Cardiovascular medication use following percutaneous coronary intervention: The Australian experience
dc.contributor.author | Cole, J. | |
dc.contributor.author | Brennan, A. | |
dc.contributor.author | Ajani, A. | |
dc.contributor.author | Yan, B. | |
dc.contributor.author | Duffy, S. | |
dc.contributor.author | Loane, P. | |
dc.contributor.author | Reid, Christopher | |
dc.contributor.author | Yudi, M. | |
dc.contributor.author | New, G. | |
dc.contributor.author | Black, A. | |
dc.contributor.author | Shaw, J. | |
dc.contributor.author | Clark, D. | |
dc.contributor.author | Andrianopoulos, N. | |
dc.date.accessioned | 2017-01-30T15:17:31Z | |
dc.date.available | 2017-01-30T15:17:31Z | |
dc.date.created | 2015-10-29T04:09:47Z | |
dc.date.issued | 2014 | |
dc.identifier.citation | Cole, J. and Brennan, A. and Ajani, A. and Yan, B. and Duffy, S. and Loane, P. and Reid, C. et al. 2014. Cardiovascular medication use following percutaneous coronary intervention: The Australian experience. Cardiovascular Therapeutics. 32 (2): pp. 47-51. | |
dc.identifier.uri | http://hdl.handle.net/20.500.11937/44961 | |
dc.identifier.doi | 10.1111/1755-5922.12060 | |
dc.description.abstract |
Aims: Despite the guidelines, a "treatment gap" exists in the delivery of pharmacotherapy for secondary prevention. We aimed to analyze the trend in guideline-based medication usage following percutaneous coronary intervention (PCI) using the Melbourne Interventional Group (MIG) registry over a 6-year period (2005-2010). Methods: The MIG registry prospectively collects demographical, clinical, and procedural characteristics of consecutive patients undergoing PCI. We assessed medication use (aspirin, clopidogrel, ACE inhibitors, angiotensin receptor blockers, beta-blockers, and lipid-lowering agents) at 30 days and 12 months in patients alive and able to provide the information. Results: The cohort consists of 12,813 patients who underwent 14,787 consecutive interventional procedures. They comprised 76% males: 22% were elderly (=75 years), 23% had diabetes, 2% had severe renal impairment, 2% had severe left ventricular dysfunction, 26% presented with STEMI, and 44% of patients received drug-eluting stent. Follow-up was complete for 97.8% of the cohort at 30 days (2.2% mortality) and 89.1% at 12 months (4% mortality). From 2005 to 2010, the percentage of patients taking all five classes of medications increased each year. In 2010 at 30 days, nearly 60% of patients took all five classes of medications, and by 12 months, 75% of patients were taking four or five classes of medications. Conclusion: In conclusion, while the increasing use of cardiovascular medicines in an "at-risk" Australian cohort is encouraging, a treatment gap appears to still exist. | |
dc.publisher | Blackwell Publishing Ltd | |
dc.title | Cardiovascular medication use following percutaneous coronary intervention: The Australian experience | |
dc.type | Journal Article | |
dcterms.source.volume | 32 | |
dcterms.source.number | 2 | |
dcterms.source.startPage | 47 | |
dcterms.source.endPage | 51 | |
dcterms.source.issn | 1755-5914 | |
dcterms.source.title | Cardiovascular Therapeutics | |
curtin.department | Department of Health Policy and Management | |
curtin.accessStatus | Open access via publisher |