Masked Hypertension: Whom and How to Screen?
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Purpose of Review
To review issues regarding the practical implementation of screening strategies for masked hypertension.
Masked hypertension has been associated with an increased risk of cardiovascular disease events and all-cause mortality. Recent guidelines have encouraged practitioners to use out-of-clinic monitoring to detect masked hypertension in some situations. However, it is unclear from these guidelines who should be screened or how to best measure out-of-office blood pressure. In this review, challenges to screening strategies for masked hypertension, and factors that should be considered when deciding to screen using ambulatory or home blood pressure monitoring.
Masked hypertension is an important clinical phenotype to detect. Future research is needed in order to develop optimal screening strategies, and to understand population level implications of using ambulatory or home blood pressure monitoring on blood pressure control.
KeywordsHypertension Masked hypertension Out-of-office monitoring Blood pressure Blood pressure control Population health
MA receives support through 18AMFDP34380732 from the American Heart Association.
NM receives support through NHLBI (R01 HL141609-01).
IK receives support through the Agency for Healthcare Research and Quality (R01 HS-024262).
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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