Çѱ¹ÁöÁú·µ¿¸Æ°æÈÇÐȸÀÇ ÀÌ»óÁöÁúÇ÷Áõ Áø·áÁöħ °³Á¤ÆÇÀÌ °ð ¹ßÇ¥¸¦ ¾ÕµÎ°í ÀÖ´Ù. ÇÐȸ ÃøÀº ÃÖ±Ù °³ÃÖµÈ Ãá°è½ÉÇ÷°üÅëÇÕÇмú´ëȸ¿¡¼ ÀÌ»óÁöÁúÇ÷Áõ Áø·áÁöħ Á¦5ÆÇÀÇ ÀϺΠ³»¿ëÀ» ¼±°ø°³Çߴµ¥, ½ÉÇ÷°üÁúȯ À§Çèµµ¿¡ µû¸¥ ÄÝ·¹½ºÅ×·Ñ Á¶Àý ¸ñǥġ¸¦ ¾î´À Á¤µµ·Î ÀâÀ» °ÍÀ̳İ¡ ÃʹÌÀÇ °ü½É»ç¿´´Ù. ¿ì¼± Àü·Ê ¾ø´ø °¡Àå °·ÂÇÑ ¸ñǥġÀÎ LDLÄÝ·¹½ºÅ×·Ñ(LDL-C) 55mg/dL ¹Ì¸¸Á¶ÀýÀÌ ±Ç°íµÉ °ÍÀ¸·Î º¸ÀδÙ. ÇÐȸ´Â Áö³ 2018³â ÀÌ»óÁöÁúÇ÷Áõ Ä¡·áÁöħ Á¦4ÆÇÀ» ¹ßÇ¥Çϸç, ½ÉÇ÷°üÁúȯ ÃÊ°íÀ§Ç豺¿¡°Ô LDL-C 70mg/dL ¹Ì¸¸Á¶ÀýÀ» ±Ç°íÇÑ ¹Ù ÀÖ´Ù. °°Àº ÇØ¿¡ ´ëÇÑÀÇÇÐȸ·Áúº´°ü¸®Ã»ÀÇ ‘1Â÷ÀÇ·á¿ë ±Ù°Å±â¹Ý ÀÌ»óÁöÁúÇ÷Áõ ÀÓ»óÁø·áÁöħ’µµ ¹ßÇ¥µÆ´Âµ¥, 1Â÷ÀÇ·á±â°ü ÀÓ»óÀǵéÀ» ´ë»óÀ¸·Î ÇÏ´Â ÀÌ °¡À̵å¶óÀο¡¼µµ ½ÉÇ÷°üÁúȯ ÃÊ°íÀ§Ç豺¿¡°Ô LDL-C 70mg/dL ¹Ì¸¸Á¶ÀýÀ» ±Ç°íÇß´Ù. ±¹³»¿Ü ÀÌ»óÁöÁúÇ÷Áõ °¡À̵å¶óÀÎÀÇ LDL-C Á¶Àý ¸ñǥġ º¯È¸¦ µû¶ó°¡ º»´Ù. |
LDL-C ¸ñǥġ
ÇöÀçÀÇ ÀÌ»óÁöÁúÇ÷Áõ Ä¡·á Æз¯´ÙÀÓÀº Àü·Ê ¾øÀÌ °·ÂÇÑ LDL-C Á¶Àý¿¡ ÃÊÁ¡À» ¸ÂÃß°í ÀÖ´Ù. Àü¼¼°èÀûÀ¸·Î ½ÉÇ÷°üÁúȯ ¿¹¹æÀ» À§ÇÑ LDL-C Á¶Àý ¸ñǥġ°¡ ¹øÁöÁ¡ÇÁ¸¦ Ÿµí °è¼Ó ³«ÇÏÇÏ°í ÀÖ´Â °Í.
½ÉÀåÇаè¿Í ³»ºÐºñÇаè´Â ÀÌ»óÁöÁúÇ÷Áõ Ä¡·á¸¦ ³õ°í “LDL-C ¼öÄ¡´Â ³·À¸¸é ³·À»¼ö·Ï ½ÉÇ÷°üÁúȯ ¿¹¹æ¿¡ µµ¿òÀÌ µÈ´Ù”´Â ‘The Lower, The Better’ Á¢±Ù¹ýÀ» ÁöÁöÇÏ¸ç ½ÉÇ÷°üÁúȯ À§Çèµµ¿¡ µû¸¥ ¸ñǥġ¸¦ ÇÏÇâÁ¶Á¤ÇÏ°í ÀÖ´Ù.
