Role of ambulatory blood pressure monitoring for the management of hypertension in Asian populations

the Characteristics On the ManagEment of Hypertension in Asia – Morning Hypertension Discussion Group (COME Asia MHDG)

Research output: Contribution to journalReview article

14 Citations (Scopus)

Abstract

Out-of-clinic blood pressure (BP) measurement, eg, ambulatory BP monitoring, has a strong association with target organ damage and is a powerful predictor of cardiovascular events compared with clinic BP measurement. Ambulatory BP monitoring can detect masked hypertension or various BP parameters in addition to average 24-hour BP level. Short-term BP variability assessed by standard deviation or average real variability, diminished nocturnal BP fall, nocturnal hypertension, and morning BP surge assessed by ambulatory BP monitoring have all been associated with target organ damage and cardiovascular prognosis. Recently, the authors compared the degree of sleep-trough morning BP surge between a group of Japanese and a group of Western European untreated patients with hypertension and found that sleep-trough morning BP surge in Japanese persons was significantly higher than that in Europeans. Although Asian persons have been known to have a higher incidence of stroke than heart disease, the difference in characteristics of BP indices assessed by ambulatory BP monitoring might be the cause of racial differences in stroke incidence between Asian and Western populations. This review focuses on Asian characteristics for the management of hypertension using ambulatory BP monitoring.

Original languageEnglish
Pages (from-to)1240-1245
Number of pages6
JournalJournal of Clinical Hypertension
Volume19
Issue number12
DOIs
Publication statusPublished - 2017 Dec 1

Keywords

  • ABPM
  • Asian population
  • racial difference

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Role of ambulatory blood pressure monitoring for the management of hypertension in Asian populations'. Together they form a unique fingerprint.

  • Cite this

    the Characteristics On the ManagEment of Hypertension in Asia – Morning Hypertension Discussion Group (COME Asia MHDG) (2017). Role of ambulatory blood pressure monitoring for the management of hypertension in Asian populations. Journal of Clinical Hypertension, 19(12), 1240-1245. https://doi.org/10.1111/jch.13086