Adherence to Therapy as a Factor Determining Prognosis of Coronary Artery Bypass Grafting

作者：Pomeshkina S A^*; Borovik I V; Zavyrylina I N; Kagan E S; Barbarash O L

来源：Kardiologiya, 2015, 55(5): 48-53.

DOI：10.18565/cardio.2015.5.48-53

• therapy adherence
• coronary artery bypass grafting
• prognosis

Aim: to study the influence of the patients adherence to the recommended therapy after coronary artery bypass grafting (CABG) on prognosis of postoperative period. Material. We examined 197 consecutive patients with stable coronary artery disease (CAD) who had undergone CABG. Age of patients was 38-75 years. Results. Assessment of modifiable cardiovascular risk factors showed that about half of patients had smoked before CABG and only a few gave up smoking after surgery. Number of patients with abdominal obesity increased by 8% after surgery. Number of patients involved in physical trainings remained unchanged. Adherence to drug therapy before CABG was low. Less than half of the patients took antiplatelet agents, beta-blockers, angiotensin-converting enzyme inhibitors, only 25% took statins. One year after CABG number of patients taking appropriate medications significantly increased. However, only half of patients managed to achieve the main objectives of secondary prevention.

• 出版日期2015