Home blood pressure-centered approach - from digital health to medical practice: HOPE Asia Network consensus statement 2023
Journal
Hypertension research : official journal of the Japanese Society of Hypertension
Journal Issue
12
Pages
2561-2574
Date Issued
2023-08-21
Author(s)
Kario, Kazuomi
Tomitani, Naoko
Park, Sungha
Li, Yan
Shin, Jinho
Tsoi, Kelvin
Chen, Chen-Huan
Cheng, Hao-Min
Siddique, Saulat
Turana, Yuda
Buranakitjaroen, Peera
Van Huynh, Minh
Nailes, Jennifer
Sison, Jorge
Soenarta, Arieska Ann
Sogunuru, Guru Prasad
Sukonthasarn, Apichard
Tay, Jam Chin
Teo, Boon Wee
Verma, Narsingh
Zhang, Yuqing
Schlaich, Markus
Nagai, Michiaki
Fujiwara, Takeshi
Hoshide, Satoshi
Chia, Yook-Chin
Wang, Ji-Guang
Abstract
Recent innovations in digital technology have enabled the simultaneous accumulation, and the linking and analysis of time-series big data relating to several factors that influence blood pressure (BP), including biological indicators, physical activity, and environmental information. Various approaches can be used to monitor BP: in the office/clinic; at home; 24-h ambulatory recording; or with wearable and cuffless devices. Of these, home BP monitoring is a reliable and convenient method, and is recommended for hypertension management by current national and international guidelines. This recommendation is based on evidence showing that home BP is an important predictor of cardiovascular, cerebrovascular and kidney disease in patients with hypertension. In addition, lifetime personalized health record (PHR)-based home BP with telemonitoring combined with co-interventions has been shown to lower BP more effectively than the traditional approach based on office BP. Thus, home BP represents a key metric for personalized anticipation medicine, from digital healthcare to digital medicine. This paper summarizes the latest evidence on home BP monitoring and proposes a Hypertension Cardiovascular Outcome Prevention and Evidence in Asia (HOPE Asia) Network consensus on a home BP-centered approach to the management of hypertension.
Subjects
Anticipation medicine; Digital health; HOPE Asia Network; Home blood pressure; Personalized health record; Personalized medicine
Type
review