 간 호부들은 환자를 돌보는 그들의 직업적 소

KIM Sook Young : Lee Jungsook, a Korean Independence Activist and a Nurse during the 이며 나름 의식이 깨어있던 지식인들이라 할 수 있을 것이다. 교육을 받은 간 호부들은 환자를 돌보는 그들의 직업적 소 1 의사학 제24권 제1호(통권 제49호) 2015년 4월 Korean J Med Hist 24 ː1-34 Apr 2015 c대한의사학회 http://dx.doi.org/10.13081/kjmh.2015.24.1 pissn 1225-505X, eissn 2093-5609 간호부 이정숙의 독립운동 김숙영* 1. 서론 2. 본론 1) 출생에서 정신여학교 수학시절까지

More information

Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie

Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie Volume 12, Number 1, 92~102, An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children Myo-Jin Kim 1), Joung-Hae Bak 1), Won-Seok Seo 2) Mi-Young Kim 3), Sun-Kyoung Park 3), Jai-Soung

More information

14.531~539(08-037).fm

14.531~539(08-037).fm G Journal of the Korea Concrete Institute Vol. 20, No. 4, pp. 531~539, August, 2008 š x y w m š gj p { sƒ z 1) * 1) w w Evaluation of Flexural Strength for Normal and High Strength Concrete with Hooked

More information

<31372DB9DABAB4C8A32E687770>

<31372DB9DABAB4C8A32E687770> 김경환 박병호 충북대학교 도시공학과 (2010. 5. 27. 접수 / 2011. 11. 23. 채택) Developing the Traffic Severity by Type Kyung-Hwan Kim Byung Ho Park Department of Urban Engineering, Chungbuk National University (Received May

More information

2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285

2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285 13 2 ( 25 ) 2004 12 Korean J Med Hist 13 284 296 Dec 2004 ISSN 1225 505X 1) * ** ** 1 1920 1930 40 ( 1896-1973) 80 * ** 1) 2003 284 2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914

More information

433대지05박창용

433대지05박창용 Recent Changes in Summer Precipitation Characteristics over South Korea Changyong Park* JaYeon Moon** Eun-Jeong Cha*** Won-Tae Yun**** Youngeun Choi***** 1958 2007 6 9 6 9 10 10 10 10 10 Abstract This

More information

Can032.hwp

Can032.hwp Chromosomal Alterations in Hepatocellular Carcinoma Cell Lines Detected by Comparative Genomic Hybridization Sang Jin Park 1, Mahn Joon Ha, Ph.D. 1, Hugh Chul Kim, M.D. 2 and Hyon Ju Kim, M.D. 1 1 Laboratory

More information

REVIEW ARTICLES International Journal of Arrhythmia 2016;17(4): doi: 심방조동 이찬희 영남대학교의과대학내과학교실 Man

REVIEW ARTICLES International Journal of Arrhythmia 2016;17(4): doi:   심방조동 이찬희 영남대학교의과대학내과학교실 Man REVIEW ARTICLES doi: http://dx.doi.org/10.18501/arrhythmia.2016.036 심방조동 이찬희 영남대학교의과대학내과학교실 Management of Atrial Flutter Chan-Hee Lee, MD Division of Cardiology, Yeungnam University Medical Center, Daegu,

More information

07-1960(JH)

07-1960(JH) 한국두피모발미용학회지 제5권 제1호 2009 The Journal of Beauty & Trichology 5(1), 00~00(2008) 1960년대 뷰티 및 패션트렌드 분석 - 모델 트위기 (Twiggy) 를 중심으로 - 김희선* 안양과학대학 뷰티디자인학부 Analysis of Beauty and Fashion trends in the 1960 s - Focusing

More information

Abstract Musculoskeletal Symptoms and Related Factors for Nurses and Radiological Technologists Wearing a Lead Apron for Radiation Pro t e c t i o n Jung-Im Yoo, Jung-Wan Koo 1 ) Angio Unit, Team of Radiology,

More information

( ) Jkra076.hwp

( ) Jkra076.hwp Vol. 11, No. 4, December, 2004 Objective: Ultrasonography (USG) of joints has a unique position for the diagnosis of joint diseases. Bone surface, cartilage, periarticular soft tissue and their pathologic

