Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.
Cardiovascular Center and Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei City, Taiwan.
Hypertens Res. 2023 Dec;46(12):2561-2574. doi: 10.1038/s41440-023-01397-6. Epub 2023 Aug 21.
Recent innovations in digital technology have enabled the simultaneous accumulation, and the linking and analysis of time-series big data relating to several factors that influence blood pressure (BP), including biological indicators, physical activity, and environmental information. Various approaches can be used to monitor BP: in the office/clinic; at home; 24-h ambulatory recording; or with wearable and cuffless devices. Of these, home BP monitoring is a reliable and convenient method, and is recommended for hypertension management by current national and international guidelines. This recommendation is based on evidence showing that home BP is an important predictor of cardiovascular, cerebrovascular and kidney disease in patients with hypertension. In addition, lifetime personalized health record (PHR)-based home BP with telemonitoring combined with co-interventions has been shown to lower BP more effectively than the traditional approach based on office BP. Thus, home BP represents a key metric for personalized anticipation medicine, from digital healthcare to digital medicine. This paper summarizes the latest evidence on home BP monitoring and proposes a Hypertension Cardiovascular Outcome Prevention and Evidence in Asia (HOPE Asia) Network consensus on a home BP-centered approach to the management of hypertension.
最近的数字技术创新使得能够同时积累和链接分析与血压（BP）相关的多个因素的时间序列大数据，包括生物指标、身体活动和环境信息。可以使用多种方法来监测 BP：在办公室/诊所；在家中；24 小时动态记录；或使用可穿戴设备和无袖带设备。其中，家庭 BP 监测是一种可靠且方便的方法，目前的国家和国际指南都建议用于高血压管理。这一建议是基于证据表明，家庭 BP 是高血压患者心血管、脑血管和肾脏疾病的重要预测指标。此外，基于终生个人健康记录（PHR）的家庭 BP 远程监测与联合干预相结合，已被证明比基于办公室 BP 的传统方法更有效地降低 BP。因此，家庭 BP 代表了个性化预测医学的一个关键指标，从数字医疗到数字医学。本文总结了家庭 BP 监测的最新证据，并提出了高血压心血管结局预防和亚洲证据（HOPE Asia）网络关于以家庭 BP 为中心的高血压管理方法的共识。
