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Determinants of white-coat hypertension

E Dolan1, A Stanton, N Atkins

  • 1ADAPT Centre, Beaumont Hospital, Department of Clinical Pharmacology, Royal College of Surgeons in Ireland, Dublin, Ireland.

Blood Pressure Monitoring
|November 27, 2004
PubMed

Insights

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.
Abstract

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