a 1) 2) IVUS 3)1 7 1) 2) 3) 4) a)134 )12 c)23 d)4 )1~4 c (18 p95) 8 1) 7.5MHz 2) 4 ( ) 3) 4) a)134 )12 c)23 d)4 )1~4 d 9 1) - 2) - 3) - DDR 4)

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Download "a 1) 2) IVUS 3)1 7 1) 2) 3) 4) a)134 )12 c)23 d)4 )1~4 c (18 p95) 8 1) 7.5MHz 2) 4 ( ) 3) 4) a)134 )12 c)23 d)4 )1~4 d 9 1) - 2) - 3) - DDR 4)"

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1 H ) 2) 3) 4) a)134 )12 c)23 d)4 )1~4 4 = = (18 p47) 3 A~D a~ 1)A- 2)B- 3)C- 4)D- a)134 )12 c)23 d)4 )1~ a~ 1) - 2) - ( ) 3) - 4) - a)134 )12 c)23 d)4 )1~4 4 / ( ) 5 1) 2) (IVUS) (CAG) 3) (Qp) (Qs) (Qp/Qs) 1 4-4) (ml/ ) (mmhg) 5) ( ) 1

2 a 1) 2) IVUS 3)1 7 1) 2) 3) 4) a)134 )12 c)23 d)4 )1~4 c (18 p95) 8 1) 7.5MHz 2) 4 ( ) 3) 4) a)134 )12 c)23 d)4 )1~4 d 9 1) - 2) - 3) - DDR 4) - 5) - 1,3,4, 2) 5) 10 1)KrlyB Lin 2) 3) 2 4) 4 a)134 )12 c)23 d)4 )1~4 1) 2)? 3) 4) (18 p34) 13 1) 2) = 3)? 4) m(u_u)m ~10 stag /80 J 60ms ST 4 2

3 1) ( ) 15% 2) ( ) 15~50% 3) ( ) 50~85% 4) ( ) 85% 1 15 a) ( ) 50~70% ) ( ) 70% c) ( ) 50~70% d) ( ) 70% d 16 1) 2) (5g/dl ) 3)Musst 4) 1/3 a)134 )12 c)23 d)4 )1~4 17 1)II 2) II I 3)III III 4) a)134 )12 c)23 d)4 )1~4 a 2) I 19 1) 2) 3) PP 2.5? 4) 5? 1 5) 1? 1mV QRS 0.5? 1mV 1) 2) 3) 60 4) 2.5cm 5) 3

4 20? 1) QRS 0.12 V1 rs V6 R T 2) QRS 0.12 V1 rsr' I avl V6 S 3) 4) 5) H ) 2) 3) ( 1 2 ) 4) ST 5) 21 1) V1 V2 S V5 V6 R 2) I,aVL,V5,V6 ST T 3) V1,V2 S R V5,V6 R S 4) 5) QRS 0,12 a H ) RV5+SV1 35mm RV5,RV6 26mm V5,6 2) 1) 3) S V2 V6 S 4) I 5) QRS WPW ?(3 ) 1) ST 2) II III avf Q T 3) V1~6 ST T 4) ST 5) Q 234 1) 2) 3) 4) 5) Q ( ) 23 1) QRS 0.12 V1 rs V6 R T 2) QRS 0.12 V1 rsr' I avl V6 S 3) 4) 5) H )2) 4

5 3) ( 1 2 ) 4) ST 5) 24 1) ST 2) ST 3) Ca ST 4) K QT 5) K T 1) c? 2)? 3) ST QT 4) 5) : 110/78mmHg 75/ a) ) c) ATP d) ) d 27 a) ) c) d) 5

6 ) 1)a 2)a 3)c 4)cd 5)d 1? a)? ) c) R-A d) (Harrison) K ) 28 1) 2) 3) 4) 5) a)123 )125 c)145 d)245 )345? H17 27 (HCM) 29? 1) ACE 2) 3) BNP 4) 5) K a)12 )15 c)23 d)34 )45 c 1) 2) 3) 4) 27 5) K 30 1) 2) INR 1 3) 4) I a)134 )12 c)23 d)4 )1~4 a 1) 2) INR 1 warfarin 2? 3) 4)? III 31 1) LDL 2) 3) 4) a)124 )12 c)23 d)123 )1~4 6

