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KCE Reports 85 S Médecine à l’acte/médecine au forfait – ANNEXES 5
6. The percentage of patients with
coronary heart disease who are
currently treated with a beta-blocker
(unless a contraindication or side effects
are recorded)
7. Actions inappropriate to take but, if
taken, necessary to record : regular
symptomatic treatment : offer of short
acting nifedipine as regular symptomatic
monotherapy or part of two drug
therapy
8. Actions inappropriate to take but, if
taken, necessary to record : regular
symptomatic treatment : combination of
a beta-blocker and verapamil
9. For patients with stable angina, initial
assessement (within 3 months of
diagnosis of angina during past 2 years) :
laboratory test for fasting total
cholesterol fractionnated + triglyceride
level
10. Screening for hyperlipidemia for
patients with CHD
11. Patients with established CAD
should have their blood lipids measured
within the last 5 years
12. For patients with angina around the
time of diagnosis or within 2 months of
diagnosis, total random cholesterol
should be recorded
13. For patients with angina, past 5
years record cholesterol concentration
14. % of those with a diagnostic of IHD
who have had a cholesterol
measurement
15. The percentage of patients with
coronary heart disease whose notes
have a record of total cholesterol in the
previous 15 months
16. Cholesterol lowering drugs
prescription for patients with history of
AMI or angina 12 months after discharge
36
20
20
12,16
14,15
36
channel blockers in the
absence of treatment
with beta-blockers
=> Number of patients
on nitrate therapy for
which there is
prescription of calcium
channel blocker with
prescription of betablockers
20 OUI Measure of blood lipids
for patients on nitrate
therapy
=> number of patients
under nitrate therapy,
who received a
measure of cholesterol
and lipids in the months
! à redoser si anormal
8
following the diagnosis
=>number of times
(and dates) that total
2,3 cholesterol – LDL
cholesterol – HDL
cholesterol –
triglycerides are
measured for each
! pour blood lipids:
cholestérol total – HDL-
LDL-TG
9
patient on nitrate
therapy
8 OUI Number of patients
with nitrate therapy,
how receive lipid
lowering drugs.