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January 2, 2013Cardiology JournalOpen Access

Medication adherence in patients after percutaneous coronary intervention due to acute myocardial infarction: From research to clinical implications

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Key result

Poor medication adherence to dual antiplatelet therapy after percutaneous coronary intervention for acute myocardial infarction is common and strongly predicts adverse cardiovascular outcomes.

Population

Patients after percutaneous coronary intervention due to acute myocardial infarction

Design

Review

Authors

DŚDamian ŚwieczkowskiNicolaus Copernicus UniversityMMMariusz MogielnickiSciencePharma (Poland)NCNatalia CwalinaChildren's Hospital of Michigan

Discussion

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Implication

Adherence strategies warrant emphasis post-AMI PCI; supports consensus while extending predictor data.

Structured PICO

P
Population
Patients after percutaneous coronary intervention due to acute myocardial infarction
E
Exposure
Medication adherence interventions and monitoring (primarily antiplatelet therapy)

Medication non-adherence remains a major challenge in secondary prevention after AMI treated with PCI, necessitating improved patient education and interprofessional collaboration.

Limitations

  • Methodological impediments in measuring adherence, such as self-reported questionnaires over- or under-estimating the phenomenon
  • Medical records and pharmacy refill statistics oversimplify the multidimensional character of adherence
  • Use of pill count trackers or electronic bottles may unknowingly change patients' behavior

Cite This Study

Świeczkowski et al. (2013) conducted a review in Acute myocardial infarction treated with percutaneous coronary intervention. Medication adherence (antiplatelet therapy) vs. Non-adherence was evaluated. Poor medication adherence to dual antiplatelet therapy after percutaneous coronary intervention for acute myocardial infarction is common and strongly predicts adverse cardiovascular outcomes.

synapsesocial.com/papers/6a23a919fdd7df511fd31aefhttps://doi.org/10.5603/cj.a2016.0048
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