TÌNH HÌNH SỬ DỤNG THUỐC TRONG ĐIỀU TRỊ HỘI CHỨNG VÀNH CẤP TRÊN BỆNH NHÂN NỘI TRÚ TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ NĂM 2022-2023

Abstract

Background: Acute coronary syndrome is the cause of death. According to the American Heart Association's 2021 statistics, an estimated 805,000 cases of acute coronary syndrome occur each year, with 605,000 new cases, and one new case occurs every 40 seconds. Objectives: To describe the characteristics of medication use, rationality of indications and dosages of drug groups: Anticoagulants, antiplatelet agents, ACEIs/ARBs, beta-blockers, and statins used in the cardiology-geriatrics department within the first 24 hours of admission to Can Tho General Hospital. Materials and methods: A cross-sectional descriptive study of 230 medical records of patients diagnosed with acute coronary syndrome on admission to the cardiology-geriatrics department (main disease) from February 15, 2022 to May 15, 2023. Results: The average age of the 230 study subjects was (67.7 ± 13.6) years. Most patients had cardiovascular risk factors: Dyslipidemia (87.4%) and hypertension (84.3%). In the first 24 hours of admission, the proportion of anticoagulants, antiplatelet agents, ACEIs/ARBs, beta-blockers, and statins prescribed was 91.7%, 98.3%, 80%, 15.2%, 88.7%, respectively. The proportion of rational indications and dosages of drug groups: Anticoagulants, antiplatelet agents, ACEIs/ARBs, beta-blockers, statins were (92.6%-83.5%), (95.2%-78.9%), (89.2%-100%), (70.8%-100%), and (88.8%-72.3%), respectively. Conclusions: The rate of compliance with acute coronary syndrome treatment guidelines in hospitalized patients in the cardiology-geriatrics department within the first 24 hours of admission is high at Can Tho General Hospital.