white coat hypertension


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white coat hypertension

A phenomenon in which a patient experiences elevated blood pressure around medical professionals. A: "I swear, I didn't feel dizzy until the doctor came in." B: "Hmm, sounds like a case of white coat hypertension to me."
See also: coat, white
References in periodicals archive ?
What is the relationship between white coat hypertension and dyslipidemia?
White coat hypertension appears to be a classic overresponse to emotional stress.
The other 43% of these subjects were judged to have white coat hypertension based upon normal mean blood pressures while awake and asleep, she said.
White coat hypertension is defined as an elevated office blood pressure and a normal blood pressure on ambulatory monitoring.
However, patients with a family history of premature heart disease were more likely to experience white coat hypertension.
Of these, 136 (39%) had white coat hypertension (Am.
5 percent of this group actually suffered from white coat hypertension, a condition where stress and/or anxiety related to doctor office visits temporarily raises blood pressure to high levels.
The notion that office blood pressures are misleadingly off base in 30% or more of patients comes from multiple studies establishing that at least 20% of the general population have white coat hypertension and another 10% or more have masked hypertension--that is, blood pressures that are normal in the physician's office but high elsewhere.
And while Medicare covers the use of an ambulatory blood pressure monitor for a day or two for patients suspected of having white coat hypertension, it doesn't cover the purchase of a home monitor for private use.
In a study of 122 patients, measurements from an automated, in-office oscillometric device that obtained 10 valid blood pressure readings matched ambulatory blood pressure measurements closely enough that the in-office readings identified 40 out of 41 patients with white coat hypertension, said Dr.
The merits of this approach include accurate diagnoses of hypertension, identification of White Coat Hypertension and in the process, potential cost saving for those people that are not prescribed drugs for blood pressure.
He also briefly referred to resistant hypertension, white coat hypertension, ambulatory blood pressure monitoring and why it is needed besides talking about the compliance issues.
Three things can occur when BP is measured in a doctor's office that can interfere with accuracy: the white coat effect, white coat hypertension, and masked hypertension," says Dr.
10) Patients with white coat hypertension have significantly less risk of death and reduced target organ damage than patients with truly resistant hypertension.