Home blood pressure-centered approach - from digital health to medical practice: HOPE Asia Network consensus statement 2023

Kario K 1 , Tomitani N 2 , Wang TD 3 , Park S 4 , Li Y 5 , Shin J 6 Show all authors , Tsoi K 7 , Chen CH 8 , Cheng HM 9 , Siddique S 10 , Turana Y 11 , Buranakitjaroen P 12 , Van Huynh M 13 , Nailes J 14 , Sison J 15 , Soenarta AA 16 , Sogunuru GP 17 , Sukonthasarn A 18 , Tay JC 19 , Teo BW 20 , Verma N 21 , Zhang Y 22 , Schlaich M 23 , Nagai M 24 , Fujiwara T 2 , Hoshide S 2 , Chia YC 25 , Wang JG 26

Affiliations 

  • 1 Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan. kkario@jichi.ac.jp
  • 2 Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan
  • 3 Cardiovascular Center and Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei City, Taiwan
  • 4 Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Seoul, South Korea
  • 5 Centre for Epidemiological Studies and Clinical Trials and Center for Vascular Evaluations, Shanghai Key Lab of Hypertension, Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
  • 6 Faculty of Cardiology Service, Hanyang University Medical Center, Seoul, South Korea
  • 7 JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong
  • 8 Department of Internal Medicine, National Yang Ming Chiao Tung University College of Medicine, Taipei, Taiwan
  • 9 Institute of Public Health and Community Medicine Research Center, National Yang Ming Chiao Tung University School of Medicine, Taipei, Taiwan
  • 10 Punjab Medical Center, Lahore, Pakistan
  • 11 Department of Neurology. School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
  • 12 Division of Hypertension, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • 13 Department of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam
  • 14 Department of Preventive and Community Medicine and Research Institute for Health Sciences, University of the East Ramon Magsaysay Memorial Medical Center Inc., Quezon City, Philippines
  • 15 Section of Cardiology, Department of Medicine, Medical Center Manila, Manila, Philippines
  • 16 Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia-National Cardiovascular Center, Harapan Kita, Jakarta, Indonesia
  • 17 Fortis Hospitals, Chennai, Tamil Nadu, India
  • 18 Cardiology Division, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
  • 19 Department of General Medicine, Tan Tock Seng Hospital, Singapore, Singapore
  • 20 Division of Nephrology Department of Medicine, Yong Loo Lin School of Medicine, Singapore, Singapore
  • 21 Department of Physiology, King George's Medical University, Lucknow, India
  • 22 Divisions of Hypertension and Heart Failure, Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
  • 23 Dobney Hypertension Centre, Medical School - Royal Perth Hospital Unit and Royal Perth Hospital Research Foundation, The University of Western Australia, Perth, WA, Australia
  • 24 Department of Internal Medicine, General Medicine and Cardiology, Hiroshima City Asa Hospital, Hiroshima, Japan
  • 25 Department of Medical Sciences, School of Medical and Life Sciences, Sunway University, Bandar Sunway, Selangor, Malaysia
  • 26 Department of Hypertension, Centre for Epidemiological Studies and Clinical Trials, the Shanghai Institute of Hypertension, Shanghai Key Laboratory of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Hypertens Res, 2023 Dec;46(12):2561-2574.
PMID: 37605071 DOI: 10.1038/s41440-023-01397-6

Abstract

Recent innovations in digital technology have enabled the simultaneous accumulation, and the linking and analysis of time-series big data relating to several factors that influence blood pressure (BP), including biological indicators, physical activity, and environmental information. Various approaches can be used to monitor BP: in the office/clinic; at home; 24-h ambulatory recording; or with wearable and cuffless devices. Of these, home BP monitoring is a reliable and convenient method, and is recommended for hypertension management by current national and international guidelines. This recommendation is based on evidence showing that home BP is an important predictor of cardiovascular, cerebrovascular and kidney disease in patients with hypertension. In addition, lifetime personalized health record (PHR)-based home BP with telemonitoring combined with co-interventions has been shown to lower BP more effectively than the traditional approach based on office BP. Thus, home BP represents a key metric for personalized anticipation medicine, from digital healthcare to digital medicine. This paper summarizes the latest evidence on home BP monitoring and proposes a Hypertension Cardiovascular Outcome Prevention and Evidence in Asia (HOPE Asia) Network consensus on a home BP-centered approach to the management of hypertension.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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