A prevalence study was conducted, measuring drug cost and prescribing patterns of clinicians treating cardiovascular patients in UKM Hospital (HUKM). One Hundred and thirty-five patients' case-notes were selected from the Case-Mix database of HUKM. The average and median number of drugs prescribed per patient was 7.56 (+/- 3.37) and 7.0 (+/- 3) respectively. Generic drug prescription rate was s...

Abstract Funding Acknowledgements Type of funding sources: None. Introduction and objectives The aging the population in world particularly developed countries is changing panorama patients who are treated both on socio-demographic level indications for care elderly subjects. Antibes sixth region France with most nonagenarians. A study had already been carried out our center management coronary...

The major factor influencing the outcome of thrombolytic therapy for acute myocardial infarction is the " door to needle " time. For every hour that thrombolytic treatment is delayed after the onset of symptoms, 1.6 lives are lost per 1000 patients treated. 1 In many institutions the door to needle time exceeds one hour. Various attempts have been made to reduce unacceptable treatment delays. T...

The aim was to compare time to thrombolysis for patients treated via three treatment pathways: thrombolysis in the emergency department (ED), thrombolysis following direct admission by ambulance officers to coronary care (CCU) and thrombolysis after transfer from ED to CCU. We used a retrospective study of time to thrombolysis for all patients receiving thrombolysis for acute myocardial infarct...

Background and Objectives: Healthcare-associated infections is a major health care concern posing potentially serious negative impact on patient safety and outcome. In this paper, we report this microbiological profile and the prevalence of Catheter Associated Urinary Tract Infections (CAUTIs). Methods: This was a prospective observational study for...

Background In future Denmark the majority of acute admissions passes through Emergency and Acute Admission Departments (EAAD). For patients with Acute Coronary Syndrome (ACS) considerable improvements have been achieved through the Cardiac Care Units (CCU). Among patients with acute chest pain only a minority have an ACS. This raises the question if it is possible to separate patients with a hi...

BACKGROUND- An evidence-practice gap in acute coronary syndromes (ACS) is commonly recognized. System, provider, and patient factors can influence guideline adherence. Through using guideline facilitators in the clinical setting, the uptake of evidence-based recommendations may be increased. We hypothesized that facilitators of guideline recommendations (systems, tools, and workforce) in acute ...

INTRODUCTION The treatment and outcome of acute myocardial infarction (AMI) has evolved greatly over the past few decades. We compared the mortality and complication rates of patients with AMI admitted to the Coronary Care Unit (CCU) in 2002 to previously reported data. MATERIALS AND METHODS All data for AMI patients admitted to National Heart Centre CCU in 2002 were collected through the Sin...

Patients at a low probability of acute cardiac pathology constitute a considerable proportion in many coronary care units (CCUs), such that physicians should consider more effective alternatives than CCU admission "to rule out myocardial infarction." In this article, strategies to increase the efficiency of managing patients with acute chest pain are reviewed. Algorithms aiming to improve the d...

BACKGROUND When aortic insufficiency is present, antegrade delivery of cardioplegia requires coronary cannulation. Use of retrograde cardioplegia simplifies administration. The efficacy of the retrograde route alone in ensuring adequate myocardial protection may be assessed by the clinical outcome. METHODS AND RESULTS We used closed transatrial coronary sinus perfusion as the sole method of c...