white coat hypertension


Also found in: Dictionary, Thesaurus, Acronyms, Idioms, Encyclopedia, Wikipedia.

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.
To help differentiate true blood pressure elevation from white coat hypertension ask to have your blood pressure taken at the end of the exam after you have had ample time to relax and adjust to your surroundings.
Average systolic blood pressure readings in the 41 patients with white coat hypertension were 137 mm Hg by doctors' measurements, 133 mm Hg by nurses, 123 mm Hg by the automated device, and 121 mm Hg on ambulatory daytime monitoring.
Average diastolic blood pressure readings in patients with white coat hypertension were 86 mm Hg when taken by doctors, 83 mm Hg by nurses, 75 mm Hg by the automated device, and 73 mm Hg by ambulatory monitoring.
In a cohort of nearly 6,000 primary care patients identified by their physicians as having clinic blood pressures needing further investigation or referral to hypertension treatment, about 23% fit the diagnostic criteria for white coat hypertension, Martin Dawes, M.
Therefore the significant adverse effects and economic costs associated with drugs prescribed for hypertension are not counterbalanced by therapeutic benefit in patients with white coat hypertension.
The results are particularly compelling, he added, because "this is the first study to use ambulatory blood pressure monitoring, so we have selected out all white coat hypertension.
17, 2001, the Centers for Medicare and Medicaid Services ("CMS") has approved reimbursement for ambulatory blood pressure monitoring for the diagnosis of suspected white coat hypertension.
White coat hypertension is common in obstructive sleep apnea, said Francisco Garcia-Rio, Ph.
3] Research with ambulatory blood pressure monitoring (ABPM) clearly demonstrates the importance of white coat hypertension in making an accurate diagnosis of hypertension.
It is estimated that as many as 20% of these may have white coat hypertension and may be receiving treatment unnecessarily.