Why the study?
Does elevation of the first and last measurements of ABPM accurately diagnose white coat hypertension compared to conventional clinic measurement in referred hypertensive patients?
Population
1350 hypertensive patients referred to a hospital-based hypertension unit.
Comparison
Ambulatory blood pressure monitoring parameters… vs Classical white coat hypertension diagnosed by…
Design
Cross-sectional
Authors
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May flag higher-risk WCH via ABPM first/last hour; leaves open prospective validation versus standard definitions.
Does elevation of the first and last measurements of ABPM accurately diagnose white coat hypertension compared to conventional clinic measurement in referred hypertensive patients?
Elevation of BP above 140/90 mm Hg in the first or last hour of ABPM identifies a white coat response with a higher BP profile and greater target organ damage than classic clinic-diagnosed white coat hypertension.
Owens et al. (1999) studied this question.
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