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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Evaluation of discharge prescriptions for secondary prevention in patients with acute coronary syndromes in Iraq
Author(s): Nassr, Ola A
Forsyth, Paul
Johnson, Chris F
Keywords: Acute Coronary Syndrome
Professional Practice
Guideline Adherence
Drug Utilization
Angiotensin-Converting Enzyme Inhibitors
Angiotensin Receptor Antagonists
Clinical Audit
Issue Date: Mar-2019
Citation: Nassr OA, Forsyth P & Johnson CF (2019) Evaluation of discharge prescriptions for secondary prevention in patients with acute coronary syndromes in Iraq. Pharmacy Practice, 17 (1), Art. No.: 1372.
Abstract: Background: Optimal prescribing of secondary prevention medications after acute coronary syndrome (ACS) events has been shown to reduce morbidity and mortality. However, it is unknown whether these medications are optimally prescribed at discharge from acute care in Iraq. Objective: To evaluate whether patients with ACS received optimal secondary prevention medications: antiplatelets, statins, angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers (ACEI/ARBs), and beta-blockers at discharge from a cardiology unit, and to assess whether statins, ACEI/ARBs and beta-blockers were prescribed at target doses based on the American Heart Association/American College of Cardiology (AHA/ACC) guidelines. Methods: Observational retrospective cross-sectional study of patients with ACS admitted to a hospital in Baghdad and survived to discharge between May 2016 and January 2017. Patient-level data and secondary prevention medications at discharge were extracted from routine medical records. Optimal dosing was defined as ≥75%, moderate dosing as 50–74%, and low dosing as
DOI Link: 10.18549/PharmPract.2019.1.1372
Rights: Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC-BY-NC-ND - that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

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