Masked hypertension – unjustly neglected area

Česká verzia

Authors: B. Pelechová ¹; V. Vejtasová ²; D. Rahelić ^3,4,5; J. Bařinka ¹; J. Brož ¹
Authors place of work: Interní klinika 2. LF UK a FN Motol, Praha, Přednosta: prof. MUDr. Milan Kvapil, CSc., MBA ¹; Kardiologická klinika 2. LF UK a FN Motol, Praha, Přednosta: prof. MUDr. Josef Veselka, CSc. ²; Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, Zagreb, Croatia, Přednosta: Dr. Dario Rahelić, Ph. D. ³; University of Zagreb, School of Medicine, Zagreb, Croatia ⁴; Josip Juraj Strossmayer University of Osijek School of Medicine, Osijek, Croatia ⁵
Published in the journal: Prakt. Lék. 2021; 101(3): 149-151
Category: Of different specialties

Summary

Masked hypertension is defined as normal level of blood pressure when measured in doctor’s office and hypertension levels outside of it. Prevalence is usually reported to be around 15%. It is more often detected among patients who had pressure measured in the office at the upper limit of normal blood pressure, or 130–139/80–89 mmHg. More common occurrence is among men, smokers. It is associated with alcohol consumption, stress in workplace, obesity, diabetes or chronic kidney disease. Cardiovascular morbidity and mortality in patients with masked hypertension are almost close to those with persistent hypertension. The recommendations of the European Society of Cardiology and the American College of Cardiology/American Heart Association state that the presence of organ complications associated with hypertension in individuals who have not yet been diagnosed with hypertension as a clear indication for screening of masked hypertension. There haven’t been issued any clear recommendation for masked hypertension, hence therapy is empirical.

Keywords:

masked hypertension – ambulatory blood pressure monitoring – screening

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