What is the best way to identify patients with white-coat hypertension?

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WhatWayIdentifyWhiteCoat.pdf (61.02 KB)

Authors

Fisher, Michael
 Blackwell, Jean

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2005

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Article

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cardiovascular events, ambulatory blood pressure, organ damage, stage I hypertension

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Abstract

Ambulatory blood pressure monitoring is currently the gold standard for detecting patients with white-coat hypertension. Women and all patients with lower office systolic blood pressures, stage I hypertension, and no target organ damage are more likely to have white-coat hypertension (strength of recommendation [SOR]: B, based on prospective cohort studies). Self or home blood pressure monitoring has also been used to detect patients with white-coat hypertension. However, it has a low sensitivity (61%-68%) and low positive predictive value (PV+) (33%-48%) (SOR: B, short-term prospective cohort studies).

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http://hdl.handle.net/10355/3384

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OpenAccess.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.

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Clinical Inquiries, 2005