Adherence to therapy in arterial hypertension
Authors:
Čapek B. 1; Václavík J. 2
Authors place of work:
Interní oddělení, Sdružené zdravotnické zařízení Krnov, p. o.
1; I. interní klinika – kardiologická LF UP a FN Olomouc
2
Published in the journal:
Kardiol Rev Int Med 2019, 21(1): 45-48
Summary
Poor adherence to medication therapy is the main cause of seemingly treatment-resistant hypertension. There are many different factors either positively or negatively contributing to non-adherence. Good adherence is associated with better quality of life, it reduces cardiovascular risk, incidence of stroke (uncontrolled hypertension is the main reason for ischaemic as well as haemorrhagic stroke) and number of hospital readmissions. The screening for non-adherence consists of self-reported questionnaires, pill counting, electronic monitoring systems and direct drug monitoring in blood or urine. Every single intervention and mainly their combination has great benefits for adherence, but also for the clinical outcome and patient prognosis. Inclusion of screening and subsequent intervention should therefore become a common part of everyday clinical practice.
Keywords:
resistant hypertension – adherence – cardiovascular outcome
Zdroje
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Štítky
Paediatric cardiology Internal medicine Cardiac surgery CardiologyČlánok vyšiel v časopise
Cardiology Review
2019 Číslo 1
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