Experience of Medication Therapy Management in a Patient with Hypertension Complicated with Coronary Heart Disease
Objective To provide a reference for the medication therapy management(MTM)in patients with hypertension complicated with coronary heart disease(CHD).Methods Pharmacists provided MTM for a 58 year old male patient with hypertension complicated with CHD through pharmacy consultation,medication evaluation,medication plan adjustment,medication education,pharmacy follow-up and establishing the patient's MTM archives.Results Before receiving MTM,the blood pressure,heart rate,low-density lipoprotein cholesterol,triglyceride,uric acid,homocysteine and other indexes of atherosclerotic cardiovascular disease(ASCVD)were>140/90 mmHg,75-80 beats/min,2.24 mmol/L,4.34 mmol/L,526 μmol/L,and 17.83 μmol/L,respectively.Through nearly 20 times of MTM for three months,the above indexes reduced to<130/80 mmHg,55-60 beats/min,1.62 mmol/L,1.39 mmol/L,and 342 μmol/L,and 8.55 μmol/L,respectively.Conclusion After receiving MTM,all ASCVD indexes of this patient reached the standard.The hospital should develop pharmacy clinic,actively provide MTM for patients,improve the pharmaceutical care capacity and the level of rational drug use in the clinic.
hypertensioncoronary heart diseasemedication therapy managementpharmacy clinicpharmaceutical care
万方数据
维普
