FEATURES OF CORONARY HEART DISEASE IN PATIENTS WITH 5-YEAR HISTORY OF MYOCARDIAL INFARCTION DEPENDING OF ADHERENCE

Abstract

Purpose: To study the peculiarities of the course of coronary heart disease (CHD) patients with a 5-year history of myocardial infarction (AMI) depending on the adherence to therapy.Materials and methods: the study involved 168 patients with 5-year history of AMI. 4 (2.4%) patients dropped out of the study by 2010-2011. Depending on adherence to therapy all the patients were divided into 2 groups: group 1 - patients regularly take antiaggregants, beta-blockers, statins and blockers RAAS, within 5 years, group 2 - patients, who have not taken regularly therapy. Conducted analysis of the course of ischemic heart disease after suffering AMI.Results: it was noted that among the patients not devoted to therapy were 15% more deaths, on a 32% increase in the frequency of detection of stable angina, and 20% - AG, the more pronounced the progression of heart failure (CHF).Findings: identified low adherence of patients to treatment (46,3%). In the group of patients, not devoted to therapy, there was a significantly more high percentage of mortality, including in connection with the repeated AMI as well as the increase in the number of patients with hypertension, stable angina pectoris and progression of CHF