White coat hypertension: addressing the 10 most important questions.

Current Cardiology Reports
Louis Kuritzky

Abstract

The term 'white coat' hypertension (WC-HTN) is intended to reflect the situation in which measurement of blood pressure (BP) by a health professional (often a physician in a white coat) in an office setting is found to be elevated in comparison with BP measured by a more consistent and less error-prone method such as ambulatory BP monitoring (ABPM), or home BP monitoring (HBPM). Office BP (also sometimes called 'casual BP') has formed the basis of clinical trials that confirm meaningful reductions in MI (25 %), stroke (40 %), and heart failure (50 %) with pharmacotherapy. Nonetheless, within clinical trials, a substantial minority of patients have been determined to have WC-HTN, for which treatment is not known to be of benefit, and is hence not indicated. Clinicians continue to have a good deal of uncertainty about the definition, consequences, course, and best management of WC-HTN. The intention of this communication is to address the top priority questions about WC-HTN to enable clinicians to become more confident in its identification and management.

References

Oct 1, 1991·American Journal of Hypertension·M G Myers, R A Reeves
Feb 10, 1989·JAMA : the Journal of the American Medical Association·W B WhiteH M Dey
Apr 7, 1999·American Journal of Hypertension·N ZakopoulosS Moulopoulos
Nov 21, 2002·American Journal of Hypertension·Sante D PierdomenicoAndrea Mezzetti
Jan 9, 2003·American Journal of Hypertension·Mark R NelsonUNKNOWN Management Committee, Second Australian National Blood Pressure Study
Jun 17, 2006·Internal Medicine·Mehmet Rami Helvaci, Mahmut Seyhanli
Jan 9, 2009·The Journal of Clinical Hypertension·Thomas G PickeringUNKNOWN American Society of Hypertension Writing Group
Feb 10, 2012·Journal of Hypertension·George S Stergiou, Gianfranco Parati

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Citations

Apr 9, 2015·American Journal of Hypertension·Kathleen M DillonCourtney J Doyle-Campbell
Nov 25, 2014·The Clinical Teacher·Abhimanyu Jabbal
Nov 3, 2016·Evidence-based Complementary and Alternative Medicine : ECAM·Gan-Hon LinLi-Li Chen
Mar 21, 2015·Hospital Practice·Win Myint AungBarry J Materson

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