Expert panel consensus recommendations for home blood pressure monitoring in Asia: the Hope Asia Network

Park S 1 , Buranakitjaroen P 2 , Chen CH 3 , Chia YC 4 , Divinagracia R 5 , Hoshide S 6 Show all authors , Shin J 7 , Siddique S 8 , Sison J 9 , Soenarta AA 10 , Sogunuru GP 11 , Tay JC 12 , Turana Y 13 , Wang JG 14 , Zhang Y 15 , Kario K 16 , HOPE Asia Network

Affiliations 

  • 1 Division of Cardiology, Cardiovascular Hospital, Yonsei Health System, Seoul, Korea
  • 2 Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand
  • 3 Department of Medicine, Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan
  • 4 Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • 5 University of the East Ramon Magsaysay Memorial Medical Center Inc, Quezon City, Philippines
  • 6 Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan
  • 7 Faculty of Cardiology Service, Hanyang University Medical Center, Seongdong, Seoul, Korea
  • 8 Punjab Medical Center, Jail Road, Lahore, Pakistan
  • 9 Section of Cardiology, Department of Medicine, Medical Center Manila, Manila, Philippines
  • 10 Department of Cardiology and Vascular Medicine, University of Indonesia-National Cardiovascular Center, Harapan Kita, Jakarta, Indonesia
  • 11 Apollo Hospitals, Chennai, India
  • 12 Department of General Medicine, Tan Tock Seng Hospital, Singapore, Singapore
  • 13 Department of Neurology, Faculty of Medicine, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
  • 14 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
  • 15 Divisions of Hypertension and Heart Failure, Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
  • 16 Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan. kkario@jichi.ac.jp
J Hum Hypertens, 2018 Apr;32(4):249-258.
PMID: 29386668 DOI: 10.1038/s41371-017-0025-y

Abstract

Hypertension is the leading cause of mortality throughout Asia. Home blood pressure monitoring has the potential to improve hypertension control and is a useful adjunct to conventional office blood pressure measurements due to its diagnostic accuracy and prognostic value in predicting cardiovascular outcomes. At present, there are no region-specific guidelines addressing the use of home blood pressure monitoring in Asia. Therefore, an expert panel was convened to address the use of home blood pressure monitoring and develop key recommendations to help guide clinical practice throughout the Asia region. The resulting recommendations support the use of home blood pressure monitoring with a validated device as an accurate adjunct for diagnosing hypertension and predicting cardiovascular outcome. Diagnosis and treatment of hypertension should still be guided by conventional office/clinic blood pressure measurements. The expert panel encourages the incorporation of home blood pressure monitoring into local clinical guidelines and offers practical recommendations to ensure continuity of care where a validated home blood pressure device is not available.

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

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