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Cited by 82Blood Pressure and Hypertension StudiesClinical practice guidelines implementationCardiovascular Health and Disease Prevention

Emergence of Home Blood Pressure-Guided Management of Hypertension Based on Global Evidence

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Kario, Kazuomi, Shimbo, Daichi, Hoshide, Satoshi, Wang, Ji-Guang, Asayama, Kei, Ohkubo, Takayoshi, Imai, Yutaka, McManus, Richard J. +8 more·2019·Hypertension
DOI 10.1161/hypertensionaha.119.12630PMC PMC6635060
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Abstract

Recent guidelines for the management of hypertension from the 2018 European Society of Cardiology/European Society of Hypertension and the 2017 American College of Cardiology (ACC)/American Heart Association (AHA)1,2 have stressed the importance of out-of-office blood pressure (BP) measurement for hypertension management. There has been a similar emphasis on out-of-office BP monitoring for the management of hypertension in the United Kingdom, Canada, Japan, and other Asian countries.3–6 Ambulatory BP monitoring (ABPM) and home BP monitoring (HBPM) are 2 well-validated approaches for measuring out-of-office BP. In the published literature, HBPM is a term that has commonly referred to the self-measurement of BP at home, although in some studies, HBPM has been used to describe a provider or research assistant measuring an individual’s BP in his/her home. ABPM and HBPM can identify white coat hypertension (diagnostic disagreement between office and out-of-office BP in untreated subjects) and white coat uncontrolled hypertension (diagnostic disagreement in treated subjects).1–8 Although ABPM has been the preferred method for out-of-office measurement, the 2017 ACC/AHA BP guideline considered HBPM to be a more practical approach in clinical practice than ABPM, particularly for individuals taking antihypertensive medication. The 2014 Japanese Society of Hypertension Guidelines for the Management of Hypertension proposed HBPM as the most effective and practical for guiding antihypertensive medication initiation and titration in clinical care, while waiting for intervention trials demonstrating better cardiovascular outcomes in patients managed based on out-of-office BP levels

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Authors
Kario, K., Shimbo, D., Hoshide, S., Wang, J.-G., Asayama, K., Ohkubo, T., Imai, Y., McManus, R. J., Kollias, A., Niiranen, T. J., Parati, G., Williams, B., Weber, M. A., Vongpatanasin, W., Muntner, P., & Stergiou, G. S.
Affiliations
  • Jichi Medical University (JP)
  • Columbia University Irving Medical Center (US)
  • Shanghai Jiao Tong University (CN)
  • Teikyo University (JP)
  • Tohoku Institute for Management of Blood Pressure (JP)
  • University of Oxford (GB)
  • Hypertension Center STRIDE-7, School of Medicine, Third Department of Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, Greece (A.K., G.S.S.)
  • University of Turku (FI)
  • IRCCS Istituto Auxologico Italiano (IT)
  • University College London (GB)
  • State University of New York (US)
  • The University of Texas Southwestern Medical Center (US)
  • University of Alabama at Birmingham (US)
  • National and Kapodistrian University of Athens (GR)
Corresponding author
Kario, Kazuomi
ORCID
Venue
Hypertension
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2019-08
Volume
74
Issue
2
Pages
229-236
ISSN
  • 0194-911X (ISSN-L)
  • 1524-4563
DOI
10.1161/hypertensionaha.119.12630
PMC
PMC6635060
OpenAlex
W2955959898
Cited by
82
References
74
Citations by year
2026: 4 · 2025: 3 · 2024: 4 · 2023: 13 · 2022: 15 · 2021: 18 · 2020: 17 · 2019: 6 · 2018: 1
FWCI
2.53
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Hypertension (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Lirias (KU Leuven) (submittedVersion, other-oa)
  • UTUPub (University of Turku) (submittedVersion)
  • UTUPub (University of Turku) (submittedVersion, cc-by-nc-nd)
  • BOA (University of Milano-Bicocca) (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Institutional Repositories DataBase (IRDB) (submittedVersion)
  • STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
  • WOS
Funders
  • National Institute for Health and Care Research (NIHR200201, NIHR-RP-02-12-015, NF-SI-0509-10222, RP-PG-1209-10051)
  • Medical Research Council (MC_PC_13090)
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 › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
Keywords
home blood pressure monitoring, antihypertensive therapy, out-of-office blood pressure measurement, ambulatory blood pressure monitoring, white coat hypertension, antihypertensive medication titration, antihypertensive medication initiation, hypertension guidelines, 2017 ACC/AHA hypertension guidelines

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