Title: Prevalence and Drug Utilization Patterns of Cardiovascular Disease in a Tertiary Care Hospital of Bihar - A Prospective and Observational Study

Authors: Bhim Ram, Naresh Kumar, Faiyaz Ahmad Ansari, Arshad Ahmad, Manoj Kumar Chaudhary, Md. Jawed Akhtar

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.177

Abstract

Objective: The objective of this study was to evaluate the prevalence of cardiovascular disease and drug utilization pattern.

Methods: Total 448 patients of cardiovascular disease were randomly selected from outdoor and indoor of General Medicine and Cardiology department of IGIMS, Patna. Prescriptions and bed head ticket of selected patients were analyzed and documented for demographic variables, indication, disease prevalence, co- morbidities and prescribing pattern of the physician.

Results: Majority (48.21%) of patients in age group of 61-90 years were diagnosed with different cardiovascular diseases (CVDs).  Male patients (68%) were diagnosed CVDs more than female patients (32%). This study indicated that hyperlipidaemia (84.82%), hypertension (80.36%) and ischemic heart disease (66.96%) were most frequently diagnosed CVDs and most of the diseases were treated by the combination of two or three drugs. Common drugs prescribed were beta blockers (83%), statins (68%), angiotensin-converting enzymes(ACE) inhibitors (42%), diuretics (40%), calcium channel blockers (37%) and antiplatelets (34%). Diabetes (89.29%), asthma (48.21%) and anaemia (67%) were the comorbidities associated with CVDs.

Conclusion: Hyperlipidaemia, hypertension and ischemic heart disease were the prevalent diseases among CVDs. Statins and antihypertensive were most prescribed drugs. Combinations of drugs were prescribed to the patients for effective therapy. The present study will help the healthcare professionals to optimize the efficient and safe use of cardiovascular drugs.

Keywords: Ischemic heart diseases, Hypertension, Rational, Health professionals.

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Corresponding Author

Faiyaz Ahmad Ansari

Assistant Professor, Dept of General Medicine

Indira Gandhi Institute of Medical Sciences, Patna, Bihar

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