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Clinical Guidance for Point-of-Care Ultrasound in the Emergency and Critical Care Areas after Implementing Insurance Coverage in Korea

Choi WJ, Ha YR, Oh JH, Cho YS, Lee WW, Sohn YD, Cho GC, Koh CY, Do HH, Jeong WJ, Ryoo SM, Kwon JH, Kim HM, Kim SJ, Park CY, Lee JH, Lee JH, Lee DH, Park SY, Kang BS

Point-of-care ultrasound (POCUS) is a useful tool that is widely used in the emergency and intensive care areas. In Korea, insurance coverage of ultrasound examination has been gradually expanding in...
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Relationship Between Epicardial Fat Volume and Coronary Microvascular Dysfunction in Patients with Chest Pain and Unobstructed Coronary Arteries

Quah JX, Sargent S, Nel K, Anstey CM, Stanton T, Greaves K

OBJECTIVE: Epicardial fat (EF) is metabolically active adipose tissue positioned between the epicardial surface of the heart and the pericardium. We investigated whether there is a relationship between EF and...
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Performance of Copeptin for Early Diagnosis of Acute Myocardial Infarction in an Emergency Department Setting

Jeong JH, Seo YH, Ahn JY, Kim KH, Seo JY, Chun KY, Lim YS, Park PW

BACKGROUND: Rapid and accurate diagnosis of acute myocardial infarction (AMI) is critical for initiating effective treatment and achieving better prognosis. We investigated the performance of copeptin for early diagnosis of...
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Multicenter observational study on the reliability of the HEART score

Parenti N, Lippi G, Bacchi Reggiani ML, Luciani A, Cavazza M, Pietrangelo A, Vegetti A, Brugioni L, Bonfanti L, Cervellin

OBJECTIVE: To rapidly and safely identify the risk of developing acute coronary syndrome in patients with chest pain who present to the emergency department, the clinical use of the History,...
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Potential impact of cardiology phone-consultation for patients risk-stratified by the HEART pathway

Monahan K, Pan M, Opara C, Yiadom MY, Munoz D, Holmes BB, Stephen D, Swiger KJ, Collins SP

OBJECTIVE: Bedside consultation by cardiologists may facilitate safe discharge of selected patients from the emergency department (ED) even when admission is recommended by the History, Electrocardiogram, Age, Risk factors, Troponin...
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A Rare Extradural Spinal Meningioma with Nocturnal Chest Pain: A Case Report

Kim SB, Won Y, Jang MG, Min YK, Gutzeit A, Casari F, Hausmann O

STUDY DESIGN: Case report. OBJECTIVES: To report a rare case of a spinal extradural meningioma in a patient with longstanding nonspecific thoracic nocturnal pain. SUMMARY OF LITERATURE REVIEW: Meningioma is a frequent...
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Acute cardiovascular complications in patients with diabetes and hypertension: management consideration for minor oral surgery

Jadhav AN, Tarte PR

OBJECTIVES: Medically compromised patients often fear required dental surgical procedures that can increase the risk of medical emergency when combined with reduced tolerance for stress. A stress reduction protocol (SRP)...
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Postinfectious Glomerulonephritis Associated with Pneumococcus and Influenza A Virus Infection in a Child: a Case Report and Literature Review

Huh H, Lee JK, Yun KW, Kang HG, Cheong HI

Postinfectious glomerulonephritis (PIGN) is most commonly caused by Streptococcus pyogenes in children, but PIGN associated with other pathogens has been described in the literature. A previously healthy 6-year-old boy was...
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Anomalous Origin of Left Main Coronary Artery from the Right Coronary Artery: Echocardiographic Diagnosis

Cerrito LF, Battisti V, Malagò R, Mansueto G, Rossi A

An anomalous origin of the coronary artery is rarely seen in clinical practice, and left coronary artery arising from the right coronary artery is an extremely rare anomalous coronary anomaly....
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Exposure to Atmospheric Particulates and Associated Respirable Deposition Dose to Street Vendors at the Residential and Commercial Sites in Dehradun City

