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Asian expert consensus on high-quality hypertension management
Jing Liu1, Kazuomi Kario2, Xiaoqiang Ding3
1Department of Hypertension, Peking University People's Hospital; Vascular Health Research Center, Peking University Health Science Center, Beijing, China.
Summary
High-quality hypertension management in Asia focuses on out-of-office blood pressure (BP) monitoring and long-acting medications. This approach aims to improve 24-hour BP control, reduce variability, and lower complication risks for Asian patients.
Area of Science:
- Cardiology
- Nephrology
- Public Health
Background:
- Hypertension remains a significant health challenge in Asia, necessitating improved management strategies.
- Current hypertension control rates require enhancement to reduce cardiovascular and renal complications.
Purpose of the Study:
- To introduce and define the concept of high-quality hypertension management for Asian populations.
- To outline key strategies for optimizing blood pressure control and patient outcomes.
Main Methods:
- Recommending out-of-office blood pressure (BP) measurements: ambulatory BP monitoring, home BP monitoring, and wearable BP devices.
- Prioritizing long-acting antihypertensive agents at full doses or in combination therapy.
- Emphasizing a multidisciplinary approach to hypertension care.
Main Results:
- Improved 24-hour blood pressure (BP) control.
- Reduced blood pressure variability (BPV).
- Enhanced time-in-target range (TTR) for BP.
Conclusions:
- High-quality hypertension management is a vital strategy for improving BP control in Asia.
- This comprehensive approach can significantly reduce the risk of cardio-cerebrovascular and renal complications and mortality.
- Multidisciplinary care is essential for effective hypertension management in Asian patients.
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