Blood Pressure Control Assessed by Home, Ambulatory and Conventional Blood Pressure Measurements in the Japanese General Population: the Ohasama Study

Abstract

To assess blood pressure control in the Japanese population, we analyzed previously obtained measure-

Control of Blood Pressure as Measured at Home and Office, and Comparison with Physicians' Assessment of Control among Treated Hypertensive Patients in Japan: First Report of the Japan Home versus Office Blood Pressure Measurement Evaluation (J-HOME) Study

“…Importantly, such insufficient BP control was observed not only for office BP measurement but also for home BP measurement, which has a closer association with cardiovascular outcomes than office BP measurement has. These results, consistent with the results of previous studies (13)(14)(15)(16), indicate that the poor BP control among treated hypertensive patients is not a reflection of white-coat hypertension but indicates a true lack of sufficient BP control.…”

“…Several national and international guidelines also recommend its use for better management of hypertension (10)(11)(12). Although two population studies have examined BP control as measured at home, the number of treated hypertensive patients in these cohorts was not sufficient to allow detailed analysis according to the subjects' characteristics (13,14). Only two studies have examined the characteristics of BP control based on home BP level among hypertensive patients receiving antihypertensive medication (15,16).…”

The taste of salt measured by a simple test and blood pressure in Japanese women and men

“…Home blood pressure and ambulatory blood pressure are more closely associated with cardiovascular mortality and stroke morbidity than conventional blood pressure 31 and can be used to detect white coat hypertension and masked hypertension. 32 We assumed outcome misclassification to be non-differential with respect to exposure status. Thus, our results are likely to underestimate the relationship between salt taste and blood pressure because they are biased toward the null.…”

Morning Rise in Blood Pressure Is a Predictor of Left Ventricular Hypertrophy in Treated Hypertensive Patients

“…The prevalence of 24-h ambulatory blood pressure and home blood pressure monitoring has made it easy to investigate the predictive role of multiple blood pressure values outside of the clinic setting (1)(2)(3). Morning rise in blood pressure (4)(5)(6) and high morning blood pressure itself (7-9) have been noted as predictors of hypertensive target organ damage.…”