Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: Dr Fonarow and colleagues1 studied the association between heart failure performance measures and mortality and rehospitalization. While adherence to guidelines is important and could affect hard clinical end points, neither this study nor the American College of Cardiology/American Heart Association (ACC/AHA) clinical performance measures for adults with chronic heart failure2 addresses patient medication adherence, an important aspect of this complex issue.
Shishehbor MH, Litaker D. Performance Measures and Outcomes for Patients Hospitalized With Heart Failure. JAMA. 2007;297(14):1547-1549. doi:10.1001/jama.297.14.1547-a