๊ธฐ๋ณธ ์ •๋ณด
  • ์ œํ’ˆ๋ช… ::
  • ๋ถ„๋ฅ˜ :: ํ•ญํ˜ˆ์ „์ œ
  • ํŠน์ง• :: ํ˜ˆ์†ŒํŒ ์‘๊ณ ๋ฅผ ์ผ์‹œ์ ์œผ๋กœ ์ฐจ๋‹จ.
  • ์ž„์ƒ :: ๊ณ ์–‘์ด HCM (gold standard)
๊ด€๋ จ ๋ฌธ์„œ
  • ๋‚จ๋‚ด1(A) - 04. IMHA
    • Low-dose aspirin (0.5mg/kg) : PDS+azathioprine+low-dose aspirin ๋งŽ์ด์ผ์Œ.
      • ์ง€๊ธˆ์€ clopidogrel, rivaroxaban ๋“ฑ ๋” ์ข‹์€ ์•ฝ๋ฌผ์ด ๋‚˜์˜ด.
    • Clopidogrel bisulfate : ํ•ญํ˜ˆ์†ŒํŒ์ œ, ๊ณ ์–‘์ด ๋น„๋Œ€์„ฑ ์‹ฌ๊ทผ๋ณ‘์ฆ์—์„œ ์ƒ๊ธฐ๋Š” ํ˜ˆ์ „์—์„œ gold standard.
      • ๊ณ ์–‘์ด ๋น„๋Œ€์„ฑ ์‹ฌ๊ทผ๋ณ‘์ฆ(HCM, hyperchlomyopathy) โ‡’ FATE (Feline Arterial Thromboembolism)
    • HCM์œผ๋กœ ํ˜ˆ์ „ ์ƒ๊ธฐ๋ฉด ๋งˆ๋น„๋˜๊ณ  ํ”ผ๊ฐ€ ์•ˆ ํ†ตํ•ด ๋‹ค๋ฆฌ๋ฅผ ์ ˆ ์ˆ˜ ์žˆ์Œ.
  • ๋ฐ•๋‚ด1(B) - ์‹ฌ์žฅ ์งˆํ™˜
    • aspirin, clopidogrel : ํ˜ˆ์†ŒํŒ์ด ๊ตณ๋Š” ๊ฒƒ์„ ์ผ์ฐจ์ ์œผ๋กœ ์ฐจ๋‹จํ•ด์คŒ
    • ์ขŒ์‹ฌ๋ฐฉ ํ™•์žฅ ๋˜๋Š” ์‹ฌ์žฅ ์งˆํ™˜ ํ™˜์ž