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Adherence to treatment in patients with coronary artery disease and hemodynamically significant atherosclerosis of the coronary arteries
https://doi.org/10.30629/0023-2149-2025-103-8-9-614-619
Abstract
Objective. To evaluate the adherence to the recommended therapy of coronary heart disease in patients with stable and unstable forms of angina pectoris in a cardiology hospital.
Material and methods. The study included 221 patients with a verified diagnosis of coronary heart disease, according to clinical recommendations, in accordance with the principles of the Helsinki Declaration. The assessment of adherence to drug therapy was carried out using R.V. Kadyrov’s original questionnaire, which was supplemented with questions on the assessment of overall adherence to specific medications recommended for patients with coronary heart disease. All respondents underwent coronary angiography, if indicated and with their consent.
Results. According to the data obtained, the progressive course of angina pectoris is mainly affected by men of working age. The adherence scale showed that the proportion of non-committed and partially committed patients was higher in the group with unstable angina and hemodynamically significant coronary artery atherosclerosis.
Conclusion. It is necessary to search for new and effective ways to increase the level of adherence to the recommended treatment of coronary heart disease.
About the Authors
M. B. Pacenko
The Branch Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russia in Moscow
Россия
Россия
Mihail B. Pacenko — Doctor of Medical Sciences, Associate Professor, Chief Internist of the Ministry of Defense of the Russian Federation, Head of the Department of Emergency Medicine
Moscow
A. R. Molchanova
The Branch Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russia in Moscow
Россия
Россия
Alina R. Molchanova — Lecturer at the Department of Emergency Medicine
Moscow
M. I. Pugachev
The Branch Military Medical Academy named after S.M. Kirov of the Ministry of Defense of the Russia in Moscow
Россия
Россия
Maxim I. Pugachev — Candidate of Medical Sciences, Associate Professor of the Department of Emergency Medicine
Moscow
References
1. Zharkova E.D., LukinaYu.V., Kutishenko N.P., Huseynova E.T., Zolotareva N.P., MartsevichS.Yu., Drapkina O.M. Secondary Prevention and Quality of Life of Patients with Stable Coronary Heart Disease. Rational Pharmacotherapy in Cardiology 2023;19(2):167–172. (In Russian). DOI: 10.20996/1819-6446-2023-04-05
2. Drapkina O.M., Kontsevaya A.V., Kalinina A.M. et al. Prevention of chronic noncommunicable diseases in the Russian Federation. National guidelines. Cardiovascular Therapy and Prevention. 2022;21(4):3235. (In Russian). DOI: 10.15829/1728-8800-2022-3235
3. Kalaydzhyan E.P., Kutishenko N.P., LukinaYu.V., Sichinava D.P., MartsevichS.Yu., Drapkina O.M. The Study of Adherence to Drug Therapy at the Stage of Outpatient Follow-up in Patients with Acute Myocardial Infarction (Data from the PROFIL-IM Registry). Rational Pharmacotherapy in Cardiology 2023;19(1):50– 57. (In Russian). DOI: 10.20996/1819-6446-2023-02-04
4. Sokolova N.Yu. Adherence to therapy in patients with stable coronary artery disease after various revascularization procedures. Cardiology and cardiovascular surgery. 2019;12(1):25–30. (In Russian). DOI: 10.17116/kardio20191201125
5. World Health Organisation: Adherence to long-term therapies, evidence for action. Geneva: WHO. 2003.
6. Bulaeva Y.V., Naumova E.A., Semenova O.N. Study of Adherence to Drug Therapy of Patients with Cardiovascular Diseases in District Hospital of Small Town in Saratov Region and in Cardiology Department of University Clinic in Saratov. Rational Pharmacotherapy in Cardiology. 2018;14(3):337– 343. (In Russian). DOI: 10.20996/1819-6446-2018-14-3-337-343
7. Декларация о действиях по охране окружающей среды и здоровья в Европе. Вторая Европейская конференция по окружающей среде и охране здоровья Хельсинки, Финляндия 20-22 июня 1994 г. и ее пересмотренный вариант 2000 г. [Electronic resource]. URL: https://www.euro.who.int/__data/assets/pdf_file/0008/293588/Helsinki-Declaration-Action-Environment-Health-in-Europe-ru.pdf
8. Clinical, morphological and statistical classification of coronary heart disease. Consensus of the Russian Society of Cardiology, the Russian Society of Pathologists and Specialists in Medical Statistics (In Russian). [Electronic resource]. URL: https://scardio.ru/content/Guidelines/Klass_IBS_2020.pdf
9. Ministry of Health of the Russian Federation. Clinical guidelines. Stable ischemic heart disease.2020. (In Russian). [Electronic resource]. URL: https://scardio.ru/content/Guidelines/2020/Clinic_rekom_IBS-unlocked.pdf.
10. Kadyrov R.V., Asriyan O.B., Kovalchuk S.A. Ques tionnaire “Level compliance”. Vladivostok: Pestilence. state university, 2014. (In Russian)]
11. Health and Age. Office of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare. (In Russian). [Electronic resource]. URL: http://25.rospotrebnadzor.ru/news/-/asset_publisher/b2yT/content/здоровье-и-возраст
12. Martsevich S.Yu., Kutishenko N.P., Sichinava D.P., Kalaidzhyan E.P., Evdakov V.A. Prospective outpatient registry of patients with acute myocardial infarction (PROFILE-MI): study design and first results. Cardiovascular Therapy and Prevention. 2018;17(1):81–86. (In Russian). DOI: 10.15829/1728-8800-2018-1-81-86
13. Zorina O., Fatkulina N., Saduyeva F. et al. Patient Adherence to Therapy After Myocardial Infarction: A Scoping Review. Patient Prefer Adherence. 2022;16:1613–22. DOI:10.2147/PPA.S356653
14. Shchinova A.M., Potekhina A.V., DolgushevaYu.A. Adherence to therapy after myocardial infarction and methods for its improvement. Journal of Atherosclerosis and Dyslipidemias. 2022;3(48):5–13. (In Russian). DOI:10.34687/2219-8202.JAD.2022.03.0001
Review
For citations:
Pacenko M.B., Molchanova A.R., Pugachev M.I. Adherence to treatment in patients with coronary artery disease and hemodynamically significant atherosclerosis of the coronary arteries. Clinical Medicine (Russian Journal). 2025;103(8-9):614-619. (In Russ.) https://doi.org/10.30629/0023-2149-2025-103-8-9-614-619
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