PRESCRIPTION PATTERN IN PATIENTS WITH CORONARY ARTERY DISEASE IN A TERTIARY CARE HOSPITAL: A SYSTEMIC REVIEW
Journal Title: European Journal of Biomedical and Pharmaceutical Sciences - Year 2019, Vol 6, Issue 4
Abstract
Introduction: Impedance or blockage of one or more arteries which supply blood to the heart, usually due to atherosclerosis. Abbreviated CAD, A major cause of illness and death, CAD begins when the hard cholesterol substances (plaques) are deposited within a coronary artery. Methodology: The methodology included the plan work with the literature review and understanding the management to study the outcomes of the treatment and patient counselling. The study site for this was the inpatient ward of cardiology department, owaisi group of hospitals. The type of study site was observational study and the patient’s selection was randomly done. The inclusion criteria being the patients (male and female) with the age group 30-90 years and the exclusion criteria are the male patients greater than the female ones. The study period is for 3 months with 20patients. The present study was conducted to find out the prescribing pattern of the drugs used in coronary artery disease emergencies in tertiary care hospital. Total 20 patients case sheets were analysed during 3 month study period. Result and Discussion: The total percentage of male and female was found to be 55% male and 45%b female. From this chart it is clear that males are more prone to cad. Patients with age group from 30-90 yeras were included in the study. The patient age group falls under 6 categories. The highest percentage of patients was seen in the age group (60-70) and the lowest percentage was seen in the age group (30-40). The most common symptoms was multiple chest pain in 11 patient’s (55%) and palpitations was the next common symptom in 16 patients ( 40%) and the other symptoms include lower limb oedema, abdominal pain in 4 patients(20%), weakness in 2 patient (10%), fever in 6 patients. After treatment there is a difference in percentage of the frequency of symptoms i.e.; chest pain (10%), palpitations (15%), no oedema in lower limb, Fever (25%). The drugs used in CAD are HMGCOAreductase inhibitors, Antacids, Anticoagulants, Analgesics, Anti-anxiety, Anti angina, Anti platelets agents. This chart shows that the most widely used drug in the treatment of CAD is Anticoagulants (17), antacids (17) Analgesics (14) Anti- platelets (15), HMGCOA reductors (12), Anti angina (4), Anti-anxiety(10). Conclusion: CAD is a common disease with widespread major cause of illness and death, CAD begins when hard cholesterol substances (plaques) are deposited within a coronary artery. The plaques in the coronary arteries may lead to the formation of tiny clots that can obstruct the flow of blood to the heart muscle, producing symptoms and signs of CAD, along with the chest pain (angina pectoris), heart attack (myocardial infarction), and sudden death. Therapy for CAD includes bypass surgery, balloon angioplasty, and the use of stents. Drug prescribing pattern depicts that the most commonly prescribed drugs were HMGCOA reductase inhibitors ‘anticoagulants, analgesics, antiangina and antacids.
Authors and Affiliations
Amtul Rahman Sheema
Keywords
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