Prevention of Cardiovascular Disease in Diabetes Mellitus Outpatient: Focusing on Antiplatelet, Statins and Irrational Antihypertensive Drug Use
Journal Title: Indonesian Journal of Clinical Pharmacy - Year 2016, Vol 5, Issue 3
Abstract
Cardiovascular disease complication is a major cause of morbidity and mortality in diabetes mellitus (DM) patients and all at once is an addition to economic burden to both the patient and government in the era of universal coverage (UC). As one of strategies to prevent and reduce the risk of cardiovascular disease complication, American Diabetes Associaton (ADA) recommends the use of statins, antiplatelet, dan antihipertensive agents in DM patients. This study aimed to describe the profile of cardiovascular disease preventive drugs used in DM outpatients. This was non-experimental and cross-sectional study included 100 DM outpatients during the period of November–December 2014. This study found that only 25 out of 100 patients who met-statin criteria were on statins. Antiplatelet agents were only prescribed in 23 (30.67%) out of 75 DM patients who met criteria. Antihypertensive agents were used in 42 (87.50%) out of 48 DM patients who were hypertensive, however angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin-converting blockers (ARBs) were not used as an agent of choice as recommended by various guidelines. Overall, the use of cardiovascular disease preventive drugs in DM patients has yet to be optimal. Further research was needed to identify factors which confine the use of cardiovascular disease primary and secondary preventive drugs in DM patients.
Authors and Affiliations
Putri G. C. E. Lie, Sylvi Irawati, Bobby Presley
Keywords
Related Articles
- EP ID EP367871
- DOI 10.15416/ijcp.2016.5.3.169
- Views 81
- Downloads 0
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