Volume 6 Issue 8 (August, 2018)

Original Articles

Determination of Adherence to Cardiovascular Medicine in Study Population- A Clinical Study
Arshad Hasan, Pratik

Background: Cardiovascular diseases including essential hypertension (HTN), congestive cardiac failure (CCF) and ischemic heart disease (IHD) are very common in Indian population. The present study was conducted to determine adherence to cardiovascular medicine in patients. Materials & Methods: The present study was conducted on 525 patients of CVD (HTN, CCF and IHD) of both genders (males- 325, females- 200). HTN was diagnosed by physical examination. Diagnosis of CCF was established on the basis of history, physical examination, and echocardiographic findings. IHD was diagnosed from a history of angina and past AMI, electrocardiogram features, treadmill test, echocardiography and angiography. Morisky's Medication Adherence Scale (MMAS-4) was used for assessing medication adherence in patients. Results: Age group <40 years had 64 cases, 40- 60 years had 275 and >60 years had 186 cases. The difference was significant (P- 0.01). 112 males and 160 females were of HTN, 45 males and 50 females were of CCF and 90 males and 68 females were of IHD. The difference was significant (P< 0.05). Adherence to medication was 58%, 58.75%, 51.25% in HTN, CCF and IHD respectively. Conclusion: Patients on HTN, CCF and IHD should be carefully evaluated for detection of adherence of medicine. Strategies for detecting the level of adherence of cardiovascular medicines should be developed. Key words: Electrocardiogram, Hypertension, Morisky's Medication Adherence Scale

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