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Nephrol Dial Transplant (2003) 18: 1969-1973
© 2003 European Renal Association-European Dialysis and Transplant Association

Editorial Comment

Difficult blood pressure control: watch out for non-compliance!

Kaisa Wuerzner1, Christophe Hassler1 and Michel Burnier1,2

1Division of Hypertension and Vascular Medicine and 2Division of Nephrology, Lausanne, Switzerland

Correspondence and offprint requests to: Professor M. Burnier, Division of Hypertension and Vascular Medicine, CHUV, Avenue P. Decker, 1011 Lausanne, Switzerland. Email: michel.burnier@chuv.hospvd.ch

Keywords: compliance; methods; monitoring; resistant hypertension

The first 150 words of the full text of this article appear below.

Introduction

Blood pressure control remains an essential therapeutic approach to prevent the occurrence of coronary heart disease, heart failure, stroke and premature death [1]. It is also one of the most effective ways to retard the progression of diabetic and non-diabetic renal diseases [1]. Even though every practising physician readily recognizes the need to lower blood pressure in hypertensive patients, numerous reports from developed and developing countries show that hypertensive patients with well-controlled blood pressure represent only a small percentage of the hypertensive population [2–8]. Thus, there is clearly a need to develop effective strategies to improve the management of hypertension.

The small percentage of patients with a well-controlled blood pressure in epidemiological surveys contrasts with the rather high response rate obtained in clinical trials investigating new antihypertensive drugs or therapeutic strategies. Thus, in the Hypertension Optimal Treatment (HOT) study, 88% of patients . . . [Full Text of this Article]

Partial blood pressure control: what is today’s attitude?

Why not consider compliance?

Is there a place for the electronic monitoring of compliance in the management of hypertensive patients?

Conclusions


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