Home blood pressure-centered approach – from digital health to medical practice: HOPE Asia Network consensus statement 2023

Kazuomi Kario, Naoko Tomitani, Tzung Dau Wang, Sungha Park, Yan Li, Jinho Shin, Kelvin Tsoi, Chen Huan Chen, Hao Min Cheng, Saulat Siddique, Yuda Turana, Peera Buranakitjaroen, Minh Van Huynh, Jennifer Nailes, Jorge Sison, Arieska Ann Soenarta, Guru Prasad Sogunuru, Apichard Sukonthasarn, Jam Chin Tay, Boon Wee TeoNarsingh Verma, Yuqing Zhang, Markus Schlaich, Michiaki Nagai, Takeshi Fujiwara, Satoshi Hoshide, Yook Chin Chia, Ji Guang Wang

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Recent innovations in digital technology have enabled the simultaneous accumulation, and the linking and analysis of time-series big data relating to several factors that influence blood pressure (BP), including biological indicators, physical activity, and environmental information. Various approaches can be used to monitor BP: in the office/clinic; at home; 24-h ambulatory recording; or with wearable and cuffless devices. Of these, home BP monitoring is a reliable and convenient method, and is recommended for hypertension management by current national and international guidelines. This recommendation is based on evidence showing that home BP is an important predictor of cardiovascular, cerebrovascular and kidney disease in patients with hypertension. In addition, lifetime personalized health record (PHR)-based home BP with telemonitoring combined with co-interventions has been shown to lower BP more effectively than the traditional approach based on office BP. Thus, home BP represents a key metric for personalized anticipation medicine, from digital healthcare to digital medicine. This paper summarizes the latest evidence on home BP monitoring and proposes a Hypertension Cardiovascular Outcome Prevention and Evidence in Asia (HOPE Asia) Network consensus on a home BP-centered approach to the management of hypertension. [Figure not available: see fulltext.]

Original languageEnglish
Pages (from-to)2561-2574
Number of pages14
JournalHypertension Research
Volume46
Issue number12
DOIs
StatePublished - Dec 2023
Externally publishedYes

Keywords

  • Anticipation medicine
  • Digital health
  • HOPE Asia Network
  • Home blood pressure
  • Personalized health record
  • Personalized medicine

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