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Masked hypertension: evidence of the need to treat

Gbenga Ogedegbe1, Charles Agyemang, Joseph E Ravenell

  • 1Center for Healthful Behavior Change, Division of General Internal Medicine, New York University School of Medicine, 423 East 23rd Street #15-168N, New York, NY 10010, USA. Olugbenga.Ogedegbe@nyumc.org

Current Hypertension Reports
|August 10, 2010
PubMed

Insights

Masked hypertension, diagnosed using accurate home monitoring, significantly increases cardiovascular risks. Early identification and treatment are crucial for reducing patient morbidity and mortality.

Area of Science:

  • Cardiology
  • Hypertension Management
  • Preventive Medicine

Background:

  • Masked hypertension poses significant cardiovascular risks, comparable to sustained hypertension.
  • Home blood pressure monitoring (HBPM) now offers accurate diagnosis, similar to ambulatory blood pressure monitoring (ABPM).
  • Target organ damage is well-documented in patients with masked hypertension.

Purpose of the Study:

  • To review the cardiovascular prognosis of masked hypertension versus sustained hypertension.
  • To examine the impact of masked hypertension on target organ damage.
  • To propose a treatment algorithm for masked hypertension and discuss implementation challenges.

Main Methods:

  • Review of clinic-based and population-based studies.
  • Analysis of evidence on cardiovascular morbidity and mortality.
  • Evaluation of the relationship between masked hypertension and target organ damage.

Main Results:

  • Masked hypertension is associated with increased cardiovascular morbidity and mortality.
  • Evidence supports blood pressure treatment to reduce cardiovascular events.
  • Active identification and treatment of masked hypertension are warranted.

Conclusions:

  • Masked hypertension requires active identification and management.
  • Treatment strategies for masked hypertension should align with those for sustained hypertension.
  • Careful consideration of potential pitfalls is necessary for effective implementation.

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