More than half of heart stent patients stop medications
Coronary artery disease (CAD) affects more than 15 million Americans, making it the most common form of heart disease. Coronary artery disease often results from atherosclerosis, a condition when plaque builds up inside the arteries that supply blood to your heart. For those who undergo an angioplasty procedure and receive a heart stent, are prescribed an oral antiplatelet therapy and an aspirin for as prevention for a heart attack, a blood clot in their heart stent (stent thrombosis) or even death. Along with prescribed pharmaceuticals they are also to follow through with lifestyle changes.
However, only 52 percent of 275 acute coronary syndrome (ACS) patients were currently taking antiplatelet therapy which was prescribed had missed taking the therapy or changed their therapy even though most of them were informed by their doctors of the importance of the therapy to their heart health.
In order to address this health concern three leading cardiovascular organizations, the Preventive Cardiovascular Nurses Association (PCNA), Society for Cardiovascular Angiography and Interventions (SCAI) and Mended Hearts, with support from Daiichi Sankyo, Inc. And Eli Lilly and Company (NYSE: LLY), urge health care professionals to increase their efforts to help ACS patients stick to their prescribed OAP therapy following an angioplasty or cardiac stent procedure. The survey found 12 percent of the total survey respondents said they do not recall being informed by their health care professionals that they faced serious health risks if they did not adhere to their OAP therapy.
For people who have recently received a heart stent for ACS, changing, skipping or discontinuing OAP therapy increases the risk of serious heart problems or even death,” said Jeffrey Cavendish MD, FSCAI, FACC, lead interventional cardiologist for Kaiser Permanente San Diego and director of the cardiac catheterization laboratory at the Scripps Prebys Cardiovascular Institute in La Jolla, California.
To help ACS patients prevent recurrent heart events after an angioplasty procedure, SCAI, PCNA and Mended Hearts are introducing the “After the Stent: Follow Your Action PlanTM” campaign. The campaign aims to mobilize cardiovascular health care professionals to improve ACS patients’ knowledge and practices related to OAP adherence.
To launch the “After the Stent: Follow Your Action PlanTM” campaign, the Preventive Cardiovascular Nurses Association and Society for Cardiovascular Angiography and Interventions published a paper that explored the array of factors that contribute to suboptimal adherence, proposed practical solutions and developed tools to help support improved adherence. The spotlight supplement can be viewed online at Cardiology Today Education Lab.
Recently I had spoken with interventional cardiologist Dr. Cavendish and Donnette Smith from Mended Hearts an organization dedicated to improving the lives of people with heart disease.
In this interview we discuss After the Stent: Follow Your Action PlanTM, changes that can be made by physician and patients to address the problem of medication adherence and lifestyle changes. Dr. Cavendish discuses heart stents and Donnette Smith provides insight into caregivers and the role they play.
Mended Hearts dedicated to “Inspiring hope and improving the quality of life for heart patients and their families through ongoing peer-to-peer support”.
SecondsCount a public information website hosted by the Society of Cardiovascular Angiography and Interventions (SCAI) that provides expanded awareness of cardiovascular health issues, from prevention to treatment and everything in between. SecondsCount.org is designed for general information purposes only.
Jeff Cavendish MD, FSCAI, FACC, is the lead interventional cardiologist for Kaiser Permanente San Diego and the director of the cardiac catheterization laboratory at the Scripps Prebys Cardiovascular Institute in La Jolla, California. He is an active member of the American College of Cardiology and the Society for Cardiovascular Angiography and Interventions. He serves as a faculty member for numerous annual meetings and board review sessions as well as on many committees. Dr. Cavendish is a retired US Navy Commander. He served for more than 20 years on active duty and in the reserves.
Donnette Lovell Smith was born in Athens, Alabama and moved to Huntsville, Alabama after her marriage to Tom in October 1980. She began her career in 1966 with the George C. Marshall Space Flight Center, National Aeronautics and Space Administration. She later transferred to the U.S. Army Missile Command as a Technical Writer where she continued until her retirement in 1999.After her second heart surgery in 1994, Donnette became the founding President of The Mended Hearts Huntsville Chapter 260, and has served as Chapter VP, Treasurer, and Visiting Chairperson. On the National level, she served as Treasurer for two terms and is currently in her second term as Executive Vice President. She has also served as the Mended Hearts representative for projects such as the I Heart Flu Shots campaign, the Hearts in Harmony campaign with Dr. Bob Arnot, and the Speak From The Heart campaign with Gilead Sciences. She has also served as the Patient’s Voice for several writing groups with the American College of Cardiology. Today, Donnette still resides in Huntsville with husband Tom, who is a member of the MHI Caregiver Committee. Their son Darrin and wife Maria, and daughter Dana and husband Bill live in Albertville, Alabama, which fortunately is only about an hour away. They have two grandchildren, Ty and Hannah Grace Sanders, and a foster grandson, Toddric Stallworth. Their greatest joy is attending sports activities in which the grandchildren participate, which includes golf, tennis, football and basketball!
Eli Lilly Press Release