White Coat Hypertension Is More Risky Than Prehypertension

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White coat hypertension is more risky than prehypertension: important role of arterial wave reflections.

Arterial aging may link cardiovascular risk to white coat hypertension (WCH). The aims of the present study were to investigate the role of arterial aging in the white coat effect, defined as the difference between office and 24-hour ambulatory systolic blood pressures, and to compare WCH with prehypertension (PH) with respect to target organ damage and long-term cardiovascular mortality. A tot...

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White-coat hypertension is hypertension.

The article in this issue from Puato et al1 in Padova, Italy, is important because it was prospective, with 5 years of follow-up, and the hypertensive patients were never treated. They showed that carotid intima-media thickness was greater at baseline in white-coat hypertensive subjects (WCHs), increased more during follow-up than in normotensive subjects, and was not different in WCHs with sus...

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Is white-coat hypertension benign?

The out-of-office assessment should preferably be done using 24-hour ambulatory BP [blood pressure] measurement (ABPM). A series of measurements with home BP measurement (HBPM) can be done if ABPM is not available or not tolerated by the patient (level II evidence). If the average of the out-of-office readings is normal, a diagnosis of WCH [white-coat hypertension] is made. Patients with WCH sh...

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I Brazilian Position Paper on Prehypertension, White Coat Hypertension and Masked Hypertension: Diagnosis and Management

Repeated BP measurement at the office allows the diagnosis of hypertension and normotension. To better assess BP behavior, there are methods that analyze BP by using a higher number of measurements, minimizing interferences of the environment, situation and observer. Those alternatives are as follows: 24-hour ambulatory BP monitoring (ABPM); and dwelling BP measurement [home BP monitoring (HBPM...

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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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ژورنال

عنوان ژورنال: Hypertension

سال: 2013

ISSN: 0194-911X,1524-4563

DOI: 10.1161/hypertensionaha.111.00569