DIFFERENT METHODS OF ADHERENCE TO THERAPY IN PATIENTS WITH RESISTANT HYPERTENSION (PILOT STUDY)

Poor adherence to treatment is one of the reasons for not reaching target levelof blood pressure and consequences in form development cardiovascularcomplications.Aim – analysis patients with resistant arterial hypertensionby various methods determine ways overcome non-adherence treatment.Material methods. 12 hypertension were included into study.Men women over age 18 included, provided that average level officeblood was greater than 140/90 mm Hg when taking 3 or more antihypertensivedrugs fixed combination valsartan, amlodipine, hydrochlorotiazide. Todetermine treatment, questionnaires determination drugs urinewere performed central laboratory using chromatography method. All patientsunderwent following studies at beginning: measurement office SBP, DBP, andheart rate. The duration observation months.Results. 58,67±13,68 years. Men –50 %/50 % (n=6/6). degree decrease after monthsof SBP/DBP 35.5/16.7 Hg, (p <0.001 both values) againsta background a triple valsartan/amlodipine/hydrochlorothiazide.According urine, we found 25 patients(n=3) did take all. result survey showed need increase awareness about symptoms disease. Survey data indicate needto clarify necessity ensure continuous, long-term self-monitoring pressureand antihypertensive by keeping diary order improve andeffectiveness treatment.Conclusion. In hypertension, notdetected urine all, is, they nonadherence therapy.