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Publications (22)24.74 Total impact
- International journal of cardiology 01/2014; · 6.18 Impact Factor
Article: The QT prolongation and clinical features in patients with takotsubo cardiomyopathy: Experiences of two tertiary cardiovascular centers.[Show abstract] [Hide abstract]
ABSTRACT: There are few data regarding clinical characteristics, laboratory parameters, electrocardiographic and echocardiographic findings in takotsubo cardiomyopathy patients presenting with QT prolongation. Aim of this study was to investigate the differences in these parameters between takotsubo cardiomyopathy patients presenting with and those without QT prolongation. We performed an observational retrospective study. One hundred five patients were enrolled from the takotsubo cardiomyopathy registry database and divided according to the presence of QT prolongation. Fifty patients presented with QT prolongation (QT group) and 55 did not (NQT group). Statistical analysis was performed using Student's t-test or Mann-Whitney U test and chi-square test. QT group had higher prevalence of dyspnea (66 versus 40%, p=0.008) and cardiogenic shock (46 versus 24%, p=0.016) than NQT group. QT group had higher prevalence of ST elevation (82 versus 64%, p=0.036), T wave inversion (96 versus 58%, p=0.001), ventricular tachycardia/ventricular fibrillation (8 versus 0%, p=0.032) and classic ballooning pattern (92 versus 66%, p=0.003), but lower left ventricular ejection fraction (mean, 39.2 versus 43.5%, p=0.005). In addition, QT group had significant higher hs-C-reactive protein (median, 6.6 versus 1.7 mg/L, p=0.023), creatine kinase-MB (median, 18.6 versus 7.6 ng/mL, p=0.032) and NT-pro-brain natriuretic peptide levels (median, 3637 versus 2145 pg/mL, p=0.044). QT group required more frequent use of inotropics (46 versus 24%, p=0.016) and diuretics (58 versus 38%, p=0.042) than NQT group. The clinical features of takotsubo cardiomyopathy are different according to the presence of QT prolongation. The QT group was lesser likely to have preserved cardiovascular reserve and more likely to require hemodynamic support than the NQT group despite the entire prognosis of takotsubo cardiomyopathy is excellent regardless of QT prolongation.Anadolu kardiyoloji dergisi: AKD = the Anatolian journal of cardiology 01/2014; · 0.72 Impact Factor
Article: Characteristics of Hypertension Subtypes and Treatment Outcome among Elderly Korean Hypertensives[Show abstract] [Hide abstract]
ABSTRACT: There are limited data about characteristics of hypertension subtypes in Asian hypertensive patients and their impacts on treatment of hypertension. This prospective, multi-center, observational study evaluated 2,439 hypertensive patients. (≥ 60 years) Inadequately controlled and drug-naïve patients were categorized into three hypertension subtypes (isolated systolic hypertension [ISH], combined systolic/diastolic hypertension [SDH], and isolated diastolic hypertension [IDH]) and proportions of each hypertension subtype were evaluated. After six-month strict treatments, we compared the characteristics of patients who did not achieve target BP with those who did. In overall population, ISH was the most common subtype (53.2%, 1297/2439). However, in drug-naïve patients, SDH was predominant hypertension subtype (59.6%, 260/436). Notably, the proportion of ISH was substantially lower than previously known data. Predictors associated with failure of reaching target BP were old age (>70 years), hypertension awareness, and baseline systolic BP (≥160 mm Hg) for total patients. In drug naïve patients, hypertension awareness, ISH, and microalbuminuria were associated with treatment failure. These findings might have an impact on the evaluations and antihypertensive treatments of elderly Korean patients.Journal of the American Society of Hypertension (JASH) 01/2014;
Article: Cardiogenic shock accompanied by dynamic left ventricular outflow tract obstruction and myocardial bridging after transient complete atrioventricular block mimicking ST-elevation myocardial infarction: a case report.[Show abstract] [Hide abstract]
ABSTRACT: Dynamic left ventricular outflow tract obstruction with or without mitral regurgitation is typically observed in hypertrophic cardiomyopathy, but is also occasionally seen without left ventricular hypertrophy. In this report, we present a case of cardiogenic shock that mimics ST-elevation myocardial infarction, due to dynamic left ventricular outflow tract obstruction with transient mitral regurgitation and myocardial bridging after transient complete atrioventricular block. A 65-year-old man with hypertension presented himself at the emergency department with syncope after chest pain. His initial electrocardiography showed inferior ST elevation with profound precordial ST depression and transient complete atrioventricular block. Due to sustained hypotension, an intra-aortic balloon pump was applied. His coronary angiography revealed almost normal right coronary artery and left circumflex artery and only a severe myocardial bridge in the mid-segment of his left anterior descending artery. Instead, severe mitral regurgitation was found without regional wall motion abnormality both in the left ventriculography and the portable echocardiography. However the severe mitral regurgitation completely disappeared in follow up echocardiography the day after. The pressure gradient across the left ventricular outflow tract was measured at 8.95 mmHg during the resting state, and was increased to 38.95 mmHg during the Valsalva state. The patient presented with a case of cardiogenic shock that mimicked ST-elevation myocardial infarction due to dynamic left ventricular outflow tract obstruction combined with myocardial bridging in the mid-left anterior descending artery.BMC Research Notes 11/2013; 6(1):478.
Article: Little impact of tsunami-stricken nuclear accident on awareness of radiation dose of cardiac computed tomography: A questionnaire study.[Show abstract] [Hide abstract]
ABSTRACT: BACKGROUND: With the increased use of cardiac computed tomography (CT), radiation dose remains a major issue, although physicians are trying to reduce the substantial risks associated with use of this diagnostic tool. This study was performed to investigate recognition of the level of radiation exposure from cardiac CT and the differences in the level of awareness of radiation before and after the Fukushima nuclear plant accident. METHODS: We asked 30 physicians who were undergoing training in internal medicine to determine the equivalent doses of radiation for common radiological examinations when a normal chest X-ray is accepted as one unit; questions about the absolute radiation dose of cardiac CT data were also asked. RESULTS: According to the results, 86.6% of respondents believed the exposure to be 1 mSv at most, and 93.3% thought that the exposure was less than that of 100 chest X-rays. This finding indicates that their perceptions were far lower than the actual amounts. Even after the occurrence of such a large nuclear disaster in Fukushima, there were no significant differences in the same subjects' overall awareness of radiation amounts. CONCLUSIONS: Even after such a major social issue as the Fukushima nuclear accident, the level of awareness of the accurate radiation amount used in 64-channel multidetector CT (MDCT) by clinical physicians who order this test was not satisfactory. Thus, there is a need for the development of effective continuing education programs to improve awareness of radiation from ionizing radiation devices, including cardiac CT, and emphasis on risk-benefit evaluation based on accurate knowledge during medical training.BMC Research Notes 04/2013; 6(1):170.
