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