title: Control of home heart rate and home blood pressure levels in treated patients with hypertension: the J-HOME study.
abstract: OBJECTIVE
  Recently, it was found that resting heart rate (HR) measured at home (home HR), as well as self-measured blood pressure (BP) at home (home BP), was a strong predictor of the risk of cardiovascular disease mortality in the general Japanese population. It was also reported that home BP levels were not adequately controlled in hypertensive patients. Little information, however, is available on the current status of home HR control in treated patients with hypertension. The objective of this study was to examine the current status of home HR control and home BP control among treated patients with hypertension.
  
  
  METHODS
  Home HR and BP were measured using a self-monitored BP measuring device. Morning home HR and BP were obtained in 3183 patients and evening home HR and BP were obtained in 3106 patients. On the basis of an earlier study, we defined a home HR value of >or=70 beats/min as 'high home HR'.
  
  
  RESULTS
  The mean home HR value was 67.2+/-9.1 beats/min in the morning and 69.6+/-9.2 beats/min in the evening. Of the 3183 patients, 35.7% had a high home HR in the morning and 46.7% of the 3106 patients had a high home HR in the evening. The prevalence of patients with a high home HR and a controlled home BP (<135/85 mmHg) was 11.3% in the morning and 24.2% in the evening.
  
  
  CONCLUSIONS
  Resting home HR control and home BP control were inadequate.
authors: Department of Clinical Pharmacology and Therapeutics, Tohoku University Graduate School of Pharmaceutical Sciences, Sendai, Japan.
authors: Taku
authors: T
authors: Obara
authors: Takayoshi
authors: T
authors: Ohkubo
authors: Rie
authors: R
authors: Komai
authors: Kei
authors: K
authors: Asayama
authors: Masahiro
authors: M
authors: Kikuya
authors: Hirohito
authors: H
authors: Metoki
authors: Ryusuke
authors: R
authors: Inoue
authors: Kayo
authors: K
authors: Murai
authors: Koji
authors: K
authors: Tanaka
authors: Junichiro
authors: J
authors: Hashimoto
authors: Kazuhito
authors: K
authors: Totsune
authors: Yutaka
authors: Y
authors: Imai
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure / Q000502:physiology*; D018660:Blood Pressure Monitoring, Ambulatory; D002940:Circadian Rhythm / Q000502:physiology; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis
chemical_list: D000959:Antihypertensive Agents