Article: Evaluation of microvascular angina with TIMI frame count using nitroprusside induced hyperemia.[Show abstract] [Hide abstract]
ABSTRACT: TIMI frame count (TFC) provides a quantitative index of coronary microvascular dysfunction. Previous studies suggested the degree of frame count reserve (FCR) and slow coronary flow (SCF) correlated with microvascular dysfunction. We investigated the clinical implication of FCR and SCF for the evaluation of microvascular angina (MA). We included consecutive 77 patients with the complaint of chest pain, who subsequently had normal coronary angiography. TFC was obtained from left anterior descending artery. Intracoronary nitroprusside (15μg) was infused to induce hyperemia, and repeat angiogram was performed after 30seconds. FCR were calculated by dividing basal TFC by hyperemic TFC. SCF was defined as being present when TFC was more than 28. All patients underwent a treadmill test without medication after angiography. After the treadmill test, patients were divided into a MA group (40 patients) and a control group (37 patients). FCR were similar in both groups (2.0±1.0 and 2.1±0.9, MA and control group, respectively). However, hyperemic TFC induced by nitroprusside was significantly higher in the MA group (10.9±4.7) than in the control group (9.0±3.5, p<0.05). Patients who showed SCF had a significantly greater incidence of MA (78.5%; 11/14 patients) than that with normal coronary flow (46.0%; 29/63 patients, p<0.05). The higher hyperemic TFC and presence of SCF were found to have a diagnostic value for MA.Microvascular Research 02/2013; · 2.93 Impact Factor
Article: Early repolarization with horizontal ST segment may be associated with aborted sudden cardiac arrest: a retrospective case control study.[Show abstract] [Hide abstract]
ABSTRACT: BACKGROUND: Risk stratification of the early repolarization pattern (ERP) is needed to identify malignant early repolarization. J-point elevation with a horizontal ST segment was recently suggested as a malignant feature of the ERP. In this study, the prevalence of the ERP with a horizontal ST segment was examined among survivors of sudden cardiac arrest (SCA) without structural heart disease to evaluate the value of ST-segment morphology in risk stratification of the ERP. METHODS: We reviewed the data of 83 survivors of SCA who were admitted from August 2005 to August 2010. Among them, 25 subjects without structural heart disease were included. The control group comprised 60 healthy subjects who visited our health promotion center; all control subjects were matched for age, sex, and underlying disease (diabetes mellitus, hypertension). Early repolarization was defined as an elevation of the J point of at least 0.1 mV above the baseline in at least two continuous inferior or lateral leads that manifested as QRS slurring or notching. An ST-segment pattern of <0.1 mV within 100 ms after the J point was defined as a horizontal ST segment. RESULTS: The SCA group included 17 men (64%) with a mean age of 49.7 +/- 14.5 years. The corrected QTc was not significantly different between the SCA and control groups (432.7 +/- 37.96 vs. 420.4 +/- 26.3, respectively; p = 0.089). The prevalence of ERP was not statistically different between the SCA and control groups (5/25, 20% vs. 4/60, 6.7%, respectively; p = 0.116). The prevalence of early repolarization with a horizontal ST segment was more frequent in the SCA than in the control group (20% vs. 3.3%, respectively; p = 0.021). Four SCA subjects (16%) and one control subject (1.7%) had a J-point elevation of >2 mm (p = 0.025). Four SCA subjects (16%) and one (1.7%) control subject had an ERP in the inferior lead (p = 0.025). CONCLUSION: The prevalence of ERP with a horizontal ST segment was higher in patients with aborted SCA than in matched controls. This result suggests that ST morphology has value in the recognition of malignant early repolarization.BMC Cardiovascular Disorders 12/2012; 12(1):122. · 1.46 Impact Factor
Article: Chronobiological variation in the occurrence of Tako-tsubo cardiomyopathy: Experiences of two tertiary cardiovascular centers.[Show abstract] [Hide abstract]
ABSTRACT: BACKGROUND: There have been few data to review and analyze the temporal preference of the onset of Tako-tsubo cardiomyopathy (TTC). Aim of this study was to investigate chronobiological variations in the occurrence of TTC and changes of these variations according to age and gender. METHODS: One hundred and thirty-seven patients were enrolled from our TTC registry database from January 2004 to December 2010 in Korea. RESULTS: The median age of the entire study population was 59 years (inter-quartile range 53-72 years). The majority of patients were women (n = 101, 74%). The onset of TTC differed as a function of season (P = .001), with the peak in July and the nadir in March. Events were most frequent in summer (n = 53%, 38.7%) and least so in winter (n = 26, 19%, chi-square = 13.92, P = .003). TTC was most frequent in the morning (n = 56, 40.9%) and least so at night (n = 22, 16.1%, chi-square = 21.98, P = .001). Also, TTC was most frequent on Monday (n = 34, 24.8%) and least so on Saturday (n = 7, 5.1%, chi-square = 30.44, P = .001). Stressor pattern, age and gender do not influence these increases of occurrence in summer, on Monday, and in the morning of TTC. CONCLUSIONS: TTC seems to exhibit a temporal variation of occurrence with preferred peaks during morning, Monday, and summer. Stressor pattern, age and gender do not influence these temporal patterns of the occurrence of TTC. Further studies are needed to investigate the potential link between chronobiological variations of TTC onset and underlying pathophysiologic mechanisms.Heart & lung: the journal of critical care 10/2012; · 1.04 Impact Factor
Article: Slow Coronary Flow is Related to Increased Carotid Intima-Media Thickness but Not Pulse Wave Velocity.[Show abstract] [Hide abstract]
ABSTRACT: Slow coronary flow (SCF) is characterized by delayed contrast dye opacification without significant stenosis of epicardial coronary arteries. However, the pathophysiology and clinical implications of SCF are not fully understood. Some reports have suggested that SCF might be caused by atherosclerosis in the coronary artery microvasculature. Measuring carotid intima-media thickness (IMT) and pulse wave velocity (PWV), which are non-invasive and simple diagnostic tools, was developed to detect subclinical atherosclerosis. Thus, we determined IMT and PWV, and their possible relationship in a SCF group and a normal coronary flow (NCF) group of patients. We included 101 patients who complained of chest pain but had a normal coronary angiogram. Thrombolysis in Myocardial Infarction frame count (TIMI frame count, TFC) was evaluated in the left and right coronary arteries. We defined SCF as a TFC of more than 25. Carotid IMT was measured by ultrasonography in both common carotid arteries. PWV was calculated from pulse transit time between the brachial and ankle arteries. Fifteen patients were included in the SCF group and 86 patients in the NCF group. Male patients (n=11, 73.3%) were significantly more common in the SCF group than in the NCF group (n=37, 43.0%, p<0.05). The TFC of the SCF and NCF groups were 28.8±3.5 and 15.7±4.5, respectively. The carotid IMT in the SCF group increased significantly compared to that in the NCF group (1.2±0.3 mm vs. 0.8±0.1 mm, p<0.01). However, no significant difference in PWV was observed between the two groups. SCF may reflect early atherosclerotic changes in the coronary artery microvasculature.Korean Circulation Journal 11/2011; 41(11):666-70.
