Archives of the Turkish Society of Cardiology
To What Extent are We Applying Current Medical Treatment Approaches in Coronary Artery Disease? [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2004; 32(8): 542-549

To What Extent are We Applying Current Medical Treatment Approaches in Coronary Artery Disease?

Müge ILDIZLI1, Meral KAYIKÇIOĞLU1, Oğuz YAVUZGİL1, Can HASDEMİR1, Cemil GÜRGÜN1, Hakan KÜLTÜRSAY1

In this study, we aimed to investigate the level and efficacy of treatment approaches to coronary artery disease(CAD) in a tertiary center. The study population consisted of 100 consecutive patients who were hospitalised in the previous month due to angina pectoris and CAD was verified by elective coronary angiography. The patients' demographic and clinical data, coronary risk factors, medicines prescribed before hospitalisation and on discharge, lipid levels, biochemical tests, blood pressures, coronary angiographic data, suggested treatment plan and information about the attending assistant doctor were obtained from the hospital's archive. The patients' mean age was 58±10 year, and 21% of them were female. Sixty-six percent of all patients were hyperlipidemic, 59% were hypertensive, and 18% diabetic. Five percent and twenty percent of all cases were not aware that they were hypertensive and hyperlipidemic, respectively. On admission, 46% and on discharge 66% of the patients were on beta blockers. Of the 34 patients, who were not prescribed beta blockers on disharge, 13 patients had absolute or relative beta-blocker contraindications and 7 were taking cardioselective calcium antagonists. No contraindications for beta blocker therapy were noted in the remaining 14 cases. On admission 31%, and on discharge 65% of patients were receiving statins. Of the 35 patients who were not on statins, 11 patients had indications for statin use. None of the patients had contraindications for statins. Thirty-two percent of patients were receiving angiotensin converting enzyme (ACE) inhibitors before admission and 66% were prescribed ACE inhibitors before discharge. Of the 34 patients who were not prescribed ACE inhibitors, only one patient had contraindication for ACE inhibitors. According to the guidelines, ACE inhibitors were indicated for 11 of these patients. Hence, use of beta blockers, ACE inhibitors and statins that have proved to be favourable on morbidity and mortality in CAD, has approached the levels reported in series abroad but it is still not satisfactory. In-hospital prescription of medicines, very important in increasing the patient's compliance, should be enhanced, and patients and physicians should be knowledged and encouraged about these agents. (Türk Kardiyol Dern Arş 2004; 32: 542-549)

Keywords: Coronary artery disease, medical treatment, secondary prophylaxis

How to cite this article
Müge ILDIZLI, Meral KAYIKÇIOĞLU, Oğuz YAVUZGİL, Can HASDEMİR, Cemil GÜRGÜN, Hakan KÜLTÜRSAY. To What Extent are We Applying Current Medical Treatment Approaches in Coronary Artery Disease?. Turk Kardiyol Dern Ars. 2004; 32(8): 542-549
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