White Coat Effect and Reactivity to Stress

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White coat effect and reactivity to stress: cardiovascular and autonomic nervous system responses.

The aim of this study was to elucidate further the precise nature of the so-called "white coat" (WC) effect. We enrolled 88 hypertensive (46 men, 42 women) and 18 normotensive (4 men, 14 women) subjects in whom beat-to-beat blood pressure (BP) and heart rate (HR) were measured with a Finapres device at rest (R period) and during conventional BP measurement (WC period). The WC effect was defined...

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White coat effect and white coat hypertension: one and the same?

White coat hypertension (WCHT) and white coat effect (WCE) are often thought to be of the same entity. They are in fact different conditions which carry distinctive definitions and prognostic significance. WCHT is diagnosed when office blood pressure (OBP) is ≥140/90 mmHg on at least 3 occasions, while the average daytime or 24-hour blood pressure is <135/85 mmHg. It is common with 15% prevalen...

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["White coat" hypertension].

The literature concerning the problem of "white coat" hypertension is reviewed. The diagnosis of such hypertension is important for valid treatment policy in hypertensive patients. This diagnosis is based primarily on the data of 24-h blood pressure monitoring.

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White Coat Phenomenon

The term white coat hypertension (WCH) was initially introduced in 1984 to describe patients who had hypertension in the office but were normotensive with ambulatory blood pressure monitoring (ABPM). At the time, WCH was simply a phenomenon with nothing known about its possible effect on the development of cardiovascular (CV) disease. Three decades later, it is apparent that hypertension in the...

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Decoding white coat hypertension

There is arguably no less understood or more intriguing problem in hypertension that the "white coat" condition, the standard concept of which is significantly blood pressure reading obtained by medical personnel of authoritative standing than that obtained by more junior and less authoritative personnel and by the patients themselves. Using hospital-initiated ambulatory blood pressure monitori...

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ژورنال

عنوان ژورنال: Hypertension

سال: 1998

ISSN: 0194-911X,1524-4563

DOI: 10.1161/01.hyp.31.4.1021