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A Case of Successful Ablation of Right-Sided Accessory Pathway during Atrial Fibrillation

Choi KJ, Kim JJ, Lee CW, Kim YH

The occurrence of atrial fibillation during an electrophysiologic study or catheter ablation in patients with accessory pathways is a common problem and sometimes complicates the localization and ablation procedure of...
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Multiplane Transesophageal Echocardiographic Findings of Two Cases of Discrete Subvalvular Aortic Stenosis

Kim KH, Park JN, Cha TJ, Joo SJ, Lee JW, Cho SR

Discrete subvalvular aortic stenosis is a relatively uncommon cause of the left ventricular outflow obstruction, requiring early intervention. Conventional transthoracic echocardiography may fail in some patients due to insufficient imaging...
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Percutaneous Transluminal Angioplasty with Palmaz-Schatz Stent in the Carotid Artery Stenosis

Cheong SS, Park SW, Park SJ, Suh DC, Lee MC

Carotid endarterectomy is superior to medical treatment in preventing secondary stroke in patients with symptomatic high grade carotid stenosis. Transluminal angioplasty is a promising procedure as an alternative treatment for...
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Feasibility Study of Dobutamine Stress Transesophageal Echocardiography

Park SH, Pellikka P, Oh JK, Tajik AJ, Seward JB

Transesophageal echocardiography(TEE) was performed during pharmacologic stress with dobutamine for evaluation of coronary artery disease in 15 patients (12 men, 3 women ; mean age, 70 years) with inadequate transthoracic...
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The Causing Factor of Mitral Regurgitation in Hypertrophic Cardiomyopathy

Lee CS, Kim KS

BACKGROUND: It has been suggested that mitral regurgitation(MR) of hypertrophic cardiomyopathy is associated with left ventricular outlet pressure gradient, systolic anterior motion of mitral leaflet, abnormal coaptation of mitral valve,...
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Effect of Methylmercury in Cultured Rat Myocardial Cells

Yoon HS, Park ST

BACKGROUND: It is known that methylmercury poisoning, Minamata disease is very toxic to human body. But, cardiotoxic mechanism of methylmercury is left unknown, Recent study has been reported that the...
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Acute Myocardial Infarction as a Complication of Anomalous Left Coronary Artery Origin from Right Coronary Sinus

Lee KM, Lee MH, Lee JH, Kwon KH, Kwon HM, Cho SY, Kim SS

The widespread application of coronary angiography and poen heart surgery have resulted in more frequent detection of patients with coronary artery anomaly. In 0.6 to 1.2 percent of individials, the...
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Usefulness of Echocardiography in the Evaluation of Paracardiac Masses

Kim TW, Chang KS, Her GM, Yoon CJ, Park GE, Chung SM, Hong SP

BACKGROUND: Echocardiography gives a window to mediastinal or paracardiac structures. When mediastinal or paracardiac masses are detected by a routine chest X-ray and thoracic CT, the difference between vascular and...
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Influence of Endothelin-1 on Cultured Vascular Smooth Muscle Cell Proliferation

Cha YJ, Kim CH

BACKGROUND: Proliferation of vascular smooth muscle cells(VSMC) is a critical event in the development of atherosclerosis. Endothelin-1(ET-1), a vasoconstrictor peptide produced by endothelial cells and VSMC, might play a role...
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Correlation between Apolipoprotein E Polymorphism and Plasma Lipid Levels in the Korean Males

Ryu JC, Kim DK, Kim JW, Kim SW, Park WH, Choo JA, Choi YR, Joo SB, Gwon HC, Park SW, Kim JS, Lee SH, Hong KP, Kim DW, Park JE, Lee WR

BACKGROUND: Apo E lipoprotein is made up of 299 amino acid and is classified into three major isoforms(E2, E3 and E4). Aop E lipoprotein plays an important role in the...
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The Prognostic Significance of Maximal Precordial ST-Segment Depression in Patients with Acute Inferior Myocardial Infarction

