Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network

Hypertension is an important public health issue because of its association with a number of significant diseases and adverse outcomes. However, there are important ethnic differences in the pathogenesis and cardio‐/cerebrovascular consequences of hypertension. Given the large populations and rapidl...

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Published inThe journal of clinical hypertension (Greenwich, Conn.) Vol. 21; no. 9; pp. 1250 - 1283
Main Authors Kario, Kazuomi, Shin, Jinho, Chen, Chen‐Huan, Buranakitjaroen, Peera, Chia, Yook‐Chin, Divinagracia, Romeo, Nailes, Jennifer, Hoshide, Satoshi, Siddique, Saulat, Sison, Jorge, Soenarta, Arieska Ann, Sogunuru, Guru Prasad, Tay, Jam Chin, Teo, Boon Wee, Turana, Yuda, Zhang, Yuqing, Park, Sungha, Van Minh, Huynh, Wang, Ji‐Guang
Format Journal Article
LanguageEnglish
Published United States John Wiley and Sons Inc 01.09.2019
Subjects
ambulatory blood pressure monitoring
Antihypertensive Agents - therapeutic use
Asia
Asia - epidemiology
Blood Pressure Determination - methods
Blood Pressure Monitoring, Ambulatory - methods
blood pressure variability
Cardiovascular Diseases - epidemiology
cardiovascular risk
Circadian Rhythm
Consensus
Expert Opinion: Ambulatory Blood Pressure
Health Resources - economics
Humans
hypertension
Hypertension - diagnosis
Hypertension - drug therapy
Hypertension - epidemiology
Hypertension - physiopathology
Masked Hypertension - diagnosis
Masked Hypertension - epidemiology
nocturnal hypertension
Original Paper
Patient Care Management - methods
Practice Patterns, Physicians
Prevalence
White Coat Hypertension - diagnosis
White Coat Hypertension - epidemiology
Asia
ambulatory blood pressure monitoring
blood pressure variability
cardiovascular risk
Asia
hypertension
nocturnal hypertension
Online AccessGet full text
ISSN1524-6175
1751-7176
1751-7176
DOI10.1111/jch.13652

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Abstract Hypertension is an important public health issue because of its association with a number of significant diseases and adverse outcomes. However, there are important ethnic differences in the pathogenesis and cardio‐/cerebrovascular consequences of hypertension. Given the large populations and rapidly aging demographic in Asian regions, optimal strategies to diagnose and manage hypertension are of high importance. Ambulatory blood pressure monitoring (ABPM) is an important out‐of‐office blood pressure (BP) measurement tool that should play a central role in hypertension detection and management. The use of ABPM is particularly important in Asia due to the specific features of hypertension in Asian patients, including a high prevalence of masked hypertension, disrupted BP variability with marked morning BP surge, and nocturnal hypertension. This HOPE Asia Network document summarizes region‐specific literature on the relationship between ABPM parameters and cardiovascular risk and target organ damage, providing a rationale for consensus‐based recommendations on the use of ABPM in Asia. The aim of these recommendations is to guide and improve clinical practice to facilitate optimal BP monitoring with the goal of optimizing patient management and expediting the efficient allocation of treatment and health care resources. This should contribute to the HOPE Asia Network mission of improving the management of hypertension and organ protection toward achieving “zero” cardiovascular events in Asia.
AbstractList Hypertension is an important public health issue because of its association with a number of significant diseases and adverse outcomes. However, there are important ethnic differences in the pathogenesis and cardio‐/cerebrovascular consequences of hypertension. Given the large populations and rapidly aging demographic in Asian regions, optimal strategies to diagnose and manage hypertension are of high importance. Ambulatory blood pressure monitoring (ABPM) is an important out‐of‐office blood pressure (BP) measurement tool that should play a central role in hypertension detection and management. The use of ABPM is particularly important in Asia due to the specific features of hypertension in Asian patients, including a high prevalence of masked hypertension, disrupted BP variability with marked morning BP surge, and nocturnal hypertension. This HOPE Asia Network document summarizes region‐specific literature on the relationship between ABPM parameters and cardiovascular risk and target organ damage, providing a rationale for consensus‐based recommendations on the use of ABPM in Asia. The aim of these recommendations is to guide and improve clinical practice to facilitate optimal BP monitoring with the goal of optimizing patient management and expediting the efficient allocation of treatment and health care resources. This should contribute to the HOPE Asia Network mission of improving the management of hypertension and organ protection toward achieving “zero” cardiovascular events in Asia.
