糖尿病患者心血管药物的使用模式;回顾性横截面研究,2013-17年
Negin Hatami1, Mohammad-Reza Malekpour2, Farshad Farzadfar2
1Department of Pharmacoeconomic and Pharmaceutical Administration, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.
概括
伊朗糖尿病患者的心血管药物使用显示出合理的模式,其中乙烯基酸,阿托瓦斯塔丁和洛萨坦是最常用的. 需要进一步的政策来减少糖尿病的心血管并发症.
科学领域:
- 药理学 药理学是指药理学的学科.
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病是一种全球性的健康问题.
- 心血管疾病 (CVD) 是DM的常见并发症.
- 了解DM患者的药物使用对于心血管疾病管理至关重要.
研究的目的:
- 分析伊朗糖尿病患者的心血管药物使用模式.
- 评估2013年至2017年的趋势.
主要方法:
- 在伊朗使用处方索赔数据 (2013-2017年) 的回顾性横截面研究.
- 利用了2019年全球疾病负担 (GBD) 研究和国家监管机构的数据.
- 通过解剖治疗化学 (ATC) /定义每日剂量 (DDD) 系统分析药物利用情况.
主要成果:
- 乙盐酸,阿托瓦斯塔丁和洛萨坦在2017年显示了最高的利用率.
- 大多数心血管药物使用的趋势在增加,除了阿诺洛和埃纳拉普利.
- 在老年人群和所有年龄段的女性中观察到更高的使用率.
结论:
- 药物使用模式通常是合理的,并与治疗指南保持一致.
- 使用率最高的是推用于预防心血管疾病和治疗糖尿病的药物.
- 建议进一步实施政策,以减轻糖尿病患者的心血管并发症.
相关概念视频
Cardiovascular Drugs: Classification based on Therapeutic Indications
2.9K
Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
2.9K
Assessment of the Cardiovascular System I: Subjective Data
347
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
347
Diabetes: Management and Pharmacotherapy
290
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
290
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Hypertension III: Clinical Manifestations and Diagnostic Studies
15
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
15
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11


