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  • Review Article
  • Special Issue: Current evidence and perspectives for hypertension management in Asia
  • Published:

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

Hypertension Research volume 46, pages 2561–2574 (2023)Cite this article

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.

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Acknowledgements

Editing assistance was provided by Ayako Okura, an editorial assistant, Jichi Medical University, and Nicola Ryan, independent medical writer, funded by Jichi Medical University. The authors thank Viatris for the grant to support the HOPE Asia Network writing activity.

Author information

Authors and Affiliations

  1. Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan

    Kazuomi Kario, Naoko Tomitani, Takeshi Fujiwara & Satoshi Hoshide

  2. Cardiovascular Center and Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei City, Taiwan

    Tzung-Dau Wang

  3. Division of Hospital Medicine, Department of Internal Medicine, National Taiwan University Hospital, Taipei City, Taiwan

    Tzung-Dau Wang

  4. Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Seoul, South Korea

    Sungha Park

  5. Centre for Epidemiological Studies and Clinical Trials and Center for Vascular Evaluations, Shanghai Key Lab of Hypertension, Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China

    Yan Li

  6. Faculty of Cardiology Service, Hanyang University Medical Center, Seoul, South Korea

    Jinho Shin

  7. JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong

    Kelvin Tsoi

  8. Department of Internal Medicine, National Yang Ming Chiao Tung University College of Medicine, Taipei, Taiwan

    Chen-Huan Chen

  9. Institute of Public Health and Community Medicine Research Center, National Yang Ming Chiao Tung University School of Medicine, Taipei, Taiwan

    Hao-Min Cheng

  10. Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan

    Hao-Min Cheng

  11. Ph.D. Program of Interdisciplinary Medicine (PIM), National Yang Ming Chiao Tung University College of Medicine, Taipei, Taiwan

    Hao-Min Cheng

  12. Division of Faculty Development, Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan

    Hao-Min Cheng

  13. Punjab Medical Center, Lahore, Pakistan

    Saulat Siddique

  14. Department of Neurology. School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia

    Yuda Turana

  15. Division of Hypertension, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

    Peera Buranakitjaroen

  16. Department of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam

    Minh Van Huynh

  17. Department of Preventive and Community Medicine and Research Institute for Health Sciences, University of the East Ramon Magsaysay Memorial Medical Center Inc., Quezon City, Philippines

    Jennifer Nailes

  18. Section of Cardiology, Department of Medicine, Medical Center Manila, Manila, Philippines

    Jorge Sison

  19. Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia-National Cardiovascular Center, Harapan Kita, Jakarta, Indonesia

    Arieska Ann Soenarta

  20. Fortis Hospitals, Chennai, Tamil Nadu, India

    Guru Prasad Sogunuru

  21. College of Medical Sciences, Kathmandu University, Bharatpur, Nepal

    Guru Prasad Sogunuru

  22. Cardiology Division, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand

    Apichard Sukonthasarn

  23. Department of General Medicine, Tan Tock Seng Hospital, Singapore, Singapore

    Jam Chin Tay

  24. Division of Nephrology Department of Medicine, Yong Loo Lin School of Medicine, Singapore, Singapore

    Boon Wee Teo

  25. Department of Physiology, King George’s Medical University, Lucknow, India

    Narsingh Verma

  26. Divisions of Hypertension and Heart Failure, Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

    Yuqing Zhang

  27. Dobney Hypertension Centre, Medical School - Royal Perth Hospital Unit and Royal Perth Hospital Research Foundation, The University of Western Australia, Perth, WA, Australia

    Markus Schlaich

  28. Department of Internal Medicine, General Medicine and Cardiology, Hiroshima City Asa Hospital, Hiroshima, Japan

    Michiaki Nagai

  29. Department of Medical Sciences, School of Medical and Life Sciences, Sunway University, Bandar Sunway, Selangor, Malaysia

    Yook-Chin Chia

  30. Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

    Yook-Chin Chia

  31. Department of Hypertension, Centre for Epidemiological Studies and Clinical Trials, the Shanghai Institute of Hypertension, Shanghai Key Laboratory of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China

    Ji-Guang Wang

Authors
  1. Kazuomi Kario
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  2. Naoko Tomitani
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  3. Tzung-Dau Wang
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  4. Sungha Park
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  5. Yan Li
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  6. Jinho Shin
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  7. Kelvin Tsoi
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  8. Chen-Huan Chen
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  9. Hao-Min Cheng
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  10. Saulat Siddique
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  11. Yuda Turana
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  12. Peera Buranakitjaroen
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Corresponding author

Correspondence to Kazuomi Kario.

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Conflict of interest

KK reports funded/joint research fees and lecture fees from Omron Healthcare, A&D; and research fees from Fukuda Denshi. YL reports having received research grants from A&D, Bayer, Omron, Salubris and Shyndec, and lecture fees from A&D, Omron, Servier, Salubris and Shyndec. J-GW reports having received lecture and consulting fees from A&D, Novartis, Omron, Servier, and Viatris. CY-C has received unrestricted educational grants from Viatris and Omron and from Medtronic for activities of the Malaysian Society for World Action on Salt, Sugar and Health (MyWASSH) CYC also has received speaker honoraria from Medtronic, Astra-Zeneca, Omron, Viatris and Xepa-Sol. JS has received honoraria and sponsorship to attend seminars from Daiichi Sankyo, Menarini, Organon, Bristol-Myers Squibb, and Sanofi. C-HC reports Honoraria from Novartis and Daiichi Sankyo outside the submitted work. H-MC served as a speaker or member of speakers bureau AstraZeneca; Pfizer Inc.; Bayer AG; Boehringer Ingelheim Pharmaceuticals, Inc.; Daiichi Sankyo, Novartis Pharmaceuticals, Inc.; SERVIER; Co., Pharmaceuticals Corporation; Sanofi; TAKEDA Pharmaceuticals International; Eli Lilly; Received grants for clinical research from Microlife Co., Ltd. SS has received honoraria from Bayer, Getz Pharma, Novartis, Pfizer, ICI, and Servier; and travel, accommodation, and conference registration support from Hilton Pharma, Atco Pharmaceutical, Highnoon Laboratories, Horizon Pharma and ICI. MPS is supported by an NHMRC Research Fellowship and has received consulting fees, and/or travel and research support from Metavention, Medtronic, Abbott, Novartis, Servier, Pfizer, and Boehringer-Ingelheim.

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Kario, K., Tomitani, N., Wang, TD. et al. Home blood pressure-centered approach – from digital health to medical practice: HOPE Asia Network consensus statement 2023. Hypertens Res 46, 2561–2574 (2023). https://doi.org/10.1038/s41440-023-01397-6

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