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Anti-hypertensive medication adherence in the REQUIRE trial: post-hoc exploratory evaluation.


ABSTRACT: Maintaining medication adherence is important in treating hypertension, especially resistant hypertension (RH), and variable medication adherence can confound results in blood pressure trials. This post-hoc analysis evaluated adherence at baseline and 3 months using available urine samples from the REQUIRE trial, comparing 24-h ambulatory systolic blood pressure (ASBP) lowering effects of ultrasound renal denervation (uRDN) versus sham in RH. At baseline, 45% (26/58) patients showed poor adherence. Among patients with good baseline adherence, adherence was unchanged at 3 months, and uRDN patients had a decreased ASBP whereas sham patients did not. In poorly adherent patients, sham patients showed a trend towards increased adherence and a significant ASBP reduction, whereas uRDN patients did not change. Accordingly, adherence changes and the resultant ASBP reduction in poorly adherent sham patients may explain the lack of between-group difference seen in REQUIRE. Monitoring and maintaining medication adherence is important for future interventional studies in RH.

SUBMITTER: Kario K 

PROVIDER: S-EPMC10404509 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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Anti-hypertensive medication adherence in the REQUIRE trial: post-hoc exploratory evaluation.

Kario Kazuomi K   Kai Hisashi H   Nanto Shinsuke S   Yokoi Hiroyoshi H  

Hypertension research : official journal of the Japanese Society of Hypertension 20230601 8


Maintaining medication adherence is important in treating hypertension, especially resistant hypertension (RH), and variable medication adherence can confound results in blood pressure trials. This post-hoc analysis evaluated adherence at baseline and 3 months using available urine samples from the REQUIRE trial, comparing 24-h ambulatory systolic blood pressure (ASBP) lowering effects of ultrasound renal denervation (uRDN) versus sham in RH. At baseline, 45% (26/58) patients showed poor adheren  ...[more]

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