Morning surge in blood pressure and blood pressure variability in Asia: Evidence and statement from the HOPE Asia Network
Why the study?
Differences in hypertension characteristics between Western and Asian populations, including common high morning and nocturnal blood pressure readings, highlight the need for blood pressure management strategies accounting for ethnic differences.
Design
Statement and evidence review
Authors
Discussion
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Member takes
Implication
Supports morning surge monitoring for risk stratification in Asians; leaves open whether targeting it improves outcomes.
Structured PICO
P
Population
Asian populations with hypertension
E
Exposure
Blood pressure management strategies including long-acting antihypertensives (e.g., amlodipine, telmisartan) and out-of-office blood pressure monitoring
The HOPE Asia Network statement highlights the clinical importance of managing early morning blood pressure surge and blood pressure variability using out-of-office monitoring and long-acting antihypertensives in Asian populations.
Cite This Study
Sogunuru et al. (2018) conducted a review in Hypertension. Blood pressure management strategies was evaluated. Exaggerated early morning blood pressure surge and blood pressure variability are associated with increased cardiovascular risk, highlighting the need for tailored management strategies in Asian populations.