시험과목별 공지사항

  • 시험안내
  • 시험과목별 공지사항

2026년도 제4회 전문약사 자격시험 공지사항

- 심혈관 -

1시험내용 구성 및 시험시간 (전 과목 공통사항)

1)시험내용은 공통영역과 전문영역으로 구성됨.

  • 공통영역 : 의학통계 및 의ㆍ약학논문비평
  • 전문영역 : 심혈관

2)시험시간

  • 총 시험시간 : 시험준비 및 안내, 공지시간 등을 포함하여 180분(3시간).

2출제유형 및 배점

1)공통영역(총20점) : 객관식 20문항 (각 1점)

2)전문영역(총80점) : 객관식 80문항 (각 1점)

  • 약물요법의 적절성 검토
  • 약물요법 관련 문제(drug-related problems) 파악 및 해결방안 제시
  • 환자 맞춤형 약물 선택 및 약물요법 계획 수립
  • 약물요법의 치료효과 및 약물 이상반응 모니터링
  • 환자 복약상담 및 교육

3출제범위

1)공통영역 출제범위 : 의약통계의 기본개념 및 이를 활용한 논문해석과 비평, 임상적용 등에 관한 문항으로 이루어짐.

  • 근거기반의학(Evidence-Based Medicine) 및 근거기반임상실무(Evidence-Based Clinical Practice, EBCP)의 이해
  • 의약문헌의 종류 및 특징
  • 임상통계의 기본 개념
  • 논문해석과 비평, 임상적용

2)전문영역 출제범위

  • 급성관상동맥증후군
  • 안정허혈심장병(협심증)
  • 고혈압
  • 이상지질혈증
  • 심부전
  • 부정맥(심방세동)
  • 뇌졸중
  • 정맥혈전색전증

4참고문헌

1)전 과목 공통 참고문헌

가)약물치료학 관련 참고문헌

  • Haines ST, Nolin TD, Ellingrod VL, Holle LM, Cocohoba J, Posey LM. DiPiro ‘s Pharmacotherapy: A Pathophysiologic Approach. 13th ed., 2026.
  • Schwinghammer TL, Koehler JM, Borchert JS, Slain D, Park SK, eds. Pharmacotherapy Casebook: A Patient-Focused Approach. 12th ed., 2023.
  • Zeind CS, Carvalho MG, Cheng JW, Zaiken K, LaPointe T, eds. Applied Therapeutics: The Clinical Use of Drugs. 12th ed., 2023.
  • Chisholm-Burns MA, Schwinghammer TL, Malone PM, Kolesar JM, Bookstaver PB, Lee KC. Pharmacotherapy Principles & Practice. 6th ed., 2022.
  • 한국임상약학회. 약물치료학 제6개정. 신일북스. 2025

나)공통영역(의학통계 및 의ㆍ약학논문비평) 관련 참고문헌

  • 약국실무분과회, 약료정보학, 신일북스, 2021년, Section III, 제 9-13장, 16장
  • 약국실무분과회, 임상실무약학, 신일북스, 2024년, 27장, 29장
  • Guyatt G, Rennie D, Meade MO & Cook DJ. Users’ Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice. 3rd ed., New York, USA: McGraw Hill Education & The JAMA Network. 2015.
  • DiCenzo R, ed. Clinical Pharmacist's Guide to Biostatistics and Literature Evaluation. 2nd ed., Lenexa, KS, USA: American College of Clinical Pharmacy. 2015.
  • Browner WS, Thomas B Newman TB, Cummings SR. Designing Clinical Research. 5th ed. Wolters Kluwer. 2022.
  • Malone PM, Witt BA, Malone MJ, Peterson DM. Drug Information: A Guide for Pharmacists, 7th ed. McGraw Hill. 2022.

2)전문영역 관련 참고문헌

가)급성관상동맥증후군, 안정허혈심장병(협심증)

  • 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/ American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013;61(4):e78-e140
  • 2014 AHA/ACC Guideline for the Management of Patients with Non-ST-Elevation Acute Coronary Syndromes: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;64(24): e139-e228
  • 2016 ACC/AHA guideline focused update on duration of dual antiplatelet therapy in patients with coronary artery disease. A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2016;134(10):e123-155.
  • 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39(2):119-177
  • 2020 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: The Task Force for the management of acute coronary syndromes in patients presenting without persistent ST- segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2021;42(14): 1289-1367
  • 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022;79(2):e21-e129
  • 2023 ESC Guidelines for the management of acute coronary syndromes. Eur Heart J. 2023;44(38):3720-3826
  • 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients With Chronic Coronary Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2023;82(9):833-955.
  • 2024 ESC Guidelines for the management of chronic coronary syndromes Eur Heart J. 2024;45(36):3415-3537
  • 2013 안정형 협심증 표준진료 권고안. 대한심장학회/허혈성 심질환 임상연구센터
  • 2013 급성관동맥증후군 표준진료 권고안. 대한심장학회/허혈성 심질환 임상연구센터
  • 2020 급성심근경색증의 약물치료에 대한 전문가 합의문. 대한심장학회
  • 2021 급성심근경색증의 재개통술에 대한 전문가 합의문. 대한심장학회
  • 2021 수술 및 시술 시 항혈전제 사용에 대한 전문가 합의문. 대한심혈관중재학회

