Target blood pressure and control status in Asia.
Asia
HOPE Asia Network
control blood pressure
home blood pressure (HBPM)
target blood pressure
Journal
Journal of clinical hypertension (Greenwich, Conn.)
ISSN: 1751-7176
Titre abrégé: J Clin Hypertens (Greenwich)
Pays: United States
ID NLM: 100888554
Informations de publication
Date de publication:
03 2020
03 2020
Historique:
received:
31
08
2019
accepted:
10
09
2019
pubmed:
20
11
2019
medline:
27
5
2021
entrez:
20
11
2019
Statut:
ppublish
Résumé
It is widely accepted that hypertension constitutes a significant cardiovascular risk factor and that treating high blood pressure (BP) effectively reduces cardiovascular risk. An important issue in Asia is not just the high prevalence of hypertension, particularly in some countries, but also the low level of awareness and treatment rates in many regions. The 2017 update of the American College of Cardiology/American Heart Association hypertension guidelines raised the question about which BP threshold should be used to diagnose and treat hypertension. Although there is a theoretical rationale for a stricter BP criterion in Asia given the ethnic-specific features of hypertension in the region, the majority of countries in Asia have retained a diagnostic BP threshold of ≥140/90 mm Hg. Although lowering thresholds might make theoretical sense, this would increase the prevalence of hypertension and also markedly reduce BP control rates. In addition, there are currently no data from robust randomized clinical trials of the benefits of the lower targets in preventing cardiovascular disease and reducing cardiovascular risk, particularly in high-risk patients and especially for Asian populations. There is also no defined home BP treatment target level for an office BP treatment target of 130/80 mm Hg. However, in this regard, in the interim, lifestyle modifications, including reducing body weight and salt intake, should form an important part of hypertension management strategies in Asia, while studies on treating at lower BP threshold level in Asians and getting to lower BP targets will be helpful to inform and optimize the management of hypertension in the region.
Identifiants
pubmed: 31742891
doi: 10.1111/jch.13714
pmc: PMC8029870
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
344-350Informations de copyright
© 2019 Wiley Periodicals, Inc.
Références
J Clin Hypertens (Greenwich). 2020 Mar;22(3):344-350
pubmed: 31742891
Hypertension. 2013 Feb;61(2):278-83
pubmed: 23248146
Circ J. 2017 Aug 25;81(9):1337-1345
pubmed: 28458378
Hypertens Res. 2008 Jul;31(7):1323-30
pubmed: 18957802
Curr Hypertens Rev. 2019;15(1):2-6
pubmed: 30729893
J Clin Hypertens (Greenwich). 2018 Mar;20(3):456-461
pubmed: 29450979
BMJ Open. 2013 Dec 23;3(12):e003733
pubmed: 24366578
Clin Hypertens. 2019 Aug 1;25:20
pubmed: 31388453
Hypertension. 2007 Aug;50(2):333-9
pubmed: 17576859
J Clin Hypertens (Greenwich). 2017 Nov;19(11):1192-1201
pubmed: 28815840
Arch Intern Med. 1993 Jan 25;153(2):154-83
pubmed: 8422206
Eur Heart J. 2018 Sep 1;39(33):3021-3104
pubmed: 30165516
J Clin Hypertens (Greenwich). 2018 Jan;20(1):33-38
pubmed: 29265725
Hypertens Res. 2019 Sep;42(9):1235-1481
pubmed: 31375757
Circulation. 2018 Nov 20;138(21):2312-2314
pubmed: 30571579
Hypertension. 2018 Oct;72(4):854-861
pubmed: 30354719
Hypertension. 2016 Jul;68(1):54-61
pubmed: 27160200
Arch Intern Med. 1988 May;148(5):1023-38
pubmed: 3365073
J Clin Hypertens (Greenwich). 2018 Dec;20(12):1686-1695
pubmed: 30444315
Circulation. 2018 Feb 6;137(6):546-548
pubmed: 29431657
J Am Coll Cardiol. 2018 May 15;71(19):2199-2269
pubmed: 29146533
Singapore Med J. 2018 Jan;59(1):17-27
pubmed: 29376186
Hypertension. 2007 Dec;50(6):991-7
pubmed: 17954719
J Hypertens. 2016 Nov;34(11):2187-98
pubmed: 27512964
Circulation. 2018 Feb 6;137(6):543-545
pubmed: 29431656
Circulation. 2008 Dec 16;118(25):2702-9
pubmed: 19106393
J Clin Hypertens (Greenwich). 2019 Feb;21(2):324-334
pubmed: 30525279
Acta Cardiol Sin. 2017 May;33(3):213-225
pubmed: 28559651
Hypertension. 2014 Nov;64(5):989-96
pubmed: 25156169
J Hypertens. 2014 Jun;32(6):1170-7
pubmed: 24621804
J Am Coll Cardiol. 2016 Apr 5;67(13):1519-1527
pubmed: 27150682
Hypertens Res. 2003 Jul;26(7):521-5
pubmed: 12924618
Hypertension. 2015 Oct;66(4):750-6
pubmed: 26303289
J Geriatr Cardiol. 2019 Mar;16(3):182-241
pubmed: 31080465
Int J Epidemiol. 2017 Apr 1;46(2):e1
pubmed: 25617647