Compliance to treatment and its role in solving the problem of uncontrolled hypertension

Failure to achieve blood pressure targets and insufficient control are important cardiology problems that remain relevant despite well-defined and generally available modern algorithms for the treatment of hypertension (HTN) and the availability of effective antihypertensive drugs. The level of hype...

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Main Authors: V. I. Podzolkov, A. E. Bragina, I. D. Medvedev, M. V. Vetluzhskaya, A. A. Abramova, I. Zh. Loria, N. K. Megeneishvili, A. V. Sutulova
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2023-05-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/3547
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author V. I. Podzolkov
A. E. Bragina
I. D. Medvedev
M. V. Vetluzhskaya
A. A. Abramova
I. Zh. Loria
N. K. Megeneishvili
A. V. Sutulova
author_facet V. I. Podzolkov
A. E. Bragina
I. D. Medvedev
M. V. Vetluzhskaya
A. A. Abramova
I. Zh. Loria
N. K. Megeneishvili
A. V. Sutulova
author_sort V. I. Podzolkov
collection DOAJ
description Failure to achieve blood pressure targets and insufficient control are important cardiology problems that remain relevant despite well-defined and generally available modern algorithms for the treatment of hypertension (HTN) and the availability of effective antihypertensive drugs. The level of hypertension control in Russia remains quite low and is 14,1% for men and 30,9% for women. The generally recognized most important factor determining the low blood pressure control is non-compliance with antihypertensive therapy, which, in turn, determines the high percentage of uncontrolled HTN among patients. The review discusses the most common causes of low adherence to treatment. Particular attention is paid to the doctor’s ability to remove barriers to adherence and errors in the choice of therapy, including insufficient prescribing of fixed-dose combinations. The review presents a modern view on the significance of combined antihypertensive therapy. Atten­tion is focused on fixed-dose combinations of antihypertensives, the use of which significantly increases adherence to therapy, and the unique properties and effectiveness of lisinopril, amlodipine and indapamide are described.
format Article
id doaj-art-02604dbd16ee4af595c38ee3637f4ae7
institution Kabale University
issn 1728-8800
2619-0125
language Russian
publishDate 2023-05-01
publisher «SILICEA-POLIGRAF» LLC
record_format Article
series Кардиоваскулярная терапия и профилактика
spelling doaj-art-02604dbd16ee4af595c38ee3637f4ae72025-08-20T03:35:51Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252023-05-0122410.15829/1728-8800-2023-35472684Compliance to treatment and its role in solving the problem of uncontrolled hypertensionV. I. Podzolkov0A. E. Bragina1I. D. Medvedev2M. V. Vetluzhskaya3A. A. Abramova4I. Zh. Loria5N. K. Megeneishvili6A. V. Sutulova7I.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityI.M. Sechenov First Moscow State Medical UniversityFailure to achieve blood pressure targets and insufficient control are important cardiology problems that remain relevant despite well-defined and generally available modern algorithms for the treatment of hypertension (HTN) and the availability of effective antihypertensive drugs. The level of hypertension control in Russia remains quite low and is 14,1% for men and 30,9% for women. The generally recognized most important factor determining the low blood pressure control is non-compliance with antihypertensive therapy, which, in turn, determines the high percentage of uncontrolled HTN among patients. The review discusses the most common causes of low adherence to treatment. Particular attention is paid to the doctor’s ability to remove barriers to adherence and errors in the choice of therapy, including insufficient prescribing of fixed-dose combinations. The review presents a modern view on the significance of combined antihypertensive therapy. Atten­tion is focused on fixed-dose combinations of antihypertensives, the use of which significantly increases adherence to therapy, and the unique properties and effectiveness of lisinopril, amlodipine and indapamide are described.https://cardiovascular.elpub.ru/jour/article/view/3547hypertensionadherencefixed-dose combinationindapa­mideamlodipinelisinopril
spellingShingle V. I. Podzolkov
A. E. Bragina
I. D. Medvedev
M. V. Vetluzhskaya
A. A. Abramova
I. Zh. Loria
N. K. Megeneishvili
A. V. Sutulova
Compliance to treatment and its role in solving the problem of uncontrolled hypertension
Кардиоваскулярная терапия и профилактика
hypertension
adherence
fixed-dose combination
indapa­mide
amlodipine
lisinopril
title Compliance to treatment and its role in solving the problem of uncontrolled hypertension
title_full Compliance to treatment and its role in solving the problem of uncontrolled hypertension
title_fullStr Compliance to treatment and its role in solving the problem of uncontrolled hypertension
title_full_unstemmed Compliance to treatment and its role in solving the problem of uncontrolled hypertension
title_short Compliance to treatment and its role in solving the problem of uncontrolled hypertension
title_sort compliance to treatment and its role in solving the problem of uncontrolled hypertension
topic hypertension
adherence
fixed-dose combination
indapa­mide
amlodipine
lisinopril
url https://cardiovascular.elpub.ru/jour/article/view/3547
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AT idmedvedev compliancetotreatmentanditsroleinsolvingtheproblemofuncontrolledhypertension
AT mvvetluzhskaya compliancetotreatmentanditsroleinsolvingtheproblemofuncontrolledhypertension
AT aaabramova compliancetotreatmentanditsroleinsolvingtheproblemofuncontrolledhypertension
AT izhloria compliancetotreatmentanditsroleinsolvingtheproblemofuncontrolledhypertension
AT nkmegeneishvili compliancetotreatmentanditsroleinsolvingtheproblemofuncontrolledhypertension
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