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January 1, 2006Internal MedicineOpen Access

What a High Prevalence of White Coat Hypertension in Society!

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Key result

Among 438 consecutive clinic patients, the prevalence of white coat hypertension was 43%, representing the most common blood pressure phenotype until the eighth decade of life.

Population

438 consecutive patients referring to an internal medicine clinic for any complaint, without excluding any…

Design

Cross-sectional

Authors

MHMehmet Rami HelvacıMSMahmut Seyhanli

Discussion

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Overview

Supports caution with office BP alone in clinic settings; leaves open whether home monitoring improves outcomes in prospective studies.

Study Design

Type

Cross-Sectional (n=438)

Multicenter

No

Structured PICO

P
Population
438 consecutive patients presenting to an internal medicine clinic, evaluated for white coat, masked, and sustained hypertension using clinic, home, and ambulatory blood pressure measurements.
O
Outcome
Prevalence of normotension, white coat hypertension, masked hypertension, and sustained hypertension based on home blood pressure measurement (HBPM) and 24-hour ambulatory blood pressure measurement (ABPM).surrogate

Due to a high prevalence of white coat hypertension (43%) across age groups, home blood pressure monitoring is recommended as the preferred diagnostic method over conventional office measurements.

Limitations

  • Single center study
  • Cross-sectional design without longitudinal follow-up for cardiovascular outcomes
  • Did not exclude patients already on antihypertensive medications

Cite This Study

Helvacı et al. (2006) conducted a cross-sectional in Hypertension (n=438). Blood pressure measurement (Clinic, Home, Ambulatory) was evaluated on Prevalence of white coat hypertension (WCHT). Among 438 consecutive clinic patients, the prevalence of white coat hypertension was 43%, representing the most common blood pressure phenotype until the eighth decade of life.

synapsesocial.com/papers/6a9bfa646dfb890ed385121dhttps://doi.org/10.2169/internalmedicine.45.1650
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1White-Coat Hypertension as a Risk Factor for the Development of Home Hypertension2005 · 158 citations
  2. 2Self-measured versus ambulatory blood pressure in the diagnosis of hypertension2003 · 127 citations
  3. 3Sequential follow-up clinic and ambulatory blood pressure evaluation in a low risk population of white-coat hypertensive patients and in normotensives2005 · 36 citations
  4. 4In Clinical Practice, Masked Hypertension is as Common as Isolated Clinic Hypertension: Predominance of Younger Men2005 · 76 citations
  5. 5Masked Hypertension Assessed by Ambulatory Blood Pressure Versus Home Blood Pressure Monitoring: Is It the Same Phenomenon?2005 · 157 citations