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Masked Hypertension: Lessons for the Future

Krishnam R Penmatsa1,2,3, Mohan Biyani1,2,3, Ankur Gupta1,2,3

  • 1Krishnam R. Penmatsa: MD, DM: Consultant Nephrology, Indus Hospital, Vishakhapatnam, India.

The Ulster Medical Journal
|October 23, 2020
PubMed

Insights

Masked hypertension (MH) is often missed but carries significant cardiovascular risks. Accurate diagnosis using out-of-office monitoring is crucial for timely intervention and improved patient outcomes.

Area of Science:

  • Cardiology
  • Hypertension Research

Background:

  • Masked hypertension (MH) is an underdiagnosed condition.
  • It presents with normal clinic blood pressure but elevated out-of-office readings.
  • MH is linked to lifestyle and stress responses.

Purpose of the Study:

  • To review current evidence on masked hypertension.
  • To cover its definition, mechanisms, risk factors, and management.
  • To highlight clinical implications and screening strategies.

Main Methods:

  • Review of current evidence-based perspectives.
  • Discussion of pathological mechanisms and risk factors.
  • Analysis of diagnostic methods like ambulatory blood pressure monitoring.

Main Results:

  • MH is a distinct hypertensive phenotype.
  • It requires out-of-office monitoring for diagnosis.
  • MH carries substantial cardiovascular and mortality risks.

Conclusions:

  • Masked hypertension is a critical clinical concern.
  • Early detection and management are essential.
  • Further research into MH mechanisms and treatment is warranted.

Keywords:
Masked hypertensionclassificationmechanismsoutcomes

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