Home blood pressure monitoring: a position statement from the Korean Society of Hypertension Home Blood Pressure Forum

Abstract Home blood pressure measurement (HBPM) has the advantage of measuring blood pressure (BP) multiple times over a long period. HBPM effectively diagnoses stress-induced transient BP elevations (i.e., white coat hypertension), insufficient BP control throughout the day (i.e., masked hypertension), and even BP variability. In most cases, HBPM may increase self-awareness of BP, increasing the compliance of treatment. Cumulative evidence has reported better improved predictive values of HBPM in cardiovascular morbidity and mortality than office BP monitoring. In this position paper, the Korean Society of Hypertension Home Blood Pressure Forum provides comprehensive information and clinical importance on HBPM

2018 Korean Society of Hypertension guidelines for the management of hypertension: part I-epidemiology of hypertension

The Korean Society of Hypertension guideline defines hypertension as systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg, where the effectiveness of pharmacological treatment has been established. It is confirmed that higher blood pressure levels are associated with increased risk of cardiovascular disease and mortality also in the Korean population. About one third of Korean adults aged 30 years or older are estimated to have hypertension, and the prevalence of hypertension gradually increases as the age increases. The awareness, treatment, and control rates of hypertension are generally improving in Korea, but more efforts are required to increase awareness and treatment among younger patients with hypertension and to improve lifestyle modification compliance at all ages. More studies are required to determine the magnitude and impact of white coat hypertension and masked hypertension in the Korean population

Effect of Antisense TGF-β1 Oligodeoxynucleotides in Streptozotocin-Induced Diabetic Rat Kidney

Transforming growth factor (TGF)-β1 is an important fibrogenic factor that is involved in the pathogenesis of diabetic nephropathy. We evaluated the effect of circular antisense TGF-β1 oligodeoxynucleotides (ODNs) on the TGF-β1 expression in the rat mesangial cell culture and in streptozotocin (STZ)-induced diabetic rats. Circular antisense TGF-β1 ODNs were found to be stable in rat serum, significantly decreasing TGF-β1 mRNA expression compared with linear antisense ODNs in the rat mesangial cell culture. Circular antisense TGF-β1 ODNs were introduced into the tail vein of normal rats using hemagglutinating virus of Japan (HVJ)-liposome-mediated gene transfer method and were confirmed to be delivered effectively into the kidney, liver, lungs, and spleen. To inhibit the overexpression of TGF-β1 in diabetic kidneys, we introduced circular antisense TGF-β1 ODNs into the STZ-induced diabetic rats. On day 13 after circular antisense TGF-β1 ODNs injection, TGF-β1 mRNA and protein expression markedly decreased and urinary TGF-β1 excretion rate also dropped in the circular antisense TGF-β1 ODNs-treated diabetic rats. These results suggest that circular antisense TGF-β1 ODNs may be a useful tool for developing new therapeutic application for progressive diabetic nephropathy