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 language | English |
|---|---|
| Pages (from-to) | 1686-1695 |
| Number of pages | 10 |
| Journal | Journal of Clinical Hypertension |
| Volume | 20 |
| Issue number | 12 |
| DOIs | |
| Publication status | Published - 2018 Dec |
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All Science Journal Classification (ASJC) codes
- Internal Medicine
- Endocrinology, Diabetes and Metabolism
- Cardiology and Cardiovascular Medicine
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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 journal › Article
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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85056663634&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85056663634&partnerID=8YFLogxK
U2 - 10.1111/jch.13415
DO - 10.1111/jch.13415
M3 - Article
C2 - 30444315
AN - SCOPUS:85056663634
VL - 20
SP - 1686
EP - 1695
JO - Journal of Clinical Hypertension
JF - Journal of Clinical Hypertension
SN - 1524-6175
IS - 12
ER -