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Masked hypertension, a review of the literature
Willem J Verberk1, Theo Thien, Peter W de Leeuw
1Department of Internal Medicine, University Hospital Maastricht, Maastricht, The Netherlands. willem.verberk@intmed.unimaas.nl
Insights
Masked hypertension, where blood pressure is normal in-office but high outside, is common and linked to organ damage. Further research is needed to understand its causes and implications.
Area of Science:
- Cardiology
- Clinical Medicine
- Hypertension Research
Background:
- Masked hypertension is a prevalent condition affecting all age groups, with reported prevalence ranging from 8% to 45% across studies.
- Significant discrepancies exist in the literature regarding the prevalence and characteristics of masked hypertension.
- This condition carries significant clinical importance due to its association with increased target organ damage compared to sustained normotension.
Purpose of the Study:
- To provide a comprehensive overview of the current literature on masked hypertension.
- To enhance understanding of the underlying causes and contributing factors of masked hypertension.
- To identify critical research questions for future investigations into masked hypertension.
Main Methods:
- Literature review of existing studies on masked hypertension.
- Analysis of prevalence data and clinical significance from various research.
- Synthesis of current knowledge to highlight research gaps.
Main Results:
- Masked hypertension is a widespread clinical issue with variable reported prevalence.
- The condition is associated with greater target organ damage than normal blood pressure readings in clinical settings.
- Existing research presents considerable discrepancies, indicating a need for standardized methodologies.
Conclusions:
- Masked hypertension requires further dedicated research to elucidate its etiology and clinical management.
- Addressing the discrepancies in current literature is crucial for accurate diagnosis and treatment.
- Future research should focus on answering specific, well-defined questions to advance the understanding and management of masked hypertension.
Abstract:
Masked hypertension (blood pressure that is normal in the physicians' office but elevated elsewhere) is a common phenomenon as prevalence among studies varies from 8 to 45% and is seen at all ages. large discrepancies, however, exist between studies that have dealt with masked hypertension. It is of high clinical importance as it is associated with higher target organ damage as compared with sustained normotension. Therefore more research should be determined. This paper provides an overview of current literature to improve knowledge about masked hypertension and about the cause of this phenomenon. In addition it provides some questions, which need to be answered for performing appropriate research into this subject in future.
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