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Rationale and design for the Asia BP@Home study on home blood pressure control status in 12 Asian countries and
Kazuomi Kario1, Naoko Tomitani1, Peera Buranakitjaroen2
1Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.
Insights
Home blood pressure monitoring aids hypertension management. The Asia BP@Home study examines hypertension subtypes and home BP control in Asian patients, highlighting the importance of morning blood pressure (BP) control.
Area of Science:
- Cardiology
- Hypertension Research
- Public Health
Background:
- Home blood pressure (BP) monitoring is a recommended tool for hypertension diagnosis and management.
- Physicians in many Asian countries underestimate BP variability's impact on cardiovascular events.
- Japanese studies link morning BP surge to cardiovascular events, suggesting a need for better morning BP control in Asians.
Purpose of the Study:
- To investigate hypertension subtypes (white-coat, masked morning, controlled, uncontrolled) in Asian patients.
- To identify factors influencing home BP control status.
- To evaluate home BP monitoring in a large, multi-country Asian cohort.
Main Methods:
- The Asia BP@Home study enrolled over 1600 medicated hypertensive patients.
- Data collected from 12 countries/regions across Asia.
- Validated home BP monitoring devices and standardized measurement methods were used.
Main Results:
- The study will analyze the distribution of various hypertension subtypes.
- Determinants of home BP control will be identified.
- Insights into BP variability and morning BP surge in Asian populations.
Conclusions:
- Home BP monitoring is crucial for comprehensive hypertension management in Asia.
- Understanding hypertension subtypes and BP variability is key to reducing cardiovascular risk.
- The Asia BP@Home study provides valuable data on hypertension in diverse Asian populations.
Abstract:
Home blood pressure (BP) monitoring is endorsed in multiple guidelines as a valuable adjunct to office BP measurements for the diagnosis and management of hypertension. In many countries throughout Asia, physicians are yet to appreciate the significant contribution of BP variability to cardiovascular events. Furthermore, data from Japanese cohort studies have shown that there is a strong association between morning BP surge and cardiovascular events, suggesting that Asians in general may benefit from more effective control of morning BP. We designed the Asia BP@Home study to investigate the distribution of hypertension subtypes, including white-coat hypertension, masked morning hypertension, and well-controlled and uncontrolled hypertension. The study will also investigate the determinants of home BP control status evaluated by the same validated home BP monitoring device and the same standardized method of home BP measurement among 1600 or more medicated patients with hypertension from 12 countries/regions across Asia.
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