Key result
Medication adherence to statins improved from 38.6% in 1995 to 56.2% in 2003 among post-MI patients, but ACEI/ARBs showed no improvement.
Why the study?
Has adherence to secondary prevention medications improved over time in elderly post-myocardial infarction patients?
Population
Lower-income Medicare beneficiaries discharged from the hospital after their first acute myocardial infarction
Comparison
Secondary prevention medications vs Historical comparison (1995 vs. 2003)
Design
Cohort
Follow-up
1 year
Authors
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Persistent non-adherence despite modest statin gains warrants monitoring; leaves open whether interventions can improve secondary prevention adherence.
Has adherence to secondary prevention medications improved over time in elderly post-myocardial infarction patients?
While adherence to secondary prevention medications after acute MI improved modestly between 1995 and 2003, rates of non-adherence remain extremely high, highlighting a critical gap in post-MI care.
Choudhry et al. (2008) studied this question. Medication adherence to statins improved from 38.6% in 1995 to 56.2% in 2003 among post-MI patients, but ACEI/ARBs showed no improvement.
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