Intensive Monitoring of Adherence to Treatment Helps to Identify 'True' Resistant Hypertension
| Autor: | Fabrício de Faveri Favero, Heitor Moreno, Maricene Sabha, Juan Carlos Yugar-Toledo, Walnéia Aparecida de Souza, Gun Bergsten-Mendes |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Ambulatory blood pressure Endocrinology Diabetes and Metabolism Resistant hypertension Medication Adherence Young Adult Surveys and Questionnaires Internal medicine Internal Medicine medicine Humans In patient Prospective Studies Young adult Prospective cohort study Antihypertensive Agents business.industry Blood Pressure Monitoring Ambulatory Middle Aged Original Papers Surgery Regimen Treatment Outcome Blood pressure Hypertension Ambulatory Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | J Clin Hypertens (Greenwich) |
| ISSN: | 1751-7176 1524-6175 |
| DOI: | 10.1111/j.1751-7176.2009.00102.x |
| Popis: | Intensive monitoring of adherence in patients with uncontrolled hypertension was evaluated over a 6-month period. After that period, only patients well characterized as having resistant hypertension were followed for 12 months. The goal of this study was to evaluate whether adherence to a drug regimen helps to identify patients with resistant hypertension. Forty-four hypertensive patients resistant to a 3-drug regimen (average blood pressure [BP] mm Hg, mean +/- standard deviation) were studied prospectively. Each patient was followed for a 12-month period. Adherence to treatment was evaluated through self-report, applying Morisky's questionnaire and the pill count method. Ambulatory BP monitoring and office BP measures were performed. By pill count, 63.6% of the patients were adherent to treatment at the start of the survey and 94% at the end, although 59% of the patients still did not reach normal BP levels. We found that non-adherence was not associated with resistance to antihypertensive treatment. Therefore, after investigation, we concluded that patients who presented with uncontrolled arterial BP may be truly resistant hypertensive to treatment. |
| Databáze: | OpenAIRE |
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