From: Knowledge assessment regarding secondary prevention of coronary heart disease- a multi centre survey
Target | Percentage of doctors identifying correct targets | No training in cardiology | Training in cardiology | P value |
---|---|---|---|---|
Tobacco consumption/smoking | Ā | Ā | Ā | Ā |
Ask about tobacco use status at the initial visit | 128(94.8) | 53 | 73 | 0.657 |
Advise every tobacco user to quit | 124(91.9) | 51 | 71 | 0.069 |
Assist by counseling and developing a plan for quitting or pharmacotherapy (including nicotine replacement and bupropion) | 53(39.3) | 16 | 36 | 0.068 |
Arrange follow up, referral to special programs | 52(38.5) | 27 | 25 | 0.068 |
Questions regarding passive exposure to smoke | 70(51.9) | 30 | 39 | 0.856 |
Blood pressure targets | Ā | Ā | Ā | Ā |
What is the systolic blood pressure (SBP) target for patients without Diabetes mellitus (DM) or Chronic kidney disease (CKD) | 60(44.47) | 23 | 36 | 0.593 |
What is the DBP target for patients without DM or CKD | 53(39.3) | 22 | 30 | 0.716 |
What is the target for patients with DM or CKD | 60(44.4) | 21 | 39 | 0.365 |
What is the target for patients with DM or CKD | 18(13.3) | 23 | 41 | 0.366 |
Lipid Lowering targets | Ā | Ā | Ā | Ā |
What is the goal of low density lipoproteins (LDL) for secondary prevention? | 55(40.7) | 23 | 31 | 0.090 |
What is the goal of non high density cholesterol (HDL) cholesterol if triglyceride (TG)ā>ā200Ā mg/dl? | 14(10.4) | 3 | 11 | 0.090 |
What is the goal of non high density cholesterol (HDL) if triglyceride (TG)ā>ā200Ā mg/dl? | 18(13.3) | 7 | 11 | 0.254 |
What is the dose of Atorvastatin you would prescribe? | 0 | 10 | 11 | 0.354 |
40Ā mg | 0 | 0 | 0 | 0 |
80Ā mg | Ā | Ā | Ā | Ā |
What is the level of TG at which you would initiate therapy with Niacin/Fibrate before statin? | 21(15.6) | 9 | 12 | 0.270 |
Fat intake in diet | Ā | Ā | Ā | Ā |
How much of fat can an average adult take for a day in grams? | 4(3) | 0 | 0 | 0.562 |
What is the % of polyunsaturated fatty acids (PUFA) out of total fat intake? | 14(10.4) | 4 | 9 | 0.393 |
What is the % of monounsaturated fatty acids (MUFA) | 8(5.9) | 0 | 0 | 0.007 |
What is the % of Saturated fatty acids? | 12(8.9) | 2 | 6 | 0.465 |
What is the amount of recommended daily salt intake in grams/teaspoons? | 37(27.4) | 14 | 22 | 0.561 |
Alcohol intake | Ā | Ā | Ā | Ā |
What is the amount of alcohol which is safe to consume for men? | 49(36.3) | 4 | 15 | 0.000 |
What is the amount of alcohol which is safe to consume for women? | 51(37.8) | 2 | 16 | 0.000 |
Physical exercise | Ā | Ā | Ā | Ā |
What is frequency of exercise per week? | 40(29.6) | 27 | 27 | 0.214 |
What is the duration per session? | 79(58.5) | 34 | 56 | 0.089 |
Waist circumference and weight | Ā | Ā | Ā | Ā |
What is the optimal waist circumference for men? | 33(24.5) | 18 | 15 | 0.578 |
What is the optimal waist circumference for women? | 28(20.7) | 15 | 15 | 0.157 |
What is the goal of HBA1c? | Ā | Ā | Ā | Ā |
6.9 | 1(0.7) | 1 | 0 | 0.520 |
7 | 62(45.9) | 32 | 30 | 0.217 |
Drug therapy | Ā | Ā | Ā | Ā |
Is ACEI indicated in all patients with EFā<ā40% with no contraindication? | 89(65.9) | 33 | 56 | 0.652 |
Would you prescribe beta blockers to all patients after ACS if there are no contraindications? | 113(83.7) | 44 | 68 | 0.483 |
Aspirin duration after an episode of acute coronary syndrome | 83(61.5%) | 40 | 57 | 0.654 |
Aspirin dose after an episode of acute coronary syndrome | 99(73.4%) | 28 | 53 | 0.088 |
Clopidogrel dose after an episode of acute coronary syndrome | 100(74%) | 38 | 61 | 0.073 |
Clopidogrel duration after an episode of acute coronary syndrome | 29(21.5%) | 5 | 5 | 0.074 |