Pharmacological management of acute myocardial infarction in the municipal district of Rio de Janeiro

Abstract

SAMPLE

A study of prescribing pattern of drugs in patients of cardiovascular emergencies at a tertiary care hospital of Western Maharashtra

“…Scott 21,24,25 Further in our study, utilization rate of ACE inhibitors and ARBs was found to be much more than that of beta blockers and calcium channel blockers. This finding coincides with the study conducted by M. Martinez et al, Kizer JR et al and Escosteguy CC et al [26][27][28] According to Friedman B.M. Recent data from the mega trial support the early use of ACE inhibitors after acute MI.…”

The management of acute myocardial infarction in developing countries

“…The study concluded that some medications that are undoubtedly beneficial have been under-used after acute myocardial infarction. In another cross sectional study involving the hospitals of the Brazilian National Health System (SUS) in the municipal district of Rio de Janeiro, the investigators analyzed the utilization patterns of pharmacological interventions in AMI and their corresponding effects on in-hospital mortality [28]. There was a significant variation in the use of thrombolytic therapy, h-blockers, ACE inhibitors, calcium antagonists and heparin among hospitals of different juridical nature.…”

Implementando diretrizes clínicas na atenção ao infarto agudo do miocárdio em uma emergência pública

“…Although recent studies reveal that the rate of hospital death has fallen to about 6%, several countries have reported rates ranging from 16.7% to 21%, well above those observed in clinical trials [3][4][5][6][7][8] . Possible explanations for this variation include the selection criteria adopted in clinical trials, failure to apply optimized treatment in clinical practice, training of health staff, resources, severity and social conditions of patients.…”