Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.
Faculty of Cardiology Service, Hanyang University Medical Center, Seoul, Korea.
J Clin Hypertens (Greenwich). 2019 Sep;21(9):1250-1283. doi: 10.1111/jch.13652.
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.
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，高血压的发病机制和心脑血管后果在不同种族之间存在重要差异。鉴于亚洲地区人口众多且人口老龄化迅速，诊断和管理高血压的最佳策略非常重要。动态血压监测（ABPM）是一种重要的诊室外血压（BP）测量工具，应在高血压检测和管理中发挥核心作用。由于亚洲患者高血压的特殊特征，包括隐匿性高血压的高发、血压变异性中断伴明显晨峰血压升高和夜间高血压，ABPM 的使用在亚洲尤为重要。本 HOPE 亚洲网络文件总结了关于 ABPM 参数与心血管风险和靶器官损害之间关系的特定于亚洲的文献，为亚洲 ABPM 使用的基于共识的建议提供了依据。这些建议的目的是指导和改进临床实践，以促进最佳的血压监测，从而优化患者管理并加快治疗和医疗保健资源的有效分配。这应该有助于 HOPE 亚洲网络的使命，即改善高血压管理和器官保护，以实现亚洲“零”心血管事件。
