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INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH

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IJPR included in UGC-Approved List of Journals - Ref. No. is SL. No. 4812 & J. No. 63703

Published by : Advanced Scientific Research
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IJPR 9[3] July - September 2017 Special Issue

July - September 9[3] 2017

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STUDY OF COMPLIANCE TO THERAPY OF WOMEN IN THE POSTMENAPAUSE WITH ARTERIAL HYPERTENSION

Author: TALIPOVA YULDUZ
Abstract: The search for effective ways to increase adherence to therapy in patients with high risk arterial hypertension (AH) is the most important task in terms of reducing morbidity and mortality from cardiovascular diseases. Modern data on adherence to antihypertensive therapy in postmenopausal women with high cardiovascular risk are presented. Identifying the factors associated with adherence will justify the implementation of a number of activities to improve the treatment of patients with arterial hypertension. To study the effectiveness and adherence to (antihypertensive therapy) AT women of postmenopausal age. That in women of the older age group, the onset of early menopause is associated with the presence of previous hypertension, including gestational. Hypertension in this category of women is characterized by significantly higher blood pressure values, a violation of the circadian rhythm of blood pressure, an increased incidence of obesity, impaired lipid and carbohydrate metabolism, clinical manifestations of target organ damage (reliable left ventricle, LV systolic and diastolic dysfunction, LV concentric hypertrophy, etc.) the presence of associated clinical conditions (coronary heart disease, CHD, diabetes mellitus type 2, etc.) with a high probability of their complications. Identified factors associated with high adherence to AHT: dynamic control (BP, heart rate, taking drugs), increasing the share of patient responsibility, the duration of hypertension, awareness of the risks of complications, etc. One of the effective methods to increase adherence to therapy is a diary of self-monitoring of blood pressure, reflecting both the dynamics and the effectiveness of the applied therapy. To increase adherence to therapy, it is recommended to minimize the frequency of changes in the treatment regimen. Appointment of rational treatment regimens is not sufficient to achieve control of hypertension, it is necessary to increase the share of responsibility of the patients themselves over the observance of the correct treatment regimens by regularly keeping a self-control diary, thereby reducing the risk of patients mistrust the doctors.The search for effective ways to increase adherence to therapy in patients with high risk arterial hypertension (AH) is the most important task in terms of reducing morbidity and mortality from cardiovascular diseases. Modern data on adherence to antihypertensive therapy in postmenopausal women with high cardiovascular risk are presented. Identifying the factors associated with adherence will justify the implementation of a number of activities to improve the treatment of patients with arterial hypertension. To study the effectiveness and adherence to (antihypertensive therapy) AT women of postmenopausal age. That in women of the older age group, the onset of early menopause is associated with the presence of previous hypertension, including gestational. Hypertension in this category of women is characterized by significantly higher blood pressure values, a violation of the circadian rhythm of blood pressure, an increased incidence of obesity, impaired lipid and carbohydrate metabolism, clinical manifestations of target organ damage (reliable left ventricle, LV systolic and diastolic dysfunction, LV concentric hypertrophy, etc.) the presence of associated clinical conditions (coronary heart disease, CHD, diabetes mellitus type 2, etc.) with a high probability of their complications. Identified factors associated with high adherence to AHT: dynamic control (BP, heart rate, taking drugs), increasing the share of patient responsibility, the duration of hypertension, awareness of the risks of complications, etc. One of the effective methods to increase adherence to therapy is a diary of self-monitoring of blood pressure, reflecting both the dynamics and the effectiveness of the applied therapy. To increase adherence to therapy, it is recommended to minimize the frequency of changes in the treatment regimen. Appointment of rational treatment regimens is not sufficient to achieve control of hypertension, it is necessary to increase the share of responsibility of the patients themselves over the observance of the correct treatment regimens by regularly keeping a self-control diary, thereby reducing the risk of patients mistrust the doctors.
Keyword: arterial hypertension, high risk, treatment adherence, post menopause, gestational arterial hypertension
DOI: https://doi.org/10.31838/ijpr/2019.11.03.031
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