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Asian management of hypertension: Current status, home blood pressure, and specific concerns in China

Qian-Hui Guo1, Yu-Qing Zhang2, Ji-Guang Wang1,3,4

  • 1Department of Hypertension, Center for Epidemiological Studies and Clinical Trials, The Shanghai Institute of Hypertension, Shanghai Key Laboratory of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Journal of Clinical Hypertension (Greenwich, Conn.)
|October 18, 2019
PubMed

Insights

Hypertension prevalence is rising in China due to longer life expectancy, with low control rates despite improvements. Home blood pressure monitoring (HBPM) is crucial for managing this growing cardiovascular disease risk.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Increasing life expectancy in China is projected to raise hypertension prevalence.
  • Cardiovascular disease (CVD) is the leading cause of death in China, exacerbated by lifestyle changes and risk factors.
  • Despite improvements, hypertension awareness and control rates remain critically low.

Purpose of the Study:

  • To highlight the importance of effective hypertension diagnosis and management in China.
  • To emphasize the growing role of home blood pressure monitoring (HBPM) as a key tool.
  • To discuss the implementation of nationwide blood pressure monitoring systems and guidelines.

Main Methods:

  • Review of current hypertension management strategies in China.
  • Analysis of the increasing adoption of home blood pressure monitoring (HBPM).
  • Discussion of a new Web-based and WeChat-linked nationwide blood pressure measurement system.

Main Results:

  • Home blood pressure monitoring (HBPM) use is increasing in China, supported by new Asia-specific guidance.
  • A nationwide system for blood pressure measurement is being established to support guideline implementation.
  • Commonly used antihypertensives include calcium channel blockers, angiotensin receptor blockers, and ACE inhibitors.

Conclusions:

  • Effective diagnosis and management of hypertension are critical due to rising prevalence and CVD burden.
  • Home blood pressure monitoring (HBPM) and ambulatory blood pressure monitoring are essential out-of-office tools.
  • Addressing low awareness and control rates remains the primary barrier to improving hypertension outcomes in China.

Keywords:
AsiaChinahome blood pressurehypertensionmanagement

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