Cavallini MC, Roman MJ, Pickering TG, Schwartz JE, Pini R,
Devereux RB
Is white coat hypertension associated with arterial disease or
left ventricular hypertrophy?
Hypertension
(Sep) 26:413-419 1995
The prognostic importance of so-called "white coat" hypertension (elevated BP
which is present primarily when BP is first taken in the doctor's office, but
which falls on subsequent measurements or at home) is uncertain. Roman et al
measured left ventriclar and carotid artery structure and function in 24
individuals with "white coat" hypertension and in age-matched patients with
sustained hypertension.
Left ventricular mass index in patients with "white coat" hypertension (mean
82 g/m2) was similar to that in normotensives (78) and less than in patients
with sustained hypertension (98). Carotid atherosclerotic plaque prevlance
in white coat hypertensives (25%) was similar to that in normotensive
controls and less than half that in patients with sustained hypertension
(58%).
The data suggest that white coat hypertension may be a relatively benign
condition with little end-organ damage, although the possibility that this
merely represents an early stage of hypertension must also be considered.
(Daugirdas)
To go back use the BACK button on your browser.
Otherwise click on the desired link to this article below:
H: Exam and lab tests :
Tests for LVH
H: Exam and lab tests :
Ambulatory monitoring