Secondary Prevention of Coronary Artery Diseases a Prospective Cohort Study to Assess Trends and Predictors of Compliance from Ernakulam Kerala

Abstract

newlineCoronary artery disease (CAD) is one among the top five causes of death in Indian population. In spite of having a well structured health care system in the state of Kerala, the prevalence of heart disease and risk factors associated with the same are high. The scarcity of data regarding the clinical profile of CAD patients, compliance to the secondary prevention strategies from the state and its time newlinetrends point towards the need of understanding the current scenario of CAD and its compliance to secondary prevention strategies in CAD patients. Primary objective: To report the proportion of patients with a diagnosis of definitive coronary artery disease who are in compliance to standard secondary prevention options i.e., blood pressure control, lipid management, diabetes control, cardiovascular drug therapy, smoking cessation, weight management and physical activity .Secondary objectives: 1. To examine the association between individual prevention strategies with selected parameters including (i) age, (ii) sex( iii) socioeconomic status,( iv) place of domicile, (v) insurance and (vi) type of treatment for CAD. 2. To report the direct cost of secondary prevention approaches for patients with coronary artery disease under treatment and follow up. 3. To determine the association between direct cost and selected parameters like age, sex, socioeconomic status, place of residence, insurance, type of treatment taken. 3. To document health related quality of life of CAD patients under secondary prevention by using SF 36 questionnaire. 4. To report the time trends related to compliance of standard secondary prevention options in the cohort of patients with definitive CAD prospectively for a period of 12 months. newlineMaterials and method:Prospective cohort study done in two tertiary care centers and two cardiology clinics in Ernakulam district for a period of 42 months. The CAD patients were identified from the study institution with the help of either angiography report, ECHO report or discharge summary. (Abstract attached)