Home blood pressure control status in 2017‐2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study
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 t...
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my.um.eprints.216742019-07-22T03:15:55Z http://eprints.um.edu.my/21674/ Home blood pressure control status in 2017‐2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study Kario, Kazuomi Tomitani, Naoko Buranakitjaroen, Peera Chia, Yook Chin Park, Sungha Chen, Chen Huan Divinagracia, Romeo Shin, Jinho Siddique, Saulat Sison, Jorge Ann Soenarta, Arieska Sogunuru, Guru Prasad Tay, Jam Chin Turana, Yuda Zhang, Yuqing Nailes, Jennifer Wanthong, Sirisawat Hoshide, Satoshi Matsushita, Noriko Kanegae, Hiroshi Wang, Ji Guang R Medicine 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. Wiley 2018 Article PeerReviewed Kario, Kazuomi and Tomitani, Naoko and Buranakitjaroen, Peera and Chia, Yook Chin and Park, Sungha and Chen, Chen Huan and Divinagracia, Romeo and Shin, Jinho and Siddique, Saulat and Sison, Jorge and Ann Soenarta, Arieska and Sogunuru, Guru Prasad and Tay, Jam Chin and Turana, Yuda and Zhang, Yuqing and Nailes, Jennifer and Wanthong, Sirisawat and Hoshide, Satoshi and Matsushita, Noriko and Kanegae, Hiroshi and Wang, Ji Guang (2018) Home blood pressure control status in 2017‐2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study. The Journal of Clinical Hypertension, 20 (12). pp. 1686-1695. ISSN 1524-6175 https://doi.org/10.1111/jch.13415 doi:10.1111/jch.13415 |
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R Medicine Kario, Kazuomi Tomitani, Naoko Buranakitjaroen, Peera Chia, Yook Chin Park, Sungha Chen, Chen Huan Divinagracia, Romeo Shin, Jinho Siddique, Saulat Sison, Jorge Ann Soenarta, Arieska Sogunuru, Guru Prasad Tay, Jam Chin Turana, Yuda Zhang, Yuqing Nailes, Jennifer Wanthong, Sirisawat Hoshide, Satoshi Matsushita, Noriko Kanegae, Hiroshi Wang, Ji Guang Home blood pressure control status in 2017‐2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study |
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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. |
| format |
Article |
| author |
Kario, Kazuomi Tomitani, Naoko Buranakitjaroen, Peera Chia, Yook Chin Park, Sungha Chen, Chen Huan Divinagracia, Romeo Shin, Jinho Siddique, Saulat Sison, Jorge Ann Soenarta, Arieska Sogunuru, Guru Prasad Tay, Jam Chin Turana, Yuda Zhang, Yuqing Nailes, Jennifer Wanthong, Sirisawat Hoshide, Satoshi Matsushita, Noriko Kanegae, Hiroshi Wang, Ji Guang |
| author_facet |
Kario, Kazuomi Tomitani, Naoko Buranakitjaroen, Peera Chia, Yook Chin Park, Sungha Chen, Chen Huan Divinagracia, Romeo Shin, Jinho Siddique, Saulat Sison, Jorge Ann Soenarta, Arieska Sogunuru, Guru Prasad Tay, Jam Chin Turana, Yuda Zhang, Yuqing Nailes, Jennifer Wanthong, Sirisawat Hoshide, Satoshi Matsushita, Noriko Kanegae, Hiroshi Wang, Ji Guang |
| author_sort |
Kario, Kazuomi |
| title |
Home blood pressure control status in 2017‐2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study |
| title_short |
Home blood pressure control status in 2017‐2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study |
| title_full |
Home blood pressure control status in 2017‐2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study |
| title_fullStr |
Home blood pressure control status in 2017‐2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study |
| title_full_unstemmed |
Home blood pressure control status in 2017‐2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study |
| title_sort |
home blood pressure control status in 2017‐2018 for hypertension specialist centers in asia: results of the asia bp@home study |
| publisher |
Wiley |
| publishDate |
2018 |
| url |
http://eprints.um.edu.my/21674/ https://doi.org/10.1111/jch.13415 |
| _version_ |
1643691627606179840 |
| score |
13.211869 |