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Adherence to antihypertensive treatment: a critical factor for blood pressure control

Eugenia Ch Yiannakopoulou1, John S Papadopulos, Dennis V Cokkinos

  • 1Department of Pharmacology, University of Athens, Onassic Cardiac Surgery Centre, Sotiria Hospital, Athens, Greece.

European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology
|June 9, 2005
PubMed

Insights

Patient adherence to antihypertensive medication significantly improves blood pressure control. Physicians can enhance hypertension management by focusing on patient counseling and simplifying treatment regimens.

Area of Science:

  • Cardiology
  • Public Health
  • Pharmacology

Background:

  • Hypertension management requires consistent adherence to antihypertensive treatments.
  • Assessing blood pressure (BP) control rates and factors influencing patient compliance is crucial for effective hypertension management.

Purpose of the Study:

  • To compare blood pressure control rates with adherence to antihypertensive treatment.
  • To identify factors influencing patient compliance in Greek hypertensive patients.

Main Methods:

  • An observational, cross-sectional study involving 1000 treated hypertensive patients in a Greek hospital.
  • Data collected via interviews using pre-coded questionnaires and blood pressure measurements using a standard mercury sphygmomanometer.

Main Results:

  • Only 20% of treated patients achieved satisfactory blood pressure control (<140/90 mmHg).
  • Treatment compliance was observed in only 15% of patients, but was positively associated with better BP control.
  • Factors associated with higher compliance included younger age (<60), urban residence, higher education, adequate physician counseling, and consistent treatment.

Conclusions:

  • Patient compliance is directly associated with more effective blood pressure control.
  • Physicians can improve patient compliance and hypertension control through enhanced counseling, minimizing regimen changes, and reducing pill burden.
Abstract

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