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Blood pressure treatment adherence and control through 24-hour ambulatory monitoring

Guilherme Brasil Grezzana1, Airton Tetelbon Stein, Lúcia Campos Pellanda

  • 1Fundação Universitária de Cardiologia do Rio Grande do Sul, IC, Porto Alegre, RS, Brasil. gbgrezzana@cardiol.br

Arquivos Brasileiros De Cardiologia
|March 26, 2013
PubMed

Insights

Many patients adhere to hypertension treatment, yet blood pressure control remains inadequate. This highlights a gap in managing systemic arterial hypertension (SAH) despite patient compliance.

Area of Science:

  • Cardiology
  • Public Health
  • Hypertension Management

Background:

  • Systemic arterial hypertension (SAH) is a significant cardiovascular risk factor with often insufficient blood pressure (BP) control.
  • Assessing adherence to antihypertensive treatment via 24-hour ambulatory blood pressure monitoring (ABPM) can aid in defining BP control targets.

Purpose of the Study:

  • To evaluate adherence to antihypertensive therapy.
  • To examine the association between adherence and BP levels measured by 24-hour ABPM.
  • To assess hypertension control in primary health care (PHC) settings.

Main Methods:

  • Cross-sectional study involving 143 hypertensive patients from PHC centers.
  • Adherence assessed using the Morisky-Green test.
  • 24-hour ABPM utilized for BP measurement.

Main Results:

  • 65.7% of patients showed adherence to treatment; 14% were non-adherent.
  • 55.2% of patients achieved controlled hypertension (<130/80 mmHg) based on 24-hour ABPM.
  • 44.8% had uncontrolled hypertension, with 72% exhibiting no nocturnal BP dip and 41.9% uncontrolled while awake.

Conclusions:

  • Adequate hypertension control was lacking despite good patient adherence to antihypertensive treatment.
  • Primary health care professionals missed opportunities to adjust BP control targets effectively.
  • Further strategies are needed to improve hypertension management in PHC settings.
Abstract

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