A case study of recurrent myocardial infarction secondary to socioeconomic challenges and nonadherence: Pre-discharge screening

Medication nonadherence following myocardial infarction (MI) is prevalent and increases the risk of recurrent cardiovascular events. Socioeconomic factors including medication cost, financial insecurity, and poor health literacy are associated with nonadherence. We present a patient with a history o...

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Main Authors: Revanth Kosaraju, Sami Natour, Stanley Yuan, Geoffrey Cho
Format: Article
Language:English
Published: SAGE Publishing 2023-03-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X231162921
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author Revanth Kosaraju
Sami Natour
Stanley Yuan
Geoffrey Cho
author_facet Revanth Kosaraju
Sami Natour
Stanley Yuan
Geoffrey Cho
author_sort Revanth Kosaraju
collection DOAJ
description Medication nonadherence following myocardial infarction (MI) is prevalent and increases the risk of recurrent cardiovascular events. Socioeconomic factors including medication cost, financial insecurity, and poor health literacy are associated with nonadherence. We present a patient with a history of recurrent MI who was nonadherent due to socioeconomic challenges. Our patient subsequently developed ST-elevation MI secondary to in-stent thrombosis. This case illustrates the importance of pre-discharge screening for barriers to adherence.
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spelling doaj.art-788fd3b6b5584da48db141355e4d4f0f2023-03-22T08:03:35ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-03-011110.1177/2050313X231162921A case study of recurrent myocardial infarction secondary to socioeconomic challenges and nonadherence: Pre-discharge screeningRevanth Kosaraju0Sami Natour1Stanley Yuan2Geoffrey Cho3Internal Medicine Residency Program, UCLA Health, Los Angeles, CA, USADavid Geffen School of Medicine at UCLA, Los Angeles, CA, USADavid Geffen School of Medicine at UCLA, Los Angeles, CA, USACardiovascular Research Foundation of Southern California, Beverly Hills, CA, USAMedication nonadherence following myocardial infarction (MI) is prevalent and increases the risk of recurrent cardiovascular events. Socioeconomic factors including medication cost, financial insecurity, and poor health literacy are associated with nonadherence. We present a patient with a history of recurrent MI who was nonadherent due to socioeconomic challenges. Our patient subsequently developed ST-elevation MI secondary to in-stent thrombosis. This case illustrates the importance of pre-discharge screening for barriers to adherence.https://doi.org/10.1177/2050313X231162921
spellingShingle Revanth Kosaraju
Sami Natour
Stanley Yuan
Geoffrey Cho
A case study of recurrent myocardial infarction secondary to socioeconomic challenges and nonadherence: Pre-discharge screening
SAGE Open Medical Case Reports
title A case study of recurrent myocardial infarction secondary to socioeconomic challenges and nonadherence: Pre-discharge screening
title_full A case study of recurrent myocardial infarction secondary to socioeconomic challenges and nonadherence: Pre-discharge screening
title_fullStr A case study of recurrent myocardial infarction secondary to socioeconomic challenges and nonadherence: Pre-discharge screening
title_full_unstemmed A case study of recurrent myocardial infarction secondary to socioeconomic challenges and nonadherence: Pre-discharge screening
title_short A case study of recurrent myocardial infarction secondary to socioeconomic challenges and nonadherence: Pre-discharge screening
title_sort case study of recurrent myocardial infarction secondary to socioeconomic challenges and nonadherence pre discharge screening
url https://doi.org/10.1177/2050313X231162921
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