White-coat hypertension

Catherine A. Martin, Barry Patrick McGrath

Research output: Contribution to journalArticleResearchpeer-review

38 Citations (Scopus)

Abstract

Summary: Numerous studies have examined whether white-coat hypertension (WCHT) is associated with increased cardiovascular risk, but with definitions of WCHT that were not sufficiently robust, results have been inconsistent. The aim of the present review was to standardize the evidence by only including studies that used a definition of WCHT consistent with international guidelines. Published studies were reviewed for data on vascular dysfunction, target organ damage, risk of future sustained hypertension and cardiovascular events. White-coat hypertension has a population prevalence of approximately 15 and is associated with non-smoking and slightly elevated clinic blood pressure. Compared with normotensives, subjects with WCHT are at increased cardiovascular risk due to a higher prevalence of glucose dysregulation, increased left ventricular mass index and increased risk of future diabetes and hypertension. In conclusion, management of a patient with WCHT should focus on cardiovascular risk factors, particularly glucose intolerance, not blood pressure alone.
Original languageEnglish
Pages (from-to)22-29
Number of pages8
JournalClinical and Experimental Pharmacology and Physiology
Volume41
Issue number1
DOIs
Publication statusPublished - Jan 2014

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