15 research outputs found
Continuously improving the practice of cardiology
Guidelines for the management of patients with
cardiovascular disease are designed to assist
cardiologists and other physicans in their practice.
Surveys are conducted to assess whether guidelines
are followed in practice. The results of surveys on
acute coronary syndromes, coronary revascularisation,
secondary prevention, valvular heart disease
and heart failure are presented. Comparing surveys
conducted between 1995 and 2002, a gradual improvement
in use ofsecondary preventive therapy
is observed. Nevertheless, important deviations
from established guidelines are noted, with a
significant variation among different hospitals in
the Netherlands and in other European countries.
Measures for fiuther improvement of clinical
practice indude more rapid treatment of patients
with evolving myocardial infarction, more frequent
use of clopidogrel and glycoprotein IIb/IIIa
receptor blockers in patients with acute coronary
syndromes, more frequent use of 5-blockers in
patients with heart failure and more intense
measures to encourage patients to stop smoking.
Targets for the proportion ofpatients who might
receive specific therapies are presented