종합병원 심장내과 외래환자의 분포 및 이의 처방내용에 관한 고찰 = Investigation of distribution on heart disease from general hospital and of its content of prescriptions

다국어 초록 (Multilingual Abstract)

Heart disease, as the name implies, includes all diseases associated with the heart, including congenital heart disease, a defect present at birth. Most of the research, however, on the medically constructed menopause-heart disease link has been on a particular type of heart disease, ischemic heart disease (IHD). The word "ischemia" means lack of blood to an organ, in this case, the heart. Ischemia most often results from atherosclerosis and/or blood clotting. Atherosclerosis refers to a narrowing of the coronary arteries with plaque (deposits of cholesterol mixed with other substances). Blood clotting often occurs when a piece of plaque breaks off the inner lining of the artery, which then bleeds, and the blood clots.
An angina episode or a heart attack is a manifestation of ischemic heart disease. Angina simply means a person has insufficient blood supply to the heart for a very short period of time, most often on exertion. (Sometimes angina occurs because of a spasm of the coronary artery rather than a narrowing) If all or almost all blood is blocked to the heart, a person has a heart attack, medically referred to as a myocardial infarction (MI). This may cause damage to the heart; if the damage is extensive, it can result in death.
Coronary artery disease (CAD) refers to the condition of the arteries. A person who has atherosclerosis (arteries partially blocked with plaque) or arteriosclerosis (arteries that are less elastic and harder than healthy arteries) is said to have CAD. Some people may have 50％ or more of their coronary arteries blocked yet have no symptoms. If they do have symptoms such as angina or a heart attack, they are said to have ischemic heart disease (IHD).
IHD and coronary heart disease (CHD) are used interchangably.
The most common heart disease in this investigation was ischemic heart disease (IHD). Type of heart diseases seemed to have similar distribution regardless of sex and major ages on heart disease was 60th. The distribution of cardiac neurosis, angina, IHD, valvular disease, congestive heart failure, myocardial infarction, cardiomyopathy and arrhythmias were 23.97％, 17.68％, 14.15％, 9.23％, 4.72％, 3.93％, 3.14％ and 1.57％ respectively. And the choice of medicine for angina, IHD, congestive heart failure, myocardial infarction, cardiomyopathy and arrhythmias were nicorandile, aspirin, digoxin, warfarin, verapamil and propranolol respectively.
And heart disease without complications rate was a little higher than heart disease with complications rate. But in the patients with complications, a hypertensive was common. Next was hyperlipemia. The choice of medicine for hypertensive were captopril(angiotensin converting enzyme inhibitor), candesartan(angiotensin Ⅱ antagonist), hydrochlorothiazide(thiazide diuretic drug), furosemide(loop diuretic drug) and spironolactone(potassium-sparing diuretic drug). The choice of medicine for hyperlipemia and diabetes mellitus were lovastatin and metformin.
Typically the term of prescription was 90 days(3 months). The most common used drugs of heart disease was aspirin, atenolol, warfarin-Na and nicorandile.

목차 (Table of Contents)

• 목차
• Ⅰ. 서론 = 1
• Ⅱ. 연구대상 및 연구방법 = 6
• Ⅲ. 결과 및 고찰 = 7
• 1. 내원환자의 성별 = 7
• 2. 내원환자의 연령 = 9
• 3. 심장병의 종류 = 13
• 4. 다른 질환과의 합병증 = 25
• 5. 처방 기간 = 28
• 6. 처방된 약물 = 32
• Ⅳ. 결론 = 49
• 참고문헌 = 51
• Abstract = 53