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Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network
Authors:Kazuomi Kario  Jinho Shin  Chen‐Huan Chen  Peera Buranakitjaroen  Yook‐Chin Chia  Romeo Divinagracia  Jennifer Nailes  Satoshi Hoshide  Saulat Siddique  Jorge Sison  Arieska Ann Soenarta  Guru Prasad Sogunuru  Jam Chin Tay  Boon Wee Teo  Yuda Turana  Yuqing Zhang  Sungha Park  Huynh Van Minh  Ji‐Guang Wang
Abstract:Hypertension is an important public health issue because of its association with a number of significant diseases and adverse outcomes. However, there are important ethnic differences in the pathogenesis and cardio‐/cerebrovascular consequences of hypertension. Given the large populations and rapidly aging demographic in Asian regions, optimal strategies to diagnose and manage hypertension are of high importance. Ambulatory blood pressure monitoring (ABPM) is an important out‐of‐office blood pressure (BP) measurement tool that should play a central role in hypertension detection and management. The use of ABPM is particularly important in Asia due to the specific features of hypertension in Asian patients, including a high prevalence of masked hypertension, disrupted BP variability with marked morning BP surge, and nocturnal hypertension. This HOPE Asia Network document summarizes region‐specific literature on the relationship between ABPM parameters and cardiovascular risk and target organ damage, providing a rationale for consensus‐based recommendations on the use of ABPM in Asia. The aim of these recommendations is to guide and improve clinical practice to facilitate optimal BP monitoring with the goal of optimizing patient management and expediting the efficient allocation of treatment and health care resources. This should contribute to the HOPE Asia Network mission of improving the management of hypertension and organ protection toward achieving “zero” cardiovascular events in Asia.
Keywords:ambulatory blood pressure monitoring  Asia  blood pressure variability  cardiovascular risk  hypertension  nocturnal hypertension
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