white coat hypertension


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white coat hypertension

frequent or continuous elevations of blood pressure in clinical settings that exceed those measured during ambulatory monitoring of the patient.
Synonym(s): office hypertension
A transient increase in blood pressure that occurs in apprehensive patients on seeing a ‘white coat’, especially if the patient is female and the doctor male. This may result in mislabelling the patient as having hypertension and treating as such

white coat hypertension

Office hypertension A transient ↑ in blood pressure that occurs in apprehensive Pts on seeing a 'white coat', especially if the Pt is ♀ and the doctor ♂, possibly resulting in inappropriate anti-hypertensive therapy. Cf Pseudohypertension, Small cuff syndrome.

white coat hy·per·ten·sion

(wīt kōt hī'pĕr-ten'shŭn)
Frequent or continuous elevations of blood pressure in clinical settings that exceed those measured during ambulatory monitoring of the patient.
Synonym(s): office hypertension.

white coat hypertension

A rise in blood pressure induced by the act of measuring it. People who react in this way show a higher pressure when it is measured by a doctor or nurse than they show on 24-hour ambulatory monitoring measurements that are recorded on a cassette. Assuming the latter method shows acceptable levels, white coat hypertension will usually not require treatment, but close follow-up is required as affected people may develop later complications such as kidney impairment or enlargement of the left ventricle of the heart.
References in periodicals archive ?
The incidence of white coat hypertension decreased with increasing severity of clinic blood pressure values.
The unadjusted risk for all-cause mortality in patients with white coat hypertension in the study population was 7.
The results of the study do not answer the controversial question of whether white coat hypertension should be treated with antihypertensive medications.
Ambulatory blood pressure monitoring confirmed sustained hypertension (mean daytime BP of at least 135/85 mm Hg) in 30 of the 45 patients with OSA/HS and office hypertension, and white coat hypertension (mean daytime BP of 135/85 mm Hg or lower) in the remaining 15 patients.
Patients with white coat hypertension had longer sleep-onset latency and waking after sleep onset than did the normotensive and sustained hypertensive patients.
In June 2000, Spacelabs Medical requested that ABPM be approved for coverage for five indications: white coat hypertension, apparent resistance to antihypertensive drugs, hypotensive symptoms with antihypertensive medications, episodic hypertension, as well as autonomic dysfunction.
ABPM provides an excellent clinical tool to reduce unnecessary treatment, related costs and side effects associated with the incorrect treatment of white coat hypertension.
NEW YORK -- White coat hypertension is unlikely to occur exclusively in your office.
21, 2001, and unanimously voted in favor of the Company's petition to support the use of Ambulatory Blood Pressure Monitoring (ABPM) for suspected white coat hypertension.