DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20222560
Published: 2022-09-28

White-coat hypertension by ambulatory blood pressure monitoring in individuals with elevated office blood pressure and correlation with co-morbidities

Sasank Durugu, Srinivasa Rao

Abstract


Background: White-coat hypertension characterized by elevated office blood pressure and normal ambulatory blood pressure monitor measurements has an incidence of 10-30%. It is considered that white-coat hypertension is not entirely benign condition and progression to hypertension has been identified in some cases.

Methods: 197 consecutive subjects with elevated office blood pressure measurements were evaluated by ambulatory blood pressure monitoring and assessed for co-morbidities.

Results: Of the 197 subjects evaluated 138 (70.05%) had hypertension and 59 (29.95%) had white-coat hypertension. Diabetics comprised of 21.73% of hypertensive individuals and 25.42% of white-coat hypertension individuals (p value 0.57). Similarly, when assessed for body mass index and dyslipidemia there was no statistically significant difference in both the groups.

Conclusions: White-coat hypertension is a common condition and proper assessment by ambulatory blood pressure monitoring to diagnose the condition can avoid unnecessary antihypertensive medication. Identification of other co-morbidities could lead to appropriate management goals.


Keywords


White-coat hypertension, Ambulatory blood pressure monitoring, Body mass index, Diabetes mellitus, Dyslipidemia

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