7 32 1) 2) 3) 70% ~ 4) a)124 )12 c)23 d)4 )1~4 1) 2) 3) 4) 33 1) 2) 3) 4) 5)? 1) 2) 3) 4) 5) 4) 35 1)DES ( ) ( ) ) ( ) 3) ( ) 4) DES 1 DES a)134 )12 c)23 d)4 )1~4 1) Cyphr 2) 3) 4) 37 1) 2) 3) 4) (stunnd myocardium) 5) (hirnating myocardium) 7

8 1) 2) 3) 4) 5) 38 1) 2) 3) 4) 5) a 1) DM OMI 2) 3) 4) 5) yn2006 C ST 1) 2) 3) 4) a)134 )12 c)23 d)4 )1~4 16 P ) 2) 3) 4) a)134 )12 c)23 d)4 )1~4 1) 2) 3) 4) ) 2) 3) 2 Lif Styl LDL 4) a)134 )12 c)23 d)4 )1~4 3,4)PCI 120mg/dl LDL-Chol 100mg/dl HDL-Chol 40mg/dl 42 1~4 (PCI) 1) 2) 3) 8

9 4) a)134 )12 c)23 d)4 )1~4 43 a) 3.0mm ) d) 3.0mm POBA ) a) 2.5mm,d) )? DES 44 1) 2) 3) (ANP) (BNP) 4) 5) (ACEI) a)12 )15 c)23 d)34 )45 : ) q32,3q24,9q23,10q24, Xp ) 2) 3) 4) (SAM) 5) a)12 )15 c)23 d)34 )45 c 48 1) 2) 3)? 100mmHg 90mmHg 4)69 1.5L/min/m2 1mmHg 5) a)12 )15 c)23 d)34 )45? 1) 2) 3)? 90mmHg 4) Forrstr III ( ) 5)? ( ) 9

10 50 ( ) 1)VOO 2)AAI 3)VVI 4)DDD 1 A P,V QRS 2 3 I( ) T( ) ECG 1)P V 2) sinus rhythm P A QRS 3)P Q V 4)Sinus rhythm P QRS 52 1) 2) 3) 4) 5) d 54 1) 2) 3) 4) a)134 )12 c)23 d)4 )1~4 56 1) 2) 3)OPCAB(off-pump CABG) 4) 1 5) ( ) 1.5% c 57 1) low out typ 2) 3) 4) Dor a)123 )234 c)134 d)124 )1~4 10

11 59 1) 2)10 3) 4) 5) 80% a)12 )15 c)23 d)34 )45 c 60? 1) 2) 3) 4) a)124 )12 c)23 d)4 )1~4 62? 1) III Rastlli 2) total cavopulmonary connction 3) I 4) Norwood stag1 5) Snning a 64 1) 2) 3) ( ) 4) a)134 )12 c)23 d)4 )1~4 d 65 1) ( ) 2) 3) 4) a)134 )12 c)23 d)4 )1~4 1) 2)? 3) 4) 2 68 a~ 1) Stanford B 2) > > > > > 3) A ( ) 4) 11

12 5) a)12 )15 c)23 d)34 )45 d 75 1) ) 3) 80% 4) 30% 5) a)12 )15 c)23 d)34 )45 a ) 2) 3) 7% 4) 5) ( ) 80 1) 2) 3) 4) 5) 81 1) 2) CT IVUS 3) 4) 5) c) 1) ; 2)?; 3) ; ( ) ( ) ( ) DM 4) ; 5) ; athroma (strogn?) 82 1) 2) 3) 4) I 5) a)123 )245 c)345 d)125 )134 d) 4) ; M MMP(Matrix mtalloprotas) 5) ; 12

13 83 1) 2) 3) 75% 4) 5) a)123 )245 c)345 d)125 )134 ) 87 3 ( ) 1) 2) 3) ( ) 4) 5) 3),4),5)? 1) ; (platlt firin) 2) ; 75% Cardiac myxoma 80% 20% 3) ; 5) ; Nonactrial thromotic ndocarditis 90 1) 2) 3) 4) 10% 5) 1 ) 1) ; 2) ; AAA 3) ; AAA 5) ; ) first choic 92 1) 2) 3) 4) 3~6 5) 93 a) 13

14 ) c) 2 d) ) a 96 1) 2) 3) 4) a)134 )12 c)23 d)4 )1~4 1) 2) 3) 4) 99? 1) - 2) - 3) - 4) - 5) - 3)4)5) 14

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