ADHERENCE TO LONG-TERM SECONDARY PREVENTION AFTER MYOCARDIAL INFARCTION
DOI:
https://doi.org/10.11603/1681-2786.2018.1.9233Keywords:
myocardial infarction, secondary prevention, post-infarction period, adherence, compliance.Abstract
Purpose: to evaluate the commitment to long-term treatment of patients after myocardial infarction (MI), depending on revascularization.
Materials and Methods. There were examined 152 patients with MI, who are divided into groups: group 1a – 47 persons were adhered (by Moriskii-Green), with percutaneous coronary intervention (PCI), group 1b – unadhered (n=30), without PCI , group 2a – adhered (n=25), with PCI, group 2b – unadhered (n=50), without PCI. We evaluated changes in clinical and laboratory and echocardiographic values.
Results. In all patients the body mass index did not decrease, and 2/3 still smoked. In the group 1a, unlike the rest of the population, the heart rate (HR), systolic and diastolic blood pressure (SAT and DAT), glucose and cholesterol decreased, and after 24 months the changes were kept. Also, they have significantly changed the geometry of the heart.
Conclusions. After MI saved partial compliance these patients have a very low adherence to non-pharmacological methods of secondary prevention and measures to correct risk factors and lifestyle modifications, which necessitates the optimization of organizational and preventive measures at the outpatient stage.
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