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THE EFFICACY OF HYPOTENSIVE THERAPY AND COMPLIANCE IN INHABITANTS OF THE CITY OF WROCLAW WITH ARTERIAL HYPERTENSION: PP.20.293

Normalization of blood pressure leads to the decrease in cardiovascular complications and reduction in mortality in patients with arterial hypertension. The aim of the study was the evaluation of the hypotensive therapy in inhabitants of a city of Wroclaw, one of the biggest Polish cities. The study group consisted of 148 inhabitants of the city of Wroclaw with arterial hypertension. Anthropometric and clinical data were obtained and a special questionnaire was given to participants. The questionnaire included questions on hypotensive therapy and compliance to the physician's prescribed treatment. Results showed that 95.45% of participants were on hypotensive drugs. Among them 14.28% declared they did not buy the prescribed medicaments. The rest 85.72% buy the drugs but only 83.33% of them take drugs regularly. All the patients were informed they should regularly measure blood pressure. Other indications from physicians included: reduction in fat in diet (63.64% of patients had those recommendations from the doctor), reduction in salt consumption (50%), increase in physical activity (59%) and reduction in body mass (45.45%). On answering the question - how often you take blood pressure? 68.18% of the participants claimed they did it more often than once a week, 18.8% more than once a month, and only 13.64% declared several times during last year. Only 50% of the population were on the healthy diet, only 34.54% reduced salt in diet, and 81.81% reduced fat in their diets. Simultaneously, only 44.54% of the questioned declared any physical activity during leisure time. The spread of overweight and obesity was 77.27%. Even though 81.82% of the patients declared that they were treated effectively - only in 47.13% blood pressure was lower than 140/90 mmHg. Conclusions: Among people with arterial hypertension there is a discrepancy between subjective and objective estimation of the efficacy of the treatment. Causes of the low efficacy of hypotensive therapy is non-compliance, improper lifestyle and diet habits in inhabitants of the city of Wroclaw.