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White coat hypertension in adolescents
V H Koch1, E A Furusawa, M I Saito
1Pediatric Nephrology Unit, General Hospital, São Paulo University School of Medicine, Sao Paulo, Brazil.
Background:
Although white coat hypertension (WCH) seems to occur in 20% or more of the adult hypertensive population, this clinical condition has rarely been described in adolescents.
Design:
Routine use of ambulatory blood pressure monitoring (ABPM) procedure as part of the investigation of arterial hypertension in adolescents.
Methods:
Office blood pressure was checked after 5 minutes of rest in the seated position by the auscultation method and ABPM was performed with oscillometrical equipment (SpaceLabs 90207, Redmond, Washington, USA).
Results:
In the present study 6 adolescents (5 females, 3 white), suspected to suffer from arterial hypertension as judged by office blood pressure measurements, mean age 15.1 years (12.2 - 17.7), mean height 164.5 cm, mean weight 77.2 kg, mean body mass index 28.8 kg/m2 (25 - 35.2), were diagnosed with WCH using ambulatory blood pressure monitoring (ABPM).
Conclusion:
White coat hypertension should also be considered in the evaluation of arterial hypertension in adolescents.
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