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

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Sungha Park1, Jinho Shin2

  • 1Division of Cardiology, Cardiovascular Hospital, Yonsei Health System, Seoul, South Korea.

Journal of Clinical Hypertension (Greenwich, Conn.)
|October 20, 2019
PubMed

Insights

Hypertension affects many Koreans, with stable control rates despite decreasing cardiovascular death rates. Home blood pressure monitoring (HBPM) is crucial for managing hypertension, though physician accuracy concerns exist.

Area of Science:

  • Cardiology
  • Public Health
  • Hypertension Management

Background:

  • Hypertension prevalence in Korea: ~25% of women, ~33% of men.
  • Stroke is a leading cause of cardiovascular death, surpassing myocardial infarction (MI).
  • National hypertension control rates remain stagnant at approximately 45% over the past decade.

Purpose of the Study:

  • To review current hypertension management strategies in Korea.
  • To highlight the role and challenges of home blood pressure monitoring (HBPM).
  • To emphasize the need for localized evidence on optimal blood pressure (BP) thresholds and targets.

Main Methods:

  • Analysis of national hypertension control rates and treatment patterns.
  • Review of Korean Society of Hypertension guidelines on HBPM.
  • Discussion of current diagnostic and treatment thresholds based on Asian consensus.

Main Results:

  • Dual combination antihypertensive therapy is more common than monotherapy; triple therapy is less frequent.
  • Angiotensin receptor blockers and calcium channel blockers are the preferred combination therapies.
  • Physicians express concerns regarding the accuracy of HBPM devices, despite their recognized importance.

Conclusions:

  • Home blood pressure monitoring (HBPM) is essential for effective blood pressure (BP) management, especially in Asian populations.
  • Individualized cardiovascular risk assessment and improved BP control are necessary for disease prevention.
  • Further local research is needed to establish optimal BP thresholds and targets for the Korean population.

Keywords:
Asian patientsambulatory blood pressure/home blood pressure monitorepidemiologypharmacologic (drug) therapytreatment and diagnosis/guidelines

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