Home blood pressure control status in 2017-2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study

HOPE Asia Network

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

A self-measured home blood pressure (BP)-guided strategy is an effective practical approach to hypertension management. The Asia BP@Home study is the first designed to investigate current home BP control status in different Asian countries/regions using standardized home BP measurements taken with the same validated home BP monitoring device with data memory. We enrolled 1443 medicated hypertensive patients from 15 Asian specialist centers in 11 countries/regions between April 2017 and March 2018. BP was relatively well controlled in 68.2% of patients using a morning home systolic BP (SBP) cutoff of <135 mm Hg, and in 55.1% of patients using a clinic SBP cutoff of <140 mm Hg. When cutoff values were changed to the 2017 AHA/ACC threshold (SBP <130 mm Hg), 53.6% of patients were well controlled for morning home SBP. Using clinic 140 mm Hg and morning home 135 mm Hg SBP thresholds, the proportion of patients with well-controlled hypertension (46%) was higher than for uncontrolled sustained (22%), white-coat (23%), and masked uncontrolled (9%) hypertension, with significant country/regional differences. Home BP variability in Asian countries was high, and varied by country/region. In conclusion, the Asia BP@Home study demonstrated that home BP is relatively well controlled at hypertension specialist centers in Asia. However, almost half of patients remain uncontrolled for morning BP according to new guidelines, with significant country/regional differences. Strict home BP control should be beneficial in Asian populations. The findings of this study are important to facilitate development of health policies focused on reducing cardiovascular complications in Asia.

Original languageEnglish
Pages (from-to)1686-1695
Number of pages10
JournalJournal of Clinical Hypertension
Volume20
Issue number12
DOIs
Publication statusPublished - 2018 Dec

Fingerprint

Blood Pressure
Hypertension
Ambulatory Blood Pressure Monitoring
Health Policy
Guidelines
Equipment and Supplies
Population

All Science Journal Classification (ASJC) codes

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

Cite this

@article{9739ff042ceb488ea02a8d42d60d95ce,
title = "Home blood pressure control status in 2017-2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study",
abstract = "A self-measured home blood pressure (BP)-guided strategy is an effective practical approach to hypertension management. The Asia BP@Home study is the first designed to investigate current home BP control status in different Asian countries/regions using standardized home BP measurements taken with the same validated home BP monitoring device with data memory. We enrolled 1443 medicated hypertensive patients from 15 Asian specialist centers in 11 countries/regions between April 2017 and March 2018. BP was relatively well controlled in 68.2{\%} of patients using a morning home systolic BP (SBP) cutoff of <135 mm Hg, and in 55.1{\%} of patients using a clinic SBP cutoff of <140 mm Hg. When cutoff values were changed to the 2017 AHA/ACC threshold (SBP <130 mm Hg), 53.6{\%} of patients were well controlled for morning home SBP. Using clinic 140 mm Hg and morning home 135 mm Hg SBP thresholds, the proportion of patients with well-controlled hypertension (46{\%}) was higher than for uncontrolled sustained (22{\%}), white-coat (23{\%}), and masked uncontrolled (9{\%}) hypertension, with significant country/regional differences. Home BP variability in Asian countries was high, and varied by country/region. In conclusion, the Asia BP@Home study demonstrated that home BP is relatively well controlled at hypertension specialist centers in Asia. However, almost half of patients remain uncontrolled for morning BP according to new guidelines, with significant country/regional differences. Strict home BP control should be beneficial in Asian populations. The findings of this study are important to facilitate development of health policies focused on reducing cardiovascular complications in Asia.",
author = "{HOPE Asia Network} and Kazuomi Kario and Naoko Tomitani and Peera Buranakitjaroen and Chia, {Yook Chin} and Sungha Park and Chen, {Chen Huan} and Romeo Divinagracia and Jinho Shin and Saulat Siddique and Jorge Sison and {Ann Soenarta}, Arieska and Sogunuru, {Guru Prasad} and Tay, {Jam Chin} and Yuda Turana and Yuqing Zhang and Jennifer Nailes and Sirisawat Wanthong and Satoshi Hoshide and Noriko Matsushita and Hiroshi Kanegae and Wang, {Ji Guang}",
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Home blood pressure control status in 2017-2018 for hypertension specialist centers in Asia : Results of the Asia BP@Home study. / HOPE Asia Network.

In: Journal of Clinical Hypertension, Vol. 20, No. 12, 12.2018, p. 1686-1695.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Home blood pressure control status in 2017-2018 for hypertension specialist centers in Asia

T2 - Results of the Asia BP@Home study

AU - HOPE Asia Network

AU - Kario, Kazuomi

AU - Tomitani, Naoko

AU - Buranakitjaroen, Peera

AU - Chia, Yook Chin

AU - Park, Sungha

AU - Chen, Chen Huan

AU - Divinagracia, Romeo

AU - Shin, Jinho

AU - Siddique, Saulat

AU - Sison, Jorge

AU - Ann Soenarta, Arieska

AU - Sogunuru, Guru Prasad

AU - Tay, Jam Chin

AU - Turana, Yuda

AU - Zhang, Yuqing

AU - Nailes, Jennifer

AU - Wanthong, Sirisawat

AU - Hoshide, Satoshi

AU - Matsushita, Noriko

AU - Kanegae, Hiroshi

AU - Wang, Ji Guang

PY - 2018/12

Y1 - 2018/12

N2 - A self-measured home blood pressure (BP)-guided strategy is an effective practical approach to hypertension management. The Asia BP@Home study is the first designed to investigate current home BP control status in different Asian countries/regions using standardized home BP measurements taken with the same validated home BP monitoring device with data memory. We enrolled 1443 medicated hypertensive patients from 15 Asian specialist centers in 11 countries/regions between April 2017 and March 2018. BP was relatively well controlled in 68.2% of patients using a morning home systolic BP (SBP) cutoff of <135 mm Hg, and in 55.1% of patients using a clinic SBP cutoff of <140 mm Hg. When cutoff values were changed to the 2017 AHA/ACC threshold (SBP <130 mm Hg), 53.6% of patients were well controlled for morning home SBP. Using clinic 140 mm Hg and morning home 135 mm Hg SBP thresholds, the proportion of patients with well-controlled hypertension (46%) was higher than for uncontrolled sustained (22%), white-coat (23%), and masked uncontrolled (9%) hypertension, with significant country/regional differences. Home BP variability in Asian countries was high, and varied by country/region. In conclusion, the Asia BP@Home study demonstrated that home BP is relatively well controlled at hypertension specialist centers in Asia. However, almost half of patients remain uncontrolled for morning BP according to new guidelines, with significant country/regional differences. Strict home BP control should be beneficial in Asian populations. The findings of this study are important to facilitate development of health policies focused on reducing cardiovascular complications in Asia.

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