Current Hypertension Reports

, Volume 15, Issue 4, pp 269–272 | Cite as

Monitoring Treatment Adherence in Hypertension

  • Serap Erdine
  • Eren Arslan
Hypertension and the Heart (PW de Leeuw and AH Gradman, Section Editors)


Hypertension is associated with high mortality and morbidity that will increase if hypertension is left untreated. Treatment adherence is crucial in blood pressure control, and monitoring patient adherence is essential to the successful management of hypertension, since nonadherence is associated with poor prognosis. There are both direct and indirect methods to monitor adherence. Direct methods can be defined as assessment of treatment response or level of drug or its metabolite in blood, urine and body fluids without any intermediate or agent. Indirect methods require several instruments, such as questionnaires, reports, devices, and monitors. Certain methods may be advantageous in specific clinical and research settings. Advances in technology (new tools, devices, laboratory methods), and new approaches to reporting will not only help patients control high blood pressure but decrease hypertension-related mortality and morbidity.


Hypertension Treatment adherence Monitoring adherence Direct methods Electronic medication monitors Indirect methods Patient questionnaires Pill counts Self-reports Nonadherence 


Conflict of Interest

Serap Erdine declare that she has no conflict of interest.

Eren Arslan declare that he has no conflict of interest.


Papers of particular interest are highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Cerrahpasa Medical Faculty Cardiology DepartmentIstanbul UniversityIstanbulTurkey
  2. 2.Cerrahpasa Medical Faculty Internal Medicine DepartmentIstanbul UniversityIstanbulTurkey

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