Open AccessCardiovascular Medications Taken by Patients Aged ≥70 Years Hospitalized for Acute Coronary Syndromes Before Hospitalization and at Hospital Discharge
Author(s) -
Woodworth Stephen,
Nayak Devraj,
Aronow Wilbert S.,
Pucillo Anthony L.,
Koneru Srinivas
Publication year - 2002
Publication title -
preventive cardiology
Language(s) - English
Resource type - Journals
eISSN - 1751-7141
pISSN - 1520-037X
DOI - 10.1111/j.1520.037x.2002.01872.x
Subject(s) - medicine , clopidogrel , dyslipidemia , aspirin , coronary artery disease , cardiology , prospective cohort study , revascularization , acute coronary syndrome , hospital discharge , conventional pci , myocardial infarction , disease
A prospective study was performed in 177 patients, mean age 78±6 years, hospitalized with acute coronary syndromes. Obstructive coronary artery disease was documented by coronary angiography in 154 of 177 patients (87%). Coronary revascularization was performed in 96 of 177 patients (54%). Five of 177 patients (3%) died during hospitalization. Compared to use before hospitalization, at hospital discharge the use of aspirin increased from 43% to 84% (p<0.001), the use of clopidogrel increased from 21% to 54% (p<0.001), the use of β blockers increased from 38% to 76% (p<0.001), the use of angiotensin‐converting enzyme inhibitors or angiotensin receptor blockers increased from 42% to 70% (p<0.001), the use of long‐acting nitrates increased from 15% to 31% (p<0.001), and the use of calcium channel blockers decreased from 28% to 23% (p=NS). Dyslipidemia was present in 62% of the 177 patients. The use of statins increased from 34% before hospitalization to 63% at hospital discharge (p<0.001).