나)고혈압

  • 2023 ESH Guidelines for the management of arterial hypertension. The Task Force for the management of arterial hypertension of the European Society of Hypertension Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J Hypertens. 2023;41(12):1874-2071.
  • 2024 ESC Guidelines for the management of elevated blood pressure and hypertension: Developed by the task force on the management of elevated blood pressure and hypertension of the European Society of Cardiology (ESC) and endorsed by the European Society of Endocrinology (ESE) and the European Stroke Organisation (ESO) Eur Heart J. 2024; 45(38): 3912-4018
  • 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Hypertension. 2025;82:e212-e316.
  • Hypertension in adults: diagnosis and management. NICE guideline (NG136). Last updated: 26 February 2026 [Internet: nice.org.uk/guidance/ng136 ]
  • 2019 일차 의료용 근거기반 고혈압 임상진료지침. 대한의학회, 질병관리청.
  • 2026년 고혈압 진료지침. 대한고혈압학회
  • 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. European Respiratory Journal. 2023;61(1):2200879
  • Evaluation and Management of Pulmonary Hypertension in Noncardiac Surgery: A Scientific Statement From the American Heart Association. Circulation. 2023;147(17):1317-1343

다)이상지질혈증

  • 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/SPC/NLA/PCNA guideline on the management of blood cholesterol. A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;139(25):e1182-e1186
  • 2019 ESC/EAS guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk: The Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and European Atherosclerosis Society (EAS). Eur Heart J. 2020;41(1):111-188
  • 2025 Focused Update of the 2019 ESC/EAS Guidelines for the management of dyslipidaemias: Developed by the task force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). European Heart Journal. 2025;46(42):4359-4378
  • 2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA guideline on the management of dyslipidemia: A report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. Circulation. 2026;153(17):e1154-e1276
  • 2018 일차 의료용 근거기반 이상지질혈증 권고 요약본. 대한의학회
  • 2022 이상지질혈증 진료지침. 제5판 한국지질·동맥경화학회 진료지침위원회

라) 심부전

  • 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2021;42:3599-3726
  • 2022 AHA/ACC/HFSA guideline for the management of heart failure: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022;145(18):e895-e1032
  • 2023 Focused Update of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2023;44(37):3627-3639
  • 2023 ACC Expert Consensus Decision Pathway on Management of Heart Failure With Preserved Ejection Fraction: A Report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol. 2023;81(18):1835-1878
  • 2024 ACC Expert Consensus Decision Pathway for Treatment of Heart Failure With Reduced Ejection Fraction: A Report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol. 2024;83(15):1444-1488
  • 2022 심부전 진료지침. 대한심부전학회

마) 부정맥(심방세동)

  • Antithrombotic therapy for Atrial Fibrillation: CHEST Guideline and Expert Panel Report. Chest. 2018;154(5):1121-1201
  • 2021 European Heart Rhythm Association Practical Guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation. Europace. 2021;23(10):1612-1676
  • 2023 ACC/AHA/ACCP/HRS guideline for the diagnosis and management of atrial fibrillation: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2024;149(1):e1-e156
  • 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2024;45(36):3314-3414
  • 2018 대한부정맥학회 비판막성 심방세동 환자의 뇌졸중 예방지침. Korean J Med. 2018;93(2):87-109
  • 2021 대한부정맥학회 심방세동 환자의 뇌졸중 예방 관리 지침. Korean J Med 2021;96(4):296-311
  • 2021 대한부정맥학회. 심방세동 진료지침
  • 2022 대한부정맥학회 심방세동 환자에서 비타민K 비의존성 경구용 항응고제(NOAC) 사용 지침. 심방세동 진료 지침 개발위원회. 2022
  • 2024 대한부정맥학회. 부정맥 진료지침

바) 뇌졸중

  • Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke. Stroke. 2019;50:e344-e418
  • 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack. A Guideline From the American Heart Association/American Stroke Association. Stroke .2021;52:e364-e467
  • 2024 Guideline for the Primary Prevention of Stroke: A Guideline From the American Heart Association/American Stroke Association Stroke 2024; 55(12) e344-424
  • 2026 Guideline for the rarly management of patients with acute ischemic stroke: A guideline from the American Heart Association/American Stroke Association Stroke. 2026. doi: 10.1161/STR.0000000000000513, Online ahead of print
  • 2022 update of the Korean clinical practice guidelines for stroke: Antithrombotic therapy for patients with acute ischemic stroke or transient ischemic attack. J Stroke. 2022;24(1):166-175
  • 뇌졸중 진료지침(요약본). 대한뇌졸중학회. 2022

사) 정맥혈전색전증

  • 2019 ESC guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ESC), Eur Heart J. 2020;41:543-603
  • American Society of Hematology 2020 guidelines for management of venous thromboembolism: treatment of deep vein thrombosis and pulmonary embolism. Blood Adv. 2020;4(19):4693-4738
  • Antithrombotic therapy for VTE disease: Second update of the CHEST guideline and expert panel report. Chest. 2021;160(6):e545-e608
  • American Society of Hematology 2021 guidelines for management of venous thromboembolism: prevention and treatment in patients with cancer. Blood Adv. 2021;5(4):927-974
  • Antithrombotic Therapy for VTE Disease: Compendium and Review of CHEST Guidelines 2012-2021. Chest. 2024;166(2):388-404
  • 2025 ESC Guidelines for the management of cardiovascular disease and pregnancy Eur Heart J. 2025;46(43):4462-4568
  • 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the evaluation and management of acute pulmonary embolism in adults: A report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines J Am Coll Cardiol. 2026;87(13):1626-1710