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Related Experiment Videos

["White coat effect" on blood pressure]

F A Prattichizzo1, F Galetta

  • 1Unità Operativa di Medicina Interna, San Miniato (Pisa), Azienda USL 11, Empoli.

Minerva Cardioangiologica
|November 1, 1996
PubMed
Summary

Ambulatory blood pressure monitoring reveals "white coat hypertension" and "white coat normotension" in nearly 20% of patients. These conditions, identified by comparing clinic and ambulatory readings, may alter treatment decisions for arterial hypertension.

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Area of Science:

  • Cardiology
  • Hypertension Management
  • Diagnostic Technologies

Background:

  • Non-invasive ambulatory blood pressure monitoring (ABPM) is increasingly utilized for assessing arterial hypertension.
  • The
  • white coat effect
  • describes discrepancies between clinic and ambulatory blood pressure readings.

Purpose of the Study:

  • To highlight the prevalence and clinical significance of
  • white coat hypertension
  • and
  • white coat normotension
  • in patient populations.
  • To emphasize the role of ABPM in differentiating these conditions.

Main Methods:

  • Comparison of blood pressure measurements obtained in a clinical setting versus those recorded via ambulatory monitoring.

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  • Analysis of patient data to identify prevalence of discordant readings.

    • Main Results:

    • Nearly 20% of unselected referred patients exhibit conditions related to the
    • white coat effect
    • .
    • These include
    • white coat hypertension
    • (clinic hypertension, ambulatory normotension) and
    • white coat normotension
    • (clinic normotension, ambulatory hypertension).

    Conclusions:

    • The
    • white coat effect
    • impacts a significant portion of patients evaluated for hypertension.
    • Identifying
    • white coat hypertensives
    • and
    • white coat normotensives
    • using ABPM is crucial for appropriate management and avoiding unnecessary or indicated antihypertensive therapy.