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Subject:
ischemic heart disease ; chronic coronary syndromes ; cardiovascular risk ; risk factors ; cardiovascular prevention
Abstract:
The dissertation is a series of 3 original papers that are thematically related. Paper 1. The results of outpatient therapy provided by cardiologists were compared with therapy provided by general practitioners (GPs) in patients after myocardial infarction. A systematic review was performed. Patients managed by both a cardiologist and a GP had a lower risk of death from all causes compared to patients consulted only by a cardiologist. Paper 2. We compared the implementation of the ESC guidelines for the prevention of recurrent coronary artery disease (CAD) in patients after hospitalization in 2011-2013 to 2016-2017. 616 patients from 2011- 2013 and 388 from 2016-2017 were studied. Patients from 2016-2017 were more likely to be prescribed cardiac medications. The percentages of patients with blood pressure that was too high and LDL cholesterol that was too high were lower in patients from 2016-2017. Paper 3. We compared the characteristics of patients with CAD hospitalized from 2013 to 2020, the frequency of procedures entered into the medical record during hospitalization and the percentages of patients who were prescribed cardiovascular drugs at discharge. 142 patients in 2013 and 103 in 2020 were included in the analysis. Patients hospitalized in 2020 compared to 2013 had lower levels of LDL cholesterol, and were significantly more likel ; y to be prescribed NOACs, vascular-dose rivaroxaban, allopurinol, ezetimibe and ticagrelor at discharge.
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Rada Dyscypliny Nauki medyczne