Ian M. Kronish, M.D.
- Assistant Professor, Division of General Medicine
- M.P.H., Public Health (2006), Mount Sinai School of Medicine, New York, NY
- M.D., Medicine (2001), Harvard University, Cambridge, MA
- A.B., Chemistry/Environmental Studies (1996), Princeton University
Dr. Ian Kronish's research tests whether objectively measuring adherence to blood pressure medications can improve the management of uncontrolled hypertension by primary care clinicians. Adherence is measured using a 4-chamber electronic pillbox and adherence reports are provided to clinicians at the time of primary care visits. This study hypothesizes that providing clinicians with objective adherence information will help clinicians better focus their efforts on either intensifying treatment for patients with true resistant hypertension or helping patients overcome adherence problems in those with pseudo-resistant hypertension as a result of not taking their medications regularly. Dr. Kronish is also interested in understanding modifiable barriers to medication adherence in non-adherent patients. He has previously conducted research demonstrating that psychological factors such as depression and post-traumatic stress disorder are important predictors of poor adherence. He plans to develop interventions to reduce psychosocial distress in patients with cardiovascular disease and to test whether such interventions can improve patient self-management, and ultimately, cardiovascular outcomes.
- Rieckmann N, Gerin W, Kronish I et al. Course of depressive symptoms and medication adherence after acute coronary syndromes: an electronic medication monitoring study. J Am Coll Cardiol 2006;48:2218-22.
- Kronish I, Rieckmann N, Halm E, et al. Depressed patients are less likely to follow recommended risk reducing behaviors after acute coronary syndromes. J Gen Intern Med 2006;21:1178-83.
- Kronish I, Rieckmann N, Shimbo D, Burg M, Davidson K. Aspirin adherence, Aspirin dosage, and C- reactive protein in the first three months after an acute coronary syndrome. Am J Card. 2010;106:1090-4.
- Mann D, Woodward M, Falzon L, Muntner P, Kronish I. Predictors of non-adherence to statins: A systematic review and meta-analysis. Ann Pharmacother 2010;44:1410-1421.
- Kronish I, Woodward M, Sergie Z, Ogedegbe O, Mann D. Meta-analysis: Impact of drug class on adherence to antihypertensives. Circulation. 2011;123:1611-1621.
- Kronish I, Leventhal H, Horowitz C. Understanding minority patients’ beliefs about hypertension to reduce gaps in communication between patients and clinicians. J Clin Hypertens (Greenwich). 2012;14;38-44.