Journal of Yeungnam Medical Science

Case Report

Coronary artery vasospasm after atrial septal defect surgery.: Jin Won Yoon, Young Soo Lee, Dong Keun Kim, Young Hoon Choi, Dong Ju Kim, Jae Jin Lee, Hyo Seung Ahn, Wook Hyun Cho; Yeungnam Univ J Med. 2014;31(2):122-126. Published online December 31, 2014; DOI: https://doi.org/10.12701/yujm.2014.31.2.122

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Abstract PDF: Coronary vasospasm is one of the fatal complications that may occur in patients undergoing open heart surgery. To date, however, there are not many cases in this series and no definite pathophysiology has been documented. We experienced a case of coronary artery vasospasm after atrial septal defect (ASD) surgery and then successfully treated it with both transbrachial intra-aortic balloon pump and percutaneous cardiopulmonary support. Only several hours after ASD surgery, the patient exhibited the cardiovascular collapse, the ST-segment elevation, followed by ventricular fibrillation and normal coronary angiography findings. It is important to make a differential diagnosis of coronary artery vasospasm in patients presenting with ST-segment elevation who had no notable coronary artery diseases. This case indicates that clinicians should be aware of the possibility that the coronary artery vasospasm may also occur in patients undergoing ASD surgery.

Original Articles

Oral Condition in Cardiovascular Disease Patients: Sung-Pyo Hong, Eun-Young Park, Hee-Kyung Lee; Yeungnam Univ J Med. 2007;24(2 Suppl):S598-605. Published online December 31, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.2S.S598

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The main purpose of this study was to provide primary informations for developing dental health program which must be necessary for cardiovascular disease patients. To conduct this study we analyses the oral health condition of cardiovascular disease patients through oral examination (DMFT index, periodontal index, oral hygiene status) and evaluate oral health behavior through questionnaires survey April 2006 to June 2006. For patients group, we select 50 cardiovascular disease patients who have hypertension, hyperlipidemia, atherosclerosis or myocardial infarction by taking the health examination for the local insured which National Health Insurance Corporation carried out at Sungju area in Gyeongsangbuk-do. And for the controls, we select 50 persons who have normal healthy condition and match the age and sex to patients group. This study showed that DMFT mean values in cardiovascular disease patients were significantly higher than that in controls (p<0.05). Decay teeth index and Filling teeth index did not differ statistically between two groups but the mean Missing teeth index was significantly higher in cardiovascular disease patients than that in controls (p<0.05). PI (Periodontal Index) mean values were significantly higher in cardiovascular disease patients than in the controls(p<0.01). In the cardiovascular disease patients, the M component of the DMFT index was found to be higher as compared to the controls. Cardiovascular disease patients lose their teeth mainly due to periodontal disease, which is supported by the increased PI mean values.

Citations

Citations to this article as recorded by

A study on the general health status related hypertension and oral health status of rural elder
Hyun-Ja Jeong, Ae-Hwa Jaung, Hye-Jin Kim
Journal of the Korea Academia-Industrial cooperation Society.2011; 12(11): 4852. CrossRef

The Relationship Between Adiposity and Risk factors for Cadiovascular Disease at Normal Body Weight Male.: Woo Sung Kwon, Jun Su Kim, Jin Wook Chae, Keun Mi Lee, Seung Pil Jung, Yong Moon; Yeungnam Univ J Med. 2003;20(1):62-70. Published online June 30, 2003; DOI: https://doi.org/10.12701/yujm.2003.20.1.62

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Abstract PDF: BACKGROUND
Most of all studies about the relation between the health risk and obesity are based on the European and American data. The purpose of this study is to examine the relation between adiposity and risk factors for cardio vacular disease (CVD) in normal weight individuals. MATERIALS AND METHODS: Normal weight subjects with a body mass index (BMI) between 18.5 and 23 kg/m2 (76 subjects) and overweight subjects with a BMI between 23 and 25 kg/m2 (53 subjects) were retained for this study. Normal weight subjects were divided into three group of each adiposity variable, then three group and the overweight group were evaluated for the presence of CVD risk factors and analyze the correlation coefficients between adiposity variables and risk factors controlled for age in normal weight, overweight groups. Using logistic regression analysis, the odds ratio (OR) for the prevalence of risk factors for each group of adiposity variables and the overweight group was estimated relative to the first group in normal weight subjects. RESULTS: Systolic BP, diastolic BP, LDL cholestrol, HDL cholesterol, triglycerides in normal weight subjects were significantly correlated with all adiposity variables (P<0.01). Third group (3.7 for %fat and 4.7 for fat mass)of adiposity variables in the normal weight group and the overweight group (6.6 for %fat and 11.5 for fat mass) tended to have higher ORs compared to first group for risk factor variables. CONCLUSION: Normal weight subjects with elevated adiposity had higher prevalence of risk factors than normal weights subjects with less adiposity. Measuring of adiposity added additional information of cardiovascular disease risk factors in normal weight subjects.

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