About a third of the more than 1,000 patients in the study who were receiving ongoing antihypertensive treatment actually had white-coat hypertension
(WCH), suggesting that the costs and potential side effects from drug therapy could have been avoided in these patients, said Dr.
and white-coat effect, although obvious in many instances, were not identified in five ABPMs; the severity of hypertension was not reported in four ABPMs; the severity of nocturnal hypertension was not diagnosed in one ABPM by nine experts and isolated diastolic hypertension was not identified by six experts in two ABPMs.
Most clinicians recognise that this patient is most likely to have white-coat hypertension
because of the lack of risk factors and target organ damage.
The phenomenon is the opposite of white-coat hypertension
, in which patients have a high BP in the office but maintain normal levels at home, work and during sleep.
1-6) The most recent Joint National Committee report outlines clinical situations where ABPM may be helpful, including suspected white-coat hypertension
, drug resistance, hypotensive symptoms, episodic hypertension, and autonomic dysfunction.
You may be hypertense, or you may have a condition called white-coat hypertension
, named for the white coats doctors wear Michael A.
Neonatal weight was lower (3,098 g) for babies born to the 10 women with probable true hypertension, compared with average birth weights (3,550 g) of babies born to women with white-coat hypertension
There are some people whose blood pressure rises only in the doctor's office--a condition called white-coat hypertension
, which puts a person at future risk for the real thing.
Researchers studied 144 pregnant women who had high blood pressure during the final trimester of their pregnancies and found that 42 had white-coat hypertension
People with white-coat hypertension
experience a sudden surge in blood pressure during a medical exam.
Indeed, 184 young adult Italians with white-coat hypertension
at baseline experienced a greater increase in 24-hour ambulatory blood pressure during 8.
May Be Precursor to Chronic High Blood Pressure