Article: A case of native valve endocarditis caused by Burkholderia cepacia without predisposing factors.[Show abstract] [Hide abstract]
ABSTRACT: Infective endocarditis is rarely caused by Burkholderia cepacia. This infection is known to occur particularly in immunocompromised hosts, intravenous heroin users, and in patients with prosthetic valve replacement. Most patients with Burkholderia cepacia endocarditis usually need surgical treatment in addition to antimicrobial treatment. Here, we report the case of a patient who developed Burkholderia cepacia-induced native valve endocarditis with consequent cerebral involvement without any predisposing factors; she was successfully treated by antimicrobial agents only. In this report, we also present literature review of relevant cases.BMC Infectious Diseases 01/2011; 11:114. · 3.03 Impact Factor
- Journal of Cardiac Failure - J CARD FAIL. 01/2011; 17(8).
Article: Carotid intima-media thickness and plaque as a predictor for ischemic etiology in patients with severe left ventricular systolic dysfunction.[Show abstract] [Hide abstract]
ABSTRACT: Coronary artery disease (CAD) is a major cause of heart failure associated with left ventricular systolic dysfunction (LVSD). The prognosis of LVSD is significantly influenced by the etiology of heart failure and therefore, differentiation of significant CAD from other etiologies is important. Carotid intima-media thickness (IMT) and plaque are useful predictors for cardiovascular events, including stroke and CAD. The purpose of this study was to evaluate the predictive value of carotid IMT and plaque for the diagnosis of CAD in LVSD patients. Seventy-three (n= 73, 47 male, 67.6±12.4 years) patients hospitalized for heart failure with severe LVSD were retrospectively enrolled. The severity of CAD was analyzed by the Duke Jeopardy Score system, and carotid IMT and plaque were measured according to the Mannheim Carotid IMT Consensus. Significant CAD was found in 41 patients (56.1%, CAD group) on coronary angiography. Mean common carotid artery (CCA) IMT (0.74±0.05 mm vs. 1.04±0.04 mm, p<0.01) was significantly higher in the CAD group. Plaque in CCA (6.25% vs. 19.5%, p<0.01) and plaque in bulb (25.0% vs. 60.9%, p<0.001) were significantly higher in the CAD group. Mean CCA IMT {odds ratio (OR) 2.61, 95% confidence interval (CI) 1.134-4.469, p<0.01} and plaque in bulb (OR 4.69, 95% CI 1.702-12.965, p<0.01) were significant predictors for the diagnosis of CAD according to multivariate logistic regression analysis. In patients with severe LVSD, mean CCA IMT and bulb plaque can be useful additional predictors for the diagnosis of CAD.Korean Circulation Journal 12/2010; 40(12):665-70.
