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Medication Adherence and Blood Pressure Control: A Scientific Statement From the American Heart Association
Hypertension (Dallas, Tex. : 1979)
|October 7, 2021
Summary
Improving adherence to hypertension medication is crucial for better blood pressure control. Addressing medication nonadherence can help close the gap between public health targets and achieved blood pressure control rates.
Area of Science:
- Cardiovascular Medicine
- Public Health
- Pharmacology
Background:
- Hypertension treatment has significantly reduced heart disease and stroke rates.
- A gap persists between public health blood pressure control targets and actual patient outcomes.
- Medication nonadherence is a key factor contributing to suboptimal blood pressure control.
Purpose of the Study:
- To review the impact of antihypertensive medication nonadherence on blood pressure control.
- To examine methods and challenges in measuring medication adherence.
- To identify risk factors for nonadherence and strategies for improvement.
Main Methods:
- Literature review and synthesis of current scientific knowledge.
- Analysis of factors influencing patient adherence to hypertension medications.
- Evaluation of individual and health system-level interventions.
Main Results:
- Medication nonadherence significantly contributes to poor blood pressure control nationally.
- Accurate measurement of adherence presents considerable challenges.
- Various risk factors are associated with antihypertensive medication nonadherence.
Conclusions:
- Improving adherence to antihypertensive medications is essential for achieving public health goals.
- Targeted strategies are needed at both patient and health system levels to enhance adherence.
- Further research is warranted to optimize adherence interventions for better cardiovascular outcomes.
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