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Table 3 Knowledge on secondary prevention and knowledge among those who has training versus those who did not have training in cardiology

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€‰>ā€‰200Ā mg/dl?

14(10.4)

3

11

0.090

What is the goal of non high density cholesterol (HDL) if triglyceride (TG)ā€‰>ā€‰200Ā 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€‰<ā€‰40% 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