Adherence of Sudanese Coronary Artery Disease Patients to Secondary Prevention Medications at Elshaab Teaching Hospital, Sudan

Abstract

Background: Coronary artery disease (CAD), worldwide, is the most common type of heart disease. Adherence to the evidence-based medications for secondary prevention is associated with further improvement in the outcomes.
Objectives: To identify level of adherence towards secondary prevention medications among Sudanese ischemic heart disease patients.
Materials and Methods: This is a cross sectional hospital-based study, performed in the period from August 2012 through January 2013.Audit of Adherence of Sudanese Cardiac Patients to Secondary Prevention of Ischemic Heart Disease at Elshaab Teaching Hospital Khartoum, Sudan was done using a questionnaire for assessment.
Results: A total of 210 patients were included in this study. Their mean (±SD) age was 60.8(±12.3) years. Of them, 190 patients have high risk factors and 167 were on regular follow up. 195(92.9%)patients were on ACEI/ARBs and Aspirin. 116(55.2%) were on clopidogrel and 203 (96.7%) on statin.
Conclusion: 140(66.7%) patients were strictly adherent to medications, 21(10%) partially adherent and 49(23.3%) were totally not adherent. Lack of adherence was mainly due to poverty and high cost of medications.

Key words: Adherence, coronary artery disease, secondary prevention, evidence-based medications, Sudan.