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Journal of Rare Cardiovascular Diseases
ISSN: 2299-3711 (Print)
e-ISSN: 2300-5505 (Online)
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Impact of clinical pharmacist-led interventions on physicians’ knowledge, attitudes, and practices in managing drug-induced QT prolongation
Ahmed Hameed Mahmoud Hussein Al-Ani
,  
Haider F. S. Al-Zubaidy
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Abstract
Objective: Drug-induced QT prolongation is a critical adverse effect associated with life-threatening ar rhythmias. This study evaluated the impact of clinical pharmacist-led interventions on physicians’ knowledge, attitudes, and practices (KAP) regarding QT prolongation management. Material and Method: A quasi-experimental study was conducted at three Iraqi hospitals (January–April 2025) involving 53 physicians and 100 patients. Pre- and post-intervention assessments were performed using validated questionnaires. The intervention included educational lectures, checklists, and pharmacist consultations targeting QT-prolonging drug risks, ECG monitoring, and electrolyte management. Result and Discussion: Post-intervention, physicians demonstrated significant improvements in knowledge (mean score: 4.3±1.4 to 5.6±1.7, p<0.001), with 26.4% achieving "good knowledge" (vs. 5.7% pre-intervention). Attitudes improved markedly, with 60.4% rating pharmacist collaboration as "important" (vs. 35.8%, p=0.0046). Clinical practices showed the most pronounced change: frequent prescribing of QT-prolonging drugs dropped from 18.9% to 0% (p=0.0067), and ECG monitoring adherence increased. The prevalence of QT prolongation in patients decreased non-significantly from 36% to 29% (p=0.29). These findings align with global evidence supporting pharmacist-led interventions in cardiovascular risk mitigation. The study highlights the value of interprofessional collaboration in enhancing medication safety.
Keywords
drug-inducedQTprolongation, clinical pharmacist, physician education, medication safety, interprofessional collaboration
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Classification of Rare Cardiovascular Diseases anticoagulation atrial fibrillation atrial septal defect cardiomyopathy computed tomography congenital heart disease echocardiography electrocardiogram electrocardiography heart failure implantable cardioverter‑defibrillator magnetic resonance imaging pregnancy pulmonary arterial hypertension pulmonary hypertension rare cardiovascular disease rare disease right heart catheterization right ventricular failure
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