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. 2018 Mar;20(3):456-461.
doi: 10.1111/jch.13216. Epub 2018 Feb 16.

Guidance on home blood pressure monitoring: A statement of the HOPE Asia Network

Kazuomi Kario  1 , Sungha Park  2 , Peera Buranakitjaroen  3 , Yook-Chin Chia  4   5 , Chen-Huan Chen  6 , Romeo Divinagracia  7 , Satoshi Hoshide  1 , Jinho Shin  8 , Saulat Siddique  9 , Jorge Sison  10 , Arieska Ann Soenarta  11 , Guru Prasad Sogunuru  12   13 , Jam Chin Tay  14 , Yuda Turana  15 , Lawrence Wong  16 , Yuqing Zhang  17 , Ji-Guang Wang  18
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Guidance on home blood pressure monitoring: A statement of the HOPE Asia Network

Kazuomi Kario et al. J Clin Hypertens (Greenwich). 2018 Mar.

Abstract

Hypertension is an important modifiable cardiovascular risk factor and a leading cause of death throughout Asia. Effective prevention and control of hypertension in the region remain a significant challenge despite the availability of several regional and international guidelines. Out-of-office measurement of blood pressure (BP), including home BP monitoring (HBPM), is an important hypertension management tool. Home BP is better than office BP for predicting cardiovascular risk and HBPM should be considered for all patients with office BP ≥ 130/85 mm Hg. It is important that HBPM is undertaken using a validated device and patients are educated about how to perform HBPM correctly. During antihypertensive therapy, monitoring of home BP control and variability is essential, especially in the morning. This is because HBPM can facilitate the choice of individualized optimal therapy. The 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 HBPM in Asia.

Keywords: Pfizer; blood pressure control; clinical practice; guidelines; home blood pressure monitoring; hypertension.

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Figures

Figure 1
Figure 1
Practice points
Figure 2
Figure 2
On‐treatment home and office systolic blood pressure and risk of cardiovascular events in medicated patients with hypertension, adjusted for sex, age, family history of cardiovascular disease, dyslipidemia, diabetes mellitus, chronic kidney disease, history of cardiovascular disease, and smoking status (HONEST study).20 SBP, systolic blood pressure
Figure 3
Figure 3
Three‐step strategy for morning blood pressure targets (mm Hg) with home blood pressure monitoring during antihypertensive treatment
See this image and copyright information in PMC

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