[Optimizing therapy of arterial hypertension in a health cure]

On 514 male and female patients (average age 51.9 years) with arterial hypertension I and II according to WHO who had been admitted to cure a check-up of the efficacy of the current antihypertensive therapy and the compliance of the patients was carried out. At the beginning of the cure 15.5% of the hypertensives were normotonic, 30.2% with limiting value and 52.3% hypertonic. The analysis of the habit of intake of antihypertensive drugs revealed that only 48.4% of the patients before the cure had taken their medicaments according to the prescription of the physician. The main cause for unsatisfying results of the therapy is the bad compliance of the hypertensives, in our opinion a sequela of the often existing freedom from symptoms. Further causes we see in the irregularities of the intake of medicaments, particularly during shift-work, in wrong habits of nutrition and in a too passive way of life. At the end of the cure in 64.5% of all patients a normotonic stabilisation of the blood pressure was to be stated, 27.8% had limiting values, in 7.4% no stabilisation of the blood pressure into the normal or borderline region could be achieved. Under cure conditions modes of behaviour furthering the disease and wrong habits of life and eating can be changed. The cure gives good conditions by means of health-educational measures and using the motivation for an active way of life which is present in the patient at the end of the cure better to carry the aims of the medical treatment.