학술대회 발표 연제 초록

諛곌꼍: 愿��숇㎘ �묒갑吏덊솚 �섏옄�먯꽌 �쒖닠 �� 痢≪젙�� hsCRP瑜� 鍮꾨’�� 쇱쬆�섏튂媛� �ㅽ뀗�� 쒖닠 �� κ린 �덊썑�� 곌��섏뼱 �덉쓬�� 뚮젮�� 덇퀬 �숇㎘寃쏀솕諛섏쓽 �쇱쬆�뺣룄�� 寃쏀솕諛� �뚯뿴怨� 愿��⑤릺�� 愿��숇㎘ �뺤옣�� 먯쐞遺��됱쟾�� 쇱쑝�� 寃껋쑝濡� �ш꺼吏�� 꾩쭅源뚯� hsCRP�� 쒖닠愿�� ш렐�먯긽�� 吏곸젒�곸씤 愿�怨꾨뒗 �뚮젮吏�吏� �딆븯��. 諛⑸쾿: �묒떖利앹쑝濡� �낆썝�� 愿��숇㎘議곗쁺�좎쓣 �쒗뻾�섏뿬 愿��숇㎘ �묒갑吏덊솚�쇰줈 吏꾨떒諛쏄퀬 �ㅽ뀗�� 쎌엯�좎씠 �꾩슂�덈뜕 �섏옄瑜� ��곸쑝濡� 愿��숇㎘�ㅽ뀗�� 쒖닠 �꾪썑�� 愿��숇㎘議곗쁺�좎쓣 鍮꾧탳 遺꾩꽍�섏��. ��곹솚�먯뿉�� 湲됱꽦�ш렐寃쎌깋�� 쒖쇅�섏��. �쒖닠 �� 쒗뻾�� hsCRP寃��ъ쓽 寃곌낵�� 곕씪 0.3mg/dl �댁긽�� 섏옄瑜� hsCRP 利앷�援�, 0.3mg/dl 誘몃쭔�� 섏옄瑜� hsCRP 鍮꾩쬆媛�援곗쑝濡� 援щ텇�섏��쇰ŉ �대뱾�� 꾩긽�묒긽怨� 愿��숇㎘議곗쁺�좎긽�� 寃곌낵, �쒖닠 �� ш렐�⑥냼�� 利앷��щ�瑜� �됯��섏��. �쒖닠愿�� ш렐�먯긽 �щ�瑜� �됯��섍린 �꾪빐 愿��숇㎘議곗쁺�좎긽�� TIMI 愿�瑜섏젙��(TIMI myocardial perfusion grade)瑜� 痢≪젙�섏뿬 �쒖닠�꾧낵 鍮꾧탳�섏뿬 �쒖닠 �� TIMI 愿�瑜섍� 媛먯냼�� 蹂묐�� 'TIMI 愿�瑜� 媛먯냼'濡�, 愿�瑜섏젙�꾧� 媛숆굅�� 利앷�� 蹂묐�� 'TIMI 愿�瑜� 鍮꾧컧��'濡� 遺꾨쪟�섏�怨�, �쒖닠 �� CK, CKMB瑜� 2, 6, 12, 24�쒓컙 痢≪젙�섏뿬 �ш렐�⑥냼�섏튂�� 利앷�瑜� �됯��섏��. 寃곌낵: 228紐낆쓽 �섏옄(�됯퇏�곕졊 62짹10��, �⑥옄 128紐�)�먯꽌 279媛쒖쓽 蹂묐�(醫뚯쟾�섑뻾吏� 144媛�, 醫뚰쉶�좎� 64媛�, �곗� 71媛�)�� 곸쑝濡� �섏��. ��곹솚�� 以� 遺덉븞�뺤꽦 �묒떖利� 183 紐�, �덉젙�� 묒떖利� 45紐낆씠�덈떎. �꾩껜�섏옄以� 90紐낆씠 hsCRP利앷�援곗씠�덇퀬(1.08짹0.99mg/dl), 鍮꾩쬆媛�援곗� 138紐낆씠�덉쑝硫�(0.13짹0.07mg/dl), hsCRP媛� 0.3mg/dl �댁긽 利앷�� 섏옄�� 遺덉븞�뺤꽦 �묒떖利앹뿉�� 留롮븯��(遺덉븞�뺤꽦 �묒떖利� 46.6%, �덉젙�깊삊�ъ쬆 16.1% p= 0.000). 愿��숇㎘議곗쁺�좎긽�� 뱀쭠�� hsCRP利앷�援곌낵 鍮꾩쬆媛�援� �ъ씠�� 李⑥씠媛� �놁뿀�쇰굹 �쒖닠 �� TIMI 愿�瑜� 媛먯냼�� hsCRP利앷�援곗뿉�� 16蹂묐�(14.2%)�댁뿀怨�, hsCRP鍮꾩쬆媛�援곗뿉�� 6蹂묐�(3.6%)�쇰줈 �좎쓽�� 愿��⑥씠 �덉뿀��(p= 0.003). �먰븳 �쒖닠吏곹썑�� 덇�諛뺣━, no reflow �깆쓽 �쒖닠愿�� ⑸퀝利앹� �� 援곌컙�� 李⑥씠媛� �놁뿀�쇰굹 �쒖닠 �� ш렐�⑥냼�� 利앷�� hsCRP利앷�援곗뿉�� 24紐�(26.7%)�댁뿀怨�, hsCRP鍮꾩쬆媛�援곗뿉�� 21紐�(15.2%)�쇰줈 �좎쓽�� 愿��⑥씠 �덉뿀��(p=0.048). 寃곕줎: 愿��숇㎘ �묒갑吏덊솚�먯꽌 愿��숇㎘ �ㅽ뀗�� 쎌엯�� 쒖닠 �� 痢≪젙�� hsCRP�� 섏튂�� 議곗쁺�좎긽�� TIMI 愿�瑜섏젙��, �쒖닠 �� ш렐�⑥냼�섏튂�� 利앷�濡� �됯�� 쒖닠愿�� ш렐�먯긽怨� �좎쓽�� 곌�愿�怨꾧� �덉뿀�쇰ŉ �대윭�� 誘몄꽭�ш렐�먯긽�� ④린, �κ린 �덊썑�� 곹뼢�� 誘몄튌 寃껋쑝濡� �ш꺼吏꾨떎.