Underutilization of aspirin in older patients with prior myocardial infarction at the time of admission to a nursing home

Article Abstract:

Nursing home patients with a history of heart attack may be undertreated with aspirin as prophylaxis against heart attack and stroke. A researcher examined medications used by 350 patients with a history of myocardial infarction and no contraindications to aspirin therapy upon admission to a nursing home. Only 17% of patients were taking aspirin. The American College of Cardiology, American Heart Association, and American College of Chest Physicians recommend daily aspirin for the prevention of a second heart attack or other thrombotic events.

Prevention, Drug use, Aspirin, Nursing home patients

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Underutilization of angiotensin-converting enzyme inhibitors in older patients with Q-wave anterior myocardial infarction in an academic hospital-based geriatrics practice

Article Abstract:

Many older patients with a history of heart attack and evidence of heart failure are not receiving ACE inhibitors. In a study of 161 men and women 65 years or older who had had a heart attack and had no contraindications to ACE inhibitors, only 35% were taking an ACE inhibitor. Of those with documented heart failure, about two-thirds were taking an ACE inhibitor. But among the 15 with asymptomatic heart failure, only four were taking an ACE inhibitor.

Drug therapy, ACE inhibitors, Angiotensin converting enzyme inhibitors, Aged patients, Elderly patients, Heart failure

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Underutilization of measurement of serum low-density lipoprotein cholesterol levels and of lipid-lowering therapy in older patients with manifest atherosclerotic disease

Article Abstract:

A study has been made on how much measurement of serum low-density lipoprotein cholesterol levels and appropriate lipid-lowering therapy is underutilized in elderly patients with evident atherosclerotic disease. In an academic hospital-based geriatrics practice an analysis of charts found that these measures were not adequately used in these older patients.

Aged, Elderly, Usage, Measurement, Testing, Risk factors, Cholesterol, LDL, Coronary heart disease, VLDL cholesterol lipoproteins, Stroke (Disease), Stroke, Lipids, Blood cholesterol, Atherosclerosis, Anticholesteremic agents

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