BackgroundHypertension is the most prevalent risk factor for cardiovascular disease,
and its proper control can prevent the high morbidity and mortality
associated with this disease.ObjectiveTo assess the degree of compliance of antihypertensive prescriptions with the
VI Brazilian Guidelines on Hypertension and the blood pressure control rate
in primary care.MethodsCross-sectional study conducted between August 2011 and November 2012,
including 332 adults ≥ 45 years registered in the Family Doctor
Program in Niteroi and selected randomly. The analysis included the
prescribed antihypertensive classes, doses, and frequencies, as well as the
blood pressure (BP) of the individuals.ResultsThe rate of prescription compliance was 80%. Diuretics were the most
prescribed medications, and dual therapy was the most used treatment. The
most common non-compliances were underdosing and underfrequencies. The BP
goal in all cases was < 140/90 mmHg, except for diabetic patients, in
whom the goal was set at < 130/80 mmHg. Control rates according to these
goals were 44.9% and 38.6%, respectively. There was no correlation between
prescription compliance and BP control.ConclusionsThe degree of compliance was considered satisfactory. The achievement of the
targets was consistent with national and international studies, suggesting
that the family health model is effective in BP management, although it
still needs improvement.