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Ambulatory Blood Pressure Monitoring in Special Populations: Masked Hypertension

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Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics

Part of the book series: Clinical Hypertension and Vascular Diseases ((CHVD))

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Abstract

The term “masked hypertension” refers to elevated out-of-clinic average blood pressure (BP) in the context of a recently measured non-elevated clinic BP. The gold standard for out-of-office BP determination is ambulatory BP monitoring. In general population studies, approximately 10 % of adults have masked hypertension. Among adult patients seen in clinical settings, 15–30 % with non-elevated clinic BP have masked hypertension. Masked hypertension is associated with increased risk of cardiovascular morbidity and mortality that approaches that of sustained hypertension (elevated office and elevated ambulatory BP). The increased cardiovascular risk coupled with a failure to be diagnosed by the conventional approach of clinic BP measurement makes masked hypertension a significant health problem. The best approach to use in the clinical setting to detect masked hypertension remains unknown. Home BP monitoring is an alternative to ambulatory BP monitoring, but it is not clear that home BP monitoring is an adequate substitute.

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Authors and Affiliations

  1. Department of Family Medicine and Hypertension Research Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Anthony J. Viera M.D.

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  1. Anthony J. Viera M.D.
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Correspondence to Anthony J. Viera M.D. .

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  1. Calhoun Cardiology Center, University of Connecticut School of Medicine, Farmington, Connecticut, USA

    William B. White

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Viera, A.J. (2016). Ambulatory Blood Pressure Monitoring in Special Populations: Masked Hypertension. In: White, W. (eds) Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics. Clinical Hypertension and Vascular Diseases. Humana Press, Cham. https://doi.org/10.1007/978-3-319-22771-9_16

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  • DOI: https://doi.org/10.1007/978-3-319-22771-9_16

  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-22770-2

  • Online ISBN: 978-3-319-22771-9

  • eBook Packages: MedicineMedicine (R0)

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