Domiciliary Management of Ischaemic Heart Disease of the Patients Not willing for Invasive Treatment: A Pilot Study from India

• Published in: Preventive Medicine: Research & Reviews
• Main Authors: Vineet Jagnany, Anand Jagnany, Kunal S. Jhaveri, Vivek Kashyap, Shashi Bhushan Singh
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2025-09-01
• Subjects: acute coronary syndrome; domiciliary management; ischaemic heart disease
• Online Access: https://journals.lww.com/10.4103/PMRR.PMRR_62_24

Objective: To assess the effect of domiciliary management to patients with ischaemic heart disease (IHD)/acute coronary syndrome (ACS) on clinical parameters. Materials and Methods: Thirty patients diagnosed through an electrocardiogram and troponin levels, not willing for hospitalisation for Coronary Artery Angiography followed by either Percutaneous transluminal coronary angioplasty or coronary artery bypass graft, were included in this study. ST-segment elevation myocardial infarction <6 h, patients ready for intervention and any comorbidity other than diabetes mellitus and hypothyroidism were excluded. The prognosis was explained in detail. Written and informed consents were taken from patients and relatives for domiciliary management of IHD/ACS. Results: The study showed a reduction in heart rate and systolic and diastolic blood pressure. At the end of the 6-week follow-up, all 30 patients were continuing asymptomatic with well-controlled blood pressure and blood sugar. Conclusion: This pilot study concluded that domiciliary management approach to IHD/ACS may help in the reduction of heart rate, systolic and diastolic blood pressure and other clinical parameters. However, more evidence needs to be generated.