ESC·EAS
À¯·´½ÉÀåÇÐȸ(ESC)·µ¿¸Æ°æÈÇÐȸ(EAS)´Â ‘2019 ÀÌ»óÁöÁúÇ÷Áõ °ü¸® °¡À̵å¶óÀÎ’¿¡¼ ½ÉÇ÷°üÁúȯ º´·ÂÀÚ¿¡ ÇØ´çÇÏ´Â ÃÊ°íÀ§Ç豺ÀÇ 2Â÷¿¹¹æÀ» À§ÇØ LDL-C¸¦ ±âÀúÄ¡ÀÇ 50% ÀÌ»ó, ±×¸®°í 55mg/dL ¹Ì¸¸±îÁö Á¶ÀýÇϵµ·Ï ±Ç°íÇß´Ù. 2016³â À¯·´ °¡À̵å¶óÀÎÀ» ºñ·ÔÇØ ´ëºÎºÐÀÇ ÄÝ·¹½ºÅ×·Ñ °¡À̵å¶óÀο¡¼ ÃÊ°íÀ§Ç豺¿¡°Ô LDL-C 70mg/dL ¹Ì¸¸Á¶ÀýÀ» ±Ç°íÇß´ø °Í°ú´Â ´Ù¸£´Ù.
À¯·´ °¡À̵å¶óÀο¡¼ ÁÖ¸ñÀ» ²ö ´ë¸ñÀº LDL-C 40mg/dL ¸ñǥġ¿¡ ´ëÇÑ ¾ð±ÞÀÌ´Ù. ESC·EAS´Â °¡À̵å¶óÀο¡¼ “½ºÅ¸Æ¾ ±â¹Ý¿ä¹ý ÃÖ´ë³»¾à¿ë·® Ä¡·á¿¡µµ ºÒ±¸ÇÏ°í 2³â À̳»¿¡ µÎ ¹ø° Ç÷°üÁúȯÀ» °æÇèÇÑ Á׻󵿸ưæȼº ½ÉÇ÷°üÁúȯ(ASCVD) ȯÀÚÀÇ °æ¿ì, LDL-C 40mg/dL ¹Ì¸¸ ¸ñǥġ¸¦ °í·ÁÇغ¼ ¼öµµ ÀÖ´Ù”°í ¾ð±ÞÇß´Ù.
Çѱ¹ÁöÁú·µ¿¸Æ°æÈÇÐȸ
Çѱ¹ÁöÁú·µ¿¸Æ°æÈÇÐȸ´Â 2018³â Ä¡·áÁöħ¿¡¼ “±âÁ¸¿¡ ½ÉÇ÷°üÁúȯ(°ü»óµ¿¸ÆÁúȯ, ¸»Ãʵ¿¸ÆÁúȯ, Á×»ó°æȼº ÇãÇ÷³úÁ¹Áß ¹× ÀÏ°ú¼º³úÇãÇ÷¹ßÀÛ)ÀÌ ÀÖ´Â ÃÊ°íÀ§Ç豺 ȯÀÚ´Â 2Â÷¿¹¹æÀ» À§ÇØ LDL-C ³óµµ¸¦ 70mg/dL ¹Ì¸¸ ȤÀº(or) ±âÀúÄ¡º¸´Ù 50% ÀÌ»ó °¨¼Ò½ÃÅ°´Â °ÍÀ» ¸ñÇ¥·Î ÇÑ´Ù”°í ±Ç°íÇß´Ù. ½ÉÇ÷°üÁúȯ ÃÊ°íÀ§Ç豺ÀÇ ¸ñǥġ¸¦ 70mg/dL ¹Ì¸¸À¸·Î À¯ÁöÇßÀ¸¸ç, ‘50% ÀÌ»ó °¨¼Ò’¸¦ ¼±ÅûçÇ× Áß Çϳª·Î Á¦½ÃÇÑ °ÍÀÌ´Ù.
ÇÏÁö¸¸ ÇÐȸ ÃøÀº ÃÖ±Ù 70mg/dL ¹Ì¸¸ ¸ñǥġ¿¡ Á¶Á¤ÀÌ °¡ÇØÁú ¼ö ÀÖÀ½À» ½Ã»çÇß´Ù. Áö³´Þ °³ÃÖµÈ Ãá°è½ÉÇ÷°üÅëÇÕÇмú´ëȸ¿¡¼ ÀÌ»óÁöÁúÇ÷Áõ Áø·áÁöħ Á¦5ÆÇÀ» ¼±°ø°³ÇÏ¸ç °ü»óµ¿¸ÆÁúȯ, Ç¥ÀûÀå±â¼Õ»óÀ̳ª 3°³ ÀÌ»óÀÇ ÁÖ¿ä ½ÉÇ÷°üÁúȯ À§ÇèÀÎÀÚ¸¦ µ¿¹ÝÇÑ ´ç´¢º´ ȯÀÚÀÇ LDL-C¸¦ 55mg/dL ¹Ì¸¸À¸·Î Á¶ÀýÇϵµ·Ï ±Ç°íÇÏ°Ô µÉ °ÍÀ̶ó°í ¹àÇû´Ù.
