Current status of ambulatory blood pressure monitoring in Asian countries: A report from the HOPE Asia Network

Jinho Shin, Kazuomi Kario, Yook Chin Chia, Yuda Turana, Chen Huan Chen, Peera Buranakitjaroen, Romeo Divinagracia, Jennifer Nailes, Satoshi Hoshide, Saulat Siddique, Jorge Sison, Arieska Ann Soenarta, Guru Prasad Sogunuru, Jam Chin Tay, Boon Wee Teo, Yu Qing Zhang, Sungha Park, Huynh Van Minh, Tomoyuki Kabutoya, Narsingh VermaTzung Dau Wang, Ji Guang Wang

Research output: Contribution to journalReview article

Abstract

Ambulatory blood pressure monitoring (ABPM) can measure 24-hour blood pressure (BP), including nocturnal BP and diurnal variations. This feature of ABPM could be of value in Asian populations for preventing cardiovascular events. However, no study has yet investigated regarding the use of ABPM in actual clinical settings in Asian countries/regions. In this study, 11 experts from 11 countries/regions were asked to answer questionnaires regarding the use of ABPM. We found that its use was very limited in primary care settings and almost exclusively available in referral settings. The indications of ABPM in actual clinical settings were largely similar to those of home BP monitoring (HBPM), that is, diagnosis of white-coat or masked hypertension and more accurate BP measurement for borderline clinic BP. Other interesting indications, such as nighttime BP patterns, including non-dipper BP, morning BP surge, and BP variability, were hardly adopted in daily clinical practice. The use of ABPM as treatment guidance for detecting treated but uncontrolled hypertension in the Asian countries/regions didn't seem to be common. The barrier to the use of ABPM was primarily its availability; in referral centers, patient reluctance owing to discomfort or sleep disturbance was the most frequent barrier. ABPM use was significantly more economical when it was reimbursed by public insurance. To facilitate ABPM use, more simplified indications and protocols to minimize discomfort should be sought. For the time being, HBPM could be a reasonable alternative.

Original languageEnglish
JournalJournal of Clinical Hypertension
DOIs
Publication statusAccepted/In press - 2019 Jan 1

Fingerprint

Ambulatory Blood Pressure Monitoring
Blood Pressure
Masked Hypertension
Referral and Consultation
White Coat Hypertension
Insurance
Primary Health Care
Sleep
Hypertension

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine

Cite this

Shin, J., Kario, K., Chia, Y. C., Turana, Y., Chen, C. H., Buranakitjaroen, P., ... Wang, J. G. (Accepted/In press). Current status of ambulatory blood pressure monitoring in Asian countries: A report from the HOPE Asia Network. Journal of Clinical Hypertension. https://doi.org/10.1111/jch.13724
Shin, Jinho ; Kario, Kazuomi ; Chia, Yook Chin ; Turana, Yuda ; Chen, Chen Huan ; Buranakitjaroen, Peera ; Divinagracia, Romeo ; Nailes, Jennifer ; Hoshide, Satoshi ; Siddique, Saulat ; Sison, Jorge ; Soenarta, Arieska Ann ; Sogunuru, Guru Prasad ; Tay, Jam Chin ; Teo, Boon Wee ; Zhang, Yu Qing ; Park, Sungha ; Van Minh, Huynh ; Kabutoya, Tomoyuki ; Verma, Narsingh ; Wang, Tzung Dau ; Wang, Ji Guang. / Current status of ambulatory blood pressure monitoring in Asian countries : A report from the HOPE Asia Network. In: Journal of Clinical Hypertension. 2019.
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abstract = "Ambulatory blood pressure monitoring (ABPM) can measure 24-hour blood pressure (BP), including nocturnal BP and diurnal variations. This feature of ABPM could be of value in Asian populations for preventing cardiovascular events. However, no study has yet investigated regarding the use of ABPM in actual clinical settings in Asian countries/regions. In this study, 11 experts from 11 countries/regions were asked to answer questionnaires regarding the use of ABPM. We found that its use was very limited in primary care settings and almost exclusively available in referral settings. The indications of ABPM in actual clinical settings were largely similar to those of home BP monitoring (HBPM), that is, diagnosis of white-coat or masked hypertension and more accurate BP measurement for borderline clinic BP. Other interesting indications, such as nighttime BP patterns, including non-dipper BP, morning BP surge, and BP variability, were hardly adopted in daily clinical practice. The use of ABPM as treatment guidance for detecting treated but uncontrolled hypertension in the Asian countries/regions didn't seem to be common. The barrier to the use of ABPM was primarily its availability; in referral centers, patient reluctance owing to discomfort or sleep disturbance was the most frequent barrier. ABPM use was significantly more economical when it was reimbursed by public insurance. To facilitate ABPM use, more simplified indications and protocols to minimize discomfort should be sought. For the time being, HBPM could be a reasonable alternative.",
author = "Jinho Shin and Kazuomi Kario and Chia, {Yook Chin} and Yuda Turana and Chen, {Chen Huan} and Peera Buranakitjaroen and Romeo Divinagracia and Jennifer Nailes and Satoshi Hoshide and Saulat Siddique and Jorge Sison and Soenarta, {Arieska Ann} and Sogunuru, {Guru Prasad} and Tay, {Jam Chin} and Teo, {Boon Wee} and Zhang, {Yu Qing} and Sungha Park and {Van Minh}, Huynh and Tomoyuki Kabutoya and Narsingh Verma and Wang, {Tzung Dau} and Wang, {Ji Guang}",
year = "2019",
month = "1",
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Shin, J, Kario, K, Chia, YC, Turana, Y, Chen, CH, Buranakitjaroen, P, Divinagracia, R, Nailes, J, Hoshide, S, Siddique, S, Sison, J, Soenarta, AA, Sogunuru, GP, Tay, JC, Teo, BW, Zhang, YQ, Park, S, Van Minh, H, Kabutoya, T, Verma, N, Wang, TD & Wang, JG 2019, 'Current status of ambulatory blood pressure monitoring in Asian countries: A report from the HOPE Asia Network', Journal of Clinical Hypertension. https://doi.org/10.1111/jch.13724

