EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Trends in the post-hospitalization medical treatment of unstable angina pectoris: 1990 to 1995



Trends in the post-hospitalization medical treatment of unstable angina pectoris: 1990 to 1995



American Journal of Cardiology 84(6): 632-638, Sept 15



This study provides data on post-hospitalization medication treatment trends for unstable angina between 1990 and 1995. We conducted an observational cohort study at the Veterans Affairs Puget Sound Health Care System (VAPSHCS). Computerized records of hospital discharges and cardiac catheterizations were used to identify unstable angina diagnoses among veterans between 1990 and 1995. Discharge medications issued within 90 days after discharge were ascertained from computerized outpatient pharmacy records. Of the 1,100 veterans discharged with unstable angina, 885 (80%) filled a prescription through the VAPSHCS within 90 days after discharge. Neither use of aspirin nor use of beta blockers increased between 1990 and 1995: overall use averaged 76% for aspirin (78% of those without potential contraindications) and 32% for beta blockers (36% of those without potential contraindications). Use of non-dihydropyridine calcium antagonists-primarily diltiazem-decreased from 57% to 40% (p <0.01),whereas use of dihydropyridine calcium antagonists increased from 12% to 26% (p <0.01). Thus, pharmacy records indicated that aspirin use was high although it was lower than expected, possibly due to ready availability outside the VAPSHCS pharmacy. The low frequency of beta-blocker use and the increasing reliance on dihydropyridine calcium antagonists through 1995 to treat unstable angina may be an opportunity to improve veteran care according to Agency for Health Care Policy Research recommendations.

Accession: 011594781

Download citation: RISBibTeXText

PMID: 10498130

DOI: 10.1016/s0002-9149(99)00407-5

Download PDF Full Text: Trends in the post-hospitalization medical treatment of unstable angina pectoris: 1990 to 1995



Related references

Quality of life after treatment for unstable angina pectoris the va cooperative study of medical vs surgical therapy for unstable angina pectoris. Journal of the American College of Cardiology 11(2 SUPPL A): 234A, 1988

Medical vs surgical treatment and costs of unstable angina pectoris. Circulation Supplement 58(2): II-96, 1978

Unstable angina pectoris: medical versus surgical treatment. Herz 5(1): 16-24, 1980

Unstable angina pectoris: a comparison of the costs of medical and surgical treatment. American Journal of Cardiology 44(1): 112-117, 1979

Results of medical versus surgical treatment of unstable angina pectoris. American Journal of Cardiology 51(5): 918-918, 1983

Unstable angina pectoris with impending myocardial infarct : medical or surgical treatment?. Cardiologia Pratica 27(1): 35-46, 1976

Continuous electrocardiographic monitoring in patients with unstable angina pectoris: evaluation of medical treatment. Acta Cardiologica 42(4): 263-271, 1987

Low dose acetylsalicylic acid in the antithrombotic treatment of patients with stable angina pectoris and acute coronary syndromes (unstable angina pectoris and acute myocardial infarction). Pharmacology and Toxicology 74(3): 141-147, 1994

Comparison of medical and surgical treatment for unstable angina pectoris. Results of a Veterans Administration Cooperative Study. New England Journal of Medicine 316(16): 977-984, 1987

A Novel Medical Treatment for Lipid Control in Patients with Unstable Angina Pectoris and Statin-Induced Liver Dysfunction. Acta Cardiologica Sinica 31(1): 66-71, 2015

Emergency percutaneous transluminal coronary angioplasty in unstable angina pectoris refractory to optimal medical treatment. American Heart Association Monograph (107): II-109, 1984

Unstable angina pectoris prognostic value of painless myocardial ischemia during hospitalization and long term follow up. Klinicheskaya Meditsina (Moscow) 69(4): 40-44, 1991

Predictors of long-term mortality after hospitalization for primary unstable angina pectoris and non-ST-elevation myocardial infarction. American Journal of Cardiology 92(10): 1155-1159, 2003

The medical treatment of angina pectoris. I. Relationship of angina pectoris to coronary artery insufficiency. American Heart Journal 83(6): 841-842, 1972

Management of unstable angina pectoris with maximal medical treatment combination of intravenous nitrates beta blockers calcium antagonists and heparin. Degre, Sd. . Bibliotheca Cardiologica, No. 39. Myocardial Revascularization In Acute Conditions: Medico-Surgical Aspects; International Symposium, Brussels, Belgium, Nov. 3-5, . Vi 144p. S. Karger Ag: Basel, Switzerland; New York, N.y., Usa. Illus. 88-96, 1985, 1986