| Summary: | <strong>Background:</strong> arterial hypertension is presented worldwide as one of the main causes of death and disability. Lack of adherence to treatment is one of this disease great problems. <br /><strong>Objective:</strong> to determine the level of therapeutic adherence in patients with arterial hypertension in office 22 belonging to the Turcios Lima Comunitary Polyclinic of the Pinar del Río municipality. <br /><strong>Method:</strong> a descriptive, cross-sectional study was carried out in patients with arterial hypertension from office 22, belonging to the Turcios Lima Comunitary Polyclinic from December 2018 to June 2019. There was a universe of 160 patients. The survey was applied to collect the information. The variables analyzed were: age, sex, level of education, indicated treatment, level of adherence to treatment and reasons for non-adherence to treatment. The Morisky-Green-Levine test was used as measurement instruments. Descriptive and inferential statistics were used. To obtain absolute and relative frequencies and in inferential statistics, the Chi-square test (X2) to determine homogeneity respectively of the sample distributions. <br /><strong>Results:</strong> adherence to treatment was 47.50 %. The highest adherence was found in the age group 65 years old and over, female with 31.3 % and the pre-university level with 17.5 %. The 39.40 % adherence was represented by the monotherapy therapeutic scheme. Forgetfulness and feeling better were the most frequent reasons for non-adherence in 41.0 % and 27.0 %, respectively. <br /><strong>Conclusions:</strong> the level of therapeutic adherence in patients with hypertension in the office 22 is low, the most frequent reason being forgetfulness.
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