PMID- 28261355
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 1841-9038 (Print)
IS  - 2069-6116 (Electronic)
IS  - 1841-9038 (Linking)
VI  - 10
IP  - 3
DP  - 2015 Sep
TI  - Aldosterone Antagonists in ST Elevation Myocardial Infarction Patients with Low 
      Left Ventricular Ejection Fraction: a Retrospective Study at Shahid Gangalal 
      National Heart Centre, Bansbari, Kathmandu, Nepal.
PG  - 210-213
AB  - BACKGROUND: Aldosterone antagonists (AA) improve survival in ST elevation 
      myocardial infarction (STEMI) patients with left ventricular ejection 
      fraction(LVEF) "T40% ,with either clinical heart failure or diabetes mellitus. 
      Our aim was to assess the adherence of AA use in Shahid Gangalal National Heart 
      Centre, Kathmandu, Nepal. METHODS: Medical records of 171 STEMI patients with 
      LVEF "T40% and discharged from our centre between January 2012 and December 2012 
      were retrospectively reviewed, regarding the use of AA use. RESULTS: Among the 
      171 STEMI patients with LVEF "T40%, 5 patients were excluded study due to the 
      presence of contraindication to AA therapy. Among the remaining 166 patients, 
      only 135 (81.2%) patients were eligible for the AA therapy (58 patients with 
      diabetes mellitus and clinical heart failure in 77 patients). Out of 58 diabetes 
      mellitus patients, 28 (48.2%) patients were treated with AA. Whereas 39(50.6%) 
      out of 77 patients with clinical heart failure were treated with AA. Overall, 
      67(49.6%) patients among 135 eligible patients were treated with AA. CONCLUSIONS: 
      As in the international studies AA is under-used in our patient population. We 
      still need some more effort to improve our prescription rate.
FAU - Adhikari, Chandra Mani
AU  - Adhikari CM
AD  - Department of Cardiology, Shahid Gangalal National Heart Centre Bansbari, 
      Kathmandu, Nepal.
FAU - Rajbhandari, Sujeeb
AU  - Rajbhandari S
AD  - Department of Cardiology, Shahid Gangalal National Heart Centre Bansbari, 
      Kathmandu, Nepal.
FAU - Prajapati, Dipanker
AU  - Prajapati D
AD  - Department of Cardiology, Shahid Gangalal National Heart Centre Bansbari, 
      Kathmandu, Nepal.
FAU - Shrestha, Nagma
AU  - Shrestha N
AD  - Department of Cardiology, Shahid Gangalal National Heart Centre Bansbari, 
      Kathmandu, Nepal.
FAU - Baniya, Bibek
AU  - Baniya B
AD  - Department of Cardiology, Shahid Gangalal National Heart Centre Bansbari, 
      Kathmandu, Nepal.
FAU - Bogati, Amrit
AU  - Bogati A
AD  - Department of Cardiology, Shahid Gangalal National Heart Centre Bansbari, 
      Kathmandu, Nepal.
FAU - Gurung, Prakash
AU  - Gurung P
AD  - Department of Cardiology, Shahid Gangalal National Heart Centre Bansbari, 
      Kathmandu, Nepal.
FAU - Thapaliya, Suman
AU  - Thapaliya S
AD  - Department of Cardiology, Shahid Gangalal National Heart Centre Bansbari, 
      Kathmandu, Nepal.
LA  - eng
PT  - Journal Article
PL  - Romania
TA  - Maedica (Bucur)
JT  - Maedica
JID - 101526930
PMC - PMC5327828
EDAT- 2015/09/01 00:00
MHDA- 2015/09/01 00:01
PMCR- 2015/09/01
CRDT- 2017/03/07 06:00
PHST- 2017/03/07 06:00 [entrez]
PHST- 2015/09/01 00:00 [pubmed]
PHST- 2015/09/01 00:01 [medline]
PHST- 2015/09/01 00:00 [pmc-release]
PST - ppublish
SO  - Maedica (Bucur). 2015 Sep;10(3):210-213.