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  1. NTU Scholars
  2. 醫學院
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Please use this identifier to cite or link to this item: https://scholars.lib.ntu.edu.tw/handle/123456789/523274
Title: Asian management of hypertension: Current status, home blood pressure, and specific concerns in Taiwan
Authors: Cheng H.-M.
HUNG-JU LIN 
TZUNG-DAU WANG 
Chen C.-H.
Issue Date: 2020
Publisher: Blackwell Publishing Inc.
Journal Volume: 22
Journal Issue: 3
Start page/Pages: 511-514
Source: Journal of Clinical Hypertension
Abstract: 
Approximately 25% of the population in Taiwan has hypertension, and the rate has increased over time. Although age-standardized cardiovascular mortality has decreased over the last 25?years, the annual stroke incidence has increased, and national health insurance reimbursement for cardiovascular disease (CVD) has grown by 22% over the last 10?years. Automatic oscillometric sphygmomanometer devices are increasingly available and affordable in Taiwan, making this the main method of out-of-office blood pressure (BP) measurement. Furthermore, home blood pressure monitoring (HBPM), along with shared informed decision making, could be beneficial in driving changes in health behavior and hypertension management. The 2015 Guidelines of the Taiwan Society of Cardiology and the Taiwan?Hypertension Society for the Management of Hypertension recognize that home BP is a stronger predictor of CVD than office BP. Therefore, HBPM is recommended and implementation instructions provided. However, a home BP target that corresponds to the office BP used in the majority of clinical studies has yet to be clearly defined. Care for hypertension in Taiwan takes place more often in the hospital versus primary care setting. Combination therapy, often fixed drug combinations, is needed in 60% of patients to achieve BP control. Calcium channel blockers are the most commonly prescribed agents, followed by angiotensin receptor blockers. Overall, there is still substantial room for improvement in the awareness, treatment, and control rate?of hypertension in Taiwan. HBPM has a central diagnostic and prognostic role in the management of hypertension. ? 2019 Wiley Periodicals, Inc.
URI: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076344114&doi=10.1111%2fjch.13747&partnerID=40&md5=0dc3b664108bddf5c3928c57d14925e5
https://scholars.lib.ntu.edu.tw/handle/123456789/523274
ISSN: 1524-6175
DOI: 10.1111/jch.13747
SDG/Keyword: angiotensin receptor antagonist; beta adrenergic receptor blocking agent; calcium channel blocking agent; dipeptidyl carboxypeptidase inhibitor; diuretic agent; blood pressure monitoring; home blood pressure monitoring; home monitoring; hospital; human; hypertension; practice guideline; prescription; primary medical care; priority journal; prognosis; Review; shared decision making; Taiwan; adult; blood pressure; blood pressure measurement; blood pressure monitoring; hypertension; Adult; Blood Pressure; Blood Pressure Determination; Blood Pressure Monitoring, Ambulatory; Humans; Hypertension; Taiwan
[SDGs]SDG3
Appears in Collections:醫學系

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臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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