Secondary prevention patterns in persons with pre-existing coronary artery disease: Are we getting it right?

Background: Cardiovascular diseases are the main cause of death globally. Individuals with evidence of coronary artery disease are at increased risk of further cardiovascular events. However, with good secondary prevention, which consists broadly of lifestyle changes, medical therapy and revasculari...

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Published in:Proceedings of Singapore Healthcare
Main Author: Abdul Hafidz M.I.; Zainudin L.D.; Lee Z.-V.; Hadi M.F.; Mahmood Zuhdi A.S.
Format: Article
Language:English
Published: SAGE Publications Inc. 2018
Online Access:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063464122&doi=10.1177%2f2010105817740596&partnerID=40&md5=fbbadd0ff8db2f52b61d4e65b90f1cac
id 2-s2.0-85063464122
spelling 2-s2.0-85063464122
Abdul Hafidz M.I.; Zainudin L.D.; Lee Z.-V.; Hadi M.F.; Mahmood Zuhdi A.S.
Secondary prevention patterns in persons with pre-existing coronary artery disease: Are we getting it right?
2018
Proceedings of Singapore Healthcare
27
3
10.1177/2010105817740596
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063464122&doi=10.1177%2f2010105817740596&partnerID=40&md5=fbbadd0ff8db2f52b61d4e65b90f1cac
Background: Cardiovascular diseases are the main cause of death globally. Individuals with evidence of coronary artery disease are at increased risk of further cardiovascular events. However, with good secondary prevention, which consists broadly of lifestyle changes, medical therapy and revascularisation, this risk can be reduced. The true extent of secondary prevention in individuals who are re-admitted with a myocardial infarction in such a high-risk cohort has never been explored in Malaysia. Methods: We performed a retrospective, observational study in a tertiary hospital in 100 individuals with previously diagnosed coronary artery disease admitted with a myocardial infarction from August 2016 to February 2017. Results: Twenty-nine per cent of patients were still smoking; 15% and 47% were not taking antiplatelet or beta-blocker therapy, respectively. A further 45% and 20% of patients were not on any renin-angiotensin-aldosterone inhibition or lipidlowering therapy, respectively. Conclusion: In our high-risk cohort, secondary prevention practices were sub-optimal. Poor physician-patient communication was frequently listed as a major factor. Simple strategies taken at various levels of care should be implemented and audited to improve these practices. © The Author(s) 2017.
SAGE Publications Inc.
20101058
English
Article
All Open Access; Gold Open Access
author Abdul Hafidz M.I.; Zainudin L.D.; Lee Z.-V.; Hadi M.F.; Mahmood Zuhdi A.S.
spellingShingle Abdul Hafidz M.I.; Zainudin L.D.; Lee Z.-V.; Hadi M.F.; Mahmood Zuhdi A.S.
Secondary prevention patterns in persons with pre-existing coronary artery disease: Are we getting it right?
author_facet Abdul Hafidz M.I.; Zainudin L.D.; Lee Z.-V.; Hadi M.F.; Mahmood Zuhdi A.S.
author_sort Abdul Hafidz M.I.; Zainudin L.D.; Lee Z.-V.; Hadi M.F.; Mahmood Zuhdi A.S.
title Secondary prevention patterns in persons with pre-existing coronary artery disease: Are we getting it right?
title_short Secondary prevention patterns in persons with pre-existing coronary artery disease: Are we getting it right?
title_full Secondary prevention patterns in persons with pre-existing coronary artery disease: Are we getting it right?
title_fullStr Secondary prevention patterns in persons with pre-existing coronary artery disease: Are we getting it right?
title_full_unstemmed Secondary prevention patterns in persons with pre-existing coronary artery disease: Are we getting it right?
title_sort Secondary prevention patterns in persons with pre-existing coronary artery disease: Are we getting it right?
publishDate 2018
container_title Proceedings of Singapore Healthcare
container_volume 27
container_issue 3
doi_str_mv 10.1177/2010105817740596
url https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063464122&doi=10.1177%2f2010105817740596&partnerID=40&md5=fbbadd0ff8db2f52b61d4e65b90f1cac
description Background: Cardiovascular diseases are the main cause of death globally. Individuals with evidence of coronary artery disease are at increased risk of further cardiovascular events. However, with good secondary prevention, which consists broadly of lifestyle changes, medical therapy and revascularisation, this risk can be reduced. The true extent of secondary prevention in individuals who are re-admitted with a myocardial infarction in such a high-risk cohort has never been explored in Malaysia. Methods: We performed a retrospective, observational study in a tertiary hospital in 100 individuals with previously diagnosed coronary artery disease admitted with a myocardial infarction from August 2016 to February 2017. Results: Twenty-nine per cent of patients were still smoking; 15% and 47% were not taking antiplatelet or beta-blocker therapy, respectively. A further 45% and 20% of patients were not on any renin-angiotensin-aldosterone inhibition or lipidlowering therapy, respectively. Conclusion: In our high-risk cohort, secondary prevention practices were sub-optimal. Poor physician-patient communication was frequently listed as a major factor. Simple strategies taken at various levels of care should be implemented and audited to improve these practices. © The Author(s) 2017.
publisher SAGE Publications Inc.
issn 20101058
language English
format Article
accesstype All Open Access; Gold Open Access
record_format scopus
collection Scopus
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