| Relationship between blood pressure levels and adherence to medication in patients with chronic heart failure: how come? | |
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MedLine Citation:
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PMID: 19436649 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate whether change in objective signs during up-titration of angiotensin-converting enzyme (ACE)-inhibitors in patients with chronic heart failure affect perception of information about medicines and subjective activities such as self-care. METHODS: Consecutive patients referred for up-titration of ACE-inhibitors were included. Patients were given the Satisfaction with Information about Medicines Scale and the European Heart Failure Self-Care Behaviour Scale at their first visit and when the target dose was reached. Blood pressure, pulse and s-creatinine were measured at each visit. RESULTS: Relationships were found between change in systolic (r = 0.224, p = 0.044) and diastolic (r = 0.361, p = 0.001) blood pressure and change in self-care scores and were also observed at baseline (r = 0.324, 0.398, p = 0.001, 0.000) and follow-up (r = 0.317, 0.253, p = 0.004, 0.022). Diastolic blood pressure correlated with the "potential problem of medication" score (r= -0.263, p = 0.007). CONCLUSION: Patients with a more advanced disease usually have a lower blood pressure. Hence, the relationship between blood pressure and self-care scores might indicate that patients are more motivated to adhere to prescriptions the more advanced the stage of their disease. |
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Authors:
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Mahsa Mohammadi; Inger Ekman; Maria Schaufelberger |
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Publication Detail:
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Type: Journal Article Date: 2009-04-08 |
Journal Detail:
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Title: Vascular health and risk management Volume: 5 ISSN: 1178-2048 ISO Abbreviation: - Publication Date: 2009 |
Date Detail:
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Created Date: 2009-05-13 Completed Date: 2009-06-19 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 101273479 Medline TA: Vasc Health Risk Manag Country: New Zealand |
Other Details:
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Languages: eng Pagination: 13-9 Citation Subset: IM |
Affiliation:
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Department of Medicine, The Sahlgrenska Academy at Goteborg University, Goteborg, Sweden. mahsa@student.gu.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angiotensin-Converting Enzyme Inhibitors / administration & dosage* Blood Pressure / drug effects* Cardiovascular Agents / administration & dosage* Chronic Disease Drug Therapy, Combination Female Health Knowledge, Attitudes, Practice Heart Failure / drug therapy*, physiopathology Humans Male Medication Adherence* Middle Aged Motivation Patient Satisfaction Questionnaires Self Care Severity of Illness Index Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Angiotensin-Converting Enzyme Inhibitors; 0/Cardiovascular Agents |
| Comments/Corrections | |
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