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Medication Adherence and Blood Pressure Control: A Scientific Statement From the American Heart Association
Open accessAbstract
The widespread treatment of hypertension and resultant improvement in blood pressure have been major contributors to the dramatic age-specific decline in heart disease and stroke. Despite this progress, a persistent gap remains between stated public health targets and achieved blood pressure control rates. Many factors may be important contributors to the gap between population hypertension control goals and currently observed control levels. Among them is the extent to which patients adhere to prescribed treatment. The goal of this scientific statement is to summarize the current state of knowledge of the contribution of medication nonadherence to the national prevalence of poor blood pressure control, methods for measuring medication adherence and their associated challenges, risk factors for antihypertensive medication nonadherence, and strategies for improving adherence to antihypertensive medications at both the individual and health system levels.
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“Single-pill antihypertensive combinations may improve medication-taking behavior in some individuals (60,61).”
From 10. Cardiovascular Disease and Risk Management: Standards of Care in Diabetes—2026 (2026) · cites this paper as [60]
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“The goal of this scientific statement is to summarize the current state of knowledge of (1) the contribution of medication nonadherence to the national prevalence of poor BP control, (2) methods for measuring medication adherence and their associated challenges, (3) risk factors for antihypertensive medication nonadhe…”
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Metadata
- Authors
- Choudhry, N. K., Kronish, I. M., Vongpatanasin, W., Ferdinand, K. C., Pavlik, V. N., Egan, B. M., Schoenthaler, A., Houston Miller, N., Hyman, D. J., & on behalf of the American Heart Association Council on Hypertension; Council on Cardiovascular and Stroke Nursing; and Council on Clinical Cardiology
- ORCID
- Venue
- Hypertension
- Published
- 2022-01
- Volume
- 79
- Issue
- 1
- Pages
- e1-e14
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- PMC
- PMC11485247
- OpenAlex
- W3204423521
- Cited by
- 349
- References
- 119
- Citations by year
- 2026: 89 · 2025: 68 · 2024: 62 · 2023: 85 · 2022: 41
- FWCI
- 52.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Hypertension (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Agency for Healthcare Research and Quality (R01 HS026522)
- National Heart, Lung, and Blood Institute (R25HL105444)
- National Institute on Minority Health and Health Disparities (R01MD013769)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Keywords
- medication adherence, medication non-adherence, blood pressure control, antihypertensive drugs, adherence measurement, risk factors for non-adherence, adherence interventions, health system interventions, cardiovascular disease prevention
- MeSH terms
- American Heart Association, Antihypertensive Agents, Blood Pressure, Humans, Hypertension, United States, Medication Adherence
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