Lew HY, Yun YS, Kang HS, Choue CW, Kim KS, Kim MS, Song JS, Bae JW

BACKGROUND: Inferior myocardial infarctions account for 40-50% of all acute myocardial infarctions and are generally viewed as having a more favorable prognosis than anterior wall infarctions. However, nearly 50% of...
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Preoperative Factors Affecting the Outcome of Mitral Valve Replacement in Patients with Chronic Mitral Regurgitation

Sohn JH, Kim KS, Shin KM, Hur SH, Kim YN, Kim KB

BACKGROUND: Mitral regurgitation is a valvular heart disease that produce complex hemodynamic alternations and myocardial dysfunction occurs subclinically, so result in a high incidence of left ventricular dysfunction that might...
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Myocardial Contrast Echocardiography for the Assessment of Coronary Blood Flow Reserve

Kim MH, Kim DS, Kim KD, Bae SM, Lee H, Kim BS, Kim JS, Doh HK, Kim YD, Kim JS

BACKGROUND: The assessment of coronary blood flow reserve measured by intracoronary Dopper syudy is a useful method for evaluation of functional impairment of coronary artery disease irrespective of significant anatomic...
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The Change of Expression of Troponin T and I Isoforms in the Failing Myocardium of Rat after Myocardial Infarction

Kim YD, Kim IH, Kim JS, Kim HS, Kim SH, Sohn DW, Kim CH, Oh BH, Lee MM, Park YB, Choi YS, Seo JD, Lee YW, Potter JD

BACKGROUND: Contractile dysfunction of rat myocardium in postinfarction remodeling is characterized by decreased response of myofilament both to calcium(Ca++) and adrenergic stimuli. This study tested the hypothesis that above alterations...
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Clinical Course and Management of Chaotic Atrial Rhythm in Childhood

Ko JK, Kim YH, Park IS, Hong CY

BACKGROUND: Chaotic atrial rhythm (CAR) is characterized by the presence of three or more P-wave morphologic features on the surface electrogram, absence of a dominant atrial pacemaker, and variable P-P,...
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Usefulness of Head-up Tilt Test in Adults with Syncope or Presyncope of Unexplained Origin

Kim JS, Ryu JC, Joo SB, Gwon HC, Choo JA, Choi YR, Park SW, Kim DK, Lee SH, Hong KP, Park JE, Lee WR

BACKGROUND: Vasovagal syncope is a common cause of syncope. In some cases, syncopal episode is recurrent, resulting in physical injury. Head-up tilt test with or without isoproterenol provocation has been...
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Long-Term Results of the Cardiac Valve Replacement-Experiences in Seoul National University Hospital(1968-1994)

Suh KP, Rho JR, Ahn H, Won T, Chae H

A total of 3,119 cardiac valves were replaced in 2,471 patients with acquired valvular heart diseases at Seoul National University Hospital during a period of 26 years from 1968 to...
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Prognostic Values of Symptom-Limited Exercise Test Early after Acute Myocardial Infarction

Doo YC, Cho BD, Han TH, Kyung TY, Han SJ, Park SY, Park SS, Koh SH, Han KR, Oh DJ, Ryu KH, Rim CY, Koh YB, Lee Y

BACKGROUND: Uncomplicated myocardial infarction is often the harbinger of future cardiac events such as unstable angina, recurrent myocardial infarction or death. The prognostic utility of exercise test(pre-discharge low level exercise...
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Clinical Study of Potential Embolic Sources in Patients with Ischemic Cerebrovascular Diseases

Wee SH, Kim YK, Lee WS, Kim MK, Cho SW, Sohn I, Jung HM, Oh HS, Choi JH

BACKGROUND: The etiologies of ischemic cerebrovascular diseases are various-thrombosis or artery to artery embolism, cardiogenic embolism and lipohyalinosis. In the past embolic cerebral infarct was thought to occur uncommonly. But...
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