Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network
Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network
复制标题
DOI：
10.1111/jch.13652
复制
发表时间：
2019-09-01
影响因子：
2.8
通讯作者：
Wang, Ji-Guang
中科院分区：
文献类型：
--
作者：
Kario, Kazuomi;Shin, Jinho;Wang, Ji-Guang
高血压是一个重要的公共卫生问题，因为它与许多重大疾病和不良后果有关。然而，在高血压的发病机制和心脑血管后果方面存在重要的民族差异。鉴于亚洲地区人口众多和人口老龄化迅速，诊断和管理高血压的最佳策略非常重要。动态血压监测（ABPM）是一种重要的室外血压测量工具，在高血压的检测和治疗中应发挥核心作用。ABPM的使用在亚洲尤为重要，因为亚洲患者的高血压有其特殊的特点，包括隐蔽性高血压的高发，血压变异性紊乱，早晨血压明显升高，以及夜间高血压。本HOPE亚洲网络文件总结了区域性的ABPM参数与心血管风险和靶器官损伤之间关系的文献，为在亚洲使用ABPM提供了基于共识的建议。这些建议的目的是指导和改进临床实践，以促进最佳血压监测，优化患者管理，加快有效分配治疗和卫生保健资源。这将有助于HOPE亚洲网络改善高血压管理和器官保护的使命，以实现亚洲“零”心血管事件。
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.