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The HOPE Asia Network consensus on blood pressure measurements corresponding to office measurements: Automated office, home, and ambulatory blood pressures
Journal of Clinical Hypertension ( IF 2.8 ) Pub Date : 2023-10-25 , DOI: 10.1111/jch.14729
Jinho Shin, Ji-Guang Wang, Yook-Chin Chia, Kazuomi Kario, Chen-Huan Chen, Hao-Min Cheng, Takeshi Fujiwara, Satoshi Hoshide, Minh Van Huynh, Yan Li, Michiaki Nagai, Jennifer Nailes, Sungha Park, Saulat Siddique, Jorge Sison, Arieska Ann Soenarta, Guru Prasad Sogunuru, Jam Chin Tay, Boon Wee Teo, Naoko Tomitani, Kelvin Tsoi, Yuda Turana, Narsingh Verma, Tzung-Dau Wang, Yuqing Zhang

For adopting recently introduced hypertension phenotypes categorized using office and out of office blood pressure (BP) for the diagnosis of hypertension and antihypertension drug therapy, it is mandatory to define the corresponding out of office BP with the specific target BP recommended by the major guidelines. Such conditions include white-coat hypertension (WCH), masked hypertension (MH), white-coat uncontrolled hypertension (WUCH), and masked uncontrolled hypertension (MUCH). Here, the authors review the relevant literature and discuss the related issue to facilitate the use of corresponding BPs for proper diagnosis of WCH, MH, WUCH, and MUCH in the setting of standard target BP as well as intensive target BP. The methodology of deriving the corresponding BP has evolved from statistical methods such as standard deviation, percentile value, and regression to an outcome-based approach using pooled international cohort study data and comparative analysis in randomized clinical trials for target BPs such as the SPRINT and STEP studies. Corresponding BPs to 140/90 and 130/80 mm Hg in office BP is important for safe and strict achievement of intensive BP targets. The corresponding home, daytime, and 24-h BPs to 130/80 mm Hg in office BP are 130/80, 130/80, and 125/75 mm Hg, respectively. However, researchers have found some discrepancies among the home corresponding BPs. As tentative criterion for de-escalation of antihypertensive therapy as shown in European guidelines was 120 mm Hg in office BP, corresponding home, daytime, and 24-h systolic BPs to 120 mm Hg in office systolic BP are 120, 120, and 115 mm Hg, respectively.

中文翻译:

HOPE 亚洲网络关于与办公室测量相对应的血压测量的共识:自动办公室、家庭和动态血压

为了采用最近推出的使用诊室和诊室外血压(BP)分类的高血压表型来诊断高血压和抗高血压药物治疗,必须根据主要指南推荐的具体目标血压来定义相应的诊室外血压。此类病症包括白大衣高血压(WCH)、隐匿性高血压(MH)、白大衣不受控制的高血压(WUCH)和隐匿性不受控制的高血压(MUCH)。在此,作者回顾了相关文献并讨论了相关问题,以方便在标准目标血压和强化目标血压的设定中,使用相应的血压来正确诊断WCH、MH、WUCH和MUCH。推导相应血压的方法已从标准差、百分位值和回归等统计方法发展到基于结果的方法,使用汇总的国际队列研究数据和针对目标血压的随机临床试验中的比较分析,例如 SPRINT 和 STEP学习。诊室血压对应的血压为 140/90 和 130/80 mm Hg 对于安全、严格地实现强化血压目标非常重要。办公室血压 130/80 毫米汞柱对应的家庭血压、白天血压和 24 小时血压分别为 130/80、130/80 和 125/75 毫米汞柱。然而,研究人员发现家庭对应的血压之间存在一些差异。欧洲指南中降压治疗的暂定标准是诊室血压 120 毫米汞柱,相应的家庭、日间和 24 小时收缩压至诊室收缩压 120 毫米汞柱为 120、120 和 115 毫米汞柱分别为汞。
更新日期:2023-10-30
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