标题：Continuous Quality Improvement: Adherence to Performance Measures - Implementation of Antiplatelet, Statin, Beta-Blocker and Angiotensin System Blockade Therapy Post Myocardial Infarction, Compliance with ACC/AHA Guidelines
期刊名称：International Journal of Collaborative Research on Internal Medicine & Public Health
电子版ISSN：1840-4529
出版年度：2013
卷号：5
期号：7
出版社：DRUNPP Sarajevo
摘要：Introduction: With improvements in diagnosis and management of acute myocardial infarction (MI) more patients suffering MI are surviving to discharge. Patients with known coronary heart disease are at high risk for recurrent MI, stroke, and death. Thus interventions aimed at secondary prevention are critically important. We assessed compliance with secondary prevention guidelines and describe a strategy for improvement that was recently implemented at our institution. Methods: We performed a retrospective chart review of 737 consecutive patients who presented to our institution from 2008 to 2010. Data was collected on patient demographics, medications prescribed at the time of discharge, and contraindications to each of the following classes of medications: aspirin, statin, beta blockers, and angiotensin system antagonists. Results: The average age was 62 years, 67% were male, 74.8% had hypertension, 61.9% had diabetes, 42% were tobacco users, and 59.3% had dyslipidemia. Aspirin was prescribed to 721 (99.4%) patients, 3 (0.4%) had a contraindication. Beta blockers were prescribed to 692 (95.5%) patients, 27 (3.7%) had a contraindication. Angiotensin system inhibitors were prescribed to 587 (81.0%) patients, 61 (8.4%) had a contraindication. A statin was prescribed to 698 (96.6%), 10 (1.3%) had a contraindication
