Year: 2020
Type: article
Abstract: 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.
Source: Journal of Clinical Hypertension
DOI: 10.1111/jch.14128
Authors: 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
Institutions: Jichi Medical University, University of Malaya, Sunway University, Siriraj Hospital, Mahidol University, Punjab Medical Center, Hanyang University Seoul Hospital, Hanyang University Medical Center, Atma Jaya Catholic University of Indonesia, Yonsei University Health System, Chinese University of Hong Kong, Taipei Veterans General Hospital, National Yang Ming University, Shanghai Jiao Tong University, Ruijin Hospital, Shanghai Institute of Hypertension, Hue University, Huế University of Medicine and Pharmacy, Hiroshima City Asa Citizens Hospital, University of the East Ramon Magsaysay Memorial Medical Center, Medical Center Manila, University of Indonesia, Madras Institute of Orthopaedics and Traumatology, College of Medical Sciences, Kathmandu University, Chiang Mai University, Tan Tock Seng Hospital, National University of Singapore, King George's Medical University, National Taiwan University, National Taiwan University Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Fu Wai Hospital
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,900
OpenAlex ID: W3111663266