Prescribing Pattern, Drug Utilization and Clinical Pharmacy Services in Acute Coronary Syndrome Patients

Biradar, S M.; Pournamy,; Nayakawadi, Neeraja; Indu, Pathi; Ghodkari, Manjunatha Rao; Warad, Vijaykumar; Kalyane, N; Sorangvi, Vijaya; Gaviraj, E.N.

doi:10.3923/ajdd.2017.63.69

Cited by 2 publications

(7 citation statements)

References 5 publications

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“…There are a good number of reports where 90-100% of prescribed drugs were included in the WHO essential drug list. 5 In one scientific study WHO drug prescribing indicators were considered and adhered to ICMR guidelines in case of diabetic patients, which supports our study results for the use of WHO core indicators. 18 The best idea to prevent drug-drug interaction by choosing drugs which are less likely to produce serious drug interactions.…”

Section: Discussionsupporting

confidence: 85%

“…Two studies reported 21 and 25% of their enrolled CAD patients as hypertensive. 5,6 The existence of a very high proportion of hypertensive patients in our study also correlates with a stressful lifestyle. Almost 44% of the subjects were suffering from moderate to severe stress.…”

Section: Discussionsupporting

confidence: 54%

“…The most prescribed antiplatelet agent was aspirin, followed by clopidogrel. 5,11,12 In the present study, the commonly prescribed drugs were isosorbide dinitrate among the nitrates, aspirin among the antiplatelet agents, metoprolol among the beta-blockers, amlodipine among the calcium channel blockers, ramipril among the ACE inhibitors, and atorvastatin among the hypolipidaemic. In this study, only the cephalosporin group of antibiotics were prescribed.…”

Section: Discussionmentioning

confidence: 72%

“…Approximately 40% were diabetics as compared to 15% reported in previous studies. 4,5 In the urban city, the reported prevalence of diabetes was quite high (7.33%). 7 It was also reported that 23.6% of diabetic patients develop cardiovascular complications.…”

Section: Discussionmentioning

confidence: 99%

“…Heart and stroke is the most common risk of vascular disease mortality in India (83%). [1][2][3][4][5][6] Hypertension, diabetes mellitus, dyslipidemia, obesity, smoking, sedentary lifestyles, type 2 characteristics, non-modifiable risks, such as age, gender and a history of family disease, are listed as modifiable risk factors for CAD. 7 CAD is closely correlated with lifestyles and physiological influences and improvements in risk factor linked to cardiovascular morbidity and mortality reduction.…”

Section: Introductionmentioning

confidence: 99%

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Coronary artery disease prescribing pattern and risk factor assessment in the patients undergoing angioplasty

Solanki

Patel

Desai

et al. 2021

Int J Basic Clin Pharmacol

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Background: Coronary artery disease is caused by an obstruction in vascular supply to the heart. Angioplasty is a frequently used intervention for the management of CAD patients. Supportive and preventive therapies are additionally provided to these patients. Objective of current study was to assess the associated risk factors as well as prescribing trends in CAD patients.Methods: A prospective study was conducted in 88 patients undergoing coronary angioplasty. Patients were assessed for risk factors of CAD. Medication history of patients was recorded in case record form for analysis of prescribing trend and its rationality. Data were statistically analyzed using prism software.Results: In present study most of the CAD patients were male (80.68%) and mean age of patient was 59.19 years. Majority of patients (39.77%) were in age range of 61-70 years. Most common associated conditions at admission were hypertension and diabetes. In this study, BMI, stress, lack of exercise, hypertension, diabetes, family history of CVD were risk factors of CAD and significant correlation observed with risk factors and coronary artery disease. (p<0.05) Frequently prescribed drugs were antiplatelet, antibiotics, antihypertensive, antiulcer, antihyperlipidemic, antidiabetic agents. In 19.31% cases, drug interaction was detected out of which two cases recorded severe. Medical stents coated with everolimus, sirolimus were also prescribed.Conclusions: It was concluded that history of cardiovascular disease, hypertension, diabetes are major risk factors of CAD. Certain level of irrationality in the prescribing trend was observed. Proper patient counselling and care can help in preventing CAD and reduces health burden.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Coronary artery disease prescribing pattern and risk factor assessment in the patients undergoing angioplasty

Solanki

Patel

Desai

et al. 2021

Int J Basic Clin Pharmacol

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Drug Prescribing Pattern in Myocardial Infarction Patients at a Tertiary Care Hospital in South India

Palli,

Chidrawar,

Veerendra

et al. 2023

Int J. Pharm. Investigation

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Background: The use of the evidence-based clinical practice recommendations, offer guide on efficient and prompt therapy of Coronary Artery Disorders (CAD), is inconsistent, especially in developing nations. A wide range of pharmacological classes were needed to treat CAD. In economically developed countries, effective methods for their utilisation, diagnosis, assessment, and management are well-defined; nevertheless, in poor countries, they have not yet been fully embraced. Present study aims to study the various categories of the drugs prescribed to the Myocardial Infarction (MI) patients at a tertiary care hospital. Materials and Methods: We studied trends in drug prescription patterns among 132 eligible patients diagnosed with MI in the current prospective observational study, which was carried out in a teaching hospital with tertiary care facility. Results: The results of the study represented, male patients over the age of 40 were more likely to have MI. According to a section of the myocardium affected by an infarction, Anterior Wall Myocardial Infarctions (AWMI) account for 60% of all cases, followed by Inferior Wall Myocardial Infarctions (36%) (IWMI). Conclusion: The most often recommended medications were hypolipidemics, followed by anticoagulants and antiplatelets.

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Prescribing Pattern, Drug Utilization and Clinical Pharmacy Services in Acute Coronary Syndrome Patients

Cited by 2 publications

References 5 publications

Coronary artery disease prescribing pattern and risk factor assessment in the patients undergoing angioplasty

Coronary artery disease prescribing pattern and risk factor assessment in the patients undergoing angioplasty

Drug Prescribing Pattern in Myocardial Infarction Patients at a Tertiary Care Hospital in South India

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