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Hyun Su Kim 6 Articles
The significance of blood pressure variation and metabolic risk factors in patients with different stages of hypertension
Sun Min Kim, In Kyoung Shim, Ju Won Lee, Jun Yeob Lee, Si Won Lee, Kyoung Im Cho, Hyun Su Kim, Jae Woo Lee, Jung Ho Heo
Kosin Med J. 2017;32(2):179-190.   Published online December 29, 2017
DOI: https://doi.org/10.7180/kmj.2017.32.2.179
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Abstract PDFPubReader   ePub   CrossRef-TDMCrossref - TDM
Objectives

Blood pressure variation (BPV) and metabolic syndrome is an independent risk factor for cardiovascular events. Ambulatory blood Pressure (ABP) has been shown to be more closely related to cardiovascular events in hypertensive patients than conventional office BP (OBP). Using both OBP and ABP, 4 groups of patients were identified: (1) normotensive patients (NT); (2) white coat hypertensives (WCHT); (3) masked hypertensives (MHT); and (4) sustainedhypertensives (SHT). We investigated the significance of BPV and metabolic risks of these 4 groups.

Methods

This study is a retrospective analysis of patients between January 2008 and May 2013. Echocardiography and 24 hour ABP monitoring were performed.

Results

BMI was significantly higher in the MHT compared with the NT. There were progressive increases in fasting glucose level from NT to WCHT, MHT, and SHT.MHT and SHT had higher 24h and nighttime BPV than NT.MHT was significantly related with BMI (r = 0.139, P = 0.010), creatinine (r = 0.144, P = 0.018), fasting glucose (r = 0.128, P = 0.046), daytime systolic BPV (r = 0.130, P = 0.017), and daytime diastolic BPV (r = 0.130, P = 0.017). Dyslipidemia (r = 0.110, P = 0.043), nighttime systolic BPV (r = 0.241, P < 0.001) and nighttime diastolic BPV (r = 0.143, P = 0.009) shown correlation with SHT. In multivariate logistic regression, MHT was independently associated with Body mass index (OR 1.086, 95% CI 1.005–1.174, P = 0.038) and creatinine (OR 1.005, 95% CI 1.001–1.010, P = 0.045).

Conclusions

BPV and metabolic risk factors were found to be greater in MHT and SHT compared with NT and WCHT. This suggests that BPV and metabolic risks may contribute to the elevated cardiovascular risk observed in patients with MHT and SHT.

Hemohynamic Change during Tilt Table Test in Normal left Ventricles Assessed by Transthoracic Echocardiography
Hyun Su Kim
Kosin Med J. 2009;24(2):42-46.   Published online December 31, 2009
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2-dimensional Echocardiographic Methods and 3-Dimensional Echocardiographic Methods in Mesurement of Left Atrial Size
Hyun Su Kim
Kosin Med J. 2009;24(2):57-61.   Published online December 31, 2009
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A Case of Acute Pulmonary Embolism with A Large Right Ventricular Thrombus
Hyun Su Kim
Kosin Med J. 2009;24(2):207-210.   Published online December 31, 2009
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Anomalous Origin of Right Coronary Artery from Left Main Artery with Abdominal Aortic Aneurysm
Hyun Su Kim
Kosin Med J. 2009;24(2):211-214.   Published online December 31, 2009
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KMJ : Kosin Medical Journal