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    Secondary prevention for coronary artery disease: are we following the guidelines?

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    Authors
    Syed, I A A
    Riaz, A
    Ryan, A
    Reilly, M O
    Affiliation
    Waterford Regional Hospital, Waterford, Ireland. asimsyed01@hotmail.com
    Issue Date
    2012-02-01T10:53:04Z
    MeSH
    Adrenergic beta-Antagonists/administration & dosage
    Angiotensin-Converting Enzyme Inhibitors/administration & dosage
    Coronary Artery Disease/drug therapy/*prevention & control
    Guideline Adherence/*statistics & numerical data
    Humans
    Hydroxymethylglutaryl-CoA Reductase Inhibitors/administration & dosage
    Medical Audit
    Physician's Practice Patterns/*statistics & numerical data
    *Practice Guidelines as Topic
    Retrospective Studies
    Secondary Prevention
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    Metadata
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    Citation
    Ir J Med Sci. 2010 Dec;179(4):535-7. Epub 2010 Jul 31.
    Journal
    Irish journal of medical science
    URI
    http://hdl.handle.net/10147/207976
    DOI
    10.1007/s11845-010-0527-x
    PubMed ID
    20676796
    Abstract
    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.
    Language
    eng
    ISSN
    1863-4362 (Electronic)
    0021-1265 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1007/s11845-010-0527-x
    Scopus Count
    Collections
    Waterford Regional Hospital

    entitlement

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