The Review of Modern Studys About the Importance of Compliance of Patients  to Treatment of Сardiovascular Diseases

Соболева, М. С.

doi:10.17650/1818-8338-2017-11-2-33-39

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Распространенность сердечно-сосудистых заболеваний (ССЗ) и связанных с ними осложнений, ухудшающих качество жизни пациента, приводящих к инвалидизации и даже к смерти больного, является актуальной проблемой современной медицины [1]. В течение последних десятилетий в литературе не угасает интерес к вопросам взаимосвязи состояния полости рта и сердечно-сосудистой патологии [2][3][4][5].…”

Section: актуальностьunclassified

Adherence to dental treatment of patients with cardiovascular diseases

et al. 2022

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Relevance. Inflammatory periodontal diseases, with a 68-98% prevalence, are a risk factor for developing cardiovascular diseases (CVD). There is simultaneously a low awareness of dental diseases and their role in assessing general health. The patient's understanding of the need for prevention and treatment of dental diseases is essential in the successful treatment of cardiovascular diseases. In this regard, the study of dental treatment adherence in patients with cardiovascular diseases is particularly relevant. Purpose – to study the level of adherence to dental treatment in patients with cardiovascular diseases.Materials and methods. We conducted a dental examination and survey of 121 patients aged 18 to 89 years during treatment of coronary artery disease clinical manifestations, including 48 men and 73 women. The average age of the surveyed was 65.2 ± 0.44 years. Patients completed a modified Morisky-Green questionnaire, which included four questions. We used a written questionnaire, which included 21 closed questions of the original questionnaire, to study the factors affecting adherence to dental treatment.Results. The study found that 87.6% of cardiovascular patients poorly adhered to dental treatment, 9.1% of patients were at risk, and only 3.3% had strong adherence to treatment. Only half of the respondents (52%) believed that oral diseases could affect the underlying disease course. Adherence to dental treatment did not depend on the age of the examined patients. Adherence was higher among women and those with higher education.Conclusion. The study revealed that patients with cardiovascular diseases have a high prevalence and intensity of inflammatory periodontal diseases and low adherence to their treatment. Only half of the patients know the relationship between cardiovascular diseases and inflammatory periodontal dis eases.

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Section: актуальностьunclassified

Adherence to dental treatment of patients with cardiovascular diseases

et al. 2022

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“…Известно, что пациенты с хроническими малосимптомными заболеваниями, к которым относится АГ, чаще других недостаточно привержены лечению [10,11]. Так, около половины пациентов с АГ не соблюдают режим назначенной АГТ [12,13].…”

Section: уровень приверженности лечению при агunclassified

Effective antihypertensive therapy: focus on adherence management

Бунова

Жернакова

Fedorin

et al. 2020

Cardiovasc Ther Prev

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High medical adherence is a prerequisite for achieving goals in the treatment of hypertension (HTN). The majority of patients with HTN showed low adherence to treatment, which requires finding ways to solve this problem. This review describes the factors influencing adherence, ways of its assessment, and analyzes methods of increasing medical adherence in hypertensive patients. Noteworthy is the lack of publications describing the effectiveness of methods for increasing long-term (>2 years) adherence in hypertensive patients. The review also describes a not fully clear individualized approach, which consists in choosing a therapy regimen based on levels of medical adherence, medical follow-up and lifestyle modification.

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Adherence to the main prognosis-modifying drugs and the control of risk factors for coronary artery disease in patients after coronary stenting

Osokina

Shchinova

Потехина

et al. 2022

Medical and Social Expert Evaluation and Rehabilitation

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BACKGROUND: Adherence to drug therapy in patients with coronary artery disease is quite low nowadays, both in patients with myocardial infarction and in patients with chronic forms of coronary artery disease. AIMS: of our work was to assess adherence to drug therapy (aspirin and statins) and control of risk factors for coronary artery disease in patients undergoing coronary stenting 12 months after endovascular treatment. MATERIALS AND METHODS: The study included 279 patients, of whom 3 groups were formed. Patients of group 1 (n=96) personally visited the National Medical Research Center of Cardiology of the Ministry of Health of the Russian Federation, adherence to the prescribed therapy and its effectiveness were assessed during the examination by a cardiologist, and if necessary, it was corrected. Patients of group 2 (n=95) contacted the study coordinator remotely. Patients of group 3 (n=88) were monitored by a general practitioner and visited a cardiologist at the National Medical Research Center of Cardiology according to the decision of the general practitioner. RESULTS: At baseline, adherence to therapy in all groups was low and did not differ significantly between groups. 12 months after stenting, groups 1 and 2 showed a significant increase in the number of highly adherent individuals (from 17 to 33 and from 13 to 42, respectively, p 0.05), as well as a significant decrease in the number of individuals with low adherence to treatment (from 63 to 42 and from 67 to 36, respectively, p 0.05). The adherence to antiplatelet drugs was higher than to statins: 57.9% of people reduced the dose or stopped taking statins. After the follow-up time, there was a significant decrease in systolic blood pressure in groups 1 and 2 and a significant decrease in diastolic blood pressure in group 2. In group 2, a significant decrease in the number of smokers was noted: from 46.3 to 31.6% of the total number of patients in the group (p 0.05). CONCLUSION: Active monitoring of patients by a cardiologist both during the visit and remotely contributes to an increase in adherence to drug therapy and improves control of risk factors for coronary artery disease.

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The Review of Modern Studys About the Importance of Compliance of Patients to Treatment of Сardiovascular Diseases

Cited by 3 publications

References 17 publications

Adherence to dental treatment of patients with cardiovascular diseases

Adherence to dental treatment of patients with cardiovascular diseases

Effective antihypertensive therapy: focus on adherence management

Adherence to the main prognosis-modifying drugs and the control of risk factors for coronary artery disease in patients after coronary stenting

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