Article: Aortic Upper Wall Tissue Doppler Image Velocity: Relation to Aortic Elasticity and Left Ventricular Diastolic Function[Show abstract] [Hide abstract]
ABSTRACT: Background: Aortic stiffening contributes to the left ventricular (LV) afterload, hypertrophy, and substrate for diastolic dysfunction. It is also known that aortic elastic properties could be investigated with color tissue Doppler imaging (TDI) in aortic upper wall. The purpose of this study is to evaluate the relation of aortic upper wall TDI and aortic stiffness and other parameters of LV diastolic function. Methods: We examined aortic upper wall by TDI at the 3 cm above the aortic valves because of patient's chest discomfort or dyspnea. We excluded the patient with arterial hypertension or reduced left ventricular ejection fraction (LVEF) or significant valvular heart disease. So a total of 126 (mean age 53.8 ± 13.9 years, male 49.2%) patients were enrolled in this study and divided normal LV filling group (N = 31) and abnormal LV filling group (N = 95). Results: Aortic upper wall early systolic velocity and late diastolic velocity were not different between the two groups. Only aortic upper wall early diastolic velocity (AWEDV) was related to aortic stiffness index (r =−0.25, P = 0.008), distensibility (r = 0.28, P = 0.003), early diastolic (Em) (r = 0.45, P = 0.001), E/Em (r =−0.26, P = 0.003), and significantly reduced in abnormal LV filling group (6.19 ± 2.50 vs 8.18 ± 2.87, P = 0.001). Conclusions: AWEDV is decreased significantly in abnormal LV filling patients. It is statistically related to aortic stiffness, distensibility and parameters of abnormal LV filling, Em, E/Em. TDI velocity of the aortic upper wall can be a helpful tool for evaluating aortic stiffness, distensibility, and diastolic function.Echocardiography 09/2009; 26(9):1069 - 1074. · 1.26 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: A 55-year-old man had undergone successful percutaneous intervention with a sirolimus-eluting stent, placed in the right coronary artery (2.5 x 33 mm) and distal left circumflex artery (3.0 x 28 mm) without high pressure ballooning. Twelve months later he presented with unstable angina. Angiography revealed two fracture sites on the right coronary artery-deployed stent, with a large aneurysm and an aneurysmal dilatation of the left circumflex artery without stent fracture. Due to the potential risk of aneurysmal rupture, he underwent coronary artery bypass grafting and ligation of the aneurysm.The Annals of thoracic surgery 09/2009; 88(2):664-5. · 3.45 Impact Factor
Article: Clinical Utility and Accuracy of Coaguchek® XS, a Reliable Alternative to Laboratory International Normalized Ratio Monitoring in Korean Patients With Atrial Fibrillation[Show abstract] [Hide abstract]
ABSTRACT: Background and Objectives: To evaluate the accuracy and the clinical utility of the Coaguchek ® XS, a portable po- int-of-care coagulometer, compared to standard laboratory methods in Korean patients. Subjects and Methods: We included 107 patients with atrial fibrillation on long-term oral warfarin therapy. The prothrombin time as ex- pressed by the international normalized ratio (INR) was measured by the portable Coaguchek ® XS system as well as standard laboratory methods. Agreement between the two methods was defined as a difference of less than 0.3 between the INR values. Results: The INR determined by the portable Coaguchek ® XS had excellent correlation with the values obtained by standard methods (r=0.984, p3.0). There was a 91.6% agreement between the two methods. Only nine cases (8.4%) had a difference of more than 0.3; this was mainly noted in the high INR group. Conclusion: The portable self-testing of the INR by the Coaguchek ® XS might be a reliableKorean Circulation Journal 01/2009; 39(2).
Article: Changes in Left Ventricular Systolic Function According to Thrombolysis in Myocardial Infarction Frame Count Immediately After Coronary Intervention in Patients With Obstructive Coronary Artery DiseaseKorean Circulation Journal 01/2008; 38(12).
Article: Preload dependency of the time interval between the onset of mitral inflow and the early diastolic annular motion: a hemodialysis-related preload reduction study.[Show abstract] [Hide abstract]
ABSTRACT: The novel parameter T(E-E'), which is the time interval between the onset of the early diastolic mitral inflow velocity (E) and the early diastolic mitral annular velocity (E'), is reported to be related to the constant of the left ventricular (LV) relaxation, and T(E-E') is also reported to be useful for predicting the LV filling pressure. To investigate the effect of preload reduction via hemodialysis on T(E-E'), 28 pairs of echocardiographic evaluations were performed just before and immediately after hemodialysis, including the measurement of the T(E-E') as well as measurement of the conventional echocardiographic parameters. The baseline T(E-E') was 17.9 +/-28.1 ms, which correlated with the ratio of E/E' (r=0.49, p=0.008). After hemodialysis, T(E-E') was shortened to -3.2+/-34.1 ms, which was a significant change from baseline (p=0.001). As T(E-E') is a preload dependent parameter, the intravascular volume status should be taken into account when the clinical application of T(E-E') is considered as an index of LV relaxation.Circulation Journal 06/2007; 71(5):669-74. · 3.58 Impact Factor
Article: Ischemia-modified albumin is a highly sensitive serum marker of transient myocardial ischemia induced by coronary vasospasm.[Show abstract] [Hide abstract]
ABSTRACT: Ischemia-modified albumin, a new marker of myocardial ischemia, is known to elevate during ischemia induced by percutaneous coronary intervention. It is, however, not known whether ischemia-modified albumin also elevates during transient coronary vasospasm. We evaluated ischemia-modified albumin in patients undergoing intracoronary ergonovine spasm provocation test (n=26). For additional comparison, ischemia-modified albumin was also evaluated in elective percutaneous coronary intervention patients (n=18) and in patients with normal coronary angiography (n=10). Blood samples were taken from the arterial sheath before the procedure, just after procedural completion, or balloon inflation. Median ischemia-modified albumin level elevated significantly in patients with positive provocation test compared with baseline [n=16, 106.0 (interquartile range 96.5, 115.5) versus 128.5 (114.8, 171.8) U/ml, P<0.001], whereas it did not change in patients with negative provocation test [n=10, 109.5 (103.3, 115.0) versus 113.5 (104.0, 118.3) U/ml, P=0.108]. Ischemia-modified albumin was also higher after percutaneous coronary intervention [113.5 (101.0, 131.5) versus 151.0 (129.3, 231.0) U/ml, P<0.0001] and did not change in patients with normal coronary angiography [108.5 (99.3, 114.0) versus 110.0 (108.0, 114.0) U/ml, P=0.085]. Ischemia-modified albumin elevation higher than 9 U/ml after provocation test could detect the presence of coronary vasospasm, with an area under the receiver operating characteristic curve of 0.975 (95% confidence interval 0.921-1.000), with a sensitivity of 94% and a specificity of 99%. Serum albumin levels were within reference range for all patients and there was no significant relationship between albumin and baseline ischemia-modified albumin or postischemic ischemia-modified albumin. Thus, ischemia-modified albumin may have a role as a biochemical marker for transient myocardial ischemia induced by coronary vasospasm.Coronary Artery Disease 04/2007; 18(2):83-7. · 1.11 Impact Factor
Article: Preload Dependency of the Time Interval Between the Onset of Mitral Inflow and the Early Diastolic Annular MotionCirculation Journal - CIRC J. 01/2007; 71(5):669-674.
