Abstract：
BACKGROUND: Coronary artery diseases (CADs) contribute to the majority of deaths and disabilities worldwide. People who have suffered an acute myocardial infarction (AMI) are at a higher risk of having a further attack. Hence, prolonged secondary prevention is necessary following index myocardial infarction (MI) for long-term cardiovascular protection as it reduces the morbidity and mortality associated with reinfarction, improves the quality of life, and is cost-effective.
METHODS: An observational, ambidirectional study was carried out in a tertiary care hospital for 6 months. A total of 200 patients above 18 years of age with a confirmed diagnosis of acute coronary syndrome (ACS) or chronic coronary syndrome (CCS) were included in the study. Prospective data were collected using a self-designed patient profile form and by interviewing patients in the cardiac outpatient department while retrospective data were collected from the medical records department of the hospital.
CONCLUSIONS: Sex-wise distribution showed that males and females constituted 79 and 21% of the study participants, respectively, while the age-wise distribution revealed that the majority of patients were in the age-group of 60 years and above (63.5%). Hypertension and diabetes mellitus were the most common comorbid conditions, while dyslipidemia was the least observed comorbidity. Prescription adherence to secondary prevention guideline recommendations was studied, which revealed that 26.5% of the prescriptions were adherent to all four guideline recommendations. On evaluating adherence to pharmacotherapy, the maximum proportion of patients demonstrated moderate adherence (45%).
METHODS: An observational, ambidirectional study was carried out in a tertiary care hospital for 6 months. A total of 200 patients above 18 years of age with a confirmed diagnosis of acute coronary syndrome (ACS) or chronic coronary syndrome (CCS) were included in the study. Prospective data were collected using a self-designed patient profile form and by interviewing patients in the cardiac outpatient department while retrospective data were collected from the medical records department of the hospital.
CONCLUSIONS: Sex-wise distribution showed that males and females constituted 79 and 21% of the study participants, respectively, while the age-wise distribution revealed that the majority of patients were in the age-group of 60 years and above (63.5%). Hypertension and diabetes mellitus were the most common comorbid conditions, while dyslipidemia was the least observed comorbidity. Prescription adherence to secondary prevention guideline recommendations was studied, which revealed that 26.5% of the prescriptions were adherent to all four guideline recommendations. On evaluating adherence to pharmacotherapy, the maximum proportion of patients demonstrated moderate adherence (45%).
摘要：
背景：冠状动脉疾病（CADs）导致全球大多数死亡和残疾。患有急性心肌梗塞（AMI）的人有更高的进一步发作风险。因此，长期的二级预防是必要的，因为它降低了发病率和死亡率与再梗死相关的指数心肌梗死（MI）后的长期心血管保护，提高生活质量，并且具有成本效益。
方法：观察性，双向研究在三级医院进行了6个月.该研究共纳入了200名年龄在18岁以上且确诊为急性冠脉综合征(ACS)或慢性冠脉综合征(CCS)的患者。前瞻性数据是使用自行设计的患者简介表和心脏门诊部的患者访谈收集的，而回顾性数据是从医院的病历部门收集的。
结论：性别分布表明，男性和女性占研究参与者的79％和21％，分别,而年龄分布显示，大多数患者处于60岁及以上年龄段（63.5％）。高血压和糖尿病是最常见的合并症，而血脂异常是观察到的最少的共病。对二级预防指南建议的处方依从性进行了研究，其中显示26.5%的处方遵守所有4项指南建议.在评估药物治疗的依从性时，最大比例的患者表现出中等依从性(45%).
方法：观察性，双向研究在三级医院进行了6个月.该研究共纳入了200名年龄在18岁以上且确诊为急性冠脉综合征(ACS)或慢性冠脉综合征(CCS)的患者。前瞻性数据是使用自行设计的患者简介表和心脏门诊部的患者访谈收集的，而回顾性数据是从医院的病历部门收集的。
结论：性别分布表明，男性和女性占研究参与者的79％和21％，分别,而年龄分布显示，大多数患者处于60岁及以上年龄段（63.5％）。高血压和糖尿病是最常见的合并症，而血脂异常是观察到的最少的共病。对二级预防指南建议的处方依从性进行了研究，其中显示26.5%的处方遵守所有4项指南建议.在评估药物治疗的依从性时，最大比例的患者表现出中等依从性(45%).
