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Type: Artigo de periódico
Title: Intensive Monitoring of Adherence to Treatment Helps to Identify "True" Resistant Hypertension
Author: de Souza, WA
Sabha, M
Favero, FD
Bergsten-Mendes, G
Yugar-Toledo, JC
Moreno, H
Abstract: Intensive monitoring of adherence in patients with uncontrolled hypertension was evaluated over a 6-month period. After that period, only patients well characterized as having resistant hypertension were followed for 12 months. The goal of this study was to evaluate whether adherence to a drug regimen helps to identify patients with resistant hypertension. Forty-four hypertensive patients resistant to a 3-drug regimen (average blood pressure [BP] mm Hg, mean +/- standard deviation) were studied prospectively. Each patient was followed for a 12-month period. Adherence to treatment was evaluated through self-report, applying Morisky's questionnaire and the pill count method. Ambulatory BP monitoring and office BP measures were performed. By pill count, 63.6% of the patients were adherent to treatment at the start of the survey and 94% at the end, although 59% of the patients still did not reach normal BP levels. We found that non-adherence was not associated with resistance to antihypertensive treatment. Therefore, after investigation, we concluded that patients who presented with uncontrolled arterial BP may be truly resistant hypertensive to treatment.
Country: EUA
Editor: Wiley-blackwell Publishing, Inc
Citation: Journal Of Clinical Hypertension. Wiley-blackwell Publishing, Inc, v. 11, n. 4, n. 183, n. 191, 2009.
Rights: fechado
Identifier DOI: 10.1111/j.1751-7176.2009.00102.x
Date Issue: 2009
Appears in Collections:Unicamp - Artigos e Outros Documentos

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