Journal «Angiology and Vascular Surgery» • 

2015 • VOLUME 21 • №2

Effect of a vascular event on drug regimen compliance in patients with coronary atherosclerosis

Bunova S.S., Usacheva E.V., Ivanov A.Yu.

Department of Propaedeutics of Internal Diseases, Omsk State Medical Academy of the Ministry of Public Health of the Russian Federation, Omsk, Russia

In order to assess the effect of a vascular event on adherence to treatment we examined a total of 68 patients presenting with coronary atherosclerosis. The patients’ age varied from 31 to 84 years (mean 57.1±8.7). There were 55 (81.1%) men and 13 (18.9%) women. Drug regimen compliance was evaluated by means of the Morisky–Green Medication Adherence Questionnaire before and after the vascular event. Of the 68 examined patients, 15 (22.1%) had not taken any therapeutic agents before the vascular event occurred, despite existing arterial hypertension. Drug regimen compliance prior to the vascular event was low in 82.4% of cases. The number of patients with coronary atherosclerosis and low compliance to treatment before the vascular event decreased significantly thereafter (p=0.0012). After the vascular event, the number of patients adhering to the doctor’s recommendations on medicamentous therapy increases considerably. At the same time, a sufficiently great number of patients [about 30% of patients after endured myocardial infarction (MI) and 18% after transcutaneous coronary intervention (TCI)] still remain in the category of those "having low drug regimen compliance" and, accordingly, have high risk for the development of recurrent vascular events. Endured TCI increases patient compliance more significantly than MI, which requires additional study of a psychological component of the given fact.

KEY WORDS: coronary atherosclerosis, transcutaneous coronary interventions, myocardial infarction, drug regimen compliance.

P. 19

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