2020 Consensus summary on the management of hypertension in Asia from the HOPE Asia Network
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Hypertension professionals from Asia have been meeting together for the last decade to discuss how to improve the management of hypertension. Based on these education and research activities, the Hypertension, brain, cardiovascular and renal Outcome Prevention and Evidence in Asia (HOPE Asia) Network was officially established in June 2018 and includes experts from 12 countries/regions across Asia. Among the numerous research and review papers published by members of the HOPE Asia Network since 2017, publications in three key areas provide important guidance on the management of hypertension in Asia. This article highlights key consensus documents, which relate to the Asian characteristics of hypertension, home blood pressure monitoring (HBPM), and ambulatory blood pressure monitoring (ABPM). Hypertension and hypertension‐related diseases are common in Asia, and their characteristics differ from those in other populations. It is essential that these are taken into consideration to provide the best opportunity for achieving “perfect 24‐hour blood pressure control”, guided by out‐of‐office (home and ambulatory) blood pressure monitoring. These region‐specific consensus documents should contribute to optimizing individual and population‐based hypertension management strategies in Asian country. In addition, the HOPE Asia Network model provides a good example of the local interpretation, modification, and dissemination of international best practice to benefit specific populations.
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Recent guidelines and consensus documents increasingly endorse home blood pressure measurement.
“It gains endorsement more and more from recent guidelines and consensus documents [6,7].”
From The WHO Global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy (2024) · cites this paper as [7]
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Li, Y., Wu, W., Liu, W., & Zhou, M. (2020) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2020.110712 · Cited by 28 · see citing works
Kotruchin, P., Imoun, S., Mitsungnern, T., Aountrai, P., Domthaisong, M., & Kario, K. (2020) · Journal of Clinical Hypertension · doi:10.1111/jch.14103 · Cited by 27 · see citing works
Self-citationIsolated systolic hypertension in Asia
Tsai, T., Cheng, H., Chuang, S., Chia, Y. C., Soenarta, A. A., Minh, H. V., Siddique, S., Turana, Y., Tay, J. C., Kario, K., et al. (2020) · Journal of Clinical Hypertension · doi:10.1111/jch.14111 · Cited by 26 · see citing works
Self-citationKario, K., Tomitani, N., Hoshide, S., Nishizawa, M., Yoshida, T., Kabutoya, T., Fujiwara, T., Mizuno, H., Okawara, Y., Kanegae, H., et al. (2023) · Hypertension · doi:10.1161/hypertensionaha.123.21578 · Cited by 25 · see citing works
Self-citationZhu, Y., Chen, X., Geng, S., Li, Q., Yuan, H., Zhou, X., Li, H., Li, J., & Jiang, H. (2020) · Journal of Clinical Hypertension · doi:10.1111/jch.13986 · Cited by 24 · see citing works
Agreement regarding overcoming hypertension in the Asian Hypertension Society Network 2022
Hoshide, S., Yamamoto, K. I., Katsurada, K., Yano, Y., Nishiyama, A., Wang, J., Narasingan, S. N., Verma, N., Erwinanto, E., Turana, Y., et al. (2022) · Hypertension Research · doi:10.1038/s41440-022-00994-1 · Cited by 20 · see citing works
Self-citationUnawareness and untreated hypertension: a public health problem needs to be solved
Inoue, T. (2025) · Hypertension Research · doi:10.1038/s41440-025-02118-x · Cited by 20 · see citing works
The HOPE Asia Network activity for “zero” cardiovascular events in Asia: Overview 2020
