一例继发于社会经济挑战和不依从性的复发性心肌梗死病例研究：出院前筛查
A case study of recurrent myocardial infarction secondary to socioeconomic challenges and nonadherence: Pre-discharge screening.
作者信息
Kosaraju Revanth, Natour Sami, Yuan Stanley, Cho Geoffrey
机构信息
David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Internal Medicine Residency Program, UCLA Health, Los Angeles, CA, USA.
出版信息
SAGE Open Med Case Rep. 2023 Mar 21;11:2050313X231162921. doi: 10.1177/2050313X231162921. eCollection 2023.
Abstract
Medication nonadherence following myocardial infarction (MI) is prevalent and increases the risk of recurrent cardiovascular events. Socioeconomic factors including medication cost, financial insecurity, and poor health literacy are associated with nonadherence. We present a patient with a history of recurrent MI who was nonadherent due to socioeconomic challenges. Our patient subsequently developed ST-elevation MI secondary to in-stent thrombosis. This case illustrates the importance of pre-discharge screening for barriers to adherence.
摘要
心肌梗死（MI）后药物治疗依从性不佳的情况很普遍，且会增加心血管事件复发的风险。包括药物成本、经济不安全和健康素养低下等在内的社会经济因素与依从性不佳有关。我们介绍一位有复发性心肌梗死病史的患者，他因社会经济挑战而未坚持服药。我们的患者随后因支架内血栓形成继发ST段抬高型心肌梗死。该病例说明了出院前筛查依从性障碍的重要性。
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