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J Cardiovasc Thorac Res. 2016;8(4):152-157. doi: 10.15171/jcvtr.2016.31. Epub 2016 Dec 30.

Risk factor control, adherence to medication and follow up visit, five years after coronary artery bypass graft surgery.

Author information

1
Guilan Interventional Cardiovascular Research Center, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran.
2
Guilan Interventional Cardiovascular Research Center, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran ; Community Medicine Department, Faculty Of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Abstract

Introduction: Inadequate adherence to medication and follow up visits were proposed correlated with cardiovascular mortality and complications. This study was planned to evaluate medication and follow up adherence and risk factor control in patients with coronary artery disease 5 years after coronary artery bypass grafting (CABG). Methods: In this retrospective cohort study, adult patients who underwent CABG in 2010 were enrolled. Conventional and probable risk factor control and adherence to medication and follow up visits were assessed. Results: 196 patients were recruited to the study. Uncontrolled blood pressure, blood glucose and low-density lipoprotein (LDL)were reported in 48%, 61% and 32% of patients, respectively. More than 63% of former smokers restarted smoking during 6-12 months after bypass. Poor medication adherence was present in 10.7% in the study population. The last follow up visit time for 30% of patients was later than 12 months after CABG. Conclusion: Poor risk factors control and adherence to follow up visits was common among patients undergoing CABG.

KEYWORDS:

Coronary Artery Bypass Graft; Medication Adherence; Risk Factor Control; Smoking

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