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How to deal with a hypertensive patient who has documented non-adherence to the prescribed antihypertensive therapy?

作者信息

Georgianos Panagiotis I, Divani Maria, Liakopoulos Vassilios

机构信息

2nd Department of Nephrology, AHEPA Hospital, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Hemodialysis Unit, General Hospital of Larissa, Larissa, Greece.

出版信息

Hypertens Res. 2024 Oct;47(10):2914-2916. doi: 10.1038/s41440-024-01810-8. Epub 2024 Jul 26.

DOI:10.1038/s41440-024-01810-8
PMID:39370502
Abstract
摘要

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How to deal with a hypertensive patient who has documented non-adherence to the prescribed antihypertensive therapy?如何处理已记录显示不依从规定抗高血压治疗方案的高血压患者？
Hypertens Res. 2024 Oct;47(10):2914-2916. doi: 10.1038/s41440-024-01810-8. Epub 2024 Jul 26.
2
Measurement Tools and Utility of Hair Analysis for Screening Adherence to Antihypertensive Medication.用于筛查抗高血压药物依从性的头发分析的测量工具和效用。
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[Therapeutic compliance and follow-up of hypertensive patients in primary care].[基层医疗中高血压患者的治疗依从性与随访]
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A practical approach for measurement of antihypertensive medication adherence in patients with resistant hypertension.一种用于测量顽固性高血压患者抗高血压药物依从性的实用方法。
J Am Soc Hypertens. 2016 Jun;10(6):510-516.e1. doi: 10.1016/j.jash.2016.03.194. Epub 2016 Apr 5.
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Adherence to medication and drug monitoring in apparent treatment-resistant hypertension.在明显的难治性高血压中坚持药物治疗和药物监测。
Blood Press. 2016 Aug;25(4):199-205. doi: 10.3109/08037051.2015.1121706. Epub 2016 Jan 5.
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Assessment of drug compliance in patients with high blood pressure resistant to antihypertensive therapy.评估抗高血压治疗抵抗的高血压患者的药物依从性。
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Adherence to antihypertensive medications: is prescribing the right pill enough?抗高血压药物的依从性：仅仅开对药就够了吗？
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Blood pressure reductions following catheter-based renal denervation are not related to improvements in adherence to antihypertensive drugs measured by urine/plasma toxicological analysis.经导管肾去神经支配术后的血压降低与通过尿液/血浆毒理学分析测得的抗高血压药物依从性改善无关。
Clin Res Cardiol. 2015 Dec;104(12):1097-105. doi: 10.1007/s00392-015-0905-5. Epub 2015 Aug 26.
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Characteristics, drug combinations and dosages of primary care patients with uncontrolled ambulatory blood pressure and high medication adherence.血压控制不佳且药物依从性高的基层医疗患者的特征、药物组合及剂量
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Non-adherence to antihypertensive medication is very common among resistant hypertensives: results of a directly observed therapy clinic.在顽固性高血压患者中，不坚持服用抗高血压药物的情况非常普遍：直接观察治疗诊所的结果。
J Hum Hypertens. 2016 Feb;30(2):83-9. doi: 10.1038/jhh.2015.38. Epub 2015 May 7.

本文引用的文献

1
2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA).2023ESH 动脉高血压管理指南 欧洲高血压学会动脉高血压管理工作组：得到国际高血压学会 (ISH) 和欧洲肾脏协会 (ERA) 的认可。
J Hypertens. 2023 Dec 1;41(12):1874-2071. doi: 10.1097/HJH.0000000000003480. Epub 2023 Sep 26.
2
Nonadherence Is Common in Patients With Apparent Resistant Hypertension: A Systematic Review and Meta-analysis.在血压明显难以控制的患者中，普遍存在不遵医嘱的情况：一项系统性回顾和荟萃分析。
Am J Hypertens. 2023 Jun 15;36(7):394-403. doi: 10.1093/ajh/hpad013.
3
Nonadherence in Hypertension: How to Develop and Implement Chemical Adherence Testing.高血压患者不遵医嘱：如何制定并实施药物依从性检测。
Hypertension. 2022 Jan;79(1):12-23. doi: 10.1161/HYPERTENSIONAHA.121.17596. Epub 2021 Nov 5.
4
Medication Adherence and Blood Pressure Control: A Scientific Statement From the American Heart Association.药物依从性与血压控制：美国心脏协会的科学声明。
Hypertension. 2022 Jan;79(1):e1-e14. doi: 10.1161/HYP.0000000000000203. Epub 2021 Oct 7.
5
Adherence to Antihypertensive Medication and Incident Cardiovascular Events in Young Adults With Hypertension.抗高血压药物治疗的依从性与青年高血压患者心血管事件的发生。
Hypertension. 2021 Apr;77(4):1341-1349. doi: 10.1161/HYPERTENSIONAHA.120.16784. Epub 2021 Mar 1.
6
Economic impact of medication non-adherence by disease groups: a systematic review.按疾病分组的药物治疗不依从的经济影响：一项系统综述。
BMJ Open. 2018 Jan 21;8(1):e016982. doi: 10.1136/bmjopen-2017-016982.
7
Biochemical Screening for Nonadherence Is Associated With Blood Pressure Reduction and Improvement in Adherence.针对不依从性的生化筛查与血压降低及依从性改善相关。
Hypertension. 2017 Nov;70(5):1042-1048. doi: 10.1161/HYPERTENSIONAHA.117.09631. Epub 2017 Aug 28.
8
Routine urinary detection of antihypertensive drugs for systematic evaluation of adherence to treatment in hypertensive patients.通过常规尿液检测抗高血压药物，对高血压患者的治疗依从性进行系统评估。
J Hypertens. 2017 Sep;35(9):1891-1898. doi: 10.1097/HJH.0000000000001402.
9
Therapeutic drug monitoring facilitates blood pressure control in resistant hypertension.治疗药物监测有助于控制顽固性高血压患者的血压。
J Am Coll Cardiol. 2014 Mar 4;63(8):834-5. doi: 10.1016/j.jacc.2013.10.067. Epub 2013 Dec 4.