2020 Consensus Statement of the Taiwan Hypertension Society and the Taiwan Society of Cardiology on Home Blood Pressure Monitoring for the Management of Arterial Hypertension.
Hung-Ju Lin, Tzung‐Dau Wang, Michael Yu-Chih Chen, Chien‐Yi Hsu, Kang-Ling Wang, Chin-Chou Huang, Ming-Jer Hsieh, Yu-Wei Chiu, Liang-Ting Chiang, Wen‐Po Chuang, Pai‐Feng Hsu, Chun‐Hsien Wu, Chi-Sheng Hung, Kuan-Chun Chen, Chih‐Cheng Wu, Yu-Chen Wang, Po-Ching Chou, Hui-Yi Yap, Hao-Min Cheng
Abstract
" principle of HBP monitoring should be applied in clinical settings, including confirmation of hypertension diagnosis, 2 weeks after adjustment of antihypertensive medications, and at least every 3 months in well-controlled hypertensive patients. A good reproducibility of HBP monitoring could be achieved by individuals carefully following the instructions before and during HBP measurement, by using validated BP devices with an upper arm cuff. Corresponding to office BP thresholds of 140/90 and 130/80 mmHg, the thresholds (or targets) of HBP are 135/85 and 130/80 mmHg, respectively. HBP-based hypertension management strategies including bedtime dosing (for uncontrolled morning hypertension), shifting to drugs with longer-acting antihypertensive effect (for uncontrolled evening hypertension), and adding another antihypertensive drug (for uncontrolled morning and evening hypertension) should be considered. Only with the support from medical caregivers, paramedical team, or tele- monitoring, HBP monitoring could reliably improve the control of hypertension.