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Evaluation of Treatment Pattern and Adherence to Treatment Guidelines of Acute Coronary Syndrome in a Tertiary care Teaching Hospital in South India

Faizal, P and Acharya, Leelavathi D and Padmakumar, R and Boppanna, Krathish and Pandey, Sureshwar (2009) Evaluation of Treatment Pattern and Adherence to Treatment Guidelines of Acute Coronary Syndrome in a Tertiary care Teaching Hospital in South India. The Journal of Medicine Use in Developing Countries, 1 (2). 09-19.

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Abstract

Acute coronary syndrome (ACS) is acute myocardial ischemia, which is usually caused by atherosclerotic coronary artery disease and is associated with an increased risk of cardiac death and myonecrosis. There are international guidelines available to treat the ACS and recent analyses have emphasized the importance of guideline adherence to clinical outcomes. However, gaps between medical care as actually practiced and guidelines are widespread and vary between hospitals and countries. Therefore, there is a need to evaluate the treatment pattern for acute coronary syndrome and to evaluate the extent of adherence of treatment to standard guidelines. Data was collected by the investigator (clinical pharmacist) and documented in the patient profile form, over a period of one and half years. Treatment pattern was compared with American College of Cardiology/American Heart Association (ACC/AHA) guidelines. A total of 253 patients were admitted for the management of ACS. Average age of the population was 61.07±11.39 years. Majority were males. Diagnosis based on ECG showed that ST-segment elevation myocardial infarction was predominant in 129 patients. Treatment pattern for ACS does not show complete adherence to clinical guidelines. There is some deviation of treatment pattern from the guidelines; it may be based on cardiologist’s clinical experience and sometimes due to cost of the therapy. Therefore, there is a need to develop treatment guidelines for each institution based on their clinical practice and outcome.

Item Type: Article
Uncontrolled Keywords: Acute coronary syndrome, India, Treatment guideline, Treatment adherence
Subjects: Medicine > KMC Manipal > Cardiology
Pharmacy > MCOPS Manipal > Pharmacy Practice
Depositing User: KMC Manipal
Date Deposited: 06 Jul 2011 10:34
Last Modified: 01 Oct 2013 10:39
URI: http://eprints.manipal.edu/id/eprint/579

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