作者: JM. Mallion , D. Schmitt
DOI: 10.1097/00004872-200112000-00024
关键词: Compliance (physiology) 、 Population 、 Blood pressure 、 Medicine 、 Cerebrovascular risk 、 Medical advice 、 Internal medicine 、 Treatment resistance 、 Patient compliance 、 Lack of efficacy
摘要: Introduction: Arterial hypertension (HT) is a major cardiovascular and cerebrovascular risk factor condition which very prevalent throughout the world involving 50% of those over 60 years age. Despite fact that there are constantly improving treatments available only one third patients who treated have normalisation blood pressure (BP). This worrying finding since it proven achieving normal BP can reduce consequent neurological, cardiac vascular effects. One explanation this lack efficacy undoubtedly poor therapeutic compliance with antihypertensive treatment. The sixth report Joint National Committe (14), on prevention detection, evaluation treatment HT stated 68% hypertensive population knew they had high but 27% their normalised. importance found during studies resistance. Thus Alderman et al. (1) reported prevalence resistant was 2.9% 1,781 individuals after year when eliminates were inobservant then percentage fell to 0.3%. Definition compliance: Compliance be defined as degree patient conforms medical advice about lifestyle dietary changes well keeping appointments for follow up taking prescribed. expressed quantitatively prescribed doses been taken. In minimum 80% generally need achieve an adequate reduction in (9). Methods