THE IMPORTANCE OF THE COMPLIANCE TO A MEDICAL TREATMENT OF A PATIENT WITH A VERY HIGH CARDIOVASCULAR RISK AND COMORBIDITY: ARTERIAL HYPERTENSION, ATRIAL FIBRILLATION AND DIABETES MELLITUS

  • T. V. Zolotarova V.N. Karazin Kharkiv National University, Kharkiv, Ukraine https://orcid.org/0000-0001-6226-6769
  • M. S. Brynza V.N. Karazin Kharkiv National University, Kharkiv, Ukraine https://orcid.org/0000-0002-8260-3600
  • F. B. Mehtieva Kharkiv Railway Clinical Hospital No 1 of Brence of «HC» JSC «Ukrzaliznytsia», Kharkiv, Ukraine
Keywords: compliance, cardiovascular risk, hypertension, heart failure, atrial fibrillation, diabetes mellitus

Abstract

The ultimate goal of any prescribed medical therapy is to achieve certain desired results in the patients concerned. Compliance to medical recommendations not only includes patient compliance with medication but also with diet, exercise, or lifestyle changes. Considered a clinical example of the patient of a very high cardiovascular risk with comorbid pathology: arterial hypertension, atrial fibrillation and diabetes mellitus. We have shown with this case as in comorbid patients with high cardiovascular risk could be organized medical treatment without polypharmacy.

Compliance to a prescribed medication showed a positive effect in different researches. Patients with a high adherence to medication had improved the quality of life (QOL). These results in importance not only in developing intervention programs for patients but also in improving their QOL through sustainable health promotion. Avoiding of polypharmacy another main condition which increases the compliance of comorbid patients with high cardiovascular risk to medical recommenda-tions. Making sure patients understand the drug dosing regimen could also improve compliance.

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Author Biographies

T. V. Zolotarova, V.N. Karazin Kharkiv National University, Kharkiv, Ukraine

Svobody sq., 6, Kharkiv, 61022, Ukraine

 
M. S. Brynza, V.N. Karazin Kharkiv National University, Kharkiv, Ukraine

Svobody sq., 6, Kharkiv, 61022, Ukraine

 
F. B. Mehtieva, Kharkiv Railway Clinical Hospital No 1 of Brence of «HC» JSC «Ukrzaliznytsia», Kharkiv, Ukraine

61018, m. Kharkiv, prov. Balakiev, 5

References

Osterberg L., Blaschke T. Adherence to medication / Osterberg L., // The New England Journal of Medicine. – 2005. – Vol. 353, Is. 5. – P. 487–497.

Elliott R. A. Supporting adherence for people starting a new medication for a long-term condition through community pharmacies: a pragmatic randomised controlled trial of the New Medicine Service. / R. A. Elliott, M. J. Boyd. // BMJ Quality & Safety. – 2016. – № 25. – P. 747–758.

Kobalova Z. D. Antihypertensive treatment compliance and obstacles to its improvement. Results of Russian program ARGUS-2 / Z. D. Kobalova, E. G. Starostina. // Terapevticheskii Arkhiv. – 2008. – № 80. – P. 76–82.

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure of the European Society of Cardiology (ESC) // Journal of Heart Failure. – 2016. – Vol. 37, Is. 27. – P. 2129–2200.

Noh J. Prevalence of Comorbidity among People with Hypertension: The Korea National Health and Nutrition Examination Survey 2007-2013. / J. Noh, H. C. Kim. // Korean Circulation Journal. – 2016. – Vol. 45. – P. 672–680.

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC) [Electronic source] // European Heart Journal. – 2016. – Link: http://eurheartj.oxfordjournals.org/content/ehj/early/2016/09/08/eurheartj.ehw210.full.pdf.

2013 ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD : The Task Force on diabetes, pre-diabetes, and cardiovascular diseases of the European Society of Cardiology (ESC) and developed in collaboration with the European Association for the Study of Diabetes (EASD) // European Heart Journal. – 2013. – Vol. 34, Is. 39. – P. 3035–3087.

2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC) // Journal of Heart Failure. - 2013. – Vol. 34, Is. 28. – P. 2159–2219.

Medication Adherence Contributes to an Improved Quality of Life in Type 2 Diabetes Mellitus Patients: A Cross-Sectional Study / D. A.Sofa, S. Hadyana, L. Keri, A. Rizky. // Diabetes Therapy. – 2016. – Is.7. – P. 1–10.

How to Cite
Zolotarova, T. V., Brynza, M. S., & Mehtieva, F. B. (1). THE IMPORTANCE OF THE COMPLIANCE TO A MEDICAL TREATMENT OF A PATIENT WITH A VERY HIGH CARDIOVASCULAR RISK AND COMORBIDITY: ARTERIAL HYPERTENSION, ATRIAL FIBRILLATION AND DIABETES MELLITUS. The Journal of V. N. Karazin Kharkiv National University, Series "Medicine", (32), 79-83. https://doi.org/10.26565/2227-6505-2016-32-13

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