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"ħ NOAC "
Ȱ 2017-12-29 06:15:00
"ħ NOAC "
Ȱ 2017-12-29 06:15:00
ͺ | ȯ 3 DZ١



  ѱ ù NOAC ͸ ǥ DZ ()

ű԰汸 ǹϴ (NOAC) ĸ 弼 ̰ ִ. ؿܿ ̹ ĸ ó淮 ߿ , 2015 7 ޿ Ȯ 2 鼭 Ը Ű ܰ.

ٸ κ Ͱ ַ ƴٴ ƽ Ҵµ, ׷ 並 ٸ ǥǸ鼭 а ָ ް ִ. 뺴 DZ١ ȯ 3 ѱ NOAC ʹ.

ڷ(ٷϻ) (Ȼ), ڻ(ٺƮ) NOAC 3 ǰ ԽŲ ƽþ Ը ū п о ְ ڶϴ м(Stroke 2017;48:3040-3048) 10ȣ DZ⵵ ߴ.

̹ ֵ DZ (뺴 ȯ⳻) ΰ Ǹ ô.

- ̹ ƽþ ִ Ը Ͷ ǹ̰ ū ȴ. ߳.

DZ( ): ɹ漼 ߻ Կ ѱ п ߿伺 ִ. ΰǰ ڷḦ Ȱ ִٴ 츮 ƴѰ. ͸ Ȱڴ ǵ 3 10 ϴ ٷȴµ, ȴ. CHA2DS2-VASC score ѱοԵ 𵨷μ ü߰ ɹ漼 , ɹ漼 豺  13 ǥƴ.

ϳ NOAC ȿɰ 캻 ̴. 2015 ɹ漼 ȯڴ 뷫 28 ƴ. 2008 2 ε, CHA2DS2-VASC score 2 ̻ӿ ĸ̳ NOAC ó޴ ȯ ݿ Ұߴ. ̿ ǵ ̴. ɹ漼 ȸ ؾ ûϴ ϰڴ.

( ): ġ ߿伺 ǰ ִ. ̱, ̵ε ɹ漼 ȯ ǰѴ. ݱ ǥ ʹ κ ֿ. ѱθ Ͱ ƴ϶ ƽþ ʹ 븸 Ұߴ ̴. ǰ ͸ Ȱ ִ ȯ ִ 츮󿡼 Ͱ ; ʿ伺 ߴٰ . ϱ ̶ ȯڼ µ, ͸ ü Ƿ ƿ츦 ִ ڷᰡ õƴٴ ǹ̰ ũ.

- ֱ ɹ漼 ȯڰ ϴ ̶ ?

: ȭ ô 鼭 75~85 þ ū ̴. ɹ漼 ߻ ɺ ȯڼ þ Ͱ ɹ漼 ν ü Ͱ ִٰ Ǵܵȴ.

- ̹ 纼 ȯڿ NOAC ȿ ƴٰ ص dz?

: NOAC ĸ ΰ ο ߻ Ҿ 3 ǥ 򰡺 4 ǥ ߴ. 3 ǥ NOAC ĸ Ÿ. ڷ(0.9%) ڻ(0.6%), (0.5%) 3 ๰ ĸ(1.3%) ΰ ߻ Ұ, ڷ(4.5%) ڻ(2.4%), (1.5%) ĸ(4.6%) ҵƴ. 3 򰡺 2 翬 򰡺 NOAC ۿ ʳ. ѱο ĸ NOAC Ȯ .

: ȯڿ ߻ ٴ ˷ ִ. ϴ ߿ѵ, NOAC 3 ĸ ΰ ٴ ſ ߿ ޽.

ٸ м ݾ ̰ ִ. NOAC űó ȯ(2 3262) м (HR 0.32) ڻ(HR 0.43) 2 ĸ ΰ ߻ ϰ ҽװ, ڷ(HR 0.71) ĸ ̸ ߴ. 75 ̻ ȯ(1 4164) м 3 ๰ ĸ ϰ ΰ ߻ ݸ(HR 0.63), ű(GFR50Ml/min) ȯ(1319) 쿣 ȯڿ ΰ ߻ ʾҴ.

- NOAC ȿ پ ĸ ũ ʳ? ߻ ϰ ԰, ࿡ 󼭴 ̰ ũ 쵵 ִµ ĸ ٰ ֳ?

: 2 ޿ ȮǸ鼭 ȯںδ . NOAC ġ 1 3̶ ĸ õ ̴. ȯڶ NOAC ԰ڴٸ ǥ ɱ. ϳ ִ Ȳ̶ ü ƴٴ . ĸ ؾ ĵ , װ˻縦 ؾ ϴ 赵 ȯڵ ϻȰ ޴ ϴ. ȸ ɹ漼 ġħ ϰ ־, ⿡ 츮 ̵ ̴. Ͱ õ NOAC ǰϴ ݿ ȴ. ٸ CHA2DS2-VASC score 2 ̸̾ ưų ű ϰ 쿣 Ұϰ ĸ óϴ 쵵 ִ.

: ̴. ѱ ε INR ġ Ǵ ſ . ٺ 뷮 ϴ ⵵ ̴. δ ʴ´ٸ NOAC Ѱ ٰ Ѵ.

- ͸ 캸 ݾ ƿ ̸ ̴µ, ó漱ȣ ĥ ?

: к ڸ ̹ NOAC ϴ ΰ ʴ. NOAC ü ׷ ĸ Ϸ ⿡ κ񱳴 Ұϴ. ġ ̴ , ⼺ . ĸ(4.6%) ڷ(4.5%) ٸ 麸 ϴٰ ϱ ƴ. ΰ踦 ƴٴ ü Ѱ ̴. ڷ並 ó ȯ CHA2DS2-VASC score 3.6 (3.54) ڻ(3.51) ó決 Ҵٴ ͵ ĥ ִٰ .

