Significant increase of ambulatory pulse pressure in subjects with white coat hypertension

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...

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...

Appropriate time interval to repeat ambulatory blood pressure monitoring in patients with white-coat resistant hypertension.

Resistant hypertension is defined as uncontrolled office blood pressure, despite the use of ≥3 antihypertensive drugs. Ambulatory blood pressure monitoring (ABPM) is mandatory to diagnose 2 different groups, those with true and white-coat resistant hypertension. Patients are found to change categories between controlled/uncontrolled ambulatory pressures without changing their office blood press...

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

Long-term risk in subjects with white-coat hypertension.

Long-Term Risk in Subjects With White-Coat Hypertension To the Editor: We read with great interest the article by Mancia et al1 clarifying the increased risk of developing sustained hypertension in subjects with white-coat hypertension, compared with normotensive patients, using home blood pressure measurements and ambulatory blood pressure monitoring. This study was performed over a 10-year pe...