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In This Issue of JAMA Internal Medicine
February 2014


JAMA Intern Med. 2014;174(2):173-175. doi:10.1001/jamainternmed.2013.10635

Adherence to cardioprotective medications in the year after acute coronary syndrome (ACS) hospitalization is poor. Ho and coauthors conducted a randomized clinical trial of 253 patients to test a multifaceted intervention against usual care. In the intervention group, 89.3% of patients were adherent compared with 73.9% in the usual care group (P = .003). They found no statistically significant differences in the proportion of patients who achieved blood pressure and low-density lipoprotein cholesterol goals or in clinical events. In an Editor’s Note, Redberg urges caution in implementing costly interventions before significant improvement in patient outcomes is demonstrated.

Editor’s Note