Clinical significance of nocturnal home blood pressure monitoring and nocturnal hypertension in Asia
Journal
Journal of clinical hypertension (Greenwich, Conn.)
Journal Volume
23
Journal Issue
3
Pages
457
Date Issued
2021-03
Author(s)
Fujiwara, Takeshi
Hoshide, Satoshi
Tomitani, Naoko
Cheng, Hao-Min
Soenarta, Arieska Ann
Turana, Yuda
Chen, Chen-Huan
Minh, Huynh Van
Sogunuru, Guru Prasad
Tay, Jam Chin
Chia, Yook-Chin
Verma, Narsingh
Li, Yan
Wang, Ji-Guang
Kario, Kazuomi
Abstract
Nocturnal home blood pressure (BP) monitoring has been used in clinical practice for ~20 years. The authors recently showed that nocturnal systolic BP (SBP) measured by a home BP monitoring (HBPM) device in a Japanese general practice population was a significant predictor of incident cardiovascular disease (CVD) events, independent of office and morning home SBP levels, and that masked nocturnal hypertension obtained by HBPM (defined as nocturnal home BP ≥ 120/70 mmHg and average morning and evening BP < 135/85 mmHg) was associated with an increased risk of CVD events compared with controlled BP (nocturnal home BP < 120/70 mmHg and average morning and evening BP < 135/85 mmHg). This evidence revealed that (a) it is feasible to use a nocturnal HBPM device for monitoring nocturnal BP levels, and (b) such a device may offer an alternative to ambulatory BP monitoring, which has been the gold standard for the measurement of nocturnal BP. However, many unresolved clinical problems remain, such as the measurement schedule and conditions for the use of nocturnal HBPM. Further investigation of the measurement of nocturnal BP using an HBPM device and assessments of the prognostic value are thus warranted. Asians are at high risk of developing nocturnal hypertension due to high salt sensitivity and salt intake, and the precise management of their nocturnal BP levels is important. Information and communication technology-based monitoring devices are expected to facilitate the management of nocturnal hypertension in Asian populations.
Subjects
Asia; blood pressure; blood pressure monitoring; nocturnal home blood pressure; nocturnal hypertension
SDGs
Other Subjects
albumin to creatinine ratio; Asia; blood pressure measurement; blood pressure monitoring; blood pressure regulation; cardiovascular disease; clinical feature; clinical research; diagnostic value; feasibility study; general practice; gold standard; high risk population; human; hypertension; Japanese (people); medical informatics; nocturnal home blood pressure monitoring; nocturnal hypertension; organ injury; pathophysiology; prognosis; Review; salt intake; systolic blood pressure; target organ damage; blood pressure; blood pressure monitoring; hypertension; masked hypertension; Asia; Blood Pressure; Blood Pressure Monitoring, Ambulatory; Humans; Hypertension; Masked Hypertension
Publisher
WILEY
Type
review