'Reverse white-coat hypertension' in older hypertensives

Journal of Hypertension
Lindon M H WingANBP2 Management Committee and Investigators. Second Autralian National Blood Pressure Study

Abstract

The role of ambulatory blood pressure monitoring (ABPM) in the elderly is unclear. This study has examined differences between clinic and ambulatory blood pressure (BP) in a large cohort of older hypertensives, with particular respect to the factors influencing the direction and magnitude of this difference. The Second Australian National Blood Pressure Study (ANBP2) is a general practice-based randomized-outcome trial in 6083 older hypertensives treated with an angiotensin-converting enzyme (ACE) inhibitor or diuretic-based regimen. Before starting treatment a subset of 713 patients (age range 65-83 years) had a 'successful' 26-hour ambulatory blood pressure recording with a SpaceLabs 90207 recorder. Average clinic BP (+/- SD) was 167 +/- 12/90 +/- 8 mmHg. Average daytime ambulatory BP was 157 +/- 15*/89 +/- 10* mmHg and night ambulatory BP was 137 +/- 16+/74 +/- 10+ mmHg (different from clinic BP: *P < 0.01;from daytime ambulatory BP: +P < 0.001). Twenty-one to 45% of all patients had higher daytime systolic or diastolic ambulatory BP than clinic readings, with smoking, previous treatment for hypertension and lower clinic BP being the main predictors of this 'reverse white-coat effect'. Although mean daytime ambulatory blood ...Continue Reading

References

Feb 1, 1989·Journal of Hypertension. Supplement : Official Journal of the International Society of Hypertension·R VandongenD R English
May 27, 1983·JAMA : the Journal of the American Medical Association·D PerloffR Cowan
Sep 7, 1996·Lancet·B P McGrath
May 29, 2000·American Journal of Hypertension·G SchillaciC Porcellati
Jun 14, 2001·Journal of Hypertension·P VerdecchiaA C Pessina

❮ Previous
Next ❯

Citations

Jul 7, 2011·International Urology and Nephrology·Mehmet KanbayAdrian Covic
Jun 14, 2013·Computational and Mathematical Methods in Medicine·Luis J MenaGladys E Maestre
Nov 5, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Sung-Ji ParkUNKNOWN Korean Hypertension Research Network
Jun 17, 2006·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Osamu TochikuboKiyoko Nishijima
Mar 21, 2007·Hypertension Research : Official Journal of the Japanese Society of Hypertension·UNKNOWN Japanese Society of Hypertension
Aug 1, 2007·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Thomas G PickeringKazuomi Kario
Nov 27, 2007·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Hiroshi Kawabe, Ikuo Saito
Aug 22, 2008·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Tsuyoshi HorikawaUNKNOWN J-HOME Study Group
Jan 10, 2012·International Journal of Hypertension·Juan Diego Mediavilla GarcíaJuan Jiménez Alonso
Oct 6, 2011·Current Cardiology Reports·Gary E Sander, Thomas D Giles
Jul 3, 2009·Journal of Human Hypertension·A S KonstantopoulouD E Papadogiannis
Oct 9, 2009·Clinical and Experimental Hypertension : CHE·Burcu Balam YavuzServet Ariogul
Oct 30, 2010·Clinical and Experimental Hypertension : CHE·Hyun Ju YoonUNKNOWN Korean Hypertension Research Network
Oct 6, 2015·The Journal of Clinical Hypertension·Paolo PalatiniPaolo Verdecchia
Apr 30, 2013·American Heart Journal·Ann Marie Navar-BogganEric D Peterson
Jul 13, 2012·Journal of the American Medical Directors Association·Enrico MosselloAndrea Ungar
Oct 27, 2009·Archives of Gerontology and Geriatrics·V GiantinE Manzato
Aug 21, 2007·Lancet·Franz H MesserliEberhard Ritz
Feb 28, 2006·Journal of the American Academy of Nurse Practitioners·Brandy K Frost, Ihab M Hajjar
Sep 6, 2005·Primary Care·Michael MaddensAyham Ashkar
Aug 2, 2005·Journal of the American College of Cardiology·Franz H Messerli, Delia Cotiga
Nov 6, 2007·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Ian GrahamUNKNOWN European Atherosclerosis Society (EAS)
May 10, 2008·American Journal of Hypertension·Sante D PierdomenicoFranco Cuccurullo
May 29, 2010·American Journal of Hypertension·Fabio AngeliPaolo Verdecchia
Jun 28, 2008·American Journal of Hypertension·Willem J VerberkPeter W de Leeuw
May 30, 2009·American Journal of Hypertension·Thomas K MakrisChristodoulos Stefanadis
Nov 29, 2013·Clinical and Experimental Pharmacology & Physiology·Eamon Dolan, Kirstyn James
Mar 12, 2003·Circulation·Kristina BjörklundHans Lithell
Mar 26, 2005·Hypertension·Eoin O'Brien
Feb 7, 2007·Hypertension·Iddo Z Ben-Dov, Michael Bursztyn
Dec 3, 2008·Hypertension·Velvie PogueUNKNOWN African American Study of Kidney Disease and Hypertension Collaborative Research Group
Jan 11, 2007·Journal of Hypertension·Cesare Cuspidi, Gianfranco Parati
Mar 14, 2007·Blood Pressure Monitoring·Iddo Z Ben-DovMichael Bursztyn
Apr 3, 2003·The Journal of Clinical Hypertension·Thomas G Pickering

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.