Skip to main content

Part of the book series: Practical Case Studies in Hypertension Management ((PCSHM))

  • 781 Accesses

Abstract

A 65-year-old, Caucasian female, diagnosed of hypertension at 59 years of age, was followed up in our centre from the age of 63 years. She is receiving three antihypertensive drugs. Patient presents clinic blood pressure (BP) values very well controlled, but an increased albumin/creatinine ratio is confirmed. 24-h ambulatory BP monitoring (ABPM) was performed, and the final diagnosis was masked uncontrolled hypertension.

Masked hypertension can be diagnosed in untreated patients who have normal office BP with elevated ABPM or home BP. When treated individuals have normal office BP but persistently elevated ambulatory or home BP, the term masked uncontrolled hypertension is more appropriate. Patients with masked hypertension have increased risk of developing cardiovascular disease because they often remain undetected and untreated.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Pickering T, Davidson K, Gerin W, Schwartz JE. Masked hypertension. Hypertension. 2002;40:795–6.

    Google Scholar 

  2. O’Brien E, Parati G, Stergiou G Asmar R, Beilin L, Bilo G, et al., on behalf of the European Society of Hypertension Working Group on Blood Pressure Monitoring. European Society of Hypertension Position Paper on ambulatory blood pressure monitoring. J Hypertens. 2013;31:1731–68.

    Google Scholar 

  3. Ohkubo T, Kikuya M, Metoki H, Asayama K, Obara T, Hashimoto J, et al. Prognosis of masked hypertension and white coat hypertension detected by 24-h ambulatory blood pressure monitoring: 10 year follow-up from the Ohasama study. J Am Coll Cardiol. 2005;46:508–15.

    Google Scholar 

  4. Williams B, Mancia G, et al. 2018 ESC/ESH guidelines for the management of arterial hypertension. J Hypertens. 2018;36(10):1953–2041.

    Google Scholar 

  5. Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2018;71:2199–269.

    Google Scholar 

  6. de la Sierra A, Banegas JR, Vinyoles E, Segura J, Gorostidi M, de la Cruz JJ, et al. Prevalence of masked hypertension in untreated and treated patients with office blood pressure below 130/80 mmHg. Circulation. 2018;137:2651–3.

    Google Scholar 

  7. Banegas JR, Ruilope LM, de la Sierra A, de la Cruz JJ, Gorostidi M, Segura J, et al. High prevalence of masked uncontrolled hypertension in people with treated hypertension. Eur Heart J. 2014;35:3304–12.

    Google Scholar 

  8. Banegas JR, Ruilope LM, de la Sierra A, Vinyoles E, Gorostidi M, de la Cruz JJ, et al. Relationship between clinic and ambulatory blood-pressure measurements and mortality. N Engl J Med. 2018;378:1509–20.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Segura, J. (2019). Patient with Masked Hypertension. In: Hypertension and 24-hour Ambulatory Blood Pressure Monitoring. Practical Case Studies in Hypertension Management. Springer, Cham. https://doi.org/10.1007/978-3-030-02741-4_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-02741-4_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-02740-7

  • Online ISBN: 978-3-030-02741-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics