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Central blood pressure for the management of hypertension: Is it a practical clinical tool in current practice?

Authors
 Hao-Min Cheng  ;  Shao-Yuan Chuang  ;  Tzung-Dau Wang  ;  Kazuomi Kario  ;  Peera Buranakitjaroen  ;  Yook-Chin Chia  ;  Romeo Divinagracia  ;  Satoshi Hoshide  ;  Huynh Van Minh  ;  Jennifer Nailes  ;  Sungha Park  ;  Jinho Shin  ;  Saulat Siddique  ;  Jorge Sison  ;  Arieska Ann Soenarta  ;  Guru Prasad Sogunuru  ;  Apichard Sukonthasarn  ;  Jam Chin Tay  ;  Boon Wee Teo  ;  Yuda Turana  ;  Narsingh Verma  ;  Yuqing Zhang  ;  Ji-Guang Wang  ;  Chen-Huan Chen 
Citation
 JOURNAL OF CLINICAL HYPERTENSION, Vol.22(3) : 391-406, 2020-03 
Journal Title
JOURNAL OF CLINICAL HYPERTENSION
ISSN
 1524-6175 
Issue Date
2020-03
MeSH
Antihypertensive Agents / therapeutic use* ; Blood Pressure ; Blood Pressure Determination ; Brachial Artery ; Humans ; Hypertension* / diagnosis ; Hypertension* / drug therapy
Keywords
brachial BP ; central BP ; diagnosis ; high BP ; hypertension ; management ; peripheral BP
Abstract
Since noninvasive central blood pressure (BP) measuring devices are readily available, central BP has gained growing attention regarding its clinical application in the management of hypertension. The disagreement between central and peripheral BP has long been recognized. Some previous studies showed that noninvasive central BP may be better than the conventional brachial BP in association with target organ damages and long-term cardiovascular outcomes. Recent studies further suggest that the central BP strategy for confirming a diagnosis of hypertension may be more cost-effective than the conventional strategy, and guidance of hypertension management with central BP may result in less use of medications to achieve BP control. Despite the use of central BP being promising, more randomized controlled studies comparing central BP-guided therapeutic strategies with conventional care for cardiovascular events reduction are required because noninvasive central and brachial BP measures are conveniently available. In this brief review, the rationale supporting the utility of central BP in clinical practice and relating challenges are summarized.
Files in This Item:
T9992020406.pdf Download
DOI
10.1111/jch.13758
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Sung Ha(박성하) ORCID logo https://orcid.org/0000-0001-5362-478X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190181
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