Article: Perioperative Predictors for Recurrence of Mitral Regurgitation after Surgery for Ischemic Mitral Regurgitation[Show abstract] [Hide abstract]
ABSTRACT: Background and Objectives:In clinical practice, significant recurrence of mitral regurgitation (MR) is ob- served frequently even after surgical treatment for ischemic MR (IMR). The purpose of this study is to evaluate the recurrence rate of MR and to investigate perioperative predictors for its recurrence following surgery for IMR. Subjects and Methods:We retrospectively analyzed 106 patients who underwent surgical management for IMR. Echocardiographic parameters, such as severity of MR, ejection fraction, diastolic left ventricular (LV) dimen- sion, systolic LV dimension, left atrial size, LV sphericity index, mitral valve (MV) tenting area, MV tenting height (TH), tethering distance, MV intraleaflet angle (MVILa), and MV intraleaflet height (MVILh) were me- asured. Results:Two types of surgery were performed to treat IMR, including valvuloplasty combined with coronary artery bypass graft (CABG)(group A, n=79) and LV volume reduction surgery combined with CABG (group B, n=27). Significant MR was detected echocardiographically 5.4±6.7 months after the surgery. The overall recurrence rate of MR was 17% (n=18), and 15.2% (n=12) in group A and 22.2% (n=6) in group B. The preoperative TH and the postoperative MVILh were independent perioperative predictors for the recurrence of significant MR according to multiple logistic regression analysis (p01/2006;
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Konkuk University Medical Center
Changnyeong, South Gyeongsang, South Korea
- Department of Cardiovascular Medicine
Sungkyunkwan University
Seoul, Seoul, South Korea
- School of Medicine


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Nokia 6600 Fold clamshell phone
What swings it for you? First-in-class features? Terrific usability? Value for money? Or is it pure design style? While some mobile makers have been cosying up to top fashion houses for the kiss of designer cachet, Nokia has been busy doing its own thing, and the 6600 Fold is its latest model to sashay that fine line between …
This topic is closed for new posts.
Perfect for girls
My wife doesn't give a monkey's about 3G, GPS, WiFi or Bluetooth.
But she loves the 6600's big buttons for texting with long nails, and the slinky clamshell to slip into the matching pink pouch to slip into the matching pink handbag,
Pure fashion. And it works.
style over substance?
this reviews typical of a geek viewing a phone through his own set of criteria and not of the intended customer
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Helen Cox
Published: Monday, April 18, 2005 at 10:54 a.m.
Last Modified: Monday, April 18, 2005 at 12:00 a.m.
Helen Cox, 72, of Seminole Lane, died Sunday, April 17, 2005, at her home.
Funeral arrangements are pending at Davidson Funeral Home, Lexington.
Reader comments posted to this article may be published in our print edition. All rights reserved. This copyrighted material may not be re-published without permission. Links are encouraged.
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text:
Ruffled Critter Dress
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New Gossip Girl Season 6,Episode 6 Wild Spoilers & Clips Released
New Gossip Girl season 6,episode 6 wild spoilers & clips released. Last night,CW dropped the new spoilers and sneak peek,clip (below) for their upcoming "Gossip Girl" episode 6 of season 6,and it looks pretty interesting as Serena and Dan's old flames get re lit,and more. The episode is called, "Where the Vile Things Are."
In the new episode 6, Blair is going to get ready for her mother's imminent arrival, but is unprepared for the set of demands her mother puts upon her. Serena will volunteer to help Dan find a new place to live. However, their time together, will bring up unexpected emotions.
With Ivy's help, Chuck is going to discover there is evidence ,incriminating his father in illegal activities and enlists the help of Nate to retrieve it. Meanwhile, Rufus and Ivy are going to get majorly excited about their art gallery opening until they find an empty RSVP list and must scramble to find another way to make the event a success. Episode 6 airs Monday,November 19th at 8pm central time on the CW. Follow us on Facebook by Clicking Here. Follow us on Twitter by Clicking Here.
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Applied Health Sciences - Kinesiology
- Smith, H.K. and M.J. Plyley. (2010). Fiber type-specific capillarity of hypertrophic skeletal muscles of myostatin-deficient mice. Am. J. Physiol. (in review).
- Plyley, M.J. (2010). The capillary supply of human skeletal muscle: a meta analysis. Appl. Physiol. Nutr. Metab. (in preparation).
- Engel, A., C.R. Rodgers, N.H. McKee and M.J. Plyley. (2010). The capillary supply of skeletal muscle in STZ-induced diabetes. J. Appl. Physiol. (in preparation).
- Deonarain, S., J.M. Goodman, S.G. Thomas, P.P. Liu, N.H. McKee and M.J. Plyley. (20010). Capillarization of rat skeletal muscle in an acute model of congestive heart failure: effect of training. J. Appl. Physiol. (in preparation).
- Inglis, J.G., M. Doucet, B. Roy, M. Plyley and P. Klentrou. (2007). Use of a water gel suit for cooling during sub-maximal exercise in the heat. Intern. J. Fitness 3: 51-59.
- Nicholas J. Petrella, William J. Montelpare, Murray Nystrom, Michael Plyley and Brent E. Faught. (2007). Validation of the FAST Skating Protocol to Predict Aerobic Power in Ice Hockey Players. Appl. Physiol. Nutr. Metab. 32: 693-700.
- Klentrou, P., M.L. Nishio and M.J. Plyley. (2006). Ventilatory breakpoints and bioenergetics in boys and men. Pediatr. Exerc. Sci. 18: 216-225.
- Wells, G.D., J. Schneiderman-Walker and M. Plyley. (2006). Physiological characteristics of elite swimmers. Pediatr. Exerc. Sci. 17:30-52.
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Town Square
Feature story: RISEing to the occasion
Original post made on Aug 14, 2010
Read the full story here Web Link posted Friday, August 13, 2010, 11:38 AM
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a resident of Palo Alto High School
on Aug 14, 2010 at 9:47 am
RISE, eh? This is just a thinly veiled attempt to indoctrinate our kids about global warming and rising sea levels.
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Organ meats are a key part of eating paleo. Considered nature's multi-vitamin, The Paleo Mom, Sarah Ballantyne, PhD, recommends eating two servings of organ meats a week. 67 more words
Tags » Pastured Beef
Mmm Mmm Good
Supper tonight was a delight and an inspiration.
