White coat hypertension and masked hypertension
Authors:
Filipovský Jan
Authors place of work:
II. interní klinika Lékařské fakulty v Plzni, Univerzita Karlova, Fakultní nemocnice Plzeň
Published in the journal:
Geriatrie a Gerontologie 2024, 13, č. 2: 92-96
Category:
Review Article
Summary
White-coat hypertension (WCH) is a common phenomenon. It is present in about one third of subjects with office hypertension, typically in females, at higher age and non-smokers. Prognostic data are not enough reliable but some studies with long-term follow-up show that cardiovascular (CV) risk is increased when compared with normotensive subjects. The inverse phenomenon is masked hypertension (MH). Its prevalence in population-based studies is 13 %. It is more common in males, typically aged between 30 and 50 years, smokers with unfavourable risk profile, and in diabetics. The risk of future CV events is close to sustained hypertension. It is underdiagnosed at present, and therefore, home BP measurement should be recommended also to the subjects with normal office BP. There are no prospective trials testing treatment of either WCH or MH. Nonpharmacologic treatment is recommended to the subjects with low CV risk while in high-risk patients, drug treatment should be considered. This is, however, a purely empirical approach.
Keywords:
white coat hypertension, prevalence, diagnosis, treatment, uncontrolled white coat hyper-tension, masked hypertension, prevalence, diagnosis, treatment masked uncontrolled hy-pertension
Zdroje
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Štítky
Geriatrics General practitioner for adults Orthopaedic prostheticsČlánok vyšiel v časopise
Geriatrics and Gerontology
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