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Blood pressure control and its associated factors among patients with heart failure in Jordan

Anan S Jarab1,2, Hanan W Hamam3, Walid A Al-Qerem4

  • 1Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan. asjarab@just.edu.jo.

Journal of Human Hypertension
|February 11, 2023
PubMed

Insights

Poor blood pressure control in heart failure patients is linked to medication dissatisfaction and adherence issues. Interventions should target these factors to improve cardiovascular outcomes.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Heart Failure Research

Background:

  • Uncontrolled blood pressure (BP) significantly elevates cardiovascular event risk, particularly heart failure.
  • Effective BP management is crucial for improving prognosis in heart failure patients.
  • Identifying factors contributing to poor BP control is essential for targeted interventions.

Purpose of the Study:

  • To investigate predictors of suboptimal blood pressure control in heart failure patients.
  • To explore associations between socio-demographic, clinical, and medication-related factors and BP control.
  • To identify key areas for intervention to enhance BP management in this population.

Main Methods:

  • Cross-sectional study at two Jordanian cardiology clinics.
  • Data collected via medical records and a custom questionnaire.
  • Medication adherence assessed using the 4-item Medication Adherence Scale.
  • Binary logistic regression analysis identified predictors of poor BP control.

Main Results:

  • Medication dissatisfaction (OR=2.882) and moderate adherence (OR=0.203) were significantly associated with poor BP control.
  • Not receiving digoxin (OR=3.423) or aldosterone antagonists (OR=2.044) also predicted poorer BP control.
  • These findings highlight specific medication-related factors impacting BP management.

Conclusions:

  • Improving patient satisfaction with prescribed medications is vital for better BP control.
  • Enhancing medication adherence strategies is a key target for improving cardiovascular outcomes.
  • Future interventions should focus on patient-provider communication and adherence support to optimize BP management in heart failure.

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