Hypertension is an important public health issue because of its association with a number of significant diseases and adverse outcomes. However, there are important ethnic differences in the pathogenesis and cardio-/cerebrovascular consequences of hypertension. Given the large populations and rapidly aging demographic in Asian regions, optimal strategies to diagnose and manage hypertension are of high importance. Ambulatory blood pressure monitoring (ABPM) is an important out-of-office blood pressure (BP) measurement tool that should play a central role in hypertension detection and management. The use of ABPM is particularly important in Asia due to the specific features of hypertension in Asian patients, including a high prevalence of masked hypertension, disrupted BP variability with marked morning BP surge, and nocturnal hypertension. This HOPE Asia Network document summarizes region-specific literature on the relationship between ABPM parameters and cardiovascular risk and target organ damage, providing a rationale for consensus-based recommendations on the use of ABPM in Asia. The aim of these recommendations is to guide and improve clinical practice to facilitate optimal BP monitoring with the goal of optimizing patient management and expediting the efficient allocation of treatment and health care resources. This should contribute to the HOPE Asia Network mission of improving the management of hypertension and organ protection toward achieving "zero" cardiovascular events in Asia.Hypertension is an important public health issue because of its association with a number of significant diseases and adverse outcomes. However, there are important ethnic differences in the pathogenesis and cardio-/cerebrovascular consequences of hypertension. Given the large populations and rapidly aging demographic in Asian regions, optimal strategies to diagnose and manage hypertension are of high importance. Ambulatory blood pressure monitoring (ABPM) is an important out-of-office blood pressure (BP) measurement tool that should play a central role in hypertension detection and management. The use of ABPM is particularly important in Asia due to the specific features of hypertension in Asian patients, including a high prevalence of masked hypertension, disrupted BP variability with marked morning BP surge, and nocturnal hypertension. This HOPE Asia Network document summarizes region-specific literature on the relationship between ABPM parameters and cardiovascular risk and target organ damage, providing a rationale for consensus-based recommendations on the use of ABPM in Asia. The aim of these recommendations is to guide and improve clinical practice to facilitate optimal BP monitoring with the goal of optimizing patient management and expediting the efficient allocation of treatment and health care resources. This should contribute to the HOPE Asia Network mission of improving the management of hypertension and organ protection toward achieving "zero" cardiovascular events in Asia.
Author Teo, Boon Wee
Soenarta, Arieska Ann
Turana, Yuda
Wang, Ji‐Guang
Buranakitjaroen, Peera
Divinagracia, Romeo
Shin, Jinho
Park, Sungha
Chia, Yook‐Chin
Nailes, Jennifer
Sogunuru, Guru Prasad
Kario, Kazuomi
Hoshide, Satoshi
Chen, Chen‐Huan
Zhang, Yuqing
Van Minh, Huynh
Siddique, Saulat
Sison, Jorge
Tay, Jam Chin
AuthorAffiliation 6 Department of Primary Care Medicine, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia
13 Department of General Medicine Tan Tock Seng Hospital Singapore Singapore
1 Division of Cardiovascular Medicine, Department of Medicine Jichi Medical University School of Medicine Tochigi Japan
4 Department of Medicine, Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand
18 Department of Internal Medicine, University of Medicine and Pharmacy Hue University Hue Vietnam
19 Department of Hypertension, Centre for Epidemiological Studies and Clinical Trials, The Shanghai Institute of Hypertension, Shanghai Key Laboratory of Hypertension, Ruijin Hospital Shanghai Jiaotong University School of Medicine Shanghai China
12 College of Medical Sciences Kathmandu University Bharatpur Nepal
8 Fatima Memorial Hospital Lahore Pakistan
14 Division of Nephrology, Department of Medicine Yong Loo Lin School of Medicine Singapore Singapore
9 Section of Cardiology, Department of Medicine Medi
AuthorAffiliation_xml – name: 13 Department of General Medicine Tan Tock Seng Hospital Singapore Singapore
– name: 7 University of the East Ramon Magsaysay Memorial Medical Center Inc. Quezon City Philippines
– name: 19 Department of Hypertension, Centre for Epidemiological Studies and Clinical Trials, The Shanghai Institute of Hypertension, Shanghai Key Laboratory of Hypertension, Ruijin Hospital Shanghai Jiaotong University School of Medicine Shanghai China
– name: 6 Department of Primary Care Medicine, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia
– name: 2 Faculty of Cardiology Service Hanyang University Medical Center Seoul Korea
– name: 14 Division of Nephrology, Department of Medicine Yong Loo Lin School of Medicine Singapore Singapore
– name: 10 Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia‐National Cardiovascular Center, Harapan Kita Jakarta Indonesia
– name: 4 Department of Medicine, Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand
– name: 5 Department of Medical Sciences, School of Healthcare and Medical Sciences Sunway University Bandar Sunway Malaysia