Kario, K. (2020) · Journal of Clinical Hypertension · doi:10.1111/jch.13750 · Cited by 18 · see citing works
Self-citationNon-pharmacological management of hypertension: A systematic review
Timsina, Y. P., Pandey, P., Mondal, I. H., & Dar, A. H. (2023) · Food Chemistry Advances · doi:10.1016/j.focha.2023.100406 · Cited by 25 · see citing works
Kotruchin, P., Pratoomrat, W., Mitsungnern, T., Khamsai, S., & Imoun, S. (2020) · Journal of Clinical Hypertension · doi:10.1111/jch.14119 · Cited by 17 · see citing works
Wang, Z., Hou, J., Zheng, H., Wang, D., Tian, W., Zhang, D., & Yan, J. (2023) · Medicine · doi:10.1097/md.0000000000033206 · Cited by 14 · see citing works
Kario, K., Kai, H., Rakugi, H., Hoshide, S., Node, K., Maekawa, Y., Tsutsui, H., Sakata, Y., Aoki, J., Nanto, S., et al. (2024) · Hypertension Research · doi:10.1038/s41440-024-01700-z · Cited by 13 · see citing works
Self-citationChun, K., Lee, C. J., Oh, J., Lee, S., Kang, S., Kario, K., & Park, S. (2020) · Journal of Clinical Hypertension · doi:10.1111/jch.14043 · Cited by 12 · see citing works
Self-citationNarita, K., Hoshide, S., & Kario, K. (2021) · American Journal of Hypertension · doi:10.1093/ajh/hpab016 · Cited by 13 · see citing works
Self-citationWatanabe, T., Tomitani, N., Yasui, N., Kabutoya, T., Hoshide, S., & Kario, K. (2021) · Journal of Clinical Hypertension · doi:10.1111/jch.14201 · Cited by 13 · see citing works
Self-citationKario, K., Hasebe, N., Okumura, K., Yamashita, T., Akao, M., Atarashi, H., Ikeda, T., Koretsune, Y., Shimizu, W., Tsutsui, H., et al. (2020) · The Journal of Clinical Hypertension · doi:10.1111/jch.14095 · Cited by 10 · see citing works
Self-citationLiu, C., Da, Q., Zhang, M., Hou, J., Lin, J., & Liao, H. (2021) · Clinical and Experimental Hypertension · doi:10.1080/10641963.2021.1907397 · Cited by 12 · see citing works
Kario, K., Ohishi, M., Katsuya, T., Taguchi, T., Tanabe, A., Sugimoto, K., & Shimosawa, T. (2023) · Journal of Clinical Hypertension · doi:10.1111/jch.14705 · Cited by 11 · see citing works
Self-citationKario, K., Kai, H., Rakugi, H., Hoshide, S., Node, K., Maekawa, Y., Tsutsui, H., Sakata, Y., Aoki, J., Nanto, S., et al. (2024) · Cardiovascular Intervention and Therapeutics · doi:10.1007/s12928-024-01017-1 · Cited by 9 · see citing works
Self-citationFujiwara, T., Hoshide, S., Tomitani, N., Kanegae, H., & Kario, K. (2021) · Journal of Clinical Hypertension · doi:10.1111/jch.14199 · Cited by 8 · see citing works
Self-citationKario, K., Katsuya, T., Wada, J., Motoki, H., Kuwahara, K., Tsujita, K., Taguchi, T., Tanabe, A., & Shimosawa, T. (2024) · Hypertension Research · doi:10.1038/s41440-024-01818-0 · Cited by 10 · see citing works
Self-citationKario, K., Matsuda, S., 永濱忍, Kurose, Y., Sugii, H., Teshima, T., & Suzuki, N. (2021) · Journal of Clinical Hypertension · doi:10.1111/jch.14178 · Cited by 8 · see citing works
Self-citationMa, H., & Ma, Y. (2022) · Computational and Mathematical Methods in Medicine · doi:10.1155/2022/6260202 · Cited by 8 · see citing works
RetractedKario, K., Kai, H., Rakugi, H., Hoshide, S., Node, K., Maekawa, Y., Tsutsui, H., Sakata, Y., Aoki, J., Nanto, S., et al. (2024) · Circulation Journal · doi:10.1253/circj.cj-66-0225 · Cited by 8 · see citing works
Self-citationLee, C. J., Ha, J., Kim, J., Kim, I., Ryu, S. K., Rhee, M., Lee, J., Lee, J., Lee, H., Ihm, S., et al. (2020) · Journal of Clinical Hypertension · doi:10.1111/jch.14113 · Cited by 8 · see citing works
Self-citationHuang, J., Li, Y., Shin, J., Chia, Y. C., Sukonthasarn, A., Turana, Y., Chen, C., Cheng, H., Soenarta, A. A., Tay, J. C., et al. (2021) · Journal of Clinical Hypertension · doi:10.1111/jch.14229 · Cited by 7 · see citing works
Self-citationSeo, J., Lee, C. J., Kim, D., Kim, S., Moon, J. Y., Park, J., Son, J., Kim, J., Kim, I., Rhee, M., et al. (2024) · Hypertension Research · doi:10.1038/s41440-024-02017-7 · Cited by 7 · see citing works
Self-citationRisk factors of retinal vein occlusion in East Asia: a meta-analysis
Qiu, X., Jiao, Z., Liu, Y., Zhou, Y., Li, H., Chen, X., & Liu, G. (2025) · Frontiers in Ophthalmology · doi:10.3389/fopht.2025.1545602 · Cited by 6 · see citing works
The HOPE Asia Network activity 2022: Towards better hypertension management in Asia
Kario, K., Chia, Y. C., & Wang, J. (2022) · Journal of Clinical Hypertension · doi:10.1111/jch.14545 · Cited by 5 · see citing works
Self-citationGeng, X. H., Zhou, Y., Gao, X., Li, F., Gu, G., Bai, L., & Cui, W. (2022) · BMC Cardiovascular Disorders · doi:10.1186/s12872-022-02994-y · Cited by 4 · see citing works
An interesting link between quality of sleep and a measure of blood pressure variability
Tamura, K., Uchida, K., & Ishigami, T. (2020) · Journal of Clinical Hypertension · doi:10.1111/jch.14160 · Cited by 4 · see citing works
Watanabe, H., Kabutoya, T., Hoshide, S., & Kario, K. (2021) · Journal of Clinical Hypertension · doi:10.1111/jch.14170 · Cited by 4 · see citing works
Self-citationArgan, O., Avcı, E., Bozyel, S., Yıldırım, T., Şafak, Ö., Yıldırım, S. E., Dolapoğlu, A., & Kisacik, H. L. (2021) · Clinical and Experimental Hypertension · doi:10.1080/10641963.2021.1871915 · Cited by 3 · see citing works
Kubota, K., Hoshide, S., & Kario, K. (2020) · Journal of Clinical Hypertension · doi:10.1111/jch.14132 · Cited by 2 · see citing works
Self-citationCuffless Measurement of Blood Pressure: Not Good Enough for Diagnosis and Treatment of Hypertension
Cheng, H., & Chen, C. (2022) · Pulse · doi:10.1159/000524113 · Cited by 3 · see citing works
Self-citationGao, W., Jin, Y., Bao, T., & Huang, Y. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2022.985730 · Cited by 3 · see citing works
Kristinawati, B., Latiifah, I. R. N., Ananta, D. S., Pratama, R. A., & Rahayu, S. H. (2023) · JMM (Jurnal Masyarakat Mandiri) · doi:10.31764/jmm.v7i2.13561 · Cited by 3 · see citing works
Liang, J., Zhou, X., Yuan, C. G., & Chen, Y. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e39482 · Cited by 3 · see citing works
RetractedZhang, Y., Zhao, Y., Wei, C., Li, Y., Aslam, H., Feng, Q., Huang, Q., Zheng, Y., Lv, F., Hao, W., et al. (2021) · BMC Nephrology · doi:10.1186/s12882-021-02576-8 · Cited by 2 · see citing works
Self-citationIs a unified blood pressure threshold feasible in the current scenario?
Siddique, S. (2023) · Journal of Clinical Hypertension · doi:10.1111/jch.14636 · Cited by 2 · see citing works
Self-citationZhang, J., Han, Z., Jia, M., Guo, J., Guo, H., & Deng, H. (2022) · Computational and Mathematical Methods in Medicine · doi:10.1155/2022/7459518 · Cited by 2 · see citing works
RetractedDiversity in Hypertension and Cardiovascular Disease Around the Globe
Kario, K. (2021) · Current Hypertension Reviews · doi:10.2174/157340211701210527092629 · Cited by 2 · see citing works
Self-citationEffect of COVID-19 pandemic on seasonal cardiovascular mortality in Japan, and Asian evidence
Kario, K., Mogi, M., & Hoshide, S. (2022) · Hypertension Research · doi:10.1038/s41440-022-00974-5 · Cited by 2 · see citing works
Self-citationKario, K., Ito, S., Itoh, H., Rakugi, H., Okuda, Y., & Yamakawa, S. (2025) · American Journal of Hypertension · doi:10.1093/ajh/hpaf048 · Cited by 1 · see citing works
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Ambulatory blood pressure monitoring for Indian hypertensive patients-where we stand right now?
