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알코올과 심혈관 질환

Alcohol and Cardiovascular Disease

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키워드

주제분류가정의학

초록

술과 익숙해져 있는 우리 문화에서 알코올과 심혈관 질환과의 관계를 살펴보는 것은 중요한 일이라 생각한다. 심혈관 질환에 있어서 알코올은 적당히 마시면 도움이 되지만 과음하거나 폭음을 하면 오히려 해가 된다. 적당량의 음주 즉 남자 3잔, 여자와 노인은 2잔 정도 마시면 혈압이 하강되고, HDL 콜레스테롤이 상승되며, 응고 인자와 혈소판에 좋은 작용을 비롯한 여러 가지 기전으로 고혈압과 동맥 경화증에 도움을 준다. 그러나 그 이상 마시면 혈압이 상승하고 알코올성 심근병증, 부정맥, 심부전, 뇌출혈, 허혈성 뇌졸중 및 심장 질환 발생 등으로 건강이 악화된다. 또한 폭음은 급사와 매우 밀접한 관계를 갖고 있다. 여기에 지금까지의 여러 연구들의 자료들을 수집하여 알코올과 심혈관 질환과의 관계 및 그 기전을 정리하여 보았다.

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