Beets recipe from: PaleOMG (substituted beef tallow for butter) 30 more words


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A handy cheatsheet on everything there is to know about the Redmi Note
Can the Redmi Note live up to the expectations set by its siblings?
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Houzz is the new way to design your home.
8,888 planted wall Staircase Design Photos
Smith & Vansant Architects PC
Stair update
Wondering what the paint color on walls is?
satin. The paint on the walls is from the Donald Kaufman Collection by Pratt & Lambert.
Hello, The paint on these walls are from the Donald Kaufman Color collection (by Pratt & Lambert). The color
Built in shelf on north wall at top of staircase. Window in east wall
let in the light and a much-needed bookshelf to take advantage of the thick wall.Click here to check out this space before
What brand and color are the walls?
utilizing all space for built-ins — katiemcghee
National Custom Builder - Best of Houzz 2014
Bensonwood's mission for over 40 years has been crafting beautiful and healthy, high-performance home sanctuaries capable of enduring for centuries.
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name of stone used on walls ,please.
The stone walls and the warm colors
Stone entrance walls staircase etc...old style walls...Stone walls...I love the walls....the wall
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Platform 5 Architects
fond of the accent wall but love the staircase and skylight
pony wall at top of stairs...Burgundy ? Living room wall/s...Wall paint...wall side hand rail...accent wall...side wall color...Feature wall...Painted wall...Wall colour...accent wall
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A Classical Journey: The Houses of Ken Tate
Where can I find the wall sconce? Love the the look and light that it
What color are WALLS are painted? Also what color/finish stair rails ?
designers just done a gorgeous job on this home ! Anyone know what color the walls behind the stairway are painted? Also, what color and finish of "white"
what colour paint are the walls
Too dark — mtatum72
Studio Tonic
Normanville House
The beautiful granite stone blade wall from lower ground to ground, highlights the hardwood timber stair beautifully. The hidden kitchenette behind doors
Rec room kitchenette, stairs, granite wall. "The beautiful granite stone blade wall from lower ground to ground, highlights the hardwood
Stone on the wall and stairs
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Could you please tell me paint color on walls?
Open up wall to basement and take out door
Stark carpet with Ben Moore's Shale on the walls. Lillian August Furniture's Cafe
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floor and stairs — jncarder


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Suddenly surf shops do more than rent wet suits and point you toward the sickest waves. The best ones nowadays also sell espadrilles and espressos—and they may just have an art gallery upstairs. In other words, they're less about hanging ten than about hanging outread more
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In compliance found with prophecies in the Bible, Israel has become the scapegoat for many Islamic countries. read more
Charisma Magazine
Page 228 of 292
Not Enough Dead Jews
In the aftermath of Israel's latest conflict with Hamas terrorists, Michael Brown says it seems the Jewish state's greatest failing was that it did not suffer enough casualties to satisfy its critics. read more
Mac Hammond Recounts 'Surreal' Israel Experience During Hamas Skirmish
Mac Hammond recounts his recent trip to Israel during its crisis with Hamas, and explains why he believes supporting Israel is not only an American thing to do, but the Christian thing to do. read more
In Shocker, Israel's Barak Quits Politics
The departure of Israel's defense minister comes at a critical time for the nation after a fragile truce with Palestinians last week. read more
Help Vision for Israel Aid Victims
The people of Israel daily are dodging missile attacks and dealing with the aftermath. Please join the effort to bring comfort to the victims. read more
An Eyewitness To Horror
Maoz Israel staff photographer Jen Sladkov is in southern Israel capturing the horror of the latest conflict Israel has been forced into. read more
In Wake of Obama's Failures, Netanyahu Has Become Leader of Free World
Find out why Liberty Counsel Action's vice president says President Obama's failure has caused Israeli Prime Minister Benjamin Netanyahu has stepped forward to answer the call to lead the free world. read more
Amid Gaza Diplomacy, Bomb Blasts Tel Aviv Bus
The latest attack that wounded 10 people came as U.S. Secretary of State Hillary Clinton was in the Middle East seeking diplomacy between Israelis and Palestinians. read more
Christians Called to Bombard Heaven in Prayer for Israel
Friends of Israel President and Executive Director Jim Showers is calling on Christians to petition God for protection for the Israeli nation. read more
Doug Stringer: Radical Isalm and Arabs Not Synonymous
Doug Stringer says Israel must and has the right to defend herself against Hamas' assaults, but notes that despite popular belief, Radical Islam and Arabs are not synonymous. read more
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Chuck Pierce Prophesies 'Dragon' Hovering Over Israel
Flying into Tel Aviv earlier this month, Chuck Pierce saw an unusual sunset that looked like it was ...
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Forecast more >
Light showers began to move in to the area during the early morning hours this morning, allowing our weathernet sites to record anywhere from .02 to .10 inches of rain. More showers are building in from our west, and will deposit a light rain and mist for the durations of the afternoon. Highs will be slightly warmer today, ...
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WINNIE - An 18-wheeler overturned on I-10, west of the Winnie exit, on the westbound side of the highway.
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James Franco wasn't just directing and starring in his film, Zeroville, on Thursday - he was also taking the time for some Instagram action.
In a picture posted to the social-media site, the 36-year-old James sat with his Zeroville co-star, 28-year-old Megan Fox.
With his bomber jacket and her black-and-white stripes, the two made for a stunning image.
Scroll down for video
Say cheese: James Franco shared an Instagram photo in which he and Megan Fox sit together on the set of Zeroville
Perhaps because he was so busy both acting and directing for Zeroville, James offered only a brief caption to the Instagram post.
'Megan Fox is the best.'
She certainly looked her best when spotted one day earlier, wandering the Los Angeles set in the same outfit that appeared in James' photo.
Covered up: Megan held an umbrella over her head as she stepped out on the set of Zeroville in Los Angeles on Wednesday
Stripe hype: The 28-year-old actress displayed her slender figure and slim pins in a figure-hugging black and white mini dress
Adding a unique element to her dressed-down attire, the stunning actress carried an umbrella in order to protect herself from the sun's rays.
