임의 교수
Ui Lim
연세대학교 내과
연구실 소개
이 교수의 연구실은 심혈관 질환의 진단 및 치료에 초점을 맞춘 임상 기반 연구를 수행하고 있습니다. 특히 퇴행성 심장판막증, 관상동맥 질환, 부정맥 등 고령 환자 및 급성 심장질환 환자의 치료 전략과 장기적 예후를 중심으로 연구를 진행하고 있으며, 혈관 내 초음파(IVUS), 광학 간섭 단층촬영(OCT) 등의 고해상도 영상 기법을 활용한 정밀 진단에도 기여하고 있습니다. 최근에는 스텐트 미식입, 신규 발생 당뇨병, 심장 마비 이후 합병증 등 치료의 최적화를 위한 메타분석 및 사례 기반 연구를 지속적으로 수행하고 있습니다.
연구 현황
연구 성과 추이
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주요 논문
7Purpose: Transcatheter aortic valve implantation (TAVI) has become an attractive therapeutic strategy for severe aortic stenosis (AS) in elderly patients due to its minimally-invasive nature. Therefore, early results of its clinical outcomes in elderly Korean patients were evaluated. Materials and Methods: We compared early clinical outcomes of TAVI, surgical aortic valve replacement (SAVR), and optimal medical therapy (OMT) in patients aged ≥80 years with symptomatic severe AS. Treatment groups
We investigated the incidence, predictors, and long-term clinical outcomes of new-onset diabetes mellitus (DM) after percutaneous coronary intervention (PCI) with drug-eluting stent (DES). A total of 6,048 patients treated with DES were retrospectively reviewed and divided into three groups: 1) known DM (n = 2,365; fasting glucose > 126 mg/dL, glycated hemoglobin > 6.5%, already receiving DM treatment, or previous history of DM at the time of PCI); 2) non-DM (n = 3,247; no history of DM, no labo
Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a familial cardiac arrhythmia that is related to RYR2 or CASQ2 gene mutation. It occurs in patients with structurally normal heart and causes exercise-emotiontriggered syncope and sudden cardiac death. We experienced a case of CPVT in an 11 year-old female patient who was admitted for sudden cardiovascular collapse. The initial electrocardiogram (ECG) on emergency department revealed ventricular fibrillation. After multiple defibril
A stent fracture combined with a coronary artery aneurysm is a rare event. As these events can lead to a harmful outcome, such as the development of myocardial ischemia by in-stent restenosis or thrombosis, repeated coronary intervention may be required. We report a case of a stent fracture combined with a coronary artery aneurysm. The fracture was thought to have developed by mechanical stress produced from a change of regional wall motion after an anteroseptal myocardial infarction. As detecte
Esophageal hematoma is a rare form of esophageal injury. It may occur spontaneously, or in asociation with di-rect esophageal damage or a bleding diathesis. Endoscopy and computed tomography are generaly necesary for the establishment of a diagnosis. In this report, we present a case of esophageal hematoma that was discovered via a bedside transthoracic echocardiography. The echocardiography was conducted to evaluate an unexplained shock in a critically ill-patient. After conservative treatment,
For patients with acute myocardial infarction, current management guidelines recommend implantation of a drug-eluting stent,dual antiplatelet therapy (including potent P2Y12 inhibitors) for at least 1 year, and maintenance of life-long antiplatelet therapy. However, a pilot study showed favorable results with antithrombotic therapy without stent implantation when plaque erosion, notdefinite plaque rupture, was confirmed using optical coherence tomography (OCT), despite the patients having acute
원발성 중추신경계 림프종 환자에서 한냉응집소병이 동반된 마이코플라즈마 폐렴이 악화되어 급성호흡곤란증후군이 발생한 1예를 치험하였기에 이에 문헌고찰과 함께 보고하는 바이다.
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