Ask to have it checked next time by a nurse, not your doctor Studies show that nurses cause less anxiety and this, alone, reduces white-coat hypertension
. If necessary, your doctor can attach a small non-invasive device to your body that automatically measures your blood pressure every few minutes for a day or more -- even when you're asleep.
Researchers studied 144 pregnant women who had high blood pressure during the final trimester of their pregnancies and found that 42 had white-coat hypertension
. The women's blood pressure was normal when it was not being measured by a health professional, as shown by portable monitors the women wore for 24 hours.
Others believe that white-coat hypertension
represents a fairly serious cardiovascular risk factor.
Not only do they give an immediate response to how well one's therapy is working, they also eliminate the so-called "white-coat hypertension
" that occurs when a patient, nervous over being in a doctor's office, tenses up and throws off his or her normal blood pressure level.
These in-home monitors not only help patients get feedback on how well their therapy is working, but also they help compensate for the phenomenon of "white-coat hypertension
." This is a condition in which people experience a rise in blood pressure from the nervousness they feel at being in the doctor's office.
"--a syndrome whereby some patients' blood pressure rises during visits to their doctors' offices--may be avoided if people learn to monitor their blood pressure at home, where they are more relaxed, says Norman Kaplan, clinical professor of internal medicine, University of Texas Southwestern Medical Center at Dallas.
'We call it 'white-coat hypertension
,'" says A&D Medical director of marketing and business development Joyce Rice, whose company has been very active in educating consumers and pharmacists about the importance of blood pressure monitoring.
There is little alerting hypertension with intermittent inflation and very little white-coat hypertension
. Different positions do not appear to affect the accuracy of the measurement though in most devices the arm must be held still during the recording.
Patients were referred to the hypertension clinic from primary and secondary healthcare clinics in the hospital drainage area for evaluation of white-coat hypertension
or apparent treatment-resistant hypertension.
Twenty-four-hour ambulatory blood pressure monitoring or self-monitoring can diagnose white-coat hypertension
, he said, but pulse pressure is simpler to use and is suitable for patients without aortic valvular insufficiency or aortic disease, he added.
The clinic ruled out white-coat hypertension
in about 30%-40% of the roughly 200 children sent home with the monitors in 2009, according to Dr.
In white-coat hypertension
, a patient's blood pressure is only elevated in the doctor's office, but not in everyday life.