목맴 손상에 따르는 좌심실 수축 기능 이상
Hanging-Associated Left Ventricular Systolic Dysfunction
- 주제(키워드) Hanging , Hanging injury , Left ventricular systolic dysfunction , Echocardiography
- 발행기관 아주대학교
- 지도교수 신준한
- 발행년도 2014
- 학위수여년월 2014. 8
- 학위명 석사
- 학과 및 전공 일반대학원 의학과
- 실제URI http://www.dcollection.net/handler/ajou/000000017915
- 본문언어 영어
- 저작권 아주대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
Backgrounds: Hanging injury is infrequent but its clinical course is usually devastating. Although hanging patients usually need cardiopulmonary resuscitation (CPR), hanging-associated cardiovascular damage has not been fully established. The aim of this study was to evaluate the echocardiographic findings in patients with hanging injury. Methods: We enrolled 25 patients (9 males, 33 ± 15 year-old) with hanging injury who performed echocardiography within 2 weeks after admission. Clinical, demographic and laboratory data and transthoracic echocardiographic findings were analyzed. Results: Of those 25 patients, 8 patients (2 males, 34 ± 13 year-old) showed left ventricular (LV) systolic dysfunction (mean LVEF: 34 ± 16%). Global hypokinesia was presented in one patient. Apical ballooning with sparing of the basal segments was presented in 2 patients. Basal akinesia and apical hyperkinesia was presented in one patient. The other 4 patients showed regional wall motion abnormalities unmatched with coronary territories. The duration of suspension and the duration of CPR were not significantly different according to the presence of LVSD. Conclusion: This study show the echocardiographic findings in considerable numbers of patients with hanging injury for the first time. Variable patterns of LVSD were presented in the patients of haning injury.
more목차
ABSTRACT ⅰ
TABLE OF CONTENTS ⅲ
LIST OF TABLES ⅳ
Ⅰ. INTRODUCTION 1
Ⅱ. PATIENTS AND METHODS 3
A. Study Population 3
B. Data 3
C. Echocardiographic Findings 4
D. Statistical Analysis 4
Ⅲ. RESULTS 5
A. Baseline Characteristics 5
B. Patients with LV Dysfunction 7
Ⅳ. DISCUSSION 10
Ⅴ. CONCLUSION 14
REFERENCES 15
국문 요약 21
