Evidence map›Paper›PMID 31742891›Full record

Trial reportJournal of clinical hypertension (Greenwich, Conn.)2020

Target blood pressure and control status in Asia.

Yook-Chin Chia, Kazuomi Kario, Yuda Turana, Jennifer Nailes, Jam Chin Tay, Saulat Siddique, Sungha Park, Jinho Shin, Peera Buranakitjaroen, Chen-Huan Chen and 12 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical hypertension (Greenwich, Conn.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Target blood pressure and control status in Asia.Journal of clinical hypertension (Greenwich, Conn.) · 2020
    Trial
  2. Article
  3. Ambulatory blood pressure monitoring profiles in Asia.Journal of clinical hypertension (Greenwich, Conn.) · 2024
    Review
  4. Article
  5. Review
  6. Manpower cost for a hypertension health campaign: A cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023
    Article
  7. Article
  8. Disaster hypertension and cardiovascular events in disaster and COVID-19 pandemic.Journal of clinical hypertension (Greenwich, Conn.) · 2021
    Review
  9. Hypertension and chronic kidney disease in Asian populations.Journal of clinical hypertension (Greenwich, Conn.) · 2021
    Review
  10. Hypertension in a multi-ethnic Asian population of Singapore.Journal of clinical hypertension (Greenwich, Conn.) · 2021
    Review
  11. Isolated systolic hypertension in Asia.Journal of clinical hypertension (Greenwich, Conn.) · 2021
    Review
  12. Article
  13. The HOPE Asia Network activity for "zero" cardiovascular events in Asia: Overview 2020.Journal of clinical hypertension (Greenwich, Conn.) · 2020
    Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Yook-Chin ChiaDepartment of Medical Sciences, School of Healthcare and Medical Sciences, Sunway University, Bandar Sunway, Malaysia.ORCID 0000-0003-1995-0359
Kazuomi KarioDivision of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.ORCID 0000-0002-8251-4480
Yuda TuranaDepartment of Neurology, Faculty of Medicine, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia.
Jennifer NailesUniversity of the East Ramon Magsaysay Memorial Medical Center Inc, Quezon City, Philippines.
Jam Chin TayDepartment of General Medicine, Tan Tock Seng Hospital, Singapore City, Singapore.
Saulat SiddiqueFatima Memorial Hospital, Lahore, Pakistan.ORCID 0000-0003-1294-0430
Sungha ParkDivision of Cardiology, Cardiovascular Hospital, Yonsei Health System, Seoul, Korea.
Jinho ShinFaculty of Cardiology Service, Hanyang University Medical Center, Seoul, Korea.ORCID 0000-0001-6706-6504
Peera BuranakitjaroenDepartment of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0002-4710-2413
Chen-Huan ChenDepartment of Medicine, Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan.
Romeo DivinagraciaUniversity of the East Ramon Magsaysay Memorial Medical Center Inc, Quezon City, Philippines.
Satoshi HoshideDivision of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.ORCID 0000-0001-7541-5751
Huynh Van MinhDepartment of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
Jorge SisonDepartment of Medicine, Medical Center Manila, Manila, Philippines.
Arieska Ann SoenartaDepartment Cardiology and Vascular Medicine, University of Indonesia-National Cardiovascular Center, Harapan Kita, Jakarta, Indonesia.
Guru Prasad SogunuruMIOT International Hospital, Chennai, India.
Apichard SukonthasarnBangkok Hospital Chiang Mai, Chiang Mai, Thailand.
Boon Wee TeoDivision of Nephrology, Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore City, Singapore.ORCID 0000-0002-4911-8507
Narsingh VermaDepartment of Physiology, Faculty of Medicine, King George's Medical University, Lucknow, India.
Yuqing ZhangDivisions of Hypertension and Heart Failure, Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Tzung-Dau WangDivision of Cardiology, Department of Internal Medicine, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan.
Ji-Guang WangDepartment of Hypertension, Centre for Epidemiological Studies and Clinical Trials, The Shanghai Institute of Hypertension, Shanghai Key Laboratory of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.ORCID 0000-0001-8511-1524

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is widely accepted that hypertension constitutes a significant cardiovascular risk factor and that treating high blood pressure (BP) effectively reduces cardiovascular risk. An important issue in Asia is not just the high prevalence of hypertension, particularly in some countries, but also the low level of awareness and treatment rates in many regions. The 2017 update of the American College of Cardiology/American Heart Association hypertension guidelines raised the question about which BP threshold should be used to diagnose and treat hypertension. Although there is a theoretical rationale for a stricter BP criterion in Asia given the ethnic-specific features of hypertension in the region, the majority of countries in Asia have retained a diagnostic BP threshold of ≥140/90 mm Hg. Although lowering thresholds might make theoretical sense, this would increase the prevalence of hypertension and also markedly reduce BP control rates. In addition, there are currently no data from robust randomized clinical trials of the benefits of the lower targets in preventing cardiovascular disease and reducing cardiovascular risk, particularly in high-risk patients and especially for Asian populations. There is also no defined home BP treatment target level for an office BP treatment target of 130/80 mm Hg. However, in this regard, in the interim, lifestyle modifications, including reducing body weight and salt intake, should form an important part of hypertension management strategies in Asia, while studies on treating at lower BP threshold level in Asians and getting to lower BP targets will be helpful to inform and optimize the management of hypertension in the region.

Indexed as

Blood Pressure Monitoring, AmbulatoryHypertensionAsiaBlood PressureBlood Pressure DeterminationHumansUnited StatesAsiacontrol blood pressurehome blood pressure (HBPM)HOPE Asia Networktarget blood pressure

Identifiers

PMID31742891
PMCPMC8029870

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.