1Â÷ÀÇ·á¿ë Áø·áÁöħ
´ëÇÑÀÇÇÐȸ°¡ 2018³â¿¡ ¼±º¸ÀÎ ‘1Â÷ÀÇ·á¿ë ±Ù°Å±â¹Ý ÀÌ»óÁöÁúÇ÷Áõ ÀÓ»óÁø·áÁöħ’¿¡¼´Â LDL-C 70mg/dL ¹Ì¸¸ÀÌ °¡Àå °·ÂÇÑ ¸ñǥġ·Î ÀÚ¸®ÇÏ°í ÀÖ´Ù. ¸ÕÀú °¡À̵å¶óÀο¡´Â “½ÉÇ÷°üÁúȯ ÃÊ°íÀ§Ç豺 ȯÀÚÀÇ °æ¿ì LDL-C¸¦ 70mg/dL ¹Ì¸¸À¸·Î Á¶ÀýÇϵµ·Ï ±Ç°íÇÑ´Ù”°í ¸í½ÃµÅ ÀÖ´Ù. ÃÊ°íÀ§Ç豺Àº °ü»óµ¿¸ÆÁúȯ, ÇãÇ÷¼º ³úÁ¹Áß, ÀÏ°ú¼º³úÇãÇ÷¹ßÀÛ, ¸»ÃÊÇ÷°üÁúȯ µîÀÌ ÀÖ´Â °æ¿ì·Î Á¤ÀÇÇß´Ù. ¶Ç ÃÊ°íÀ§Ç豺¿¡¼ “ÃÖ´ë³»¾à¿ë·®ÀÇ ¾à¹°Ä¡·á¿¡µµ LDL-C 70mg/dL ¹Ì¸¸¿¡ µµ´ÞÇϱ⠾î·Á¿î °æ¿ì¿¡´Â ±âÀúÄ¡º¸´Ù 50% ÀÌ»ó °¨¼Ò½ÃÅ°´Â °ÍÀ» ¸ñÇ¥·Î ÇÑ´Ù”¸ç ´Ù¸¥ ¼±Åõµ Á¦½ÃÇß´Ù.
ÇÑÆí ½ÉÇ÷°üÁúȯ °íÀ§Ç豺 ȯÀÚ¿¡°Ô´Â LDL-C 100mg/dL ¹Ì¸¸Á¶ÀýÀÌ ±Ç°íµÆ´Ù. °íÀ§Ç豺Àº ´ç´¢º´, °æµ¿¸ÆÁúȯ(50% ÀÌ»ó ÇùÂø), º¹ºÎµ¿¸Æ·ù µîÀÌ µ¿¹ÝµÈ °æ¿ì·Î Á¤ÀÇÇß´Ù. ¶Ç °íÀ§Ç豺¿¡¼ ÃÖ´ë³»¾à¿ë·®À¸·Îµµ ¸ñǥġ¿¡ µµ´ÞÇϱ⠾î·Á¿î °æ¿ì¿¡´Â ±âÀúÄ¡º¸´Ù 30~40% ÀÌ»ó °¨¼Ò½ÃÅ°µµ·Ï ÁÖ¹®Çß´Ù. ¿¬ÀÌ¾î ½ÉÇ÷°üÁúȯ ÁߵÀ§Ç豺¿¡°Ô´Â LDL-C 130mg/dL ¹Ì¸¸Á¶Àý, ÀúÀ§Ç豺¿¡°Ô´Â 160mg/dL ¹Ì¸¸Á¶ÀýÀ» ±Ç°íÇß´Ù.
¾à¹°Ä¡·á
¾à¹°Ä¡·á ºÎ¹®¿¡¼´Â ¿ª½Ã ½ºÅ¸Æ¾ÀÌ 1Â÷Ä¡·áÁ¦·Î ¾ð±ÞµÆ´Ù. ¿ì¼± ½ÉÇ÷°üÁúȯ ÃÊ°íÀ§Ç豺 °¡¿îµ¥ ±Þ¼º ½É±Ù°æ»öÁõ ȯÀÚ¿¡°Ô´Â LDL-C ³óµµ¿Í »ó°ü¾øÀÌ ½ºÅ¸Æ¾À» Åõ¿©Çϵµ·Ï Çß´Ù. °íÀ§Ç豺ÀÇ °æ¿ì´Â »ýÈ°½À°ü ±³Á¤°ú µ¿½Ã¿¡ ½ºÅ¸Æ¾À» Àû¿ëÇϵµ·Ï ÁÖ¹®Çß´Ù. ÇÑÆí ÄÝ·¹½ºÅ×·ÑÈí¼ö¾ïÁ¦Á¦ÀÎ ¿¡Á¦Æ¼¹Ìºê´Â ½ºÅ¸Æ¾¿¡ ºÒ³»¾à¼ºÀÌ ÀÖ´Â °æ¿ì ´Üµ¶Åõ¿©¸¦ °í·ÁÇÒ ¼ö ÀÖ´Â ¾àÁ¦·Î ¾ð±ÞµÆ´Ù. ¿¡Á¦Æ¼¹Ìºê´Â ¶ÇÇÑ ½ºÅ¸Æ¾ Ä¡·á¿¡µµ ºÒ±¸ÇÏ°í LDL-C ¸ñǥġ¿¡ µµ´ÞÇÏÁö ¸øÇÏ´Â °æ¿ì¿¡ º´¿ëÇÒ ¼ö ÀÖ´Â ¾àÁ¦·Î ±Ç°íµÆ´Ù.
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