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1.
Korean Circulation Journal ; : 351-354, 2014.
Artigo em Inglês | WPRIM | ID: wpr-146560

RESUMO

Behcet's disease (BD) is a multisystem vascular inflammatory disease. BD can affect blood vessels of nearly all sizes and types. Arterial involvement is a rare but serious condition in the course of BD. Here, we report a case of stenosis at the iliac artery bifurcation which was treated with percutaneous balloon angioplasty and stent implantation in a 37-year-old patient with BD.


Assuntos
Adulto , Humanos , Angioplastia com Balão , Síndrome de Behçet , Vasos Sanguíneos , Constrição Patológica , Artéria Ilíaca , Stents
2.
Journal of Lipid and Atherosclerosis ; : 29-33, 2012.
Artigo em Inglês | WPRIM | ID: wpr-68951

RESUMO

We report a case of a 69-year-old man presenting with acute right chest pain radiating to the right shoulder. Physical examination revealed a right sided apex beat with a palpable liver on the left side. Reversed normalizing electrocardiogram are presented, allowing for correct diagnosis of an acute anterior myocardial infarction. Dextrocardia with situs inversus is an uncommon congenital condition, the patient also diagnosed hypertrophic cardiomyopathy by two dimensional echocardiography. Successful percutaneous coronary intervention was performed and the patient was discharged after uneventful recovery.


Assuntos
Humanos , Cardiomiopatia Hipertrófica , Dor no Peito , Dextrocardia , Ecocardiografia , Eletrocardiografia , Fígado , Infarto do Miocárdio , Intervenção Coronária Percutânea , Exame Físico , Ombro , Situs Inversus
3.
Korean Journal of Medicine ; : 672-679, 2011.
Artigo em Coreano | WPRIM | ID: wpr-201147

RESUMO

BACKGROUND/AIMS: Long-term antiarrhythmic drug therapy remains the principal approach for suppressing atrial fibrillation (AF) and maintaining sinus rhythm. In this study, we examined the differing electrophysiological effects of various antiarrhythmic drugs on the cardiac chamber and atrial selectivity in patients with AF. METHODS: We analyzed 134 patients (60.4 +/- 12.5 years, M:F = 1.14:1) who were administered a single antiarrhythmic agent for AF over 6 months: amiodarone (group A), flecainide (group F), or propafenone (group P). The P wave, QRS complex duration and dispersion, and QT interval and its dispersion were evaluated using a standard 12-lead electrocardiogram. RESULTS: There was no significant difference in age, gender ratio, or associated diseases among the three groups. In group A, Pmax, Pmin, P dispersion, QRSmax, QRSmin, and QRS dispersion were shorter than in groups F and P, whereas Pmax/QRSmax was the highest in group A (A = 1.2, F = 0.9, P = 1.0; p < 0.01). QTcmax and QTcmin were longer in group A, whereas QTc dispersion and the QT peak to end (A = 13.3 +/- 11.2, F = 30.7 +/- 24.9, P = 31.8 +/- 21.6; p < 0.01) were shorter in group A than in the other groups. CONCLUSIONS: Amiodarone had a weaker, but more selective, inhibitory effect on intra-atrial conduction, and inhibited ventricular repolarization more effectively and homogenously than flecainide or propafenone. These differing electrophysiological effects may contribute to the superior effectiveness and safety of amiodarone over flecainide or propafenone.


Assuntos
Humanos , Amiodarona , Antiarrítmicos , Fibrilação Atrial , Eletrofisiologia , Flecainida , Propafenona
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