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

被引:142
作者
Kario, Kazuomi [1 ]
Shin, Jinho [2 ]
Chen, Chen-Huan [3 ]
Buranakitjaroen, Peera [4 ]
Chia, Yook-Chin [5 ,6 ]
Divinagracia, Romeo [7 ]
Nailes, Jennifer [7 ]
Hoshide, Satoshi [1 ]
Siddique, Saulat [8 ]
Sison, Jorge [9 ]
Soenarta, Arieska Ann [10 ]
Sogunuru, Guru Prasad [11 ,12 ]
Tay, Jam Chin [13 ]
Teo, Boon Wee [14 ]
Turana, Yuda [15 ]
Zhang, Yuqing [16 ]
Park, Sungha [17 ]
Huynh Van Minh [18 ]
Wang, Ji-Guang [19 ]
机构
[1] Jichi Med Univ, Sch Med, Dept Med, Div Cardiovasc Med, 3311-1 Yakushiji, Shimotsuke, Tochigi 3290498, Japan
[2] Hanyang Univ, Med Ctr, Fac Cardiol Serv, Seoul, South Korea
[3] Natl Yang Ming Univ, Sch Med, Dept Med, Taipei, Taiwan
[4] Mahidol Univ, Siriraj Hosp, Fac Med, Dept Med, Bangkok, Thailand
[5] Sunway Univ, Sch Healthcare & Med Sci, Dept Med Sci, Bandar Sunway, Malaysia
[6] Univ Malaya, Fac Med, Dept Primary Care Med, Kuala Lumpur, Malaysia
[7] Univ East Ramon Magsaysay Mem Med Ctr Inc, Quezon City, Philippines
[8] Fatima Mem Hosp, Lahore, Pakistan
[9] Med Ctr Manila, Dept Med, Sect Cardiol, Manila, Philippines
[10] Univ Indonesia, Natl Cardiovasc Ctr, Fac Med, Dept Cardiol & Vasc Med, Jakarta, Indonesia
[11] MIOT Int Hosp, Chennai, Tamil Nadu, India
[12] Kathmandu Univ, Coll Med Sci, Bharatpur, Nepal
[13] Tan Tock Seng Hosp, Dept Gen Med, Singapore, Singapore
[14] Yong Loo Lin Sch Med, Dept Med, Div Nephrol, Singapore, Singapore
[15] Atma Jaya Catholic Univ Indonesia, Fac Med & Hlth Sci, Jakarta, Indonesia
[16] Chinese Acad Med Sci, Fu Wai Hosp, Div Hypertens & Heart Failure, Beijing, Peoples R China
[17] Yonsei Hlth Syst, Cardiovasc Hosp, Div Cardiol, Seoul, South Korea
[18] Hue Univ, Univ Med & Pharm, Dept Internal Med, Hue, Vietnam
[19] Shanghai Jiao Tong Univ, Ctr Epidemiol Studies & Clin Trials, Sch Med,Ruijin Hosp,Dept Hypertens, Shanghai Key Lab Hypertens,Shanghai Inst Hyperten, Shanghai, Peoples R China
关键词
ambulatory blood pressure monitoring; Asia; blood pressure variability; cardiovascular risk; hypertension; nocturnal hypertension; OBSTRUCTIVE SLEEP-APNEA; CHRONIC KIDNEY-DISEASE; ANGIOTENSIN-II RECEPTOR; ALL-CAUSE MORTALITY; ISOLATED NOCTURNAL HYPERTENSION; WHITE-COAT HYPERTENSION; TARGET ORGAN DAMAGE; INITIATED ANTICIPATION MEDICINE; JAPANESE GENERAL-POPULATION; CHANNEL BLOCKER COMBINATION;
D O I
10.1111/jch.13652
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
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.
引用
收藏
页码:1250 / 1283
页数:34
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