Current status of ambulatory blood pressure monitoring in Asian countries : A report from the HOPE Asia Network. / Shin, Jinho; Kario, Kazuomi; Chia, Yook Chin; Turana, Yuda; Chen, Chen Huan; Buranakitjaroen, Peera; Divinagracia, Romeo; Nailes, Jennifer; Hoshide, Satoshi; Siddique, Saulat; Sison, Jorge; Soenarta, Arieska Ann; Sogunuru, Guru Prasad; Tay, Jam Chin; Teo, Boon Wee; Zhang, Yu Qing; Park, Sungha; Van Minh, Huynh; Kabutoya, Tomoyuki; Verma, Narsingh; Wang, Tzung Dau; Wang, Ji Guang.

In: Journal of Clinical Hypertension, 01.01.2019.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Current status of ambulatory blood pressure monitoring in Asian countries

T2 - A report from the HOPE Asia Network

AU - Shin, Jinho

AU - Kario, Kazuomi

AU - Chia, Yook Chin

AU - Turana, Yuda

AU - Chen, Chen Huan

AU - Buranakitjaroen, Peera

AU - Divinagracia, Romeo

AU - Nailes, Jennifer

AU - Hoshide, Satoshi

AU - Siddique, Saulat

AU - Sison, Jorge

AU - Soenarta, Arieska Ann

AU - Sogunuru, Guru Prasad

AU - Tay, Jam Chin

AU - Teo, Boon Wee

AU - Zhang, Yu Qing

AU - Park, Sungha

AU - Van Minh, Huynh

AU - Kabutoya, Tomoyuki

AU - Verma, Narsingh

AU - Wang, Tzung Dau

AU - Wang, Ji Guang

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Ambulatory blood pressure monitoring (ABPM) can measure 24-hour blood pressure (BP), including nocturnal BP and diurnal variations. This feature of ABPM could be of value in Asian populations for preventing cardiovascular events. However, no study has yet investigated regarding the use of ABPM in actual clinical settings in Asian countries/regions. In this study, 11 experts from 11 countries/regions were asked to answer questionnaires regarding the use of ABPM. We found that its use was very limited in primary care settings and almost exclusively available in referral settings. The indications of ABPM in actual clinical settings were largely similar to those of home BP monitoring (HBPM), that is, diagnosis of white-coat or masked hypertension and more accurate BP measurement for borderline clinic BP. Other interesting indications, such as nighttime BP patterns, including non-dipper BP, morning BP surge, and BP variability, were hardly adopted in daily clinical practice. The use of ABPM as treatment guidance for detecting treated but uncontrolled hypertension in the Asian countries/regions didn't seem to be common. The barrier to the use of ABPM was primarily its availability; in referral centers, patient reluctance owing to discomfort or sleep disturbance was the most frequent barrier. ABPM use was significantly more economical when it was reimbursed by public insurance. To facilitate ABPM use, more simplified indications and protocols to minimize discomfort should be sought. For the time being, HBPM could be a reasonable alternative.

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