Browsing by Author "Van Minh Huynh"

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    Characteristics of hypertension in obstructive sleep apnea: An Asian experience
    (2021-03-01) Satoshi Hoshide; Kazuomi Kario; Yook Chin Chia; Saulat Siddique; Peera Buranakitjaroen; Kelvin Tsoi; Jam Chin Tay; Yuda Turana; Chen Huan Chen; Hao Min Cheng; Van Minh Huynh; Sungha Park; Arieska Ann Soenarta; Guru Prasad Sogunuru; Tzung Dau Wang; Ji Guang Wang; Siriraj Hospital; University Medicine and Pharmacy, Hue University; Sunway University; Jichi Medical University; Yonsei University Health System; Shanghai Jiao Tong University School of Medicine; Madras Institute of Orthopaedics and Traumatology Hospitals; National Taiwan University Hospital; Kathmandu University; National Yang-Ming University Taiwan; Universitas Katolik Indonesia Atma Jaya; Universitas Indonesia; Universiti Malaya; Veterans General Hospital-Taipei; Chinese University of Hong Kong; Tan Tock Seng Hospital; Punjab Medical Center
    Obstructive sleep apnea (OSA) is a risk of hypertension and is associated with cardiovascular disease (CVD) incidence. In Asian countries, the prevalence of OSA is high, as in Western countries. When blood pressure (BP) is evaluated in OSA individuals using ambulatory BP monitoring (ABPM), the BP phenotype often indicates abnormal BP variability, such as increased nighttime BP or abnormal diurnal BP variation, that is, non-dipper pattern, riser pattern, and morning BP surge, and all these conditions have been associated with increased CVD events. Asians have a higher prevalence of increased nighttime BP or morning BP surge than Westerners. Therefore, this review paper focused on OSA and hypertension from an Asian perspective to investigate the importance of the association between OSA and hypertension in the Asian population. Such abnormal BP variability has been shown to be associated with progression of arterial stiffness, and this association could provoke a vicious cycle between abnormal BP phenotypes and arterial stiffness, a phenomenon recognized as systemic hemodynamic atherothrombotic syndrome (SHATS). OSA may be one of the background factors that augment SHATS. An oxygen-triggered nocturnal oscillometric BP measurement device combined with a pulse oximeter for continuous SpO2 monitoring could detect BP variability caused by OSA. In addition to treating the OSA, accurate and reliable detection and treatment of any residual BP elevation and BP variability caused by OSA would be necessary to prevent CVD events. However, more detailed detection of BP variability, such as beat-by-beat BP monitoring, would further help to reduce CV events.
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    Guidance on ambulatory blood pressure monitoring: A statement from the HOPE Asia Network
    (2021-03-01) Kazuomi Kario; Satoshi Hoshide; Yook Chin Chia; Peera Buranakitjaroen; Saulat Siddique; Jinho Shin; Yuda Turana; Sungha Park; Kelvin Tsoi; Chen Huan Chen; Hao Min Cheng; Takeshi Fujiwara; Yan Li; Van Minh Huynh; Michiaki Nagai; Jennifer Nailes; Jorge Sison; Arieska Ann Soenarta; Guru Prasad Sogunuru; Apichard Sukonthasarn; Jam Chin Tay; Boon Wee Teo; Narsingh Verma; Tzung Dau Wang; Yuqing Zhang; Ji Guang Wang; Hiroshima City Asa Citizens Hospital; Siriraj Hospital; University Medicine and Pharmacy, Hue University; 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; National Taiwan University Hospital; Kathmandu University; University of the East Ramon Magsaysay Memorial Medical Center; National Yang-Ming University Taiwan; Universitas Katolik Indonesia Atma Jaya; Universitas Indonesia; Universiti Malaya; Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College; NUS Yong Loo Lin School of Medicine; King George's Medical University; Veterans General Hospital-Taipei; Chinese University of Hong Kong; Tan Tock Seng Hospital; Chiang Mai University; Medical Center Manila; Punjab Medical Center
    Hypertension is an important public health issue due to its association with a number of serious diseases, including cardiovascular disease and stroke. The importance of evaluating hypertension taking into account different blood pressure (BP) profiles and BP variability (BPV) is increasingly being recognized, and is particularly relevant in Asian populations given the specific features of hypertension in the region (including greater salt sensitivity and a high rate of nocturnal hypertension). Ambulatory BP monitoring (ABPM) is the gold standard for diagnosing hypertension and assessing 24-hour BP and provides data on several important parameters that cannot be obtained using any other form of BP measurement. In addition, ABPM parameters provide better information on cardio- and cerebrovascular risk than office BP. ABPM should be used in all patients with elevated BP, particularly those with unstable office or home BP, or who are suspected to have white-coat or masked hypertension. ABPM is also an important part of hypertension diagnosis and monitoring in high-risk patients. ABPM needs to be performed using a validated device and good practice techniques, and has a role both in hypertension diagnosis and in monitoring the response to antihypertensive therapy to ensure strict BP control throughout the 24-hour period. Use of ABPM in clinical practice may be limited by cost and accessibility, and practical education of physicians and patients is essential. The ABPM evidence and practice points in this document are based on the Hypertension Cardiovascular Outcome Prevention and Evidence (HOPE) Asia Network expert panel consensus recommendations for ABPM in Asia.