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Evaluation of cardiovascular drugs in medical intensive care unit patients: A prospective observational study

Sneha Bhataia, Mahesh Kumar.




Abstract

Background: Nowadays, due to various factors such as stress, the number of patients suffering from cardiovascular disease particularly acute attacks of myocardial infarction (MI) and other CVS conditions is increasing. As the number of patients with CVS disease increases, the evaluation of various CVS drugs used in intensive care unit plays a very important role in improving the rationality of prescription as well as the quality of treatment.

Aims and Objectives: The aims and objectives are to study the various cardiovascular drugs prescribed for patients admitted in the medical intensive care unit of a tertiary care teaching hospital, Udaipur, Rajasthan.

Materials and Methods: It was a prospective and observational study conducted from August 2021 to March 2023. The required data were obtained from the patient’s prescription after obtaining consent. The prior permission was obtained from the institutional ethics committee of the college.

Results: Nine hundred and thirty-six patients who fulfilled the inclusion criteria were studied. Among 936, 217 patients suffered from CVS disorders. 916 CVS drugs including antihypertensive drugs were prescribed for patients. Diabetes (26.40%) is the most common comorbidity found. Around 50.23% of patients were of MI. Noradrenaline (10.89%), atorvastatin (1.089%), furosemide (9.83%), and aspirin (6.30%) were the most commonly prescribed medications among inotropes, hypolipidemic, diuretics, and anti-platelet groups, respectively.

Conclusion: After studying the various aspects, it was concluded that the cardiovascular health of the people in general is at stake of risk which may be due to lifestyle, stress, etc. The pharmaco-epidemiological studies should be conducted so that rational prescribing practices can be promoted.

Key words: Prescription; Pharmaco-Epidemiological; CVS; Medical Intensive Care Unit; Rational






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