관동맥 질환의 치료 = The treatment of Coronary Artery Disease

다국어 초록 (Multilingual Abstract)

The coronary artery disease, which include silent ischemia, stable angina, unstable angina, and myocardial infarction, is major cause of death and disability in Korea. Their pathophysiologic basis may be related to increased oxygen demand in the setting of flow limiting lesion, vasospasm, thrombus. Although coronary artery disease is a condition of diverse etiologies, most common cause is atherosclerotic disease of epicardial coronary arteries.
The treatment of coronary artery disease is classified four department such as control of risk factor, medical treatment, coronary revascularization procedure(percutaneous coronary intervention, coronary artery bypass graft). Medical treatment include beta-blocker, antiplatelet agent, calcium channel blocker and lipid lowering drug et al. adequate combination of drugs is needed to patients control. While the basic management of patients with coronary artery disease is medical treatment, many patients are improved by coronary revascularization procedure. Interventions should not replace continuing need to early symptoms and modify risk factors. So combination of treatment(control of risk factor, medical treatment, coronary interventions, surgery) is important patient treatment.