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

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

Research output: Contribution to journalArticle

9 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1250-1283
Number of pages34
JournalJournal of Clinical Hypertension
Volume21
Issue number9
DOIs
Publication statusPublished - 2019 Sep 1

All Science Journal Classification (ASJC) codes

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

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    Kario, K., Shin, J., Chen, C. H., Buranakitjaroen, P., Chia, Y. C., Divinagracia, R., Nailes, J., Hoshide, S., Siddique, S., Sison, J., Soenarta, A. A., Sogunuru, G. P., Tay, J. C., Teo, B. W., Turana, Y., Zhang, Y., Park, S., Van Minh, H., & Wang, J. G. (2019). Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network. Journal of Clinical Hypertension, 21(9), 1250-1283. https://doi.org/10.1111/jch.13652