Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network.
Antihypertensive Agents
/ therapeutic use
Asia
/ epidemiology
Blood Pressure Determination
/ methods
Blood Pressure Monitoring, Ambulatory
/ methods
Cardiovascular Diseases
/ epidemiology
Circadian Rhythm
Consensus
Health Resources
/ economics
Humans
Hypertension
/ diagnosis
Masked Hypertension
/ diagnosis
Patient Care Management
/ methods
Practice Patterns, Physicians'
Prevalence
White Coat Hypertension
/ diagnosis
Asia
ambulatory blood pressure monitoring
blood pressure variability
cardiovascular risk
hypertension
nocturnal hypertension
Journal
Journal of clinical hypertension (Greenwich, Conn.)
ISSN: 1751-7176
Titre abrégé: J Clin Hypertens (Greenwich)
Pays: United States
ID NLM: 100888554
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
04
07
2019
accepted:
07
07
2019
entrez:
19
9
2019
pubmed:
19
9
2019
medline:
11
11
2020
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 31532913
doi: 10.1111/jch.13652
pmc: PMC8030405
doi:
Substances chimiques
Antihypertensive Agents
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1250-1283Informations de copyright
©2019 Wiley Periodicals, Inc.
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