Publication:
Target blood pressure and control status in Asia

Issued Date

2020-03-01

Resource Type

Article

ISSN

17517176
15246175

DOI

10.1111/jch.13714

Other identifier(s)

2-s2.0-85075450586

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

Journal of Clinical Hypertension. Vol.22, No.3 (2020), 344-350

Suggested Citation

Yook Chin Chia, Kazuomi Kario, Yuda Turana, Jennifer Nailes, Jam Chin Tay, Saulat Siddique, Sungha Park, Jinho Shin, Peera Buranakitjaroen, Chen Huan Chen, Romeo Divinagracia, Satoshi Hoshide, Huynh Van Minh, Jorge Sison, Arieska Ann Soenarta, Guru Prasad Sogunuru, Apichard Sukonthasarn, Boon Wee Teo, Narsingh Verma, Yuqing Zhang, Tzung Dau Wang, Ji Guang Wang Target blood pressure and control status in Asia. Journal of Clinical Hypertension. Vol.22, No.3 (2020), 344-350. doi:10.1111/jch.13714 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/54630

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Title

Target blood pressure and control status in Asia

Author(s)

Yook Chin Chia
 Kazuomi Kario
 Yuda Turana
 Jennifer Nailes
 Jam Chin Tay
 Saulat Siddique
 Sungha Park
 Jinho Shin
 Peera Buranakitjaroen
 Chen Huan Chen
 Romeo Divinagracia
 Satoshi Hoshide
 Huynh Van Minh
 Jorge Sison
 Arieska Ann Soenarta
 Guru Prasad Sogunuru
 Apichard Sukonthasarn
 Boon Wee Teo
 Narsingh Verma
 Yuqing Zhang
 Tzung Dau Wang
 Ji Guang Wang

Other Contributor(s)

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
 National Taiwan University Hospital
 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
 King George's Medical University
 Faculty of Medicine, Siriraj Hospital, Mahidol University
 Tan Tock Seng Hospital
 Bangkok Hospital Chiang Mai

Abstract

© 2019 Wiley Periodicals, Inc. It is widely accepted that hypertension constitutes a significant cardiovascular risk factor and that treating high blood pressure (BP) effectively reduces cardiovascular risk. An important issue in Asia is not just the high prevalence of hypertension, particularly in some countries, but also the low level of awareness and treatment rates in many regions. The 2017 update of the American College of Cardiology/American Heart Association hypertension guidelines raised the question about which BP threshold should be used to diagnose and treat hypertension. Although there is a theoretical rationale for a stricter BP criterion in Asia given the ethnic-specific features of hypertension in the region, the majority of countries in Asia have retained a diagnostic BP threshold of ≥140/90 mm Hg. Although lowering thresholds might make theoretical sense, this would increase the prevalence of hypertension and also markedly reduce BP control rates. In addition, there are currently no data from robust randomized clinical trials of the benefits of the lower targets in preventing cardiovascular disease and reducing cardiovascular risk, particularly in high-risk patients and especially for Asian populations. There is also no defined home BP treatment target level for an office BP treatment target of 130/80 mm Hg. However, in this regard, in the interim, lifestyle modifications, including reducing body weight and salt intake, should form an important part of hypertension management strategies in Asia, while studies on treating at lower BP threshold level in Asians and getting to lower BP targets will be helpful to inform and optimize the management of hypertension in the region.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/54630

Collections

Scopus 2020