Korean Journal of Family Medicine

"Se Hong Kim"

Original Articles

The Relationship between Menopausal Symptoms and Heart Rate Variability in Middle Aged Women: Jin Oh Lee, Sung Goo Kang, Se Hong Kim, Seo Jin Park, Sang Wook Song; Korean J Fam Med 2011;32(5):299-305. Published online July 28, 2011; DOI: https://doi.org/10.4082/kjfm.2011.32.5.299

Abstract
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Background

The study of the correlation of menopausal symptoms with heart rate variability (HRV) has not been adequate. The aim of this study was to investigate the relationship between postmenopausal symptoms measured by the menopause rating scale (MRS) and HRV.

Methods

We assessed postmenopausal symptoms (using MRS) with age, BMI, educational status, occupation, marital status, alcohol and caffeine consumption, smoking history, exercise, duration of sleep and amenorrhea, degree of anxiety and depression, menarcheal age, and heart rate variability. For evaluation of HRV, the record of electrocardiogram for 5 minutes in the resting state was divided into temporal categories and frequency categories, and analyzed.

Results

No significant differences in age, BMI, duration of amenorrhea, heart rate, systolic blood pressure, diastolic blood pressure, fasting blood sugar, triglyceride, and high-density lipoprotein were observed between two groups, which were divided according to menopausal symptoms. Low frequency/high frequency (LF/HF) ratio was significantly higher in symptomatic women, compared with asymptomatic women (P < 0.05). No significant differences of HRV index by the severity of postmenopausal symptoms were observed. LF/HF ratio of HRV parameters showed a significant increase in moderate or severe degree of "hot flashes" and "sleep problem" score (P < 0.05). Anxiety scale in symptomatic women was significantly higher than in asymptomatic women (P < 0.05).

Conclusion

The above data suggest that postmenopausal symptoms are associated with altered autonomic control of heart rate. In particular, hot flashes and sleep problems in moderate or severe degree are related to increase of sympathetic nerve activity.

Citations

Citations to this article as recorded by

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Relationship between Metabolic Syndrome and Aging Male Symptoms in Middle-Aged Males in Korea.: Gil Hyeoung Lee, Sung Goo Kang, Jin Hee Shin, Se Hong Kim, Jung Hyoun Cho, Seo Jin Park, Sang Wook Song; Korean J Fam Med 2010;31(8):613-621. Published online August 20, 2010; DOI: https://doi.org/10.4082/kjfm.2010.31.8.613

Abstract
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Background
Metabolic syndrome is regarded as a risk factor of cardiovascular disease. We observed and compared aging males symptoms (AMS) between healthy and metabolic syndrome patients in middle-aged Korean men to evaluate clinical significance of AMS. Methods: From May 2009 to July 2009, 171 middle-aged men (over 40 years-old) who visited a health promotion center of a university hospital in Gyeonggi Province were enrolled in study. The subjects were divided into two groups; metabolic syndrome (N = 87) vs. control (N = 84) and measured the aging male symptoms (AMS) scale. AMS were also grouped according to its severity. Results: There were no significant differences except, weight, body mass index between two groups. In AMS severity, 'severe' group show higher prevalence of metabolic syndrome. And the group of metabolic syndrome gets higher AMS score than control. Among the five constitutive factors of metabolic syndrome, the prevalence of fasting blood sugar (≥ 100 mg/dL) and triglyceride (≥ 150 mg/dL) level is higher 'moderates' and 'severe' groups in AMS severity. In the subscale analysis of AMS, there are significant differences between two groups in sexual and somato-vegitative axis, but are not in psychological axis. With age-adjusted analysis, the results still show same trend.Conclusion: It might be necessary to approach aging males symptoms comprehensively during the management of metabolic syndrome in middle-aged men. And it could be helpful in treatment to recognize and control metabolic syndrome factors for the patients with severe aging males symptoms.

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The Cognitive Subscale of Alzheimer's Disease Assessment Scale (ADAS-Cog) for Patients with Alzheimer's Disease in Korea.: Se Hong Kim, Hyun Kook Lim, Kyung Soo Kim, Ju Hye Chung; J Korean Acad Fam Med 2007;28(11):853-859. Published online November 10, 2007

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Case Report

A Case of Idiopathic Intracranial Hypertension Associated with Obesity.: Se Hong Kim, A Reum Han, Kyung Soo Kim; J Korean Acad Fam Med 2007;28(8):626-630. Published online August 10, 2007

Abstract
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Idiopathic intracranial hypertension, or Pseudotumor cerebri is a disorder characterized by symptoms and signs of a space-occupying intracranial mass without any evidence of mass or ventricular obstruction. We experienced a 28 years old obese woman who was presented with headache and progressive visual disturbance for one month. She presented bilateral papilledema with visual field defect. On MRI investigation no intracranial abnomality were observed. Lumbar puncture showed increased intracranial pressure and normal biochemical and cellular findings. The patient was diagnosed idiopathic intracranial hypertension and treated with therapeutic lumbar puncture, acetazolamide, furosemide, weight control and symptoms resolved gradually. We conclude that weight reduction is difficult to accomplish but always needed in idiopathic intracranial hypertension. (J Korean Acad Fam Med 2007;28:626-630)

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Original Article

Validity of Cyriax's Test in Young Male with Shoulder Pain Compared to Ultrasonographic Findings.: Se Hong Kim, Ju Hye Chung, Whan Seok Choi; J Korean Acad Fam Med 2007;28(1):51-57. Published online January 10, 2007

Abstract
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Background
: This study was designed to evaluate the validity of the Cyriax's selective tension examination as a diagnostic tool in young male with shoulder pain compared to ultrasonographic findings.

Methods : Twenty young male patients with 26 shoulder pain cases were prospectively included in this study. All had a physical examination performed by Cyriax's selective tension method. As a diagnostic gold standard, ultrasonographic examination was carried out within one week of the physical examination by two specialists.

Results : The most common findings by sonographic evaluation were sub-deltoid bursitis (65.4%). Sub-deltoid bursal effusion without rotator cuff injury were 10 cases (58.8%) and 17 cases (41.2%) showed combined rotator cuff lesion. The most common diagnoses by physical examination were sub-deltoid bursitis (46.2%) followed by supraspinatus tendon lesion (19.2%). Clinical assessment by physical examination showed low sensitivity in the diagnosis of rotator cuff lesion (42.9%) and sub-deltoid bursitis (70.6%) but high sensitivity and specificity in the diagnosis of shoulder joint instability (sensitivity 100%, specificity 91.7%).

Conclusion : This study suggest that the validity of Cyriax's selective tension test for the diagnosis of shoulder pain are questionable.