White Coat Phenomenon
نویسندگان
چکیده
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 office is a relatively poor predictor of CV risk in the individual, with ABPM now considered to be the best determinant of future CV events. Many patients diagnosed with WCH are not hypertensive on ABPM which leads one to ask: Why call a patient hypertensive when the final diagnosis will frequently be normal blood pressure (BP)?
منابع مشابه
Clinical significance of white-coat hypertension.
DEFINITION AND PREVALENCE OF WHITE-COAT HYPERTENSION: White-coat hypertension describes the phenomenon of an abnormal blood pressure reading when taken by a physician and a normal reading with ambulatory or home monitoring. The results of studies suggest that the true prevalence of white-coat hypertension may be 20%. The magnitude of the effect using either the oscillometric or the auscultatory...
متن کاملPhysiological, psychological, and behavioral factors and white coat hypertension.
Patients with hypertension in the clinic but not during daily activities ("white coat" hypertension) may be at lower risk of hypertensive morbidity and mortality than patients with hypertension in both settings ("persistent" hypertension). We hypothesized that the white coat phenomenon was due to greater blood pressure reactivity to the stress of a clinic visit and that, as a consequence, white...
متن کامل"White coat hypertension" in type 2 diabetic patients.
INTRODUCTION "White coat hypertension" is a phenomenon in which patients exhibit elevated blood pressure in clinical setting, but not recorded by themselves at home. OBJECTIVES The aim of this study was to evaluate frequency of "white coat hypertension" in type 2 diabetic patients, in which high blood pressure values in clinical setting were observed for the first time. PATIENTS AND METHODS...
متن کاملDecoding 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...
متن کاملDiagnosis 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...
متن کامل