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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/54622
Title: Current status of ambulatory blood pressure monitoring in Asian countries: A report from the HOPE Asia Network
Authors: Jinho Shin
Kazuomi Kario
Yook Chin Chia
Yuda Turana
Chen Huan Chen
Peera Buranakitjaroen
Romeo Divinagracia
Jennifer Nailes
Satoshi Hoshide
Saulat Siddique
Jorge Sison
Arieska Ann Soenarta
Guru Prasad Sogunuru
Jam Chin Tay
Boon Wee Teo
Yu Qing Zhang
Sungha Park
Huynh Van Minh
Tomoyuki Kabutoya
Narsingh Verma
Tzung Dau Wang
Ji Guang Wang
University Medicine and Pharmacy, Hue University
De La Salle Health Sciences Institute
Sunway University
Hanyang University Medical Center
Jichi Medical University
Yonsei University Health System
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
Fatima Memorial Hospital
National Yang-Ming University Taiwan
Universitas Katolik Indonesia Atma Jaya
Universitas Indonesia
University of Malaya
Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
Yong Loo Lin School of Medicine
National Taiwan University College of Medicine
King George's Medical University
Faculty of Medicine, Siriraj Hospital, Mahidol University
Tan Tock Seng Hospital
Keywords: Medicine
Issue Date: 1-Mar-2020
Citation: Journal of Clinical Hypertension. Vol.22, No.3 (2020), 384-390
Abstract: © 2019 Wiley Periodicals, Inc. Ambulatory blood pressure monitoring (ABPM) can measure 24-hour blood pressure (BP), including nocturnal BP and diurnal variations. This feature of ABPM could be of value in Asian populations for preventing cardiovascular events. However, no study has yet investigated regarding the use of ABPM in actual clinical settings in Asian countries/regions. In this study, 11 experts from 11 countries/regions were asked to answer questionnaires regarding the use of ABPM. We found that its use was very limited in primary care settings and almost exclusively available in referral settings. The indications of ABPM in actual clinical settings were largely similar to those of home BP monitoring (HBPM), that is, diagnosis of white-coat or masked hypertension and more accurate BP measurement for borderline clinic BP. Other interesting indications, such as nighttime BP patterns, including non-dipper BP, morning BP surge, and BP variability, were hardly adopted in daily clinical practice. The use of ABPM as treatment guidance for detecting treated but uncontrolled hypertension in the Asian countries/regions didn't seem to be common. The barrier to the use of ABPM was primarily its availability; in referral centers, patient reluctance owing to discomfort or sleep disturbance was the most frequent barrier. ABPM use was significantly more economical when it was reimbursed by public insurance. To facilitate ABPM use, more simplified indications and protocols to minimize discomfort should be sought. For the time being, HBPM could be a reasonable alternative.
URI: http://repository.li.mahidol.ac.th/dspace/handle/123456789/54622
metadata.dc.identifier.url: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85074864943&origin=inward
ISSN: 17517176
15246175
Appears in Collections:Scopus 2020

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