More information

<313630313032C6AFC1FD28B1C7C7F5C1DF292E687770>

<313630313032C6AFC1FD28B1C7C7F5C1DF292E687770> 양성자가속기연구센터 양성자가속기 개발 및 운영현황 DOI: 10.3938/PhiT.25.001 권혁중 김한성 Development and Operational Status of the Proton Linear Accelerator at the KOMAC Hyeok-Jung KWON and Han-Sung KIM A 100-MeV proton linear accelerator

More information

REVIEW ARTICLES Arrhythmia 2015;16(4): doi: 좌심실유출로심실빈맥 천광진, 박경민 삼성서울병원순환기내과 Left Ventricular Out

REVIEW ARTICLES Arrhythmia 2015;16(4): doi:   좌심실유출로심실빈맥 천광진, 박경민 삼성서울병원순환기내과 Left Ventricular Out REVIEW ARTICLES doi: http://dx.doi.org/10.18501/arrhythmia.2015.034 좌심실유출로심실빈맥 천광진, 박경민 삼성서울병원순환기내과 Left Ventricular Outflow Tract Tachycardias Kwang Jin Chun, Kyoung-Min Park Samsung Medical Center, Sungkyunkwan

More information

untitled

untitled 대한내과학회지 : 제 71 권제 3 호 2006 심실빈맥의임상양상및예후 연세대학교의과대학내과학교실, 심장혈관병원심장내과, 심혈관연구소 김진배 정보영 김종윤 김대혁 안신기 이문형 김성순 =Abstract= Clinical characteristics and prognosis of Korean patients with ventricular tachycardia

More information

A Study on the Relationships between Self-Differentiation and Adaptability Factors for Senior Dementia Patients Care Givers Department of Social Welfare, Seoul Welfare Graduate University Full-time Lecturer

More information

(

( 317 318 319 320 1 3 5 5 5 5 2 321 : 1.,,,,, 06 2. X-ray beam penetration (density) (contrast) 03 3. patch coating, precipitation, flaking 03 4. centering 03 5. Esophagus, cardia, fundus, body, angle, antrum,

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA The e-business Studies Volume 17, Number 4, August, 30, 2016:319~332 Received: 2016/07/28, Accepted: 2016/08/28 Revised: 2016/08/27, Published: 2016/08/30 [ABSTRACT] This paper examined what determina

More information

Case Reports Korean Circulation J 1999;29 10 : 제세동역치가높았던특발성심실세동에시술한 삽입형심실제세동기 ICD 1 예 송창석 김형주 박현용 박희백 장영광 차태준 주승재 이재우 Implantation of ICD in

Case Reports Korean Circulation J 1999;29 10 : 제세동역치가높았던특발성심실세동에시술한 삽입형심실제세동기 ICD 1 예 송창석 김형주 박현용 박희백 장영광 차태준 주승재 이재우 Implantation of ICD in Case Reports Korean Circulation J 1999;2910:1138-1143 제세동역치가높았던특발성심실세동에시술한 삽입형심실제세동기 ICD 1 예 송창석 김형주 박현용 박희백 장영광 차태준 주승재 이재우 Implantation of ICD in a Ventricular Fibrillation Patient with a High Defibrillation

More information

PowerPoint 프레젠테이션

PowerPoint 프레젠테이션 2016 Annual Spring Scientific Conference of the KSC Nursing Management of Patients with Arrhythmia Kang young ae, CNS Cardiovascular surgery intensive care unit ASAN medical center Arrhythmia Abnormality

More information

이용석 박환용 - 베이비부머의 특성에 따른 주택유형 선택 변화 연구.hwp

이용석 박환용 - 베이비부머의 특성에 따른 주택유형 선택 변화 연구.hwp 住居環境 韓國住居環境學會誌 第 11 卷 1 號 ( 通卷第 20 號 ) pp. 159~172 투고 ( 접수 ) 일 : 2013.02.28. 게재확정일자 : 2013.04.04. The change of housing choice by characteristics of the Baby Boomers Lee, Yong-Seok Park, Hwan-Yong Abstract