- ȯƯ ȣϴ ʳ?

, ̱ ̵  ȯڿ  ǰ ʴ´. ȸ(ESC) ų , ȯڿ ǰϰ , ǰ ̾ ٰŰ ϴ. μ 亯 帮 ư, ִ ȯڿ 75 ̻ ȯ NOAC ó ϴ ȹϰ ̴.

- Ϸ ѹ Ǵ Ϸ 2 Ƚ ȯڼ ൿ ̿ ģٰ ?

ִ. ڷ䰡 Ϸ ѹ Դ ̶ Ǽ ٴ ǰ ִ° ϸ, ڻ糪 ó Ϸ 2 ϴ ൿ ϴٰ ص Ѵ. Ѵ ´ . ѱ ѹ Դ ϴ ڷ䰡 鿡 ְ, ⼺ ȯڵ鿡 Ϸ 2 ϴ 鿡 ִ. ῡ ų ȯ 쿡 Ϸ 1 Դ óϴ ٰ Ѵ. ȯ Ư ǻ簡 ؾ ̴. Ͱ  Ƚ ȯ ƿĿ ġ ϱ ϰ ִ. ʿ 2016 ͱ Ե ο Ѵ.

- NOAC ɹ漼 پ ̽ŵ, ߰ غ ҰѴٸ?

: ׵ 븸 ƽþ NOAC ͸ ǥߴ. 븸 뷮 뱺 90% ϴ Ÿ ƽþο NOAC ؾ ϴ ޾Ƶ鿩 Դ. ׷ Ϳ 뷮 뱺 60%, Ϲݿ뷮 뱺 40% ̰ . NOAC 뷮 ȴٸ ȴ.

: а迡 ƽþο  뷮 ſ ߿ ɻ. Ϻ ڷ 10mg 15mg 2 㰡ư, 뷮 缭 ϰ ִ. 븸 ڻ 110mg ϴ ȴ. 츮 ؿ ͸ Ϲݿ뷮 ϰ ִµ, Ÿ ʰ ִ. ƽþ̶ ؼ ݵ óؾ ϴ ƴ ϴ.

-2 ޿ ȮǸ鼭 NOAC 뷮 þµ, NOAC ޿ؿ ƽ ֳ?

CHA2DS2-VASC score å ҵ ۿѴ. 1 ̸ 1 . ̿ ϰ , CHA2DS2-VASC score 1̾ NOAC ޿ Ű ִٴ ǹ̴. CHA2DS2-VASC score 1̶ NOAC ġᰡ ʿϴٴ ̵ Դ. Ϻ ֱ CHA2DS2-VASC score 1 򰡵ǰ ִٴ Ͱ ǥ ִ. ó NOAC ġÿ ҿܵ ȯڵ ޿ Ȯϱ ȸ غϰ ִ.
Ȱ (kjan@dailypharm.com) ٸ
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ֽż ݴ
ٺ Ϲݾ ǸŰ (2024 05)
౹ 71
ǰ ְ
ѽŻ÷(10) 3,500 2,300 1,200 3,028
޾(100) 25,000 22,000 3,000 23,304
Ʒγΰ(100) 30,000 27,000 3,000 29,237
īɾ(10g) 8,000 5,500 2,500 6,472
Ľõ򿬰(5g) 5,500 4,000 1,500 5,035
Ź(4) 5,000 3,500 1,500 4,449
ڶ(20) 7,000 5,800 1,200 6,433
(10) 6,000 4,000 2,000 4,914
Ժ(10) 4,000 3,000 1,000 3,543
ڱ׸(20) 5,000 3,800 1,200 4,622
ť(10) 3,500 2,300 1,200 2,828
Ȱť(1) 1,200 1,000 200 1,140
Ǯɾ(3.3ml) 25,000 22,000 3,000 24,214
޵𿬰(10g) 7,000 5,000 2,000 6,162
öŸ(34) 13,000 10,000 3,000 12,089
뽺ī(20g) 22,000 18,000 4,000 20,358
ġ(1) 1,100 1,000 100 1,000
ӽ÷(21) 10,000 7,500 2,500 8,998
ͺ(10) 3,500 2,300 1,200 3,138
ݿ(1ڽ) 3,000 2,500 500 2,947
׶÷糪ƮŸ(6) 8,000 7,000 1,000 7,973
߽Ÿ(120) 70,000 40,000 30,000 54,203
Źĸ(10ĸ) 3,000 2,000 1,000 2,941
Ÿ̾(120) 60,000 40,000 20,000 49,168
տ(60ĸ) 30,000 24,000 6,000 27,235
Ÿ̷ER(6) 2,500 2,500 0 2,500
ٿ(30g) 12,000 9,000 3,000 11,221
(120) 25,000 18,000 7,000 21,716
Ʒ(6) 4,000 3,000 1,000 3,509
ǽõĸ(270ĸ) 120,000 85,000 35,000 106,875
B(120) 70,000 60,000 10,000 62,308
׳(10) 3,000 2,000 1,000 2,684
6̺(10) 3,500 2,000 1,500 2,965
(60) 250,000 200,000 50,000 224,000
Ⱦ 12,000 9,000 3,000 10,494
̰źĸ(60ĸ) 25,500 22,000 3,500 23,942
Ųť(20) 5,500 4,500 1,000 4,823
λ絹÷(100) 37,000 29,000 8,000 31,878
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