Clinical Study on the Patients with Cerebrovascular Accident and Myocardial Infarction

Thirty patients who coincided with CVA and MI, from january 1980 to August 1984, at Department of Internal Medicine, Kyung Hee University Hospital, were studied. And the following results were obtained; 1) The ratio of male to female was 2:1. The average age was 61.6 years. The in-hospital mortality rate was higher than cerebrovascular accident or myocardial infarction alone. 2) The most common risk factor was hypertension(83%), smoking(64%), hyperlipidemia(57%) and diabetes mellitus(33%) in order of frequency. 3) Fifteen cases of 30 patients had acute episode of MI and CVA during hospitalization and showed highest in -hospital mortality rate(66.7%). 4) There was no difference in mortality rate between cereral infarction and cerebral hemorrhage.

Clinical Study on Mitral Valve Prolapse

During 1 year and 9 month period, from September, 1980 to June, 1983, retrospective study was performed on 35 patients with Mitral Valve Prolapse at Kyung Hee University Medical Center. And the following results were obtained; 1) The mitral valve prolapse syndrome presents with various cardiovascular symptoms including dyspnea(63%), palpitation(49%), chest pain(34%), syncope and dizziness(11%). 2) Of 35 patients with MVP, 17 cases were isolated MVP, 13 cases were associated with cardiovascular disorders and 5 cases were associated with non-cardiovascular disorders. 3) Electrocardiographic abnormalities were found in 20 patients with MVP. The most common abnormality was ST-T change and atrial fibrillation, VPB, RBBB, first degree A-V block and W-P-W syndrome were also noted. 4) QTc interval prolongation was more common in serverely symptomatic patients with MVP. 5) 18 cases in 35 patients showed systolic click or murmur on phonocardiography. 6) Of 35 patients with MVP, 19 patients demonstrated prolapse of the anterior leaflet, 11 patients demonstrated prolapse of posterior leaflet and 5 patients demonstrated prolapse of the both leaflets. 7) There were severe derangement on echocardiography in severely symptomatic patients were MVP.

Pheochromocytoma Arising from the Organ of Zuckerkandl Associated with Intracerebral Hemorrhage: 1 case report

Pheochromocytoma is a hazardous and dramatic cause of hypertension. This potentially lethal neoplasm originates in most cases in the adrenal medulla and less frequently in the cells of the extraadrenal paraganglion system which are disseminated along the paravertebral axis from the pelvis to the base of the skull. The organ of Zuckerkandl is paraganglia lying the abdominal aorta with highest incidence in the region of the inferior mesenteric artery and usually degenerate shortly after birth. In the literature, and additional one case of pheochromocytoma arising from the organ of Zuckerkandl associated with intracerebral hemorrhage which was treated recently in the Kyung Hee University Hospital is presented in this report.