Yonsei medical journal
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Yonsei medical journal · Sep 2014
Multidisciplinary team approach for identifying potential candidate for transcatheter aortic valve implantation.
We sought to evaluate the clinical usefulness of decision making by a multidisciplinary heart team for identifying potential candidates for transcatheter aortic valve implantation (TAVI) in patients with symptomatic severe aortic stenosis. ⋯ TAVI was recommended in half of the potential candidates following a multidisciplinary team approach and was eventually performed in one-third of these patients. One-third of the patients who were initially considered potential candidates received surgical AVR with favorable clinical outcomes.
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Yonsei medical journal · Sep 2014
Presence of a nail in the medullary canal; is it enough to prevent femoral neck shortening in trochanteric fracture?
Presence of a cephalomedullary nail (CMN) in the medullary canal has been thought as advantageous in the control of femoral neck shortening (FNS) and lag screw sliding in trochanteric fracture compared to extramedullary fixation system. However, researches on the factors that influence the degree of FNS after cephalomedullary nailing are lacking. ⋯ Presence of a CMN in the medullary canal could not effectively prevent FNS in patients with low COR and in A3 type fracture.
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Yonsei medical journal · Sep 2014
Neck circumference and lowest oxygen saturation are independently associated with high coexistence of hypertension in obstructive sleep apnea.
Obstructive sleep apnea (OSA) is considered an independent risk factor for hypertension. However, it is still not clear which clinical factors are related with the presence of hypertension in OSA patients. We aimed to find different physical features and compare the sleep study results which are associated with the occurrence of hypertension in OSA patients. ⋯ Age and neck circumference should be considered as clinically significant features, and the lowest blood O₂ saturation during sleep should be emphasized in predicting the coexistence or development of hypertension in OSA patients.
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Yonsei medical journal · Sep 2014
Relationship of vitamin D binding protein polymorphisms and lung function in Korean chronic obstructive pulmonary disease.
Multiple genetic factors are associated with chronic obstructive pulmonary disease (COPD). The association of gene encoding vitamin D binding protein (VDBP, GC) with COPD has been controversial. We sought to investigate the types of GC variants in the Korean population and determine the association of GC variants with COPD and lung function in the Korean population. ⋯ This study suggested that GC polymorphism might be associated with lung function and risk of COPD in Korean population. GC1S variant and genotype 1S-1S were more frequently observed in control than in COPD. Moreover, GC1S variant was more common in non-decliners than in rapid decliners among COPD.
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Yonsei medical journal · Sep 2014
Analgesic opioid dose is an important indicator of postoperative ileus following radical cystectomy with ileal conduit: experience in the robotic surgery era.
Postoperative ileus (POI) is common following bowel resection for radical cystectomy with ileal conduit (RCIC). We investigated perioperative factors associated with prolonged POI following RCIC, with specific focus on opioid-based analgesic dosage. ⋯ Reducing opioid-based analgesics shortens the duration of POI. The utilization of the robotic system may confer additional benefit.