Interní Med. 2015; 17(4): 204-205

How to deal with a non-compliant hypertensive patient, or The path is not always easy

MUDr.Eva Kociánová, doc.MUDr.Jan Václavík, Ph.D.
I. interní klinika &ndash, kardiologická, FN Olomouc

The goal of hypertension management is undoubtedly to reduce the risk of its complications. For this purpose, there is a wide variety

of effective antihypertensive drugs. With their help, the vast majority of patients reach the recommended target blood pressure levels.

However, the willingness of a particular patient to adhere to the prescribed therapeutic regimen in the long term has proved to be a

major issue. When non-compliance is identified, it is essential to critically evaluate all the tablets administered in terms of their necessity

and efficacy, to use fixed combinations, whenever possible, and, in particular, to make rigorous efforts in motivating the patient for

lifelong treatment.

Keywords: hypertension, non-compliance, serum antihypertensive drug levels, hypertension complications

Published: September 19, 2015  Show citation

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Kociánová E, Václavík J. How to deal with a non-compliant hypertensive patient, or The path is not always easy. Interní Med. 2015;17(4):204-205.
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References

  1. Filipovský J, Widimský jr. J, Ceral J, et al. Diagnostické a léčebné postupy u arteriální hypertenze - verze 2012. Doporučení České společnosti pro hypertenzi. Hyperten Kardiovas Prev 2012? 3: 1-16.
  2. Mancia G, Farad R, Narkiewicz K, et al; 2013 ESH/ESC Guidelines for the management of arterial hypertension. J Hypertension 2013; 31: 1281-1357. Go to original source... Go to PubMed...
  3. The ONTARGET Investigators Telmisartan, Ramipril, or Both in Patients at High Risk for Vascular Events. N Engl J Med 2008; 358: 1547-1559. Go to original source... Go to PubMed...
  4. Bangalore S, Kamalakkannan G, Parkar S, et al. Fixed-dose combinations improve medication compliance: a meta-analysis. Am J Med 2007; 120: 713-719. Go to original source... Go to PubMed...
  5. Chalmers J, Arima H, Woodward M, et al. Effects of combination of Perindopril, Indapamide and calcium chanel blockers in patients with type 2 diabetes mellitus. Result from the ADVANCE Trial. Hypertens 2014; 63: 259-264. Go to original source... Go to PubMed...




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