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A PATIENT AFTER CORONARY BYPASS SURGERY: THE PROBLEM OF ADHERENCE TO DRUG THERAPY

Fofanova Tatiana Veniaminovna  (MD, Professor, Doctor of the highest qualification category; cardiologist, Senior Researcher of the Department of Outpatient Diagnostic and Treatment Technologies of the Federal State Budgetary Institution "National Medical Research Center of Cardiology" of the Ministry of Health of the Russian Federation)

Subotnikov Maxim Vyacheslavovich  (laboratory assistant-researcher of the Department of outpatient Treatment and Diagnostic Technologies of the Federal State Budgetary Institution "National Medical Research Center of Cardiology" of the Ministry of Health of the Russian Federation)

Korolev Sergey Alexandrovich  (6th year student of the Medical Faculty of the Moscow State Medical and Dental University named after A.I.Evdokimov )

Ageev Faile Taipovich  (MD, Professor; Head of the Department of Outpatient Diagnostic and Treatment Technologies of the Federal State Budgetary Institution "National Medical Research Center of Cardiology" of the Ministry of Health of the Russian Federation)

The main link of cardiorehabilitation and secondary prevention of atherosclerosis after coronary bypass surgery is drug therapy. These patients belong to a group of very high cardiological risk and require careful monitoring in the long-term postoperative period, including strict compliance with the doctor's recommendations. An analysis of medical histories was carried out at the FSBI NMICC, the long-term outcomes of CABG and adherence to therapy were evaluated in 100 patients who underwent CABG in the period 2016-2017 (a retrospective study). The results were obtained by phoning and questioning patients (Morisky-Green-4), informed consent was obtained during the call. As the “endpoint” under consideration, the frequency of deaths from cardiovascular causes (heart attack, stroke, heart failure), resumption of the clinic of angina pectoris, newly identified type 2 diabetes were evaluated. Statistical analysis was carried out using the IBM SPSS Statistics 23 program. A two-way average negative correlation between the use of medications and the resumption of the angina pectoris clinic was revealed (r=-0.57 according to Pearson).

Keywords:adherence to therapy, coronary bypass surgery

 

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Citation link:
Fofanova T. V., Subotnikov M. V., Korolev S. A., Ageev F. T. A PATIENT AFTER CORONARY BYPASS SURGERY: THE PROBLEM OF ADHERENCE TO DRUG THERAPY // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2023. -№01. -С. 240-245 DOI 10.37882/2223–2966.2023.01.36
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