Jasuja, S., Oomman, A., Shrivastava, S., Ahmad, P., Modi, K. D., Godbole, S. V., Prajapati, H. K., & Prajapati, M. (2025) · International Journal of Advances in Medicine · doi:10.18203/2349-3933.ijam20250386 · Cited by 1 · see citing works
Emergence of aldosterone synthase inhibitors for treatment of difficult to treat hypertension
Park, S. (2025) · Hypertension Research · doi:10.1038/s41440-025-02468-6 · Cited by 1 · see citing works
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Self-citationBình, V. T., Thủy, N. L., Nương, T. T., & Cường, L. Đ. (2022) · Tạp chí Y học Việt Nam · doi:10.51298/vmj.v514i1.2574
Topics 2023 in Hypertension Research leading to guidelines in Asia
Kario, K., Hoshide, S., & Mogi, M. (2023) · Hypertension Research · doi:10.1038/s41440-023-01285-z
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Geng, X., Zhou, Y., Gao, X., Li, F., Gu, G., Bai, L., & Cui, W. (2023) · Figshare · doi:10.6084/m9.figshare.22613876
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- Authors
- Kario, K., Park, S., Chia, Y., Sukonthasarn, A., Turana, Y., Shin, J., Chen, C., Buranakitjaroen, P., Divinagracia, R., Nailes, J., Hoshide, S., Siddique, S., Sison, J., Soenarta, A. A., Sogunuru, G. P., Tay, J. C., Teo, B. W., Zhang, Y., Van Minh, H., Tomitani, N., Kabutoya, T., Verma, N., Wang, T., & Wang, J.
- Affiliations
- Jichi Medical University (JP)
- Yonsei University Health System (KR)
- University of Malaya (MY)
- Chiang Mai University (TH)
- Atma Jaya Catholic University of Indonesia (ID)
- Hanyang University Seoul Hospital (KR)
- National Yang Ming University (TW)
- Siriraj Hospital (TH)
- University of the East Ramon Magsaysay Memorial Medical Center (PH)
- Fatima Memorial Hospital (PK)
- Medical Center Manila (PH)
- University of Indonesia (ID)
- Madras Institute of Orthopaedics and Traumatology (IN)
- Tan Tock Seng Hospital (SG)
- National University of Singapore (SG)
- Divisions of Hypertension and Heart Failure Fu Wai Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China
- Department of Internal Medicine University of Medicine and Pharmacy Hue University Hue Vietnam
- King George's Medical University (IN)
- National Taiwan University (TW)
- Shanghai Jiao Tong University (CN)
- Corresponding author
- Kario, Kazuomi
- ORCID
- Kario, Kazuomi
- Park, Sungha
- Chia, Yook‐Chin
- Sukonthasarn, Apichard
- Turana, Yuda
- Shin, Jinho
- Chen, Chen‐Huan
- Buranakitjaroen, Peera
- Nailes, Jennifer
- Hoshide, Satoshi
- Siddique, Saulat
- Sison, Jorge
- Soenarta, Arieska Ann
- Sogunuru, Guru Prasad
- Tay, Jam Chin
- Teo, Boon Wee
- Tomitani, Naoko
- Kabutoya, Tomoyuki
- Verma, Narsingh
- Wang, Tzung‐Dau
- Wang, Ji‐Guang
- Venue
- The Journal of Clinical Hypertension
- Publisher
- Wiley
- Published
- 2019-12-09
- Volume
- 22
- Issue
- 3
- Pages
- 351-362
- ISSN
- 1524-6175 (ISSN-L)
- 1751-7176
- PMC
- PMC8029789
- OpenAlex
- W2991665214
- Cited by
- 76
- References
- 72
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 7 · 2023: 11 · 2022: 15 · 2021: 16 · 2020: 17 · 2019: 1
- FWCI
- 8.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Hypertension (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- YUHSpace (Yonsei University Medical Library) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Keywords
- antihypertensive therapy, home blood pressure monitoring, ambulatory blood pressure monitoring, out-of-office blood pressure monitoring, 24-hour blood pressure control
- MeSH terms
- Asia, Blood Pressure, Humans, Hypertension, Blood Pressure Monitoring, Ambulatory, Consensus
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