Prescription Pattern of the Patient with Coronary Artery Disease: A Study in a Tertiary Care Hospital in Bangladesh

Abstract

Background: Coronary artery disease (CAD) represents a leading cause of morbidity and mortality worldwide, with prescription patterns serving as a critical indicator of adherence to clinical practice guidelines. In Bangladesh, data on real-world prescribing practices for CAD patients in tertiary care settings remain limited. Objective: To evaluate the prescription pattern of drugs among patients with coronary artery disease attending a tertiary care hospital in Bangladesh. Methods: This prospective observational study was conducted at the Department of Cardiology, Bangladesh Medical University, Dhaka, Bangladesh, from January 2024 to June 2024. A total of 387 patients diagnosed with coronary artery disease were enrolled. Data on demographic characteristics and prescribed medications were collected and analyzed using SPSS version 23.0.Results:Among 387 patients, the mean age was 58.4 ± 11.2 years, with 64.3% male. Antiplatelets (96.1%) and statins (94.6%) were most prescribed, followed by beta-blockers (82.4%) and ACEIs/ARBs (78.8%). Dual antiplatelet therapy was significantly higher in acute coronary syndrome versus chronic coronary syndrome (82.7% vs. 50.3%, p<0.001). Elderly patients received fewer beta-blockers (73.5% vs. 86.2%, p=0.002), and females received fewer statins (91.3% vs. 96.4%, p=0.041).Conclusion: Prescription patterns for CAD patients in this tertiary care setting showed good adherence to guideline-directed therapy for anti platelets and statins. However, optimizing beta-blocker use in elderly patients and addressing gender-based prescribing disparities remain essential for improving clinical outcomes.

University Heart Journal 2026; 22(1): 28-34