Prabhu V, Gupta SK, Madhwal S, Shridhar V

BACKGROUND: Street vendors spend relatively more time near roadways and are vulnerable to air pollution related health disorders. However, there is limited information on the quality of the air they...
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A Case of Zaltoprofen Induced Kounis Syndrome

Lee SY, Sung WY, Lee JY, Seo SW, Lee WS

Kounis syndrome is defined as the occurrence of acute coronary syndrome associated with vasoactive mediators, such as histamines in the setting of hypersensitivity and allergic reactions or anaphylactic insults. The...
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Association between Ischemic Electrocardiographic Changes during Acetylcholine Provocation Test and Long-Term Clinical Outcomes in Patients with Vasospastic Angina

Im SI, Rha SW, Choi BG, Na JO, Choi CU, Lim HE, Kim JW, Kim EJ, Park CG, Seo HS

OBJECTIVES: Intracoronary injection of acetylcholine (Ach) has been shown to induce significant coronary artery spasm (CAS) in patients with vasospastic angina. Clinical significance and angiographic characteristics of patients with ischemic...
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A Rare Case of Granulomatosis with Polyangiitis-Related Periaortitis at the Ascending Aorta

Hong SH, Hong GS, Lee CW, Kim GH

Acute aortic syndrome including intramural hematoma is a life-threatening disease encountered in the emergency department with high in-hospital mortality even when a timely diagnosis is made. Therefore, accurate differential diagnosis...
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Efficacy of Computerized Cognitive Behavioral Therapy in Individuals with Non-Cardiac Chest Discomfort : Review and Suggestions for a New Protocol

Lyoo IK, Kim J, Kim JE

Since non-cardiac chest discomfort (NCCD) can result in substantial healthcare burden and lower quality of life, interventions such as cognitive behavioral therapy (CBT) have been investigated for the relief of...
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Chest Pain in a Renal Transplant Recipient due to Concomitant Cytomegalovirus and Herpes Simplex Virus Esophagitis

Kang SH, Baeg MK, Ko SH, Hwang H, Yi SY, Moon SJ, Park J

Chest pain in kidney transplant patients is usually caused by cardiac or pulmonary problems. However, it may be rarely caused by opportunistic esophageal infections. A 66-year-old female kidney transplant recipient...
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The influence of symptom to balloon time in ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention

Chun M, Lee D, Min MK, Ryu JH, Lee KH, Lee MJ, Jo YM, Kim HB, Wang IJ

OBJECTIVE: The current guidelines for the treatment of ST-segment elevation myocardial infarction (STEMI) recommends early reperfusion with a door to balloon (DTB) time of 90 minutes or less in patients...
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Treatment of Isolated Sternal Fracture with Ultrasound-Guided Paravertebral Nerve Block: a Case Report and Literature Review

Park JM, Kim H

In the case of isolated sternal fractures, conservative treatment with analgesics is common, but pain can persist for more than 10 weeks, which can significantly interfere with daily life. Ultrasound-guided...
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A Case of Eosinophilic Esophagitis Associated with Herpes Esophagitis in a Pediatric Patient

Kim J, Lee K, Lee W

Eosinophilic esophagitis is a rare disease in Asian countries, but its incidence is growing rapidly in Western countries. The main pathophysiology of eosinophilic esophagitis is esophageal epithelial barrier dysfunction; disruption...
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A Case of Coumadin Ridge Confirmed by Surgery: Comparison Between Cardiac Computed Tomographic Images and Operative Findings

Yeon MR, Yoo JY, Kim SJ, Hong JM

The coumadin ridge, a ridge of atrial tissue separating the left atrial appendage from the left upper pulmonary vein, is considered to be a normal anatomic variant. A prominent coumadin...
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Debates over NICE Guideline Update: What Are the Roles of Nuclear Cardiology in the Initial Evaluation of Stable Chest Pain?

Cho SG, Kim J, Song HC

Recent clinical trials have demonstrated the values of cardiac computed tomography (CT) in the initial evaluation of stable chest pain which led to drastic changes in the National Institute for...
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