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- W2117926239 abstract "To evaluate the prescribers adherence to the guidelines in the management of patients with chronic ischemic heart failure and study the effect of hospitalisation towards their treatment for ischemic heart failure at discharge. The adherence to two guidelines by the prescribers in the management of chronic ischemic heart failure was assessed prospectively between October to December, 2008.The Ministry of Health Research and Ethics Committee of Malaysia approved the study protocol (NMRR-08-1350-2861). Subjects were 174 patients with ischemic heart failure discharged from medical wards at a district government hospital in Malaysia. Assessment of adherence was based on adherence to the clinical practice guideline 2007 in management of heart failure by National Heart Association of Malaysia, Academy of Medicine and Ministry of Health Malaysia and HFSA 2006 Comprehensive Heart Failure Practice Guideline. : Statins were the most commonly prescribed treatment at discharge (93.1%) followed by antiplatelet therapy (89.1%), angiotensin converting enzymes inhibitors (ACEIs) (60.3%), diuretics (58.6%), beta blockers (56.3%), spironolactone (11.5%), digoxin (13.2%) and angiotensin receptor blockers (6.9%). ACEIs were more prescribed in patients without renal dysfunction (p=0.001) and beta blockers were less prescribed to patients with history of asthma or pulmonary disease (p=0.013). Non-compliance was high among the patients at 54.7% (N=86). Compliance was better if the number of heart failure medications were ≤4 (p=0.010). Hospitalisation of the patients results in significant improvement in the prescribing of statins at discharge (p=0.031). Overall, the prescription of ACEIs and beta blockers at discharge still need to be improved. Non-compliance among the heart failure patients is common.The prescribed daily dosage for ACEIs and beta blockers at discharge are lower than the target dose." @default.
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- W2117926239 date "2012-11-01" @default.
- W2117926239 modified "2023-10-16" @default.
- W2117926239 title "PHP3 Adherence to the Clinical Practice Guidelines in the Management of Chronic Ischemic Heart Failure in a District Hospital" @default.
- W2117926239 doi "https://doi.org/10.1016/j.jval.2012.08.055" @default.
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