Current Cardiology Reports

, 13:553 | Cite as

Predictors of Statin Adherence

Lipid Abnormalities and Cardiovascular Prevention (Michael H. Davidson, Section Editor)


Statin therapy plays a central role in decreasing the morbidity and mortality associated with cardiovascular disease. However, prescribed statins are only effective if they are taken by patients on a regular basis, known as medication adherence. The factors that influence patient adherence to statin therapy can be categorized into patient factors, physician factors, and health system factors, often with interactions between the categories. Patient factors include demographics, socioeconomic status, comorbidities, and side effects. Physician factors include the physician’s own adherence to applying guideline recommendations, office visits, and their interactions with patients. Health system factors include issues such as cost and access to care. Physicians should be aware of the various elements that may influence a patient’s likelihood to take statin medications to improve adherence and provide the best possible patient outcomes.


Statin Adherence Cardiovascular disease Coronary artery disease Patient factors Physician factors Health system factors Socioeconomic 

Clinical Trial Acronyms


Incremental Decrease in End Points Through Aggressive Lipid Lowering


Myocardial Ischemia Reduction with Aggressive Cholesterol Lowering


National Cholesterol Education Program Adult Treatment Panel III


National Health and Nutrition Examination Survey


Prospective Registry Evaluating Outcomes After Myocardial Infarction: Events and Recovery


Pravastatin or Atorvastatin Evaluation and Infection Therapy—Thrombolysis in Myocardial Infarction 22


Treating to New Targets


Papers of particular interest, published recently, have been highlighted as: •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Division of CardiologyNew York Presbyterian Hospital–Weill Cornell Medical CenterNew YorkUSA
  2. 2.Division of CardiologyNew York Presbyterian Hospital–Weill Cornell Medical CenterNew YorkUSA

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