IMPROVED BLOOD PRESSURE CONTROL BY MONITORING COMPLIANCE WITH ANTIHYPERTENSIVE THERAPY |
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| Authors: | B Waeber MD W Vetter MD R Dariolp MD U Keller MD HR Brunner MD |
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| Institution: | 1. Division of Hypertension and Vascular Medicine, CHUV, Lausanne;2. Medizinische Poliklinik, Zurich;3. Policlinique Médicale Universitaire, Lausanne;4. Division of Endocrinology, University Hospital, Basel, Switzerland |
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| Abstract: | Compliance with antihypertensive therapy was monitored for three months using an electronic medication dispenser in 35 patients remaining hypertensive despite the once-daily administration of a blood pressure lowering drug (either as monotherapy or as fixed-dose combination therapy). During the monitoring of compliance, the treatment was unchanged but blood pressure decreased significantly (p<0.001) from 167.9/100.4 ± 16.3/7.2 mmHg (mean ± SD) to 152.5/90.9 ± 20.9/11.5 mmHg. The percentage of days with one opening per day was 80.8 ± 20.5. Thus, discussing with the patient about compliance with the prescribed drug regimen and monitoring compliance for a few months allows better control of blood pressure. This most likely reflects increased compliance with antihypertensive drug therapy. |
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