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急性冠状动脉综合征患者在常规使用标准药物治疗中依从性提高,临床结局得到改善。

Improved clinical outcomes with compliance in routine use of standard medical therapy in patients with acute coronary syndrome.

作者信息

Sharma Ambika, GangiReddy Sreedevidevi, Judson Kenneth, McAndrews Janice, Sharma Brahma

机构信息

Cardiovascular Research Institute, West Penn Hospital, Temple University Campus, Pittsburgh, PA 15224, USA.

出版信息

J Cardiovasc Manag. 2004 Jul-Aug;15(4):14-7.

Abstract

Acute coronary syndrome is a major public health problem. It is a leading cause of morbidity and mortality in patients with cardiovascular disease. Despite multiple guidelines, the standard medical therapies are not optimally utilized for prevention of adverse events in this population. In this article, we show that, on an institutional basis, improved compliance with the use of standard preventive medical therapies can decrease adverse outcomes in this patient population. These findings can provide further impetus to practice evidence-based therapies in a cost-effective manner, which may have very important clinical, economic, and health policy implications in this current environment.

摘要

急性冠状动脉综合征是一个重大的公共卫生问题。它是心血管疾病患者发病和死亡的主要原因。尽管有多项指南,但标准药物治疗在预防该人群不良事件方面并未得到最佳利用。在本文中,我们表明,在机构层面上,提高对标准预防性药物治疗的依从性可以降低该患者群体的不良结局。这些发现可以进一步推动以具有成本效益的方式实施循证治疗,这在当前环境下可能具有非常重要的临床、经济和卫生政策意义。

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