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Related Experiment Videos

Endothelial function in sustained and white coat hypertension.

Sante D Pierdomenico1, Francesco Cipollone, Domenico Lapenna

  • 1Centro per lo Studio dell'Ipertensione Arteriosa, delle Dislipidemie e dell'Arteriosclerosi, Dipartimento di Medicina e Scienze dell'Invecchiamento, University Gabriele d'Annunzio, Via dei Vestini, 66013 Chieti Scalo (Chieti), Italy. pierdomenico@unich.it

American Journal of Hypertension
|November 21, 2002
PubMed
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Middle-aged individuals with white coat hypertension exhibit normal endothelial function, unlike those with sustained hypertension. This suggests white coat hypertension may not indicate underlying endothelial dysfunction when other cardiovascular risks are absent.

Area of Science:

  • Cardiovascular Physiology
  • Hypertension Research
  • Endothelial Function Studies

Background:

  • Endothelial dysfunction is common in essential hypertension.
  • White coat hypertension (WCH) requires further investigation regarding endothelial health.
  • Assessing endothelial function in WCH is crucial for understanding cardiovascular risk.

Purpose of the Study:

  • To compare endothelial function in white coat hypertension (WCH) versus sustained hypertension (SH) and normotensive (NT) individuals.
  • To evaluate circulating nitric oxide metabolites (NOx) and endothelium-dependent vasodilation (EDD) as markers of endothelial function.
  • To determine if WCH is associated with endothelial dysfunction.

Main Methods:

  • Cross-sectional study comparing 22 WCH, 22 SH, and 22 NT subjects matched for demographics.

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  • Exclusion of subjects with smoking, dyslipidemia, or diabetes.
  • Measurement of NOx levels and brachial artery ultrasonography for EDD and endothelium-independent vasodilation after a low-nitrate diet.
  • Main Results:

    • WCH subjects showed significantly higher NOx levels and EDD compared to SH patients (P < .05).
    • No significant differences in NOx or EDD were found between WCH and NT subjects.
    • Endothelium-independent vasodilation did not differ significantly among the three groups.

    Conclusions:

    • Middle-aged WCH subjects without additional cardiovascular risk factors do not exhibit endothelial dysfunction.
    • Sustained hypertensive patients demonstrate impaired endothelial function compared to WCH.
    • Findings suggest WCH may represent a distinct clinical entity from SH regarding endothelial health.