{"id":347570,"date":"2013-09-11T00:00:00","date_gmt":"2013-09-10T22:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/increase-awareness-compliance-and-adherence\/"},"modified":"2013-09-11T00:00:00","modified_gmt":"2013-09-10T22:00:00","slug":"increase-awareness-compliance-and-adherence","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/en\/increase-awareness-compliance-and-adherence\/","title":{"rendered":"Increase Awareness, Compliance and Adherence!"},"content":{"rendered":"

Although many hypertensive patients perform regular blood pressure measurements at home, a large proportion of these patients – 51% in the SWISSHYPE study published in 2011 [1] – are inadequately treated or have a low blood pressure. does not reach the target blood pressure values. This is due on the one hand to a lack of compliance and adherence on the part of many patients, but often also to a therapy that is not optimally developed.<\/strong><\/p>\n

<\/p>\n

A team from the Institute of Family Medicine in Zurich has shown that blood pressure can be reduced with the help of a very simple and inexpensive intervention, namely the ab-
\nThe results of the blood pressure test are impressive (syst. -14 mmHg, diast. -8 mmHg) [2, 3]. This is achieved on the one hand by increasing compliance and adherence and on the other hand by improving awareness on the part of both patients and physicians.<\/p>\n

In practice, 24-hour blood pressure measurement is a cost-effective and time-efficient measure for diagnosing patients with high blood pressure. NICE guidelines recommend that all patients with a blood pressure >140\/90 mmHg should have one performed first [4]. If the mean blood pressure in this measurement is 135-150\/85-95 mmHg, it is recommended that only lifestyle measures be taken initially in patients with no end-organ damage and no increased cardiovascular risk (this can be determined using the AGLA risk calculator, for example, www.agla.ch). If the patient already has end-organ damage and\/or an increased cardiovascular risk or if the values are >150\/95 mmHg, drug treatment should be started in addition to lifestyle measures [4]. At the SGIM congress in Basel, Thilo Burkhard, MD, Basel, recommended that younger patients (<55 years) should always be started primarily with an angiotensin receptor blocker (ARB) or an ACE inhibitor and older patients with a calcium antagonist(Fig. 1<\/strong>) [4].<\/p>\n

<\/p>\n

If monotherapy is not sufficient, ARB resp. ACE inhibitors and calcium antagonists are combined and only in a third step, if necessary, a diuretic is added [4]. According to Dr. Burkhard, most patients require combination therapy to achieve target blood pressure levels on a sustained basis. He therefore recommended that in patients with grade 2 hypertension or in the presence of end-organ damage – in addition to the lifestyle measures that always belong! – to consider a combination therapy already initially. Especially in patients who still need to take additional medications, fixed-dose combination preparations contribute to a significant improvement in adherence.<\/p>\n

Source: “Hypertension Treatment in Family Practice – Good, but can it be better?” Satellite Symposium of A. Menarini AG, SGIM Congress, May 29-31, 2013, Basel.<\/em><\/p>\n

Literature:<\/p>\n

    \n
  1. Brenner R, et al: Swiss Med Wkly 2011; 141: w13169.<\/li>\n
  2. Steurer-Stey C, et al: Trials 2010; 11: 38.<\/li>\n
  3. Rosemann T: Results of the CoCo study. Paper presented at the SGIM Annual Meeting 2013.<\/li>\n
  4. NICE: CG127, 2011. http:\/\/guidance.nice.org.uk\/CG127<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Although many hypertensive patients perform regular blood pressure measurements at home, a large proportion of these patients – 51% in the SWISSHYPE study published in 2011 [1] – are inadequately…<\/p>\n","protected":false},"author":4,"featured_media":33192,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Hypertension Treatment","footnotes":""},"category":[11359,11513,11413,11548],"tags":[57761,24083,15194,13947,13446,62884,11795],"powerkit_post_featured":[],"class_list":["post-347570","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cardiology","category-congress-reports","category-nephrology","category-rx-en","tag-adherence-en-2","tag-blood-pressure-en","tag-compliance-en","tag-diagnostics","tag-hypertension-en-2","tag-target-blood-glucose-levels","tag-therapy-en","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-10 11:16:05","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"en_US","wpml_translations":{"fr_FR":{"locale":"fr_FR","id":347573,"slug":"augmenter-la-sensibilisation-la-conformite-et-ladhesion","post_title":"Augmenter la sensibilisation, la conformit\u00e9 et l'adh\u00e9sion !","href":"https:\/\/medizinonline.com\/fr\/augmenter-la-sensibilisation-la-conformite-et-ladhesion\/"},"it_IT":{"locale":"it_IT","id":347574,"slug":"aumenta-la-consapevolezza-la-conformita-e-laderenza","post_title":"Aumenta la consapevolezza, la conformit\u00e0 e l'aderenza!","href":"https:\/\/medizinonline.com\/it\/aumenta-la-consapevolezza-la-conformita-e-laderenza\/"},"pt_PT":{"locale":"pt_PT","id":347548,"slug":"aumentar-a-consciencializacao-o-cumprimento-e-a-aderencia","post_title":"Aumentar a consciencializa\u00e7\u00e3o, o cumprimento e a ader\u00eancia!","href":"https:\/\/medizinonline.com\/pt-pt\/aumentar-a-consciencializacao-o-cumprimento-e-a-aderencia\/"},"es_ES":{"locale":"es_ES","id":347558,"slug":"aumente-la-concienciacion-el-cumplimiento-y-la-adherencia","post_title":"Aumente la concienciaci\u00f3n, el cumplimiento y la adherencia","href":"https:\/\/medizinonline.com\/es\/aumente-la-concienciacion-el-cumplimiento-y-la-adherencia\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/347570","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/comments?post=347570"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/347570\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media\/33192"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media?parent=347570"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/category?post=347570"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/tags?post=347570"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/powerkit_post_featured?post=347570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}