Publications by authors named "Eung Joon Lee"

Introduction: Patent foramen ovale (PFO)-stroke, a form of cryptogenic stroke, has certain identifying clinical and imaging features. However, data describing this stroke type remain inconsistent. This study examined the potential variations in PFO-stroke features, depending on age.

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Background: Late hospital arrival keeps patients with stroke from receiving recanalization therapy and is associated with poor outcomes. This study used a nationwide acute stroke registry to investigate the trends and regional disparities in prehospital delay and analyze the significant factors associated with late arrivals.

Methods: Patients with acute ischemic stroke or transient ischemic attack between January 2012 and December 2021 were included.

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Patients with stroke may develop hyperperfusion after a successful endovascular thrombectomy (EVT). However, the relationship between post-EVT hyperperfusion and clinical outcomes remains unclear and requires further clarification. We reviewed consecutive patients with anterior circulation occlusion who were successfully recanalized with EVT.

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Enteromyxum leei and Enteromyxum fugu, which are myxosporean parasites, were first found in cultured tiger puffer Takifugu rubripes in Korea. We collected four tiger puffers that showed severe emaciation signs for our experiments. DNA sequencing was confirmed that the tiger puffers were coinfected with E.

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  • The study investigates the impact of clonal hematopoiesis of indeterminate potential (CHIP) on patients experiencing acute ischemic stroke (AIS), comparing them with healthy individuals.
  • Results show that CHIP was more prevalent in AIS patients (29%) compared to healthy controls (22%), with specific gene mutations like PPM1D linked to higher stroke odds.
  • The presence of CHIP correlated with greater stroke severity, increased risk of hemorrhagic transformation, and worse functional outcomes 90 days post-stroke.
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  • The study explored the unclear causes of central retinal artery occlusion (CRAO), finding that about 50% of cases have undetermined etiologies and examined how an embolic source impacts patient outcomes.
  • The researchers analyzed 114 CRAO patients within a week of symptom onset, categorizing them based on whether they had an embolic source, and assessed their visual acuity after one month.
  • Results showed that 40.4% of patients experienced visual improvement, with those having an embolic source (CRAO-E) showing better outcomes and a higher likelihood of visual improvement compared to those without an embolic source.
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  • The study assessed the prevalence of depression among Korean adults before and during the COVID-19 pandemic using data from the Korea National Health and Nutrition Survey (KNHANES).
  • Findings revealed that depression rates increased from 4.3% pre-pandemic to 5.2% during the pandemic, with a noticeable impact on certain groups.
  • Significant risk factors for depression during the pandemic included being female, younger age, unemployment, lower-income households, poor self-rated health, and smoking.
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Background And Objectives: White matter hyperintensities (WMHs) are reportedly increased in moyamoya disease (MMD); however, their clinical importance is not well-established owing to their pathophysiologic heterogeneity by distribution. This study aimed to evaluate the burden and pattern of WMHs and its clinical implications in the MMD trajectory.

Methods: Adult patients with MMD without significant structural lesions were 1:1 propensity score-matched with healthy controls for sex and vascular risk factors.

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Background And Purpose: Ischemic stroke is a heterogeneous disease with various etiologies. The current subtyping process is complicated, time-consuming, and costly. Metabolite-based biomarkers have the potential to improve classification and deliver optimal treatments.

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Objectives: Radiological markers for cerebral small vessel disease (SVD) may have different biological underpinnings in their development. We attempted to categorize SVD burden by integrating white matter signal abnormalities (WMSA) features and secondary presence of lacunes, microbleeds, and enlarged perivascular spaces.

Methods: Data were acquired from 610 older adults (aged > 40 years) who underwent brain magnetic resonance imaging exam as part of a health checkup.

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We propose an optical scanning holography (OSH) for optical reconstruction with equal scale magnification or demagnification ratio along the transverse and longitudinal directions when the magnification or demagnification ratio of the hologram is priori known. First, we review the principles of OSH. Second, we propose an equal scale OSH that encodes a 3D distribution of a 3D scene with a scanning beam pattern that is formed by the superposition of two spherical waves with the same curvature direction.

