Abstract
A 42-year-old, Caucasian female was referred by her endocrinologist to confirm the diagnosis of arterial hypertension, since in the last visits, she has presented high blood pressure (BP). She was not on antihypertensive drugs. 24-h ambulatory BP monitoring (ABPM) was performed, and the final diagnosis was ‘white-coat hypertension’, also called ‘isolated clinic hypertension’.
Definition of ‘white-coat hypertension’ includes untreated patients with elevated office BP and normal 24-h ABPM. White-coat hypertension is not a benign condition, being potentially related to higher mean BP levels over 24 h compared to normotensive individuals.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Pickering TG, James GD, Boddie C, Harshfield GA, Blank S, Laragh JH. How common is white coat hypertension? JAMA. 1988;259:225–8.
Banegas JR, Ruilope LM, Williams B. White-coat uncontrolled hypertension, masked uncontrolled hypertension and true uncontrolled hypertension, phonetic and mnemonic terms for treated hypertension phenotypes. J Hypertens. 2018;36:446–7.
Vinyoles E, Rodriguez-Blanco T, de la Sierra A, Felip A, Banegas JR, de la Cruz JJ, et al., on behalf of the Spanish Society of Hypertension ABPM Registry Investigators. Isolated clinic hypertension: diagnostic criteria based on 24-h blood pressure definition. J Hypertens. 2010;28:2407–13.
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.
Myers MG, Valdivieso M, Kiss A. Use of automated office blood pressure measurement to reduce the white coat response. J Hypertens. 2009;27:280–6.
Williams B, Mancia G, et al. 2018 ESC/ESH guidelines for the management of arterial hypertension. J Hypertens. 2018;39(33):3021–104.
Vinyoles E, Felip A, Pujol E, de la Sierra A, Durà R, del Rey RH, et al., on behalf of the Spanish Society of Hypertension ABPM Registry. Clinical characteristics of isolated clinic hypertension. J Hypertens. 2008;26:438–54.
Tocci G, Presta V, Figliuzzi I, Attalla El Halabieh N, Battistoni A, Coluccia R, et al. Prevalence and clinical outcomes of white-coat and masked hypertension: analysis of a large ambulatory blood pressure database. J Clin Hypertens. 2018;20:297–305.
Fagard RH, Cornelissen VA. Incidence of cardiovascular events in white-coat, masked and sustained hypertension versus true normotension: a meta-analysis. J Hypertens. 2007;25:2193–8.
Pierdomenico SD, Cuccurullo F. Prognostic value of white-coat and masked hypertension diagnosed by ambulatory monitoring in initially untreated subjects: an updated meta analysis. Am J Hypertens. 2011;24:52–8.
Franklin SS, Thijs L, Asayama K, Li Y, Hansen TW, Boggia J, et al. The cardiovascular risk of white-coat hypertension. J Am Coll Cardiol. 2016;68:2033–43.
Ugajin T, Hozawa A, Ohkubo T, Asayama K, Kikuya M, Obara T, et al. White-coat hypertension as a risk factor for the development of home hypertension: the Ohasama study. Arch Intern Med. 2005;165:1541–6.
Verdecchia P, Reboldi GP, Angeli F, Schillaci G, Schwartz JE, Pickering TG, et al. Short- and long-term incidence of stroke in white-coat hypertension. Hypertension. 2005;45:203–8.
Briasoulis A, Androulakis E, Palla M, Papageorgiou N, Tousoulis D. White-coat hypertension and cardiovascular events: a meta-analysis. J Hypertens. 2016;34:593–9.
Stergiou GS, Asayama K, Thijs L, Kollias A, Niiranen TJ, Hozawa A, et al. Prognosis of white-coat and masked hypertension: International Database of HOme blood pressure in relation to Cardiovascular Outcome. Hypertension. 2014;63:675–82.
Huang Y, Huang W, Mai W, Cal X, An D, Liu Z, et al. White-coat hypertension is a risk factor for cardiovascular diseases and total mortality. J Hypertens. 2017;35:677–88.
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.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Segura, J. (2019). Patient with White-Coat 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_1
Download citation
DOI: https://doi.org/10.1007/978-3-030-02741-4_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-02740-7
Online ISBN: 978-3-030-02741-4
eBook Packages: MedicineMedicine (R0)