The challenge of improving evidence-based therapy adherence in the secondary prevention of coronary artery disease: the next frontier of cardiac rehabilitation


  • Sabino Scardi | Scuola di Specialità in Cardiologia Università di Trieste, Italy.
  • Carmine Mazzone Centro Cardiovascolare Dipartimento Interaziendale di Cardiologia, Trieste, Italy.
  • Paolo Umari Scuola di Specialità in Cardiologia Università di Trieste, Italy.


Non-adherence to prescribed drug regimens is an increasing medical problem affecting physicians and patients and contribute to negative outcomes, such as the increased risk of subsequent cardiovascular events. Analysis of various patient populations shows that the choice of drug, its tolerability and the duration of treatment influence the non-adherence. Intervention is required toward patients and health-care providers to improve medication adherence. This review deals about the prevalence of non-adherence to therapy after medical and surgical cardiac event, the risk factors affecting non-adherence and the strategies to implement it. Interventions that may successfully improve adherence should include improved physician compliance with guidelines, patient education and patient reminders, frequent visits or telephone calls from staff, simplification of the patient’s drug regimen by reducing the number of pills and daily doses. Since single interventions do not appear efficaceous, it is necessary to establish multiple interventions simultaneously addressing a number of barriers to adherence.



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adherence, secondary prevention, ischemic heart disease, rehabilitation
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How to Cite
Scardi, Sabino, Carmine Mazzone, and Paolo Umari. 2016. “The Challenge of Improving Evidence-Based Therapy Adherence in the Secondary Prevention of Coronary Artery Disease: The Next Frontier of Cardiac Rehabilitation”. Monaldi Archives for Chest Disease 72 (2).

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