– name: 11 MIOT International Hospital Chennai India
– name: 8 Fatima Memorial Hospital Lahore Pakistan
– name: 3 Department of Medicine School of Medicine National Yang‐Ming University Taipei Taiwan
– name: 18 Department of Internal Medicine, University of Medicine and Pharmacy Hue University Hue Vietnam
– name: 17 Division of Cardiology, Cardiovascular Hospital Yonsei Health System Seoul Korea
– name: 1 Division of Cardiovascular Medicine, Department of Medicine Jichi Medical University School of Medicine Tochigi Japan
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– name: 12 College of Medical Sciences Kathmandu University Bharatpur Nepal
– name: 15 Faculty of Medicine and Health Sciences Atma Jaya Catholic University of Indonesia Jakarta Indonesia
– name: 16 Divisions of Hypertension and Heart Failure, Fu Wai Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China
Author_xml – sequence: 1
  givenname: Kazuomi
  orcidid: 0000-0002-8251-4480
  surname: Kario
  fullname: Kario, Kazuomi
  email: kkario@jichi.ac.jp
  organization: Jichi Medical University School of Medicine
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  orcidid: 0000-0001-6706-6504
  surname: Shin
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  surname: Chia
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  organization: University of Malaya
– sequence: 6
  givenname: Romeo
  surname: Divinagracia
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  organization: University of the East Ramon Magsaysay Memorial Medical Center Inc
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  fullname: Nailes, Jennifer
  organization: University of the East Ramon Magsaysay Memorial Medical Center Inc
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  givenname: Satoshi
  orcidid: 0000-0001-7541-5751
  surname: Hoshide
  fullname: Hoshide, Satoshi
  organization: Jichi Medical University School of Medicine
– sequence: 9
  givenname: Saulat
  surname: Siddique
  fullname: Siddique, Saulat
  organization: Fatima Memorial Hospital
– sequence: 10
  givenname: Jorge
  surname: Sison
  fullname: Sison, Jorge
  organization: Medical Center Manila
– sequence: 11
  givenname: Arieska Ann
  surname: Soenarta
  fullname: Soenarta, Arieska Ann
  organization: University of Indonesia‐National Cardiovascular Center, Harapan Kita
– sequence: 12
  givenname: Guru Prasad
  surname: Sogunuru
  fullname: Sogunuru, Guru Prasad
  organization: Kathmandu University
– sequence: 13
  givenname: Jam Chin
  surname: Tay
  fullname: Tay, Jam Chin
  organization: Tan Tock Seng Hospital
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  givenname: Boon Wee
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  givenname: Yuda
  surname: Turana
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  organization: Atma Jaya Catholic University of Indonesia
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  organization: Yonsei Health System
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  givenname: Huynh
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  organization: Hue University
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  givenname: Ji‐Guang
  orcidid: 0000-0001-8511-1524
  surname: Wang
  fullname: Wang, Ji‐Guang
  organization: Shanghai Jiaotong University School of Medicine
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31532913$$D View this record in MEDLINE/PubMed
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Keywords ambulatory blood pressure monitoring
blood pressure variability
cardiovascular risk
Asia
hypertension
nocturnal hypertension
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Notes Funding information
Editorial and writing support was provided by Nicola Ryan, independent medical writer, funded by Pfizer. The meeting during which these recommendations were formulated and discussed was made possible by an unrestricted educational grant from Pfizer and was supported by A&D. However, the recommendations were developed by the HOPE Asia Network independently of Pfizer and A&D.
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Snippet Hypertension is an important public health issue because of its association with a number of significant diseases and adverse outcomes. However, there are...
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SubjectTerms ambulatory blood pressure monitoring
Antihypertensive Agents - therapeutic use
Asia
Asia - epidemiology
Blood Pressure Determination - methods
Blood Pressure Monitoring, Ambulatory - methods
blood pressure variability
Cardiovascular Diseases - epidemiology
cardiovascular risk
Circadian Rhythm
Consensus
Expert Opinion: Ambulatory Blood Pressure
Health Resources - economics
Humans
hypertension
Hypertension - diagnosis
Hypertension - drug therapy
Hypertension - epidemiology
Hypertension - physiopathology
Masked Hypertension - diagnosis
Masked Hypertension - epidemiology
nocturnal hypertension
Original Paper
Patient Care Management - methods
Practice Patterns, Physicians
Prevalence
White Coat Hypertension - diagnosis
White Coat Hypertension - epidemiology
Title Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjch.13652
https://www.ncbi.nlm.nih.gov/pubmed/31532913
https://www.proquest.com/docview/2293975588
https://pubmed.ncbi.nlm.nih.gov/PMC8030405
Volume 21
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