0084 : Adherence to antihypertensive agents in acute coronary syndrome: Moroccan experience

Abstract

Antihypertensive (AH) agents have been shown to reduce the risk of cardiovascular events, including coronary artery disease. Nonadherence to AH agents may reduce their effectiveness. The aim was to determine the impact of better adherence to antihypertensive agents on patient's outcomes. We proceed to prospective study of 57 diabetic's patients with acute coronary syndrome (ACS), from January to June 2015 in Cardiology department of IBN ROCHD University Hospital of Casablanca (Morocco), after collecting general demographic characteristics, the assessment of adherence to the medical regime was by the Morisky Medication Adherence Scale (MMAS 4 – item version). In this period 57 patients with ACS were included (42% of total ACS). The mean patient age was 64±8 years, 43, 9% were male. Among these patients, level of compliance was 60% according to (MMAS 4). Compared with non compliant patients, lower adherence level was associated with a high risk on in-hospital mortality (p=0,037) and 30-day mortality (p=0,015). this study is among the first conducted in Morocco which suggests that better adherence to AH agents is associated with a risk reduction of ACS. Adherence to hypoglycemic agents needs to be improved so that patients can benefit from the full protective effects of hypoglycemic therapies. The author hereby declares no conflict of interest