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Published on: March 15, 2022
Management of coronary artery disease in a Tertiary Care Hospital
Pranay Wal1, Ankita Wal2, Vandana R Nair2
1Department of Pharmacy, Jodhpur National University, Rajasthan, India.
Insights
This study analyzed drug prescriptions for coronary artery disease (CAD) patients. Aspirin and Clopidogrel were the most frequently prescribed medications, aligning with clinical guidelines.
Area of Science:
- Cardiology
- Pharmacology
- Public Health
Background:
- Coronary artery disease (CAD) is a leading cause of mortality worldwide.
- Understanding prescribing patterns is crucial for optimizing patient care and resource allocation.
Purpose of the Study:
- To investigate the prescribing patterns of medications used in the management of coronary artery disease (CAD).
- To identify the most frequently prescribed drugs for CAD patients in a tertiary care hospital.
Main Methods:
- A prospective observational survey was conducted.
- Case series analysis of patients diagnosed with CAD was performed.
- Data collected included demographics, risk factors, clinical characteristics, and drug therapy.
Main Results:
- The age group 65-74 years showed higher susceptibility to CAD.
- Aspirin, Clopidogrel, and Statins were the most commonly prescribed drug classes.
- Prescribing patterns were found to be consistent with established clinical guidelines.
Conclusions:
- Aspirin and Clopidogrel are the most frequently prescribed drugs for CAD patients in the studied hospital.
- The observed prescribing practices align with the 2009 focused updates of the American College of Cardiology/American Heart Association (ACC/AHA) guidelines for ST-elevation Myocardial Infarction management.
Aims:
The objective of the study was to study the prescribing patterns of drugs used in the coronary artery disease (CAD) and to identify, which drug is mostly prescribed at that hospital.
Settings And Design:
This was a prospective observational survey including case series analysis of patients with CAD who met the inclusion criteria. It was conducted in the cardiology unit of multidisciplinary Tertiary Care Hospital in Kanpur.
Materials And Methods:
Data of patients who met the inclusion criteria was collected in specially designed case record forms. It was designed to include the patient data such as, demographics, risk factors, clinical and biochemical characteristics, procedures and investigations performed during the hospital stay, in-hospital and discharge drug therapy.
Statistical Analysis Used:
Descriptive statistics were performed for baseline characteristics, risk factors and medication use. All the analyses were performed using Statistical Package for Social Sciences version 16.0.
Results:
Subjects of age groups 65-74 (33.34%) were found to be more susceptible to CAD. In this study, we see that Aspirin, Clopidogrel and Statins were mostly prescribed in this hospital.
Conclusions:
In this study, Aspirin and Clopidogrel were mostly prescribed. According to 2009 focused updates of American College of Cardiology/American Heart Association (ACC/AHA) guidelines for the management of patients with ST-elevation Myocardial Infarction. So in this hospital prescription for CAD were according to the guideline.
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