Title: Analysis of Prescription Pattern and Impact of Patient Counselling in the Quality of life of Patients with Coronary Artery Disease: A Pilot Study
Authors: Shamna C, Neenu Babu, Sreelekshmi V S, Philip John Sebastian, Nithin Manohar R, Prasobh G Nair, I John wisely
DOI: https://dx.doi.org/10.18535/jmscr/v7i4.154
Abstract
Background: Recently it has been found that cardiovascular disease is the most frequent cause of morbidity and mortality throughout the world. The objective of present study was to evaluate the different existing drug treatment strategies used in the management of coronary artery diseases and counsel the patients according to their modifiable risk factors and assess their quality of life.
Method: This was a prospective observational study conducted in the department of cardiology. A total of 25 patients presenting with varied category of CAD were screened and analyzed. The quality of life of patients were analyzed by Short form 36 (SF-36) Questionnaire.
Results: In this study, among 25 cases of coronary artery diseases analyzed the incidence of CAD were more common in male compared to female. Most of the patients were of the age group of 51-60 years (48%). The prescription pattern of various cardiovascular drugs were found to be as antiplatelet drugs 25 (100%), anti-hyperlipidemic drugs 25 (100%), anti-coagulants 20 (80%), Nitrates 17(68%), potassium channel opener 13(52%), Anti- hypertensives 21 (84%) The most commonly prescribed drug classes in coronary artery disease were antiplatelet drugs followed by anti hyperlipidemics .A total of 21 (84%) patients have improved their quality of life after the counseling.
Conclusion: The anti platelets, statins, anticoagulants and beta blockers were apparent in 90% of prescriptions which shows the rational prescribing behaviour of physicians and also in accordance with AHA/ACC guidelines.
Keywords: Coronory artery disease, Observational study, ST segment elevation MI, Non ST segment elevation MI.
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