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Determinants of white-coat hypertension
1ADAPT Centre, Beaumont Hospital, Department of Clinical Pharmacology, Royal College of Surgeons in Ireland, Dublin, Ireland.
Blood Pressure Monitoring
|November 27, 2004
Summary
White-coat hypertension (WCH), a condition of elevated office blood pressure, affects 15.4% of patients. Older adults, females, and non-smokers are more likely to have WCH.
Area of Science:
- Cardiology
- Hypertension Research
Background:
- White-coat hypertension (WCH) is frequently observed in patients with elevated office blood pressure.
- Misdiagnosis of WCH can lead to unnecessary antihypertensive medication use.
- Understanding WCH patient profiles is crucial for accurate diagnosis and treatment.
Framework:
- Study included 5716 patients referred over 22 years.
- Defined WCH as clinic BP > 140/90 mmHg with normal daytime ambulatory BP.
- Collected baseline clinic and daytime ambulatory blood pressure data.
Implementation:
- Prevalence of WCH was determined to be 15.4%.
- Identified higher WCH prevalence in older adults, females, and non-smokers.
- Utilized multivariate logistic regression to analyze predictors.
Implications:
- Identified key demographic and lifestyle factors associated with WCH.
- Findings aid in identifying patients at higher risk for WCH.
- Supports targeted ambulatory blood pressure monitoring for at-risk individuals.