Characteristics of young-onset white coat hypertension identified by targeted screening for hypertension at a university health check-up

Hypertension Research : Official Journal of the Japanese Society of Hypertension
Hiroaki ToyamaMitsunobu Matsubara

Abstract

Previously we estimated the prevalence of essential hypertension (EH) as around 0.1% and suggested that male gender, obesity, and strong genetic background (hypertension in parents) were risk factors for EH in a young population aged less than 30 based on targeted screening for hypertension at a university health check-up. This study also revealed a high incidence of white coat hypertension (WCH) in university students, and thus, we continued this screening for four consecutive years, and examined the prognosis and clinical characteristics of young-onset WCH. Three occasions of casual blood pressure (BP) measurement and additional home BP measurement revealed 72 WCH and 15 EH students (all males) during the 4-year study period. None of the WCH students had elevated home BP to the level of hypertension during their stay at university, and 26 out of 38 WCH students participating screening in the following years showed normal casual BP. Although WCH students showed a significantly higher pulse rate than controls, WCH could not be fully differentiated from EH either by pulse rate or by correlation between casual BP value and pulse rate. These findings indicate the requirement of longer follow-up after graduation to determine the pr...Continue Reading

References

Nov 23, 1996·Lancet·P VerdecchiaC Porcellati
Jul 10, 2003·American Journal of Hypertension·Konrad BuchholzHans Christian Deter
Jul 17, 2003·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Terukazu KawasakiAkira Babazono
May 11, 2005·American Journal of Hypertension·Serina A NeumannStephen B Manuck
Jun 17, 2006·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Yutaka EjimaMitsunobu Matsubara
Apr 25, 2007·The Journal of Pediatrics·Rae-Ellen W KaveyFrank C Smith

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Citations

Oct 13, 2015·Annals of Internal Medicine·Albert L Siu, UNKNOWN U.S. Preventive Services Task Force

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