| Secondary prevention for coronary artery disease: are we following the guidelines? | |
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MedLine Citation:
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PMID: 20676796 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: Secondary prevention pharmacotherapy in post-myocardial infarction (MI) patients reduces the risk of subsequent coronary events and overall mortality. International guidelines recommend use of aspirin, beta-blockers, ACE inhibitors and statins in post-MI patients. AIMS: We performed this audit to review the compliance of prescribing practices, in a regional hospital in Ireland, with international guidelines for secondary prevention of coronary artery disease. METHODS: We performed a retrospective case review of 172 patients diagnosed with MI during a 1-year period between January and December 2007. RESULTS: A total of 134 patients fulfilled the inclusion criteria. On discharge, aspirin was prescribed to 131 (97.76%) patients, clopidogrel to 126 (94%), beta-blockers to 117 (87%), ACE inhibitor to 87 (65%), ARB to 10 (7%) and statins to 116 (87%). CONCLUSION: Our audit shows that targets for prescription of secondary prevention medications were not met in a small but significant proportion of patients and calls for review of discharge practices and education to improve compliance with guidelines. |
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Authors:
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I A A Syed; A Riaz; A Ryan; M O Reilly |
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Publication Detail:
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Type: Journal Article Date: 2010-07-31 |
Journal Detail:
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Title: Irish journal of medical science Volume: 179 ISSN: 1863-4362 ISO Abbreviation: Ir J Med Sci Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-10-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7806864 Medline TA: Ir J Med Sci Country: Ireland |
Other Details:
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Languages: eng Pagination: 535-7 Citation Subset: IM |
Affiliation:
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Waterford Regional Hospital, Waterford, Ireland. asimsyed01@hotmail.com |
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