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February 4, 2010PharmaceuticalsOpen Access

Home and Office Blood Pressure Control among Treated Hypertensive Patients in Japan: Findings from the Japan Home versus Office Blood Pressure Measurement Evaluation (J-HOME) Study

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Key result

Among treated hypertensive patients in primary care settings in Japan, there was poor control of both home and office blood pressures.

Population

Treated hypertensive patients in primary care settings in Japan

Design

Cross-sectional

Authors

TOTaku ObaraPreventive CardiologyTOTakayoshi OhkuboPreventive CardiologyMSMichihiro SatohTohoku Fukushi University

Discussion

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Implication

Poor BP control persists among treated Japanese hypertensives; leaves open need for targeted interventions and prospective trials.

Key Points

  • To evaluate blood pressure control in home and clinic settings and determine factors influencing control, the white-coat effect, and diurnal variation among treated hypertensive individuals.
  • Assessed blood pressure management in primary care settings in Japan as part of the nationwide J-HOME evaluation.
  • Measured and compared self-recorded home blood pressure, office blood pressure, morning-to-evening blood pressure discrepancies, and home heart rates in treated patients.
  • Treated hypertensive patients showed inadequate rates of blood pressure control across both home and clinic measurements.
  • Analyses clarified key clinical factors influencing poor control, the magnitude of the white-coat effect, morning-evening blood pressure variation, and resting home heart rate.

Study Design

Type

Observational

Structured PICO

P
Population
Treated hypertensive patients in primary care settings in Japan evaluated for home and office blood pressure control.
O
Outcome
Blood pressure control at home and in the officesurrogate

This study highlights that despite treatment, blood pressure control remains poor both at home and in the office among hypertensive patients in Japanese primary care settings.

Cite This Study

Obara et al. (2010) conducted an observational in Hypertension. Home and office blood pressure measurement was evaluated on Blood pressure control at home and in the office. Among treated hypertensive patients in primary care settings in Japan, there was poor control of both home and office blood pressures.

synapsesocial.com/papers/6a1ee3cf16625edd4004f9eehttps://doi.org/10.3390/ph3020419
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Self-Monitoring of Blood Pressure Promotes Achievement of Blood Pressure Target in Primary Health Care2005 · 106 citations
  2. 2Efficacy of a home blood pressure monitoring programme on therapeutic compliance in hypertension: the EAPACUM–HTA study2005 · 161 citations
  3. 3Determinants of Exaggerated Difference in Morning and Evening Blood Pressure Measured by Self-measured Blood Pressure Monitoring in Medicated Hypertensive Patients: Jichi Morning Hypertension Research (J-MORE) Study2005 · 73 citations
  4. 42007 ESH-ESC Practice Guidelines for the Management of Arterial Hypertension2007 · 1,845 citations
  5. 5Status of Home Blood Pressure Measured in Morning and Evening: Evaluation in Normotensives and Hypertensives in Japanese Urban Population2005 · 43 citations