Fujiwara, Takeshi and Hoshide, Satoshi and Tomitani, Naoko and Cheng, Hao-min and Soenarta, Arieska Ann and Turana, Yuda and Chen, Chen-Huan and Minh, Huynh Van and Sogunuru, Guru Prasad and Tay, Jam Chin and Wang, Tzung-Dau and Chia, Yook-Chin and Verma, Narsingh and Li, Yan and Wang, Ji-Guang and Kario, Kazuomi (2021) Clinical significance of nocturnal home blood pressure monitoring and nocturnal hypertension in Asia. The Journal of Clinical Hypertension, 23 (3, SI). pp. 457-466. ISSN 1524-6175, DOI https://doi.org/10.1111/jch.14218.
Full text not available from this repository.Abstract
Nocturnal home blood pressure (BP) monitoring has been used in clinical practice for similar to 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.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Asia; blood pressure; blood pressure monitoring; nocturnal home blood pressure; nocturnal hypertension |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 31 May 2022 06:57 |
| Last Modified: | 31 May 2022 06:57 |
| URI: | http://eprints.um.edu.my/id/eprint/34602 |
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