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Evaluation Of Antihypertensive Utilization And Assessment Of Framingham Risk Score To Predict Cardiovascular Risk.
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| Author:
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, NASERA SALWA, RIMSHA NASEER, MAHVASH FARZANA, NAILA NOOHI MARYAM OSMANI, DR.MOBIN FATIMA
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| Abstract:
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AIM AND OBJECTIVE: This study aims to identify the prescribing pattern and utilization of antihypertensive drugs and determine its adherence with JNC-8 guidelines.
The primary objective of the of the study is to understand the demographics of hypertensive population for rational use of drugs and better healthcare outcomes.
The study estimates individual 10-year of developing cardiovascular disease using Framingham risk assessment so as to provide an insight of the patient’s condition.
METHODOLOGY:
A prospective, observational study was carried out in the out-patient department of a 300 bedded tertiary care, Shadan medical and teaching hospital situated in Hyderabad for over a 6 months period. A total of 100 patients who were previously or newly diagnosed with hypertension consulting at the General medicine department were enrolled based on inclusion and exclusion criteria.
RESULTS:
In the study 100 patients were enrolled, of which 43 were males and 53 were females. Most patient were found to be in pre- hypertensive and stage- 1 of hypertension both being 33%. The most frequently prescribed drugs as monotherapy were telmisartan (27%), amlodipine (23%) and atenolol (6%). The use of ARB was prominent in monotherapy, dual therapy and combination therapy. 78% of the studied prescription were in adherence to the JNC-8 guidelines for prescribing antihypertensives. 73% of the hypertensive population were eligible for estimation of FRS.
CONCLUSION:
The prescribing pattern at the research site adheres to the JNC-8 prescribing guidelines for hypertension with monotherapy, dual therapy, combination therapy being prescribed in accordance with hypertensive stage of patients.
A major proportion of study population was found to be more than 40 years of age, indicating age as a strong factor in prevalence of hypertension. Female population was found to be dominant in comparison with male population with the ratio of 1.12:1.
Assessment of individual 10-year risk for developing CVD concluded that majority of the hypertensive population was prone. Both age and gender play a vital role in development of cardiovascular complications.
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| Keyword:
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Hypertension, anti-hypertensives, Framingham risk score, JNC-8 guidelines.
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2021.13.03.236
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| Download:
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