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Revista Cubana de Medicina

Print version ISSN 0034-7523On-line version ISSN 1561-302X

Abstract

RODRIGUEZ REYES, Jorge Alexis; FONSECA GONZALEZ, Katia; SALAZAR RODRIGUEZ, Jorge Félix  and  MARRERO MARTINEZ, Dialexzy. Therapeutic adherence in hypertensive patients with morning hypertension. Rev cubana med [online]. 2020, vol.59, n.3, e1368.  Epub Nov 12, 2020. ISSN 0034-7523.

Introduction:

The morning hypertension detected by ambulatory monitoring is associated with target organ damage and a higher incidence of cardiovascular events.

Objective:

To determine the therapeutic adherence in hypertensive patients with a morning hypertension.

Methods:

A cross-sectional study was carried out in 195 hypertensive patients admitted to the internal medicine service at Calixto García University Hospital in 2018. They showed a morning increase of blood pressure and therapeutic adherence was assessed using the self-reported compliance test by Morisky-Green-Levine. The variables identified as relevant predictors of non-adherence were entered in a multivariate logistic regression model.

Results:

63.6% of the patients with morning hypertension were non-adherent. Male patients predominated. 71.6%. 84.0% (p = 0.00) of the non-adherents had 3 to 4 antihypertensive drugs, 90.2% (p = 0.00) took 3 or more doses. 50.5% of the patients were diagnosed for more than 5 years.

Conclusions:

Patients with morning hypertension were described as non-adherent to antihypertensive therapy.

Keywords : morning increase in blood pressure; therapeutic adherence; arterial hypertension.

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