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Page: << Prev | 1 | 2 Depending upon a patient's condition, doctors can prescribe drugs -- along with a healthy lifestyle and diet -- to significantly reduce the risk of recurrence or onset of atherothrombosis-linked events, such as stroke and cardiovascular disease.
But Fonarow and his colleagues found that only three-quarters of such patients across the country were taking antiplatelets, which prevent blood clots, or statins, which reduce cholesterol. Approximately half were taking beta blockers and ACE inhibitors, which reduce blood pressure and lessen heart disease risk.
Patients in the Northeast were prescribed recommended drugs at a slightly higher rate than were patients in other areas of the country, the team found.
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In the Northeast, 55 percent of patients with atherothromobosis were taking at least three of the four drugs recommended for managing their diseases, compared to 52 percent in the Midwest, 51 percent in the West and 50 percent in the South.
These regional percentage differences may seem relatively small, Fonarow said, but they represent hundreds of thousands of patients.
"Even small differences [in percentages] have important consequences," he said.
Patients with symptoms were 50 percent more likely to receive preventive care than patients with risk factors but no symptoms of atherothrombosis, the study found.
There are many possible reasons that these patients aren't getting the drugs they need, Fonarow said, including changing physicians, prescription changes, or the introduction of new drugs that patients don't know about.
"Half to three-quarters of patients are getting treatment, but there is still room for improvement," he said, "and this type of data is helpful for identifying that there is an issue with gaps in the outpatient population."
Dr. Alan Kadish, associate director of the Bluhm Cardiovascular Institute at Northwestern University Medical Center in Chicago, said he was disappointed by the findings.
"In a registry like this the numbers will never be 100 percent, but we have to do a better job translating medical advances, like better drugs, into practice," he said.
More information
Find out more about preventing strokes at the American Stroke Association.
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