P115 Does Post-stroke White Coat Hypertension/Effect (WCH/E) Require Intensive Blood Pressure Management?

Blood pressure changes after stroke: abolishing the white-coat effect.

The perfusion pressure in the cerebral capillaries combined with arterial blood pressure creates shear stresses that deform RBCs as they traverse microvessels. Our results show that in cerebral infarction, especially in hypertensive patients, RBCs are more sensitive to lowered shear stresses. Hence, hypotension in acute stroke might induce microcirculatory disorders because capillaries can be w...

Diagnosis of white coat hypertension by ambulatory blood pressure monitoring.

White coat hypertension (WCH) is common in referred hypertensive patients. Ambulatory blood pressure monitoring (ABPM) is not free from the white coat syndrome. We examined the use of the elevation of the first and last measurements of ABPM for diagnosis of WCH in a hypertensive population that had been referred to a hospital-based hypertension unit. Data were obtained on 1350 patients for clin...

Definition of white coat hypertension: ambulatory blood pressure, self-measured blood pressure, or both?

Higher Blood Pressure Variability in White Coat Hypertension; from the Korean Ambulatory Blood Pressure Monitoring Registry

BACKGROUND AND OBJECTIVES Blood pressure variability (BPV) was recently shown to be a risk factor of stroke. White coat hypertension (WCH) used to be regarded as innocuous, but one long-term follow-up study reported that WCH increased stroke rate compared to normotension (NT). In this study, we aimed to evaluate the relationship between WCH and BPV. SUBJECTS AND METHODS We analyzed 1398 subje...

Determinants of white-coat syndrome assessed by ambulatory blood pressure or self-measured home blood pressure.

BACKGROUND Gender, age, smoking, race, and body mass index have been reported to determine the ambulatory white-coat effect (WCE) and white-coat hypertension (WCH). METHODS Baseline conventional, day-time ambulatory and self-measured home blood pressure measurements from the THOP trial were used to study the effect of gender, age, body mass index, smoking habits and treatment status on the wh...