Patient satisfaction with antihypertensive therapy.

Area of Science:

• Cardiovascular Medicine
• Pharmacology
• Patient-Reported Outcomes

Background:

• Hypertension management requires effective and satisfactory patient treatment.
• Patient satisfaction is a key factor in adherence to antihypertensive therapy.
• Understanding factors influencing satisfaction is crucial for optimizing treatment outcomes.

Purpose of the Study:

• To assess factors associated with treatment satisfaction in patients on antihypertensive therapy.
• To compare satisfaction levels across different classes of antihypertensive medications.
• To identify the impact of blood pressure control and adverse events on patient satisfaction.

Main Methods:

• A weighted cross-sectional online survey of hypertensive patients in the US.
• Inclusion of patients on monotherapy: ACE inhibitors (ACEIs), ARBs, beta blockers (BBs), calcium channel blockers (CCBs), and diuretics.
• Pairwise comparisons between treatment groups and a control group (no treatment).

Main Results:

• Patients with controlled blood pressure (BP) showed higher satisfaction (90.3%) than those with uncontrolled BP (71.5%).
• Patients without adverse events reported higher satisfaction (90.9%) versus those with adverse events (75.8%).
• Angiotensin receptor blockers (ARBs) had the lowest adverse event rates, and patients on ARBs were most likely to have switched therapies.

Conclusions:

• Achieving blood pressure control is vital for improving patient satisfaction with antihypertensive therapy.
• Minimizing adverse events, such as frequent urination, sexual dysfunction, and fatigue, is essential for enhancing treatment satisfaction.
• Angiotensin receptor blockers (ARBs) may offer a favorable profile regarding adverse events and patient satisfaction.