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A survey to understand the drug utilization pattern of ticagrelor in patients with myocardial infarction (TARGET-MI)

Survey Questionnaire Form
Doctor's details
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Questionnaire

  1. How many patients with myocardial infarction do you come across in a month? *
  2. What percentage of myocardial infarction patients fall under each of below mentioned age categories? *
  3. Age categories % Patient
    <45 years
    %
    45-65 years
    %
    >65 years
    %
  4. What percentage of myocardial infarction patients are male and female? *
  5. Gender % Patient
    Male
    %
    Female
    %
  6. What is the body mass index (BMI) of most of the myocardial infarction patients you encounter in your practice? *
  7. What are the most common risk factors/ comorbidities you see in myocardial infarction patients? *
  8. How many myocardial infarction patients per week in your practice undergo percutaneous coronary intervention and what proportion of patients end up in heart failure? *
  9. Out of 100 acute coronary syndrome patients, what percentage of patients fall under each of the below categories? *
  10. Type of ACS patient % Patient
    STEMI
    %
    NSTEMI
    %
    Unstable Angina
    %
  11. What factors in your practice influences your decision on the reperfusion strategy? *
  12. Out of 100 acute coronary syndrome patients, what percentage of patients require either of the below approach? *
  13. Type of Treatment % Patient
    Primary percutaneous coronary intervention (PCI)
    %
    Thrombolytic therapy
    %
  14. In which of the acute coronary syndrome patients do you consider using thrombolytics therapy? *
  15. Currently how many % of myocardial infarction patients are on the following anti platelet agents? *
  16. Drug % Patient
    Aspirin
    %
    Clopidogrel
    %
    Ticagrelor
    %
    Prasugrel
    %
  17. In high risk of bleeding patient who has undergone PCI for ACS, which is the preferred antiplatelet agent? *
  18. Do you prescribe antiplatelet agent >12 months? *
  19. Therapy Duration wise, in what percentage of patients do you prescribe Ticagrelor *
  20. Duration % Patient
    > 3 months
    %
    > 6 months
    %
    > 9 months
    %
    > 12 months
    %
  21. What percentage of your patients receive the SAPT & DAPT? *
  22. Type of Therapy % Patient
    SAPT
    %
    DAPT
    %
  23. What is your most preferred antiplatelet agent for SAPT? *
  24. In your experience, which DAPT has shown the best outcomes in MI patients? *
  25. How long do you prescribe DAPT of (P2Y12+ASPIRIN)? *
  26. In which patient profiles you will prefer Ticagrelor over Clopidogrel? Why? *
  27. In which patient profile do you prescribe Ticagrelor 60 mg? *
  28. In what % of patients you switch/change the antiplatelet treatment? *
  29. In diabetes patients with established CAD who have undergone PCI before, will you reinitiate antiplatelet? *
  30. While Selecting Brand of Ticagrelor which parameters do you consider? *
  31. Are you aware of any ongoing clinical trials investigating novel molecules or therapies for MI? *
  32. What steps can be taken from patient point of view for the awareness and education about benefits and risks of antiplatelet agents? *