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  • - Post-stroke depression (PSD) is common among stroke survivors and leads to negative outcomes, but its prevalence and management in community settings are not well-understood.
  • - A study using data from Korean health surveys found that 22.2% of stroke survivors experienced depression, compared to only 8.5% of non-stroke survivors.
  • - Despite the higher prevalence of depression in stroke survivors, only 46.8% recognized their condition, and just 20.5% were receiving treatment, indicating a need for better screening and treatment practices among healthcare providers.
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  • A study evaluated the role of antiphospholipid antibody (aPL) testing in patients with cryptogenic strokes, which are strokes of unknown cause.
  • Out of nearly 3000 patients, about 21% tested positive for aPL, with younger patients and those with cryptogenic strokes being more likely to receive the testing.
  • Despite there being no age difference in aPL positivity rates, the findings suggest that aPL testing could help identify causes of strokes more effectively and potentially reduce the number of cryptogenic strokes.
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Introduction: The coronavirus disease 2019 (COVID-19) pandemic has led to changes in stroke patients' healthcare use. This study evaluated changes in Korean stroke patients' health-seeking behaviors and stroke care services using data from the Korean Stroke Registry (KSR).

Methods: We reviewed data from patients with acute stroke and transient ischemic attack (TIA) during 2019 (before COVID-19 period) and 2020 (COVID-19 period).

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  • A study was conducted in South Korea to evaluate how common it is for patients to stop taking antiplatelet medications after experiencing an ischemic stroke, using national health data from 2003 to 2010.
  • Out of 4,621 patients analyzed, 35.5% discontinued their antiplatelet treatment within 12 months, and this increased to 58.5% within 24 months.
  • Key factors influencing premature discontinuation included starting with aspirin alone, having a higher comorbidity index, living in rural areas, taking fewer medications, lower income, and being older than 70 years.
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Few studies have examined the influenza vaccination rates among stroke survivors despite the importance of vaccines in preventing influenza- and stroke-related complications. Thus, we investigated the vaccination rates and the associated factors among stroke survivors using the representative Korea National Health and Nutrition Examination Survey 2014-2018. We measured and compared the vaccination rates of 591 stroke survivors and 17,997 non-stroke survivors.

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Background: Family history (FH) is one of important risk factors for cardiovascular disease (CVD). However, little is known about its impact on dyslipidemia prevalence and management status. Thus, we aimed to investigate the impact of FH of CVD on dyslipidemia prevalence, awareness, treatment, control, and healthy behaviors in Korean adults.

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  • Renal dysfunction increases the risk of cerebral small vessel disease (cSVD) and stroke by causing changes in cerebral blood flow dynamics.
  • In a study of 283 stroke patients, those with renal dysfunction were older and had more chronic health issues, showing higher cerebrovascular resistance and greater cSVD burden compared to control patients without renal issues.
  • There was a significant inverse relationship between renal function (measured by eGFR) and pulsatility index, indicating that as renal function worsens, cerebral vascular resistance increases.
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Background: We aimed to provide real-world evidence on the benefit of persistence with antiplatelet therapy (APT) on long-term all-cause mortality (ACM) in ischemic stroke patients aged 75 years and older.

Methods: Newly diagnosed ischemic stroke patients aged 75 years and older who initiated aspirin or clopidogrel for the first time were chosen from 2003 to 2010 National Health Insurance Service-National Sample Cohort (NHIS-NSC) of Korea (n = 887), a random cohort sample accounting for 2.2% (n = 1,017,468) of total population (n = 46,605,433).

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There is growing interest in the use of new biomarkers such as glycated albumin (GA), but data are limited in acute ischemic stroke. We explored the impact of GA on short-term functional outcomes as measured using the modified Rankin Scale (mRS) at 3 months compared to glycated hemoglobin (HbA1c). A total of 1163 AIS patients from two hospitals between 2016 and 2019 were included.

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Background And Purpose: Previous studies have reported that early hospital arrival improves clinical outcomes in patients with acute ischemic stroke; however, whether early arrival is associated with favorable outcomes regardless of reperfusion therapy and the type of stroke onset time is unclear. Thus, we investigated the impact of onset-to-door time on outcomes and evaluated the predictors of pre-hospital delay after ischemic stroke.

Methods: Consecutive acute ischemic stroke patients who arrived at the hospital within five days of onset from September 2019 to May 2020 were selected from the prospective stroke registries of Seoul National University Hospital and Chung-Ang University Hospital of Seoul, Korea.

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Background: We tried to investigate the effect of non-persistence with antiplatelets after ischemic stroke on long-term all-cause mortality (ACM).

Methods And Findings: We selected newly diagnosed ischemic stroke patients aged ≥20years who were newly treated with aspirin or clopidogrel from 2003-2010 Korean National Health Insurance Service-National Sample Cohort, a random sample of 2.2% of total population.

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