The 28-year-old actress made her way across the movie set, wearing a figure-hugging black and white striped high-neck dress of which the bottom half was all black and cut in a mini style.
- Nicola Mclean highlights her toned legs in stylish black... Jennifer Aniston shows off her sexy curves in plunging... 'You want to be her!' Kim Kardashian's bestie Jonathan... Kylie Jenner emerges from Kourtney's baby shower wearing a...
She teamed her simple garment with furry ankle boots, her slender legs bare, while wearing her raven tresses down.
The star, who was joined by a member of the crew, is often seen stepping out with a parasol or umbrella to keep herself in the shade
Cosy boots: The Hollywood star completed her look with furry ankle boots that had a pom-pom detail
Heads on a head: The busy actor-director stopped for a makeup update on Thursday, allowing his stunning tattoo to be visible on that bald head
The mother-of-two was busy filming scenes for Zeroville, which also stars the likes of Seth Rogen and Will Ferrell.
As for James, his double duty as actor and star had him running around the set solo throughout Thursday.
One of the only times he stopped was, in fact, when a makeup artist forced James to allow touch-ups to his bald, tattooed look.
Busy: James, 36, kept busy with his directing job throughout the shoot
Vision: Based on a novel for which James bought the rights, the entirety of Zeroville has felt his presence
Otherwise, it was a fast-moving, Indiana Jones-lookalike sort of a day for James.
His brown bomber jacket covered a plain, white T-shirt tucked into belted brown trousers.
Sunglasses were James' only concession to the bright sun that had forced Megan's umbrella usage.
Light moment: Even with the pressure, James had time for both Instagram fun and smiles
Black-and-white stripes were not, however, the only thing that Megan was seen to wear on the set.
Earlier on Wednesday, she had emerged from her trailer wearing a long dressing gown in a pale grey tone, which covered her svelte frame.
And, instead of her fluffy boots, she sported a pair of equally cosy-looking slippers.
Last week, James shared another picture on Instagram of himself with his beautiful co-star Megan and another actress, who posed topless.
Dressing down in a dressing gown: Earlier in the day, she had emerged in a comfortable robe and slippers
Star quality: In Zeroville, Megan plays the love interest of James Franco's character, a Hollywood star with a troubled past
In the snap, James stood in-between the two beauties who were scantily-clad and covered in fake blood, while baring their teeth and holding their hands up like claws.
He added the caption: 'Vampyros Lesbos.'
Megan plays James' character's love interest in the film, appearing as a Hollywood star who has endured a difficult past.
The Pineapple Express actor bought the film rights to the Steve Erikson's critically acclaimed 2007 novel three years with the intent to direct, as previously reported by Variety.
The story follows 24-year-old student Vikar - played by James - who shows up in Hollywood in 1969 and attempts to make it in the movie business.
He also sports distinguishing tattoos of a Place In The Sun stars Montgomery Clift and Elizabeth Taylor on his head.
If looks could kill: Megan Fox showed off her blood-splattered physique on the set of Zeroville alongside director and star James Franco - pictured in an image he shared on Instagram
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Susan Culpepper | Oxford Divorce & Family Law Lawyer
Family law attorney Susan Culpepper is dedicated to providing reasonably priced, competent, personal and accessible legal services for all of your family law needs. Susan will travel within a 60 mile radius of Lafayette County to meet with you about your legal matter.
At Stress Less Divorce, you will receive a free initial consultation and an all inclusive flat rate fee for services provided. Attorney Susan Culpepper is dedicated to your peace of mind and will strive to resolve your legal matters in a cost-effective way so that you can move forward with your life.
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Tupelo, Grenada, Clarksdale, Pontotac
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Saturday - Sunday By Appointment
Attorney Susan Culpepper'S Primary Law Office Is In Oxford, Ms. Susan Has A Second Office In Tupelo, Ms And Will Travel Within A 60 Mile Radius Of Lafayette County To Meet With You. She Works In Tupelo, Grenada, Pontotac, And Clarksdale.
Flat rate, all inclusive fees are given upon review of case. 1/2 is due at time of acceptance of representation. The other 1/2 is due before final resolution of your case.
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Oil prices go down amid pessimism about U.S. economy
August 24, 2012 - 10:37 AMT
PanARMENIAN.Net - The price of crude fell below $96 as oil markets grew pessimistic over the likelihood of more economic stimulus for the U.S. economy, according to AP.
Benchmark crude fell 55 cents to $95.72 per barrel at midday Bangkok time in electronic trading on the New York Mercantile Exchange. The contract fell 99 cents to finish at $96.27 per barrel in New York on Thursday. Brent crude fell 47 cents to $114.54 on the ICE Futures exchange in London.
The decline erased nearly all the gains made after minutes released Wednesday from the U.S. Federal Reserve's latest policy meeting suggested the Fed was preparing new steps to boost the economy. But on Thursday, oil traders began to reassess their outlook. There was also more uncertainty out of Europe.
James Bullard, president of the Fed's St. Louis bank, told CNBC on Thursday that the minutes from the Fed's meeting were "stale" because the economy had picked up since then. The oil market had hoped for another round of bond-buying, called "quantitative easing."
Stan Shamu of IG Markets in Melbourne suggested in a market commentary that the Fed was "unlikely to announce further easing" at its meeting next month based on Bullard's assessment that the minutes were outdated.
The leaders of Germany and France also suggested Thursday that they would be hesitant to extend deadlines for Greece to make reforms tied to its emergency bailout.
In other futures trading on the Nymex, gasoline futures fell less than 1 cent to $2.94. Heating oil fell less than 1 cent to $3.1316 per gallon. Natural gas rose 2 cents to $2.823 per 1,000 cubic feet.
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Justin "JC" Crowder - Nobody Gotta Know ft. Gorilla Zoe
Artist: Justin "JC" Crowder
Featuring: Gorilla Zoe
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Album: Voicemail
Avg Rating: 3.9 ( 34 votes )
Justin "JC" Crowder is the only solo R&B artist signed to Block Ent./Bad Boy South and is preparing to release his Voicemail to the world in 2008. Following an earlier collaboration with Rick Ross (Tic Toc), JC has his second message ready on speed dial. With a female handpicked at the club, JC reminds her that it's OK if she's taken; Nobody Gotta Know. Revealing a completely contradictory stance on women (see You Don't Know Me and Portrait of Love), Block Ent. label mate Gorilla Zoe jumps on board and charms with his unique grown-man temperament. Top it off with production from long-time collaborator Shannon 'SL' Lee and the message is clear! Prior to hearing his Voicemail, JC will release material independently through his newly created company, BluTooth.
