Publication:
Home blood pressure control status in 2017-2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study

Issued Date

2018-12-01

Resource Type

Article

ISSN

17517176
15246175

DOI

10.1111/jch.13415

Other identifier(s)

2-s2.0-85056663634

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

Journal of Clinical Hypertension. Vol.20, No.12 (2018), 1686-1695

Suggested Citation

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 Home blood pressure control status in 2017-2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study. Journal of Clinical Hypertension. Vol.20, No.12 (2018), 1686-1695. doi:10.1111/jch.13415 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/46174

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Title

Home blood pressure control status in 2017-2018 for hypertension specialist centers in Asia: Results of the Asia BP@Home study

Author(s)

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

Other Contributor(s)

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

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.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/46174

Collections

Scopus 2018