Salari Arsalan, Hasandokht Tolou, Mahdavi-Roshan Marjan, Kheirkhah Jalal, Gholipour Mahboueh, Pouradollah Tootkaoni Mahsa
Guilan Interventional Cardiovascular Research Center, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran.
Guilan Interventional Cardiovascular Research Center, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran ; Community Medicine Department, Faculty Of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
J Cardiovasc Thorac Res. 2016;8(4):152-157. doi: 10.15171/jcvtr.2016.31. Epub 2016 Dec 30.
Inadequate adherence to medication and follow up visits were proposed correlated with cardiovascular mortality and complications. This study was planned to evaluate medication and follow up adherence and risk factor control in patients with coronary artery disease 5 years after coronary artery bypass grafting (CABG). In this retrospective cohort study, adult patients who underwent CABG in 2010 were enrolled. Conventional and probable risk factor control and adherence to medication and follow up visits were assessed. 196 patients were recruited to the study. Uncontrolled blood pressure, blood glucose and low-density lipoprotein (LDL)were reported in 48%, 61% and 32% of patients, respectively. More than 63% of former smokers restarted smoking during 6-12 months after bypass. Poor medication adherence was present in 10.7% in the study population. The last follow up visit time for 30% of patients was later than 12 months after CABG. Poor risk factors control and adherence to follow up visits was common among patients undergoing CABG.
用药依从性不足和随访不及时被认为与心血管疾病死亡率及并发症相关。本研究旨在评估冠状动脉旁路移植术（CABG）5年后冠心病患者的用药及随访依从性和危险因素控制情况。在这项回顾性队列研究中，纳入了2010年接受CABG的成年患者。评估了传统及可能的危险因素控制情况以及用药和随访依从性。196名患者被纳入该研究。分别有48%、61%和32%的患者血压、血糖和低密度脂蛋白（LDL）未得到控制。超过63%的既往吸烟者在搭桥术后6至12个月内再次吸烟。研究人群中10.7%存在用药依从性差的情况。30%患者的最后一次随访时间晚于CABG术后12个月。CABG患者中危险因素控制不佳和随访依从性差的情况很常见。