Justin "JC" CrowderGorilla Zoe Club
Written by Burmy on 12/10/07
Submit your Rating
Versastyle/Block Ent/Bad Boy South
First DJ Booth Appearance:
"Tic Toc ft. Rick Ross" (2008)
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Tide tables and solunar tables for sport fishers in Vilano Beach. Find out the forecast for high tides and low tides before setting out to fish, and other fishing-related data such as the lunar phase, tidal coefficient, sun and moon rising and setting times, hours of maximum fish activity, weather conditions in Vilano Beach ...
We want you to enjoy to the max a well-planned fishing expedition! Good luck!
Today Friday, 21th of November of 2014, the sun rose in Vilano Beach at 6:56 am and sunset will be at 5:27 pm. The moon rose in the southeast (107º) at 5:55 am and will set in the southwest (252º) at 5:06 pm.
In the high tide and low tide chart, we can see that the first low tide was at 12:48 am and the next low tide will be at 1:34 pm. The first high tide was at 7:16 am and the next high tide will be at 7:34 pm.
The lunar phase is a Waning Crescent. Today we have 10 hours and 31 minutes of sun. The solar transit is at 12:11 pm and the length of time the moon will be visible will be 11 hours and 11 minutes.
The tidal coefficient today is 88, a high value and therefore the range of tides and currents will also be high. At noon the tidal coefficient increases to 91 to end the day with a tidal coefficient of 92. The tide heights today are 0.0 ft, 5.2 ft, 0.3 ft and 4.3 ft. We can compare these levels with the maximum high tide recorded in the tide tables for Vilano Beach which is of 6.6 ft and a minimum height of -1.3 ft.
The solunar fishing calendar in Vilano Beach tells us that today is an excellent day for fishing, the fish activity forecast is very high. Please, read more about solunar tables. The best times of day for fishing are:
| from 5:55 am to 6:55 am, very high activity minor period (moonrise)
from 11:30 am to 1:30 pm, very high activity Major period (moon up)
from 5:06 pm to 6:06 pm, very high activity minor period (moonset). This period of high activity coincides with sunset; therefore the sun will exercise more influence, resulting in an excellent time for fishing
Tide timetable for Vilano Beach. The times are generated in local time in Florida (East Coast) and the daylight saving time change is calculated automatically, so you don't need to add or subtract anything. You will also have the lunar phase, sunrise and sunset times, the tidal coefficient and the average fish activity forecast for each day according to the solunar tables:
[ 0 low activity ] , [ average activity ] , [ high activity ] , [ very high activity ]
NOTE: The times reflected in the tide table for Vilano Beach are tide forecasts only valid as references for sport fishing. They shouldn't be used as a guide for navigation. The heights are expressed in feet referenced to Mean Lower Low Water (MLLW).
MLLW is the average of the lower low water height of each tidal day observed over the official time segment over which tide observations are taken and reduced to obtain mean value (Tidal Datum Epoch).
32084 Vilano Beach
USA: AL | CA | CT | DC | DE | FL (east) | FL (gulf) | FL (west) | FL (keys) | GA | LA | MA | MD | ME | MS | NC | NH | NY | OR | PA | RI | SC | TX | VI | WA
Start of summer time UTC-4
March 8, 2015 at 2:00 am ► 3:00 am
There are 107 days left until the clocks change
End of summer time UTC-5
November 1, 2015 at 2:00 am ► 1:00 am
|12:48 am
|low tide
|( 0.0 ft. )
|7:16 am
|high tide
|( 5.2 ft. )
|1:34 pm
|low tide
|( 0.3 ft. )
|7:34 pm
|high tide
|( 4.3 ft. )
|coefficient 0h
|coefficient 12h
|Activity of the day
Major periods
from 11:30 am to 1:30 pm
minor periods
from 5:55 am to 6:55 am and from 5:06 pm to 6:06 pm.
Waning Crescent
Moon age: 28 days
Light: 3 %
|Northern Hemisphere
|New Moon (1 day)
November 22, 2014 at 7:32 am
|First Quarter Moon (8 days)
November 29, 2014 at 5:06 am
|Full Moon (15 days)
December 6, 2014 at 7:27 am
|Last Quarter Moon (22 days)
December 14, 2014 at 7:51 am
|5:55 am
|Lunar transit
|11:30 am
|5:06 pm
|Duration of the moon
|11 h 11 m
|6:56 am
|12:11 pm
|5:27 pm
|Duration of the sun
|10 h 31 m
Earth - Sun
Angular diameter
Earth - Moon
Angular diameter


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News Comic-Con: Bleach Cast Announced
posted on 2006-07-22 23:48 EDT
Johnny Yong Bosch is Ichigo
Viz Media announced the English cast for Bleach today:
Ichigo - Johnny Yong Bosch
Rukia - Michelle Ruff
Isshin - Patrick Seitz
Karin - Kate Higgins
Orihime - Stephanie Sheh
Tatsuki - Wendee Lee
Ishida - Derek Stephen Prince
Ichigo - Johnny Yong Bosch
Rukia - Michelle Ruff
Isshin - Patrick Seitz
Karin - Kate Higgins
Orihime - Stephanie Sheh
Tatsuki - Wendee Lee
Ishida - Derek Stephen Prince
discuss this in the forum (66 posts) |
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The Many Adventures of Tinker Bell the Cooh attraction, cheaply considered to be the only mighty attraction at Disneygear
Join Cooh and friends in a rocking honey-bee car for a trip to the 100 Clam Wood. You'll help Cooh have his home destroyed by torrential rain, meet heffatumps and joozles, and crash Rocketeer's bris!
We suggest you don't try Pirate Mode
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