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA 한국소음진동공학회 2015추계학술대회논문집년 Study of Noise Pattern and Psycho-acoustics Characteristic of Household Refrigerator * * ** ** Kyung-Soo Kong, Dae-Sik Shin, Weui-Bong Jeong, Tae-Hoon Kim and Se-Jin Ahn Key Words

More information

<3033C6AFC1FD20BFC2BFB5B1D92E687770>

<3033C6AFC1FD20BFC2BFB5B1D92E687770> 대한내과학회지 : 제 81 권제 4 호 2011 특집 (Special Review) - 심방세동의이해와치료 심방세동의비약물적치료 성균관대학교의과대학내과학교실 온영근 Nonpharmacologic Treatment for Atrial Fibrillation Young Keun On Department of Internal Medicine, Sungkyunkwan

More information

대한한의학원전학회지26권4호-교정본(1125).hwp

대한한의학원전학회지26권4호-교정본(1125).hwp http://www.wonjeon.org http://dx.doi.org/10.14369/skmc.2013.26.4.267 熱入血室證에 대한 小考 1 2 慶熙大學校大學校 韓醫學科大學 原典學敎室 韓醫學古典硏究所 白裕相1, 2 *117) A Study on the Pattern of 'Heat Entering The Blood Chamber' 1, Baik 1

More information

590호(01-11)

590호(01-11) T H E K O R E A N D O C T O R S W E E K L Y www.docdocdoc.co.kr I N S I D E 38 3 5 6 7 10 13 28 29 30 31 38 41 42 2 Advertisement Government & Medicine 3 Government & Medicine 4 Government & Medicine Government

More information

example code are examined in this stage The low pressure pressurizer reactor trip module of the Plant Protection System was programmed as subject for

example code are examined in this stage The low pressure pressurizer reactor trip module of the Plant Protection System was programmed as subject for 2003 Development of the Software Generation Method using Model Driven Software Engineering Tool,,,,, Hoon-Seon Chang, Jae-Cheon Jung, Jae-Hack Kim Hee-Hwan Han, Do-Yeon Kim, Young-Woo Chang Wang Sik, Moon

More information

untitled

untitled 대한수혈학회지:제권 제호, 0 한 대학병원의 혈액 폐기 분석 김병철ㆍ서영익ㆍ채금란ㆍ신정원ㆍ최태윤 = Abstract = 순천향대학교 의과대학 서울병원 진단검사의학교실 Analysis of Discarded Blood Components at a University Hospital in Korea Byung Chul Kim, Young Ik Seo, Gum Ran

More information

03이경미(237~248)ok

03이경미(237~248)ok The recent (2001-2010) changes on temperature and precipitation related to normals (1971-2000) in Korea* Kyoungmi Lee** Hee-Jeong Baek*** ChunHo Cho**** Won-Tae Kwon*****. 61 (1971~2000) 10 (2001~2010).

More information

04조남훈

04조남훈 Received : 2011. 11. 16 Reviewed : 2011. 11. 25 Accpeted : 2011. 12. 5 A Case Report of Prescribing Yanghyeolgeopung-tang(yangxuequfeng-tang) to Two Patients with Cervical Disc Herniation and Headache

More information

#Ȳ¿ë¼®

#Ȳ¿ë¼® http://www.kbc.go.kr/ A B yk u δ = 2u k 1 = yk u = 0. 659 2nu k = 1 k k 1 n yk k Abstract Web Repertoire and Concentration Rate : Analysing Web Traffic Data Yong - Suk Hwang (Research

More information

7.ƯÁýb71ÎÀ¯È« š

7.ƯÁýb71ÎÀ¯È« š J KMA Special Issue Myelodysplastic Syndrome June Won Cheong, MD Yoo Hong Min, MD Department of Internal Medicine, Yonsei University College of Medicine E mail : jwcheong70@yumc.yonsei.ac.kr minbrmmd@yumc.yonsei.ac.kr

More information

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Jun.; 27(6),

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Jun.; 27(6), THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2016 Jun.; 27(6), 495 503. http://dx.doi.org/10.5515/kjkiees.2016.27.6.495 ISSN 1226-3133 (Print) ISSN 2288-226X (Online) Design

More information