Adherence to Therapy in Polymorbid Patients with Chronic Heart Failure

INTRODUCTION: Low adherence to doctors prescriptions turns into an increased risk of complications and high mortality for patients, economic losses deepening negative demographic trends the society. AIM: To study therapy in polymorbid patients with chronic heart failure (CHF). MATERIALS AND METHODS: The included 313 hospitalized city center treatment (CHF) period from February 1, 2019 October 2020 at age 75 ± 8.22 years. 66.77% Of were diagnosed CHF preserved left ventricular ejection fraction (EF), 19.81% — intermediate, 13.42% low fraction. Adherence was assessed by Morisky–Green questionnaire: 4 points compliant 2 less non-compliant, 3 insufficiently compliant. RESULTS: In groups, majority had arterial hypertension (AH) coronary disease (CHD), 99.04% 67.09%, respectively; 65.49% rhythm disorders form atrial fibrillation or flutter (AFb/AFl); 20.45% lung diseases, obstructive pulmonary (COPD), 21.72% malignant a third (38.98%) diabetes mellitus (DM), 14.69% various joint diseases. Almost all (99.04%) kidney (CKD), 45.05% anemia different severity. incidence acute injury (AKI) higher group (30.59%, 35% 44.72%; pmg = 0.046), mainly due AKI initial creatinine (pmg=0.038), predominantly I stage (12.94%, 15% 17.07%; 0.805). groups comparable frequency hospital dynamics (4.11%, 5% 5.69%; 0.823). Patients did not differ until dialysis stages (pmg 0.763). CONCLUSION: Every patient outpatient take drug therapy. Among non-compliant there lower stable angina smaller number more than 5 they rarely often bad habits. On contrary, pain syndrome location, re-hospitalized.