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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/46174
Title: Home blood pressure control status in 2017-2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study
Authors: Kazuomi Kario
Naoko Tomitani
Peera Buranakitjaroen
Yook Chin Chia
Sungha Park
Chen Huan Chen
Romeo Divinagracia
Jinho Shin
Saulat Siddique
Jorge Sison
Arieska Ann Soenarta
Guru Prasad Sogunuru
Jam Chin Tay
Yuda Turana
Yuqing Zhang
Jennifer Nailes
Sirisawat Wanthong
Satoshi Hoshide
Noriko Matsushita
Hiroshi Kanegae
Ji Guang Wang
De La Salle Health Sciences Institute
Sunway University
Hanyang University Medical Center
Jichi Medical University
Shanghai Jiao Tong University School of Medicine
Madras Institute of Orthopaedics and Traumatology Hospitals
Kathmandu University
University of the East Ramon Magsaysay Memorial Medical Center
National Yang-Ming University Taiwan
Universitas Katolik Indonesia Atma Jaya
Universitas Indonesia
University of Malaya
Fuwai Hospital
Faculty of Medicine, Siriraj Hospital, Mahidol University
Tan Tock Seng Hospital
Omron Healthcare Singapore, Pte. Ltd
Punjab Medical Center
Cardiovascular Hospital
Keywords: Medicine
Issue Date: 1-Dec-2018
Citation: Journal of Clinical Hypertension. Vol.20, No.12 (2018), 1686-1695
Abstract: ©2018 Wiley Periodicals, Inc. 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.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85056663634&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/46174
ISSN: 17517176
15246175
Appears in Collections:Scopus 2018

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