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

10/15/2018 12:00:00 AM

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Authors: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, HOPE Asia Network

Publication date: 7 September 2018

J Clin Hypertens

Volume:  2018, 1-10

Link: https://onlinelibrary.wiley.com/doi/pdf/10.1111/jch.13415

 

 

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 de- signed to investigate current home BP control status in different Asian countries/re- gions 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 be- tween April 2017 and March 2018. BP was relatively well controlled in 68.2% of pa- tients 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 hyper- tension (46%)  was higher than for uncontrolled sustained (22%),  white-coat (23%), and masked uncontrolled (9%) hypertension, with significant country/regional differ- ences. 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.