Kuzmina N M, Maximov N I
Izhevsk State Medical Academy.
Kardiologiia. 2019 Jan 27;59(1):36-38. doi: 10.18087/cardio.2019.1.10223.
to study adherence to therapy after percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS). We analyzed retrospectively 127 case histories of patients who underwent PCI for ACS in 2015 (in Udmurtia at that time PCIs were mostly carried out later than 6 hours after onset of symptoms).
age 25-75 years; confirmed ACS; stenting of coronary arteries for the first time.
pregnancy; prisoners; incompetent persons; history of PCI or coronary artery bypass grafting. In two years after the PCI 95 patients were questioned concerning use of statins (including their doses) and dual antiplatelet therapy (DAPT).
In 2 years after index PCI 83% of patients took statins regularly. DAPT for 1 year or more after PCI received 85% of patients.
Adherence to therapy with statins and antiplatelet therapy was found to be high. PCI in patients with ACS was mainly delayed (more than 6 hours from the onset of symptoms). It is necessary to further improve the routing of patients to PCI performing centers from Udmurtia regions for the timely myocardial revascularization.
研究急性冠状动脉综合征（ACS）患者经皮冠状动脉介入治疗（PCI）后的治疗依从性。我们回顾性分析了2015年接受ACS-PCI治疗的127例患者的病历（当时在乌德穆尔特共和国，PCI大多在症状发作后6小时以上进行）。
年龄25 - 75岁；确诊为ACS；首次进行冠状动脉支架置入术。
妊娠；囚犯；无行为能力者；有PCI或冠状动脉旁路移植术病史。PCI术后两年，对95例患者进行了关于他汀类药物使用情况（包括剂量）和双联抗血小板治疗（DAPT）的询问。
在首次PCI术后两年，83%的患者规律服用他汀类药物。85%的患者PCI术后接受了1年或更长时间的DAPT治疗。
他汀类药物和抗血小板治疗的依从性较高。ACS患者的PCI治疗主要存在延迟（症状发作后超过6小时）。有必要进一步改善从乌德穆尔特地区将患者转运至PCI实施中心